CrufflerJJ BSN, RN, EMT-P

ICU

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All Content by CrufflerJJ

  1. A good critical care residency or critical care fellowship program will last ~4 months (more or less), and include class work combined with 1:1 precepted patient care in a busy ICU. At the end of the...
  2. I guess my main hassle with the Thinklabs ds32A is that the volume adjustment dial seems to change (increase/decrease) while the 'scope is draped around my neck between uses. I still like it,
  3. CrufflerJJ

    Propofol shortage, anyone?

    And the latest shortage to hit my hospital.....D50!!! Yup, there's a shortage of D50 in prepacked syringes and vials. Along with the epi shortage, vanc shortage, paralytic (roc, vec, succ,....),...
  4. CrufflerJJ

    Propofol shortage, anyone?

    My condolences to you. Precedex may be OK for weaning (some) folks from a vent, but has not impressed me with its ability to sedate people. There's a patient in my ICU right now on 400 mcg/hr fentanyl...
  5. I've used a Thinklabs ds32A stethoscope for a few years. First as a paramedic, and now as an ICU nurse. It should be noted that the ds32A is no longer for sale, since Thinklabs is supposed to be...
  6. CrufflerJJ

    missed call from recuiter

    It's great that she called you back to set up an interview. GOOD
  7. CrufflerJJ

    How time efficient are you?

    It sounds like your preceptor doesn't really need to be precepting. To repeatedly get irritated when a newbie preceptee isn't working as fast as they deem necessary leads to added stress on the...
  8. CrufflerJJ

    Propofol shortage, anyone?

    "Unplanned extubations"? I prefer to call them patient-directed spontaneous breathing trials. I agree that the propofol substitutes just don't seem to work as well as the white stuff. You can crank...
  9. CrufflerJJ

    CEO pay in your hospital

    What an amazing
  10. I'll give you my perspective as a science lover, but a math HATER. My first degree was in Chemical Engineering. You'd think as a ChemE that I'd live & breathe math...WRONGO! Even back in high...
  11. only one possible solution... sjambok! see: sjambok - wikipedia, the free encyclopedia don'cha just wish? it would certainly prevent "repeat
  12. Sorry, but from my perspective as a person listening to the lecturer, the OH BON lecturer was a freakin' twit. To imply that a person with psych health issues might be more likely than a "healthy"...
  13. CrufflerJJ

    BP Medication

    this concept is a subset of the "72 hour bugout bag" preparedness approach. it's not difficult, as long as you think about it ahead of
  14. CrufflerJJ

    UC Accelerated BSN

    YES, it is possible to complete the accel BSN phase 2 part of the program without being accepted to the phase 3 program of your choice. Welcome to reality! That being said, if you are interested in...
  15. CrufflerJJ

    Studying nursing theory, came across Jean Watson

    I do not worship nurse theory, nor focus on it as to my day-to-day practice in the ICU. Nurse theory was only briefly (THANKFULLY!) covered in my accelerated BSN program. That being said, I believe...
  16. In nursing school, an Ohio BON member came to our class & gave a lecture on the Ohio BON. When asked WHY the state requires disclosure of a bipolar diagnosis (& maybe other psych issues - I...
  17. CrufflerJJ

    UC Accelerated BSN

    Contact the UC Graduate accel pathway adviser. I'm away from home right now, so I don't have the name of the college/university in Michigan that offers a N&D course online. It is very doable,...
  18. CrufflerJJ

    Job Market around Ashland / Louisa

    I dunno 'bout home health, but King's Daughters is hiring loads of nurses. Last I heard, they've got ~160 new grad nurses going through the residency program this
  19. It would seem from your quoted guidelines that the hospitals would ONLY lose maggot status IF the ULP complaint has gone through the entire complaint/appeals/re-appeals/re-re-appeals/re-re-re-appeals...
  20. In 18 weeks, a new grad (even with 1:1 precepting) will have the same competency as a nurse with 18 weeks of experience. To promise otherwise is not a good thing. A precepted new grad residency...
  21. CrufflerJJ

    BP Medication

    Your boss should do what I do....put 1 day's worth of her meds in a pill bottle & stash that inside her purse or briefcase. That way, when she realizes that she forgot to take them in the morning...
  22. CrufflerJJ

    UC Accelerated BSN

    BJ - It all comes down to common sense & trying to remain flexible. Don't shaft your classmates by hoarding information. Always be willing to help out if you can. Understand that the profs are...
  23. CrufflerJJ

    Steps for getting licensed in Ohio

    Yup! Sounds like the ever helpful, always efficient, friendly Ohio
  24. CrufflerJJ

    Question about hepatitis B vaccine

    AGREED! I went through the 3 shot HepB series years & years before I had a titer drawn, which showed that I had not developed antibodies. A second series of 3 shots
  25. CrufflerJJ

    Can never be to safe...

    That may still be the case with certain freedom-impaired localities. In most parts of the country, however, hollowpoint or other expanding ammo is just fine. You might want to check with a local CCW...