CrufflerJJ BSN, RN, EMT-P

ICU

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All Content by CrufflerJJ

  1. CrufflerJJ

    Hopeful

    CrufflerJJ replied to windowrn's topic in Job Search, Interview, Resume

    It sounds like the MICU manager remembered you from last semester, and thought well enough of you to give you a call. That sounds very positive. Good
  2. CrufflerJJ

    Your thoughts on being "written up".

    CrufflerJJ replied to RNSuzq1's topic in General Nursing

    It's BS write-ups like this that (as you pointed out) kill morale and prevent any sense of teamwork between staff nurses & leadership. Like you, I had significant (multiple decades of) experience...
  3. CrufflerJJ

    New cardiac nurse--advice?

    CrufflerJJ replied to queenjulie's topic in Cardiac

    CONGRATS on your new/first job as a RN! Sorry, but I don't have any links to cardiology nursing. That being said, it sounds like you know the unit, and are happy with what you've seen there. That...
  4. CrufflerJJ

    Cleaning out a Colostomy Bag

    CrufflerJJ replied to WannaBNursey's topic in Medical Assistant, CNA/MA

    Get a dry washcloth. Place it under the ostomy bag outlet. Place your graduated cylinder (or whatever) under the ostomy bag outlet. Open up the ostomy bag (via clamp or valve or velcro-type...
  5. CrufflerJJ

    RN Who Wants To Become A Paramedic???

    CrufflerJJ replied to All4NursingRN's topic in Nursing Career

    There were plenty of times that, after rolling my pt into the local ER, I felt like pulling out a flare pistol & launching a big red ball of fire up into the ceiling to get some attention...ANY...
  6. CrufflerJJ

    Nursing Schools around Cincinnati/Dayton Area

    CrufflerJJ replied to pbolton70's topic in Ohio Nursing

    You're quite
  7. CrufflerJJ

    Chlorhexidine Baths

    CrufflerJJ replied to ckh23's topic in MICU, SICU

    CHG seems to offer the potential to reduce central line infections. There's no free lunch, however. It looks like CHG-resistant strains of S. aureus are becoming more common. See:...
  8. CrufflerJJ

    I Cried At Work

    CrufflerJJ replied to Guest 360983's topic in First Year After Licensure

    So....other than those minor life-threatening issues, how was your
  9. CrufflerJJ

    New Trauma forums...

    CrufflerJJ replied to Joe V's topic in News, Announcements

    Overly complicated. Blood goes round & round. Air goes in & out. Oxygen is good. All bleeding eventually stops. Simple, eh
  10. CrufflerJJ

    ICU Nurses I Didn't Know You Could Do This???

    CrufflerJJ replied to All4NursingRN's topic in MICU, SICU

    It's great when pharmacy sends your Precedex as a bolus dose, plus a dose for continuous infusion....with NO insuructions on how to safely give the loading dose (to be infused over 10+ minutes). If...
  11. CrufflerJJ

    ICU Nurses I Didn't Know You Could Do This???

    CrufflerJJ replied to All4NursingRN's topic in MICU, SICU

    Precedex is great if you want one of the following: - a toally unsedated ( = wild, tachypneic, combative) patient - a pt totally snowed on a less-than-theoretically minimal dose of precedex - a pt...
  12. CrufflerJJ

    Need Advice on Metoprolol

    CrufflerJJ replied to Stormy8's topic in Cardiac

    Google is your friend. Search "glucagon antidote beta blocker", and you'll find neat stuff like: http://curriculum.toxicology.wikispaces.net/3.4.3.4.2+Beta-blockers#Beta-blockers-TREATMENT-Antidotes...
  13. CrufflerJJ

    Rewarding tenured staff - your ideas?

    CrufflerJJ replied to enzati's topic in Nurse Management

    Unfortunately, I think the lack of COL adjustment/pay raises shows your staff how exactly much they're appreciated by the hospital. Other options might include additional PTO days, being allowed to...
  14. CrufflerJJ

    RN Who Wants To Become A Paramedic???

    CrufflerJJ replied to All4NursingRN's topic in Nursing Career

    Ahhh, yes. Heroic. First on the scene to not only spiffy neato-keen trauma, but also: - your local "frequent flyer(s)" seeking their monthly dose of narcotics...you'll come to instantly recognize...
  15. CrufflerJJ

    Just Hired for Cardiac ICU

    CrufflerJJ replied to jaParker's topic in CCU, Coronary, Cardiac

    An excellent website is: index Lots of info there for the new or experienced ICU nurse.
  16. CrufflerJJ

    EPIC Computer Charting

    CrufflerJJ replied to rebelccrn's topic in MICU, SICU

    I particularly like the "smartphrases" for writing progress notes. With computerized physician order entry, it's also very nice to actually be able to READ the orders, rather than trying to interpret...
  17. CrufflerJJ

    Nursing Schools around Cincinnati/Dayton Area

    CrufflerJJ replied to pbolton70's topic in Ohio Nursing

    lisa - while i was on the waiting list one accepted to phase 1, i had no wait at all by the time i was ready to start phase 2. there was an open slot available for me. i've not done any phase 3...
  18. CrufflerJJ

    ICU Nurses I Didn't Know You Could Do This???

    CrufflerJJ replied to All4NursingRN's topic in MICU, SICU

    Whatever your little heart desires. If you're running into a "line" shortage, either check drug compatibility on your spiffy PDA (yes, I'm old fashioned), phone, or you can even call pharmacy. We tend...
  19. CrufflerJJ

    Driving distance to nursing program

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

    I commuted about 75 minutes each way during my ABSN program. Leave early, give yourself extra time "just in case." I think I was only late to clinicals one time. That was caused by a huge pileup on...
  20. CrufflerJJ

    Demanding Patients

    CrufflerJJ replied to slauren's topic in Patient, Colleague Relations

    And if the pt can only take meds if they're in strawberry/chocolate/vanilla pudding? Or if with this soft drink (I.e. Coke, Dr. Pepper, Sprite, Mr. Pibb, Diet vs standard drinks, orange soda,...
  21. CrufflerJJ

    Graduate Nurse program with contract

    CrufflerJJ replied to mamain's topic in Nursing Career

    In a perfect world, maybe. Unfortunately, there are plenty of less-than-ethical folks who will go through the residency program so they can list it on their resume, then they all of the sudden decide...
  22. CrufflerJJ

    Graduate Nurse program with contract

    CrufflerJJ replied to mamain's topic in Nursing Career

    Sorry to hear that you're facing a dilemma. You chose to enter the contract with your employer. Hopefully you understood the conditions of the contract before you "signed on the dotted line"....
  23. CrufflerJJ

    Reality Check

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

    Welcome to nursing! Yes, being a nurse is different than being a paramedic (I was in EMS as a volunteer EMT/Paramedic for 19 years). Not better, not worse. Just different. As a nurse, you're...
  24. CrufflerJJ

    Graduating with a History degree, want to enter nursing field.

    CrufflerJJ replied to SophiaC76's topic in Pre-Nursing Students

    Ummm....not always. Admittedly, prereqs like A&P, micro, psychology were mostly memorization. The prof for my pathophysiology & pharmacology classes, on the other hand, required not only that...
  25. CrufflerJJ

    Failing a student in clinical

    CrufflerJJ replied to Berkshire1995's topic in Nursing Educators, Faculty

    It sounds like he's a danger to his patients, not CARING enough to accept responsibility for his error. He's lacking in both intelligence and maturity. Perhaps he needs a year or two doing something...