CrufflerJJ BSN, RN, EMT-P

ICU

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All Content by CrufflerJJ

  1. CrufflerJJ

    facial edema and difficulty breathing

    CrufflerJJ replied to nursingstu14's topic in Nursing Student Assistance

    It sounds like she's having a significant allergic reaction to a med. Research anaphylaxis. Besides blotchy skin and facial edema, what are some other significant potential problems encountered by...
  2. CrufflerJJ

    PharmD student to Nursing school (long read)

    CrufflerJJ replied to SmoothKeys's topic in Pre-Nursing Students

    What career CALLS to you? Not from a financial or job security standpoint (there is no such thing as job security), but what do you feel a desire to
  3. CrufflerJJ

    I apologize..

    CrufflerJJ replied to letsbefriends's topic in First Year After Licensure

    I'm sorry you had to go through this.
  4. CrufflerJJ

    You might be a night shifter if...

    CrufflerJJ replied to beeker's topic in General Nursing

    I thought I was making perfect sense when talking to a day-shifter about having worked Christmas Eve night and Christmas Day
  5. CrufflerJJ

    ICU interview

    CrufflerJJ replied to RedSticker55's topic in MICU, SICU

    Congratulations on your new
  6. CrufflerJJ

    ICU interview

    CrufflerJJ replied to RedSticker55's topic in MICU, SICU

    Even though you spoke with the manager after shadowing, it wouldn't hurt to email or send a letter NOW expressing your excitement/appreciation for being able to shadow. Mention some of the neat...
  7. CrufflerJJ

    Switching: High-risk OB to ICU - Am I nuts? And how do I do this?

    CrufflerJJ replied to RiverRN's topic in MICU, SICU

    You might ask to shadow for a shift or two in your hospital's ICU. This might answer some of your questions. Yes, the ICU is an opion for you (after you finish a year in your current role)....
  8. CrufflerJJ

    Potential Newcomer to ICU-RN Ranks

    CrufflerJJ replied to gemini07's topic in MICU, SICU

    OK...so it sounds from your post like you've been away from nursing since 1996. If that's correct, your gut feel of "it all seems so long ago" may be correct. If you don't get this job, you might...
  9. CrufflerJJ

    You might be a night shifter if...

    CrufflerJJ replied to beeker's topic in General Nursing

    When checking a pt's orientation to time, I often find myself double-checking my watch & saying "you're right!". It's sad to realize just how fragile my grasp on the month-of-the-year can be at...
  10. CrufflerJJ

    You might be a night shifter if...

    CrufflerJJ replied to beeker's topic in General Nursing

    Not just "OK", but a GOOD
  11. CrufflerJJ

    You might be a night shifter if...

    CrufflerJJ replied to beeker's topic in General Nursing

    I occasionally find myself using my badge to try and "swipe" the elevator door, or bathroom door, or other doors without the ability to read swipe badges. Autopilot...a scary
  12. CrufflerJJ

    Changing hospitals after 8 years is this a bad choice

    CrufflerJJ replied to nursingsteph0716's topic in Nursing Career

    Agreed...go with your intuition. That being said, NO job is really "secure." You are secure as long as you are perceived as an asset to the organization. If a business decision is made, however, to...
  13. CrufflerJJ

    Interviewing for ICU...

    CrufflerJJ replied to DEE S.'s topic in MICU, SICU

    I occasionally participate in panel interviews of candidates for our ICU. You will need to be able to explain WHY you want critical care - what draws you to it. If asked your future plans, it is...
  14. CrufflerJJ

    Please help me understand ScvO2 in Sepsis

    CrufflerJJ replied to cluv2nurse's topic in MICU, SICU

    The book (available on the icufaqs.com website at Notes on ICU Nursing: FAQ Files from the MICU: Second Edition by Mark Hammerschmidt (Author) ) is a most excellent reference for newbie and...
  15. CrufflerJJ

    Tips for becoming a solid CC nursing candidate...

    CrufflerJJ replied to TheBlackDogWaits's topic in MICU, SICU

    Sorry if I'm only amusing you, rather than giving you the answer you had hoped for. Please take my answer as a response hoping to provide some input as to what you are expected to show when you're...
  16. CrufflerJJ

    Please help me understand ScvO2 in Sepsis

    CrufflerJJ replied to cluv2nurse's topic in MICU, SICU

    First off, here are a couple decent webpages you might want to review: Multi-Center Study of Central Venous Oxygen Saturation (ScvO2) as a Predictor of Mortality in Patients with Sepsis Surviving...
  17. CrufflerJJ

    Tips for becoming a solid CC nursing candidate...

    CrufflerJJ replied to TheBlackDogWaits's topic in MICU, SICU

    I occasionally participate in panel interviews of candidates for our ICU. You will need to be able to explain WHY you want critical care - what draws you to it. If asked your future plans, it is...
  18. CrufflerJJ

    Insulin and Levophed drips on cardiovascular unit

    CrufflerJJ replied to heartnurse2012's topic in Cardiac

    Safety could be improved by establishing a nurse:pt ration for those pts requiring insulin or levophed drips. At my facility, the "intermediate' (ICU stepdown) unit canmanage pts with a single...
  19. CrufflerJJ

    Preceptor Ping Pong

    CrufflerJJ replied to KnitWitch's topic in First Year After Licensure

    Been there, done that as a preceptee. Now, as a preceptor, I sympathize with the my preceptees. My advice to them is generally along the lines of...."Working with different preceptors, you'll be told...
  20. CrufflerJJ

    Cna on hold

    CrufflerJJ replied to cnastriving2brn's topic in Licensure: Criminal History

    Allnurses users can't offer legal advice, per TOS. That being said....GET A LAWYER as soon as possible. Not just your generic, walk-in style attorney. Get one with experience in defending folks...
  21. CrufflerJJ

    Is this common practice?

    CrufflerJJ replied to Sugarcoma's topic in MICU, SICU

    For the patient, and the nursing staff. Not good at all. That being said, it would be truly unfortunate if the state Inspector General or CMS were anonymously notified of concerns re: poor pt care of...
  22. CrufflerJJ

    Is this common practice?

    CrufflerJJ replied to Sugarcoma's topic in MICU, SICU

    At least you get the pt with sedation in place. In my ICU, I often get pts with no sedation or pain meds ordered (other than a PCA ordered with no basal rate for an intubated pt). The CRNA dropping...
  23. CrufflerJJ

    New Grad, First Job (ICU)

    CrufflerJJ replied to angel91's topic in MICU, SICU

    Get malpractice (professional liability) insurance through NSO or Marsh, among others. I've been insured through NSO at Professional Liability Insurance for nurses, nursing medical malpractice. since...
  24. CrufflerJJ

    Did I just get thrown under the bus? Or I'm a bad nurse?

    CrufflerJJ replied to proudauntie415's topic in Geriatric, LTC

    PLease do not always give Lantus. Obviously, healthcare settings vary (LTC, med/surg, ICU,...). I work in the ICU. If you have a pt with poor PO intake with scheduled Lantus, it may not make sense...
  25. CrufflerJJ

    First night on my own. (Long vent)

    CrufflerJJ replied to MissHaleyDawn's topic in First Year After Licensure

    Congrats on surviving your first shift on your own! Expect to be stressed for at least the first few months, until you find your "groove." It's perfectly normal to be slow, somewhat disorganized, and...