RNFELICITY

RNFELICITY

Not too many areas I haven't dipped into

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  1. I work full time and I am an FNP student. I will tell you that if you have a family, a life, a job...it can be very demanding. However, I have found that using a calendar and putting every detail of my life on it that it keeps me on track and I can...
  2. I will be 47 going on 48 when I complete my NP. I don't think age is a factor in becoming whatever you want to be. If you hve the desire, GO FOR IT!!!!
  3. Education for working in an SICU

    I have been a critical care nurse for about 5 years and a nurse for 13+ but I have never worked in anything but a MICU. Now, I am looking at moving into a Level I trauma hospital's SICU that takes care of all the traumas, all neuro cases if that hav...
  4. Best ICU for future flight nurse?

    BRAVO!!! You are so true. Different areas and sizes of hospitals see such a variety of cases. You really have to look at where you want to live, what you want to do, and look at each hospital and what they take care of. I know the ICU at my loca...
  5. How did you get into the ICU?

    Cincinnati seems to be the place for new grads in a lot of the ICU especially in the Mercy system.
  6. Education for working in an SICU

    Thanks! I got my CCRN almost two years ago. Maybe I am just freaking out because I am anal...lol. I did not know if I needed to study more trauma stuff like an ER nurse from the ENA or not.
  7. New to ICU? What have you learn so far?

    also, look at lab trends and vital signs trends and not just what happened today. Look at rhythm strips over the past few days. It is amazing hte subtle changes you can se that might be important.
  8. New to ICU? What have you learn so far?

    Your alarms are your friends. Don't ever turn any of them off and set them to how you want them and whatever is specific to the patient. Too often, nurses will just keep the standards and not really use the alarm settings as a way to see changes in...
  9. New to ICU? What have you learn so far?

    This is soooooo important. I do a fair amount of orientation and I always want every nurse to come to me with what they think they should do so we can work through the thought process. If you always just get fed an answer, then you take that answer...
  10. How did you get into the ICU?

    Sounds to me like you are in a hospital that is way too small for what you want. Frankly, in a hospital that has less than 4 beds in their ICU, you are still not going to truly get a good ICU experince because most will get shipped out to a larger, ...
  11. Magnet Status

    I am a newbie to this whole magnet thing. I just joined a committee to help get our magnet status and I am a bit overwhelmed with the rhetoric involved so far (and I don't understand half of it...lol) So, anyone here in a magnet hospital? What are t...
  12. ICU Staffing Ratio & (Floating icu nurses)

    My last ICU was 24 bed MICU that took everything except open hearts. The staffing was 3 patients to one nurse. They also got the brilliant idea to start sending overflow into the ICU not to mention that they wanted to improve patient scores so they...
  13. Turning Patients

    Well, I guess my viewpoint is that ALL people deserve care no matter what their size without me trying to pass judgement or push my own agenda on them. Not only for our own safety, but the safety of the patient, you should always get help with prett...
  14. ICU visiting hours.. What is reasonable?

    The last ICU I worked in allowed visitors 24/7 in unlimited amounts. It was not unusual to spend the majority of your shift caring for the family instead of the patient in some situations.
  15. CNS or RN degree? - Advice needed!

    I am lost...I thought to be a CNS you had to be a BSN?
  16. Highest temp you've seen?

    We use F here in this area. I think that if we don't think in celsius, it is hard to understand where you are...lol. Pt with rectal temp of 107 something...died a few days later on CRRT and every gtt known to mankind.
  17. Leveling Art Line

    4ICS-MAL!!!! Always always always. I feel you though, when I was new to the ICU, I looked up to the more experienced nurses and found a lot of inconsistency in practice. I look to policy and gold standard each and every time. Good for you for questio...
  18. Futile care

    I completely agree! I think if you are very honest and caring with the family and explain the circumstances, I would say 99% of the time, my family's change their mind. It is so hard on a family to feel as if they have not done everything possible....
  19. Do all your hospitals do CRRT?

    It may depend on the type of ICU that you are in. A smaller, lower level ICU does not function the same way that a Level one does. I do not see it as witholding a treatment, I see it more as a type of hospital and each CRRT case is a case by case ba...
  20. CCRN test: how bad is it really?

    I did exactly the same thing when I took my test over a year ago. It was not nearly as bad as I thought it was going to be. It is not a piece of cake, but if you put some effort into it, you will do just fine.
  21. Anybody really love your job?

    I think that politics play a role in every single job in the world and at some point and time, frustration takes hold and it may seem like everyone hates their job. I truly believe that all nurses love what they do for a living but are aggravated wi...
  22. Best ER references

    I am a total nerd and I thoroughly enjoy having lots of reference books or programs to assist my knowledge base. My question is: What are your favorite references that you use daily in the ER or some sources that you have found invaluable to doing w...
  23. Reasons for ICU

    I personally went into the ICU setting to improve and enhance my knowlege base as a practicing nurse. I wanted to understand more and know more. i wanted to learn to be proactive instead of reactive in my patient care. I also love the rush...althou...
  24. Things you'd like the ER to Know

    I just saw the third edition on e-bay for 40 bucks with free shipping and handling
  25. Drug Calculations

    at one major hospital here in Cincinnati, they will not allow you to use the pumps to calculate...you have to do the math each titrationa dn double check with another nurse