ktliz

ktliz

critical care

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All Content by ktliz

  1. How to be a successful New Grad in ICU

    ktliz replied to greyL's topic in Critical Care

    I am coming up on one year as a new grad in the ICU. Here is what helped me- In the beginning, I kept a journal, and would write an entry after each shift. It included things like 1) what I learned...

  2. TWIN male nurses

    ktliz replied to twinner05's topic in General Nursing

    I saw an episode of Untold Stories of the ER with twin docs. I think they chose different scrub colors and then stuck with that

  3. Does anyone else plan to stay in bedside?

    ktliz replied to BSNbeauty's topic in General Nursing

    You're right... we have 20 beds and 1 - 2 techs. But that is with a 1:2 nurse: patient ratio. When I floated to step-down, it was 1:4 nurse: patient, and 1:8 tech: patient. (This was at night.) I...

  4. Does anyone else plan to stay in bedside?

    ktliz replied to BSNbeauty's topic in General Nursing

    This. I am a new nurse in a great work environment, and I am LOVING my job right now. I'm sure I will miss bedside care when I decide to leave, but I don't want to miss out on any of the other...

  5. very very bad day

    ktliz replied to nursenursern's topic in General Nursing

    That just plain stinks. I'm sorry you are going through this right now. I would be beating myself up too, but really you didn't do anything wrong. Bad things happen and we can't save them all. We do...

  6. Calling all new grads/new to the ICU starting Feb. 2013!!!!

    ktliz replied to C H I C A G O_RN's topic in Critical Care

    I made 2 different errors this week having to do with IV lines... my first errors. I remember at the beginning of orientation, I would trace my lines over and over obsessively. As I got more...

  7. Nursing assessments for abnormal CVP

    ktliz replied to Rudi7's topic in Critical Care

    Carrig RN, good call; that is what I meant. It actually popped into my insomniac thoughts as I lay in bed after posting.... "Oh crap, IVC!"

  8. Nursing assessments for abnormal CVP

    ktliz replied to Rudi7's topic in Critical Care

    Those are the common causes people think of when interpreting CVP, but try to think of some more! Also, I am starting to see some docs ultrasound the abdominal aorta as an alternative to transducing a...

  9. PRN Position In ICU

    ktliz replied to GaMommy81's topic in Critical Care

    No experience with it, but I would guess it would be unlikely. All per diem nurses on my unit already had critical care experience. I went through orientation with a nurse transferring from...

  10. Case Study: Solve A Neurologic Mystery

    ktliz replied to Corey Narry's topic in Critical Care

    I wanted to say CVA but that seems like the easy answer. After reading the other responses and doing a little research it looks like we may have a zebra here instead of a horse.

  11. What to do?!

    ktliz replied to shopaholic42488's topic in Critical Care

    What do you dislike about ICU? What did you like about

  12. 200mcg/min Epi...New or old dosing?

    ktliz replied to barrymedic's topic in Critical Care

    I am new and only familiar with epi at 1-4 mcg/min. What was the clinical picture? VS? I'd imagine if there was a dosing error of that magnitude, the patient would show signs. If they were fairly...

  13. Sepsis Questions

    ktliz replied to nursenancy27's topic in Critical Care

    I was also going to note that hypothermia seems to be a bad sign. I'm not sure if it is a "cause" or an "effect", though. (Probably

  14. Excited? Now Nervous!

    ktliz replied to StudentOfHealing's topic in Critical Care

    Google "the new nurse podcast." She has a great podcast on critical care assessments. ICUfaqs.org is super helpful also. I don't remember them having a tutorial for assessment specifically but it's a...

  15. Sedation Policies

    ktliz replied to kp616's topic in Critical Care

    There is a huge push at my hospital for "wake up and breathe." Personally I think it is not being implemented very well. It is supposed to be a nurse and respiratory driven process but we have no...

  16. Calling all new grads/new to the ICU starting Feb. 2013!!!!

    ktliz replied to C H I C A G O_RN's topic in Critical Care

    As far as goals, I kept a private journal in the beginning. I wrote down things that went well that day, things I learned, things I wanted to look up, and of course, goals for the next shift! Our...

  17. Calling all new grads/new to the ICU starting Feb. 2013!!!!

    ktliz replied to C H I C A G O_RN's topic in Critical Care

    RNnur... my orientation was 6 months. We had class and computer time built into our schedule, 1 or 2 days a week. Toward the beginning those days were mostly class/workshops/SIM and toward the end it...

  18. University of South Alabama FNP program

    ktliz replied to Cauliflower's topic in Student Nurse Practitioner

    My take on USA-- The tuition is cheap and the application process is highly simplified. Most likely, there are many applicants who are not cut out for graduate study, especially online where you are...

  19. Calling all new grads/new to the ICU starting Feb. 2013!!!!

    ktliz replied to C H I C A G O_RN's topic in Critical Care

    Oh, and my vent for the day.... I work night shift. Why on earth do I fall asleep at 10pm and wake up at 5am on my nights

  20. Calling all new grads/new to the ICU starting Feb. 2013!!!!

    ktliz replied to C H I C A G O_RN's topic in Critical Care

    My time management tips: You WILL be slow at first. It's the nature of the beast. Don't feel bad about taking a long time to do things. You should be going slow at first because you need to really...

  21. Misuse of insulin pens and patient safety

    ktliz replied to PACURN1956's topic in Patient Safety Issues

    lol... when I was taught as a student to use an insulin pen, I was told to squirt a little bit out but I thought it was just to make sure it works (hate not being able to see the insulin actually...

  22. Work bags: What do you take and what's in it?

    ktliz replied to PediNurse3's topic in General Nursing

  23. Confident yet?

    ktliz replied to Classymommy's topic in First Year After Licensure

    I think all ICU nurses would prefer the most critical assignments, all the time. My unit has a new director and she actually just addressed this issue in an email last week. Apparently nurses were...

  24. Calling all new grads/new to the ICU starting Feb. 2013!!!!

    ktliz replied to C H I C A G O_RN's topic in Critical Care

    I love this thread! Keep the updates coming! I am amazed at how comfortable I actually feel being on my own. I remember around month 3 out of my 6 month orientation, I was feeling like I would never...

  25. MICU VS SICU

    ktliz replied to froggy8's topic in MICU, SICU

    I work in a general icu and prefer medical cases. We don't get traumas or neuro surgery because they go to their own units. We get a lot of general and CT surgery. I hate getting surgical patients...