CrufflerJJ BSN, RN, EMT-P

ICU

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All Content by CrufflerJJ

  1. CrufflerJJ

    Turned down a job! Am i crazy??

    CrufflerJJ replied to lily1289's topic in Nursing Educators, Faculty

    THANK YOU for thinking about your students, more than yourself. This speaks well about you as a person, and suggests to me that you are willing to be a dedicated educator, rather than a "talking...
  2. CrufflerJJ

    Favorite and least favorite diagnoses?

    CrufflerJJ replied to Anna Flaxis's topic in Emergency

    :yelclap:
  3. CrufflerJJ

    Apologizing for my prima donna ICU coworkers.

    CrufflerJJ replied to NickiLaughs's topic in Emergency

    Which should include a topical bug killer of choice for pts with lice/nits (ick) or scabies (double-ICK...scratch..itch...scratch). I'm dreaming, I
  4. CrufflerJJ

    NEW Grad starting in MICU

    CrufflerJJ replied to L&DWannaB's topic in MICU, SICU

    Congrats on getting into your ICU! You will learn the meds, and your unit's people. Don't worry too much about that part. One big thing I'd recommend to help you be successful is ASK QUESTIONS. One...
  5. CrufflerJJ

    Apologizing for my prima donna ICU coworkers.

    CrufflerJJ replied to NickiLaughs's topic in Emergency

    It would also be nice if the ER staff could drop in an A-Line, take the pt for their VQ or bleeding scan, and do a complete bowel prep before bringing the pt to ICU. -Just kidding-
  6. CrufflerJJ

    Sleeping During the Day

    CrufflerJJ replied to AICU RN's topic in Nursing Humor

    Congrats on your new job! It's definitely harder for me to bounce back & forth between shifts than it is to stay on just a single shift. I also find it harder to adjust my body clock from nights...
  7. CrufflerJJ

    Sleeping During the Day

    CrufflerJJ replied to AICU RN's topic in Nursing Humor

    Only a 20??? Come on...go for a
  8. CrufflerJJ

    Apply to accelerated even if my GPA is near min GPA req?

    CrufflerJJ replied to weluv3's topic in Pre-Nursing Students

    Sorry, but the 2.59 GPA was merely my "striving for mediocrity", more than difficulty of coursework (OK, it was a royal pain in the tush, but I was still lazy). At that point in my (immature) life, I...
  9. CrufflerJJ

    Two health degrees, but recent drop in GPA (accelerated BSN or ASN)?

    CrufflerJJ replied to Kiki1989's topic in Pre-Nursing Students

    If in doubt, contact the program director of your local accelerated programs. Ask them what you might do to improve your chances of getting accepted to the accel programs. It might involve...
  10. CrufflerJJ

    Apply to accelerated even if my GPA is near min GPA req?

    CrufflerJJ replied to weluv3's topic in Pre-Nursing Students

    Please apply. Otherwise, you'll find yourself wondering "if only..." My GPA in my original undergrad degree (Chemical Engineering) was a not so impressive 2.59. Spiffy, huh? Luckily, I'd had 15+...
  11. CrufflerJJ

    Hourly doses of vent sedation, is this common?

    CrufflerJJ replied to jkej's topic in MICU, SICU

    Some of our docs prefer PRN fentanyl/versed pushes to fent/versed drips. Their theory is that nurses will be less likely to "snow" patients with pushes versus the drips. Depending on the pt, the...
  12. CrufflerJJ

    Sense of Dread....When Will It End?

    CrufflerJJ replied to AICU RN's topic in First Year After Licensure

    In the "overall scheme of things", missing 1 mouth care probably doesn't matter. Then again, from the perspective of ICU management & some Quality staff in your hospital, failing to document a...
  13. CrufflerJJ

    Sense of Dread....When Will It End?

    CrufflerJJ replied to AICU RN's topic in First Year After Licensure

    I think that some degree of worrying/OCD is a good thing in the ICU. Especially as somebody with a couple months under your belt, double-checking is good. Being complacent or over-confident is not...
  14. CrufflerJJ

    Orientation...blechhh

    CrufflerJJ replied to beeble's topic in General Nursing

    Nope...not at all! Congrats on being willing to stand up for yourself AND your pts! If you bust your tukas & get everything done in 1.5 seconds, nobody will remember. If, on the other hand, you...
  15. CrufflerJJ

    72 days left. How to stay motivated?

    CrufflerJJ replied to peanut2011's topic in General Students

    I think it's perfectly normal for your "apathy meter" to be pegging by now. Just keep plodding on, one day at a time. As to your exit HESI, you might want to consider taking my approach. At this...
  16. CrufflerJJ

    Titrating and Bolusing

    CrufflerJJ replied to TexRN08's topic in MICU, SICU

    Yup! When their lactic acid is 12.4, that's not a good thing:eek:. Bicarb pushes or drips or THAM or CRRT might extend the dying process, but the ending will likely be the same.....deceased. If you...
  17. CrufflerJJ

    Titrating and Bolusing

    CrufflerJJ replied to TexRN08's topic in MICU, SICU

    One other thing to consider if you find yourself going up & up on pressors is your pt's pH. Consider getting an ABG. Pressors don't work well with acidotic
  18. CrufflerJJ

    Do people really deserve this?

    CrufflerJJ replied to TigerGalLE's topic in MICU, SICU

    In the ICU, we're great at extending the dying process. Pt's families often won't let go, even when "it's time." Unfortunately, even a clear, explicit advanced directive made by the pt is often...
  19. CrufflerJJ

    Advice for a back up plan?

    CrufflerJJ replied to Grizz's topic in Post Graduate Students

    Only a 2.9 GPA:eek:??!!?? Pitiful! I, on the other hand, had a stellar, exceptional (cough...hack...) 2.59 GPA in chemical engineering. It's amazing what a few (OK...close to ~25) years of added...
  20. CrufflerJJ

    New to precepting

    CrufflerJJ replied to littlehands's topic in General Nursing

    It's also possible that the more experienced nurses were seen as not being the best person to precept a newbie. There are plenty of folks who are great at "doing", yet incapable of "teaching." If...
  21. CrufflerJJ

    Almost instant rejections

    CrufflerJJ replied to WildcatFanRN's topic in General Nursing

    At least you got a reply! For many of my job apps a couple years ago, I received no response at
  22. CrufflerJJ

    I've been a nurse for six months. Here's what I've learned so far.

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

    And one ICU nurse year = ~7 normal person years. Just about like dog
  23. CrufflerJJ

    Lovenox

    CrufflerJJ replied to jeyre1847's topic in Nursing Student Assistance

    You've still got it wrong:rolleyes:. Rather than just saying "Okay", you need to be all excited/appreciative "Oh - Thanks! I never knew that - I'll make sure I do it that way in the future!". Gotta...
  24. CrufflerJJ

    Lovenox

    CrufflerJJ replied to jeyre1847's topic in Nursing Student Assistance

    even if a person was giving lovenox iv for a stemi , i don't see why you'd need to slooooooowly inject it over 1 minute it's not like you're giving a beta blocker or a precedex loading dose, or even...
  25. CrufflerJJ

    Meeting with a dean - advice?

    CrufflerJJ replied to theserenitynow's topic in Post Graduate Students

    You're quite