CrufflerJJ BSN, RN, EMT-P

ICU

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All Content by CrufflerJJ

  1. Sounds scary to me. 2:1 is the norm in my ICU, 1:1 if the pt is very unstable. 3:1 is
  2. CrufflerJJ

    IV Bumex in Home?

    It can cause hypokalemia, so I don't think so. Definitely not like spironolactone. Pt may need supplemental
  3. CrufflerJJ

    Midazolam GTT

    I've had (large) patients on 300 mcg/hr of fentanyl, plus 20 mg/hr versed. They were still VERY easily aroused, and would actually fight you when you did an oral temp or instilled eye drops. With the...
  4. CrufflerJJ

    bad experience with a male nurse

    It sounds like the guy had a real attitude problem. Smack him on the feedback form. Wish him luck in his new career. He probably has no business interacting with patients, if he treats them as he...
  5. CrufflerJJ

    120 hrs for License

    If you are unable to complete the 120 hours prior to your provisional license expiring, contact the board of nursing IN ADVANCE. I was told by the KY BON that I could pay another fee, submit the...
  6. CrufflerJJ

    How do I know I would fit in an ICU?

    How do you know you'd fit in the ICU??? If you have any doubts, ask to shadow for a shift or two (prior to applying for the job). That should give you a good feel for the staff, patients, and docs....
  7. CrufflerJJ

    Pathophysiology Text to love..?

    I liked the patho book used in my class. Authored by Porth, also available on Amazon for about $5! See:...
  8. CrufflerJJ

    The continuing saga of nurses vs. EMTs...

    I hope that your mom filed a complaint with the EMS agency and/or its medical director. Sounds like a little "retraining" is
  9. CrufflerJJ

    What do ICU nurses do?

    "Changes in ventilatory support". Yup. Such as having yahoos reintubated who pull their ET tubes out right at the end of what had been a good
  10. CrufflerJJ

    "why nusing" new grad ?

    How much you divulge and HOW you divulge the info is up to you. The interviewing process is actually a "selling job". You are trying to sell yourself to a potential employer, and they are trying to...
  11. CrufflerJJ

    "why nusing" new grad ?

    Avoid BS (at least too much BS!). Try and figure out what drew you to nursing as a career - was it the thought of caring for others, an experience in your past, the opportunity to learn/grow as a...
  12. CrufflerJJ

    Getting into ICU?

    I think it depends on the facility. Some may require prior med-surg experience, while others may be willing to accept new grads into a training program (after an interview). In my case, I did a 6...
  13. CrufflerJJ

    Heparin vs Coumadin

    Depending on the type of OR (especially cardiac), the surgical team may also tweak the clotting time in the OR with either heparin or protamine
  14. CrufflerJJ

    Good Lord

    AragornSkywalker - it sounds like you have some concerns about the phrase "therapeutic communication." :D:D:D (can you tell I've been practicing, or maybe it's just a NCLEX
  15. CrufflerJJ

    Good Lord

    Welcome to the weird, wonderful world of NCLEX-style questions, where you have to choose the least crappy answer from the 4-5 crappy answers listed below. Once you get the hang of that, you'll still...
  16. It would probably be a good idea to speak with an admissions officer first, in a face-to-face
  17. CrufflerJJ

    Stethoscope with Cooties

    except
  18. If you go the "normal" route for paramedic, that would probably take you 4-5 quarters at the local community college (NOTE: your state may vary). If you get your ADN or BSN first, many places offer a...
  19. CrufflerJJ

    Graduate Nurse for the PACU

    Not sure about your facility, but mine requires 2 years critical care experience for PACU nurses. This might be an obstacle in your
  20. EMS experience shouldn't hurt, but there's no guarantee that it will get you a job. I did EMS for 19 years (2 yrs EMT, 17 yrs EMT-P), and still had buckets of fun finding a job. EMS experience WILL...
  21. At least you listened to the little voice Sunday night and had SOME time for studying. It would not have been fun at all to have blown off the exam & got a zero on it. I'm a bit paranoid about...
  22. CrufflerJJ

    What kind of a person works Acute Care?

    It can be VERY emotionally involving. You're dealing with very sick patients, and some of them are going to die no matter what. All you can do is to give the best care possible, and advocate for...
  23. CrufflerJJ

    Portamedic interview

    Take the individual online ratings with a large grain of salt. You probably don't want somebody with a reputation for being a poor teacher, and also unwilling to help students. Here's the info for my...
  24. CrufflerJJ

    accelerated bachelors vs. AA degree

    Hi qween! I did an accel BSN, and liked that approach. With an associates program, you normally have a good long wait until you can start the program (2.5-3 years at my local community college)....
  25. It probably depends on the hospital and unit, but in general, I think that working as a CNA gives you an "in" when trying to get hired as a RN by that hospital. It gives the hospital real feedback...