ICUBSNRN7

Hi guys! ICU nurse here. Been in the ICU for 3 years and am always moving around. My PT recommended BROOKS years ago and I have loved them. I also did myself a disservice by not wearing compression socks til recently. anyways, my brooks have been suffocating my pinky toe and I'm not sure if it's my compression socks being too tight or the shoes. It's killing me. I just need to be able to spread my toes every now and then. It has me looking into crocs, Birkenstock clogs, danskos, hokas, on clouds, anything. Pref something easy to get on that wouldn't make my pinky toes feel like they are being suffocated. Anyone have any ideas? Could it be the design of the brooks? This is a new problem for me. And I love my brooks but need ones that can provide me the comfort of always moving while not cutting my pinky toe off. ANY advice is welcome

Hi y'all I've been an ICU nurse for 3 years now and there are still several things I cannot get past due to my issues with smells. I'm able to tolerate it but I gag the whole time and it makes me want to throw up. Not so much bowel movements but mainly and mostly ostomy bags and burping ostomies. I have tried that nurse stink balm. Doesn't help that much. I'm looking for something I can spray like around my unit even when we have patients pooping all at the same time. Anyone have tricks

So I have a question for some more experienced ICU nurses, I hadn't seen this before but I have only been an ICU nurse for 2 years. I had a patient who was very fluid overloaded, but not requiring pressors. He had been in our ICU and vented for 2 weeks when his hypoxia and oxygenation status plummeted on my shift. We were having to bag him back up to the 90s, he was desatting without being touched on 100% FiO2, we got a chest X-ray and we're hoping there was a pneumo or something we could fix but of course, it was unremarkable. We were maxxed on all sedation including propofol, fentanyl, Precedex and now versed. They considered adding Ketamine but held off for the time being. That morning I started him on Nimbex with the goal to prone him during dayshift. My apps had put an order in for a PICC line but it was never done. My APP was tempted to throw a CVL in him during my shift but we were scared to lay him flat. I have only proned patients a few times. And when proning, im very much used to having CVL access rather than PIV. Granted, I at least had an arterial line but I felt as if it was pretty important to have a central line considering the amount of sedation, paralytic, and other broad spectrum antibiotics we had the patient on while waiting for cultures to come back. My main concern was that Nimbex is a vesicant and with my patient proned, if my IV is infiltrated, I wouldn't be able to tell until my patient suddenly not paralyzed while being proned. Accessing your IV sites while the patient is proned is next to impossible. I mean, it's possible if you want to play twist arms with your patient. Am I overreacting? I kinda assumed a CVL and arterial line would be basics when it came to proning just because you never know if they may require pressors and of course paralytics. I tried researching and didn't find much info either.

There's a frequent flyer in my ICU who is a chronic trach on the ventilator. I understand why trached patients who are on the Trach collar have an actual diet, but it just seems so unsafe to me to be giving a trach and vent patient water and sips with meds when they are on the vent. Especially when they have a PEG tube that works. this patient specifically has a history of aspiration, pneumonia, and thick secretions. She typically comes into the ED in need of a bronch due to her secretions and history of plugging off. Additionally, she has a chronic cuff leak. Is it my lack of experience that makes me think that this entire idea is unsafe? I feel like there's just no way it's safe....

The whole time my residency educator was bullying me and holding my ADHD over my head, I remember thinking to myself: has this woman not been educated? Has my educator truly not be educated on disability rights under the ADA? While I understand that disclosing that was 100% my choice, it still doesn't make it right for her to do... right?

Almost 2 years later, I will say that I deeply regret sharing that info with my nurse manager and residency educator. my residency educator held my ADHD over my head on numerous occasions. She would constantly use it against me and use it as her reason I was unfit to be an ICU nurse. she yelled at me in front of patients, in a patients room for not knowing how to do something, while the patient was comatose... but that did not make it right. I left that hospital after 6 months of being there. I left every day crying because my residency educator legit had it out for me. She didn't acknowledge or recognize any of my progress, I felt so defeated. I got a job in a different ICU in my area. A much larger ICU and a better hospital. I've been here for a full year now and I'm so happy that I left my first employer. I disclosed in my interview what had been going on at the first hospital I worked at and they were absolutely shocked. They apologized to me and explained that no matter the circumstance, being treated like that wasn't okay. I will say I have become a better nurse because of it. There's always more room for employment. But ultimately, I'm glad that my first employer didn't run nursing for me. I could have easily fell victim to her bullying, and decided I didn't want to be a nurse. But I didn't. And I'm so glad I didn't. my current employer does know I have adhd and never once have they mentioned it without me mentioning it first.

I feel inclined to notify my hospital that I take and am prescribed Adderall. I have given vyvanse on the floor before (granted it was med surg) but I don’t want there to be any question about me taking my medication or where it came from. example: another staff nurse sees me taking a pill and reports it in nursing school I did make them aware so I wouldn’t have any issues. Just seeking opinions

They bumped their base pay to $29! Once you are offered the position after the interview, you’ll receive a contract that discusses the base pay, shift differential, and your pay difference once you go from residency and staff!

Comfiest shoes that are worth the price? I used brooks during clinicals as recommended by my PT since they had to be all white and leather. But my hospital has no uniform policy besides matching scrubs LOL what are your fav/go to work shoes and why?

I made a Reddit for atl nurses!! Feel free to join ? r/ATLnurses I’m also doing a residency at Northside in their ICU starting January! I’ll let you know how it goes

I passed according to the trick!! I also passed because the GA board put my license up less than 24 hours after my exam! Wooo hooo ?

I passed according to the trick!!

Just finished my first attempt. It cut me off and showed the screen for the research portion. I started it but then I wanted to stop the research portion so I did. But it didn’t come up til question 137. I’m horrified. I need to know if I passed. How long do I have to wait before doing the Pearson vue trick