bellehill

bellehill RN

Neuro Critical Care

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All Content by bellehill

  1. New Grad why can't I get hired???

    bellehill replied to RNBuckeye's topic in Ohio Nursing

    If you really want a hospital apply for any position possible....contingent, nights, rotating. Unfortunately you will need to shoot for the positions more experienced nurses are not interested in. Try...

  2. What are the best ways/tips to study for cnrn?

    bellehill replied to redapple's topic in Neuro Intensive Care, ICU

    Know your nursing interventions and rehab options. Diseases you might not see very often in critical care...Parkinsons, Alzheimers, MG, multiple sclerosis. I read Hickey and used the AANN slides to...

  3. Craniectomy / SDH questions

    bellehill replied to simvee's topic in Neuro Intensive Care, ICU

    I would hope the patient was on 0.9NS for their maintenance fluid and was also receiving Mannitol. The combination would help to move fluid out of the cell and into the intravascular. I do think that...

  4. status epilecticus question

    bellehill replied to ontocrna's topic in General Nursing

    After having a lengthy seizure I am surprised the patient was alert enough to ask for a straight cath. Depends on what type of seizure they had and how long, everyone is different. If they had a...

  5. How to bathe dead weight patients

    bellehill replied to 10ACGIRL's topic in Neuro Intensive Care, ICU

    You get help. The important thing is to not hurt yourself trying to roll a dead weight patient. Even on a busy shift there is enough time to spend 5 minutes bathing a

  6. bsn starting salaries

    bellehill replied to bsm03d's topic in Ohio Nursing

    I want to say you will start around $22/hr in Columbus but if you work nights that could be as high as $26/hr. Work some weekends and it is even higher. I have never heard of a different rate for BSN,...

  7. What hospitals are hiring new grads in central OH?

    bellehill replied to Carrie_MTC's topic in Ohio Nursing

    Ohio Health has a program for new grads who want to work in Critical Care and they also have one for Medical floors. You don't have to go through the program to work on a medical floor but if you want...

  8. CAM-ICU

    bellehill posted a topic in Neuro Intensive Care, ICU

    Our Neuro Critical Care Unit just started using the CAM-ICU for delirium assessment. We are having a hard time adapting this assessment tool for our neuro patients. Does anyone have any experience...

  9. CAM-ICU

    bellehill replied to bellehill's topic in Neuro Intensive Care, ICU

    Thanks!

  10. CCRN & Laura Gasparis videos

    bellehill replied to patientadv's topic in General Nursing

    I just took the CCRN and used Laura's videos and her examination review book. Her videos are old but the basic concepts haven't changed. I thought her exam review book was great, really gives you a...

  11. CAM-ICU

    bellehill replied to bellehill's topic in Neuro Intensive Care, ICU

    Thanks CCRN. It is nice to know we are having the same problems. In your neuro population, do you consider their baseline to be the way they presented on admission? I have heard that some facilities...

  12. Educators/Students -Please submit your opinion

    bellehill replied to mae40's topic in Nursing Educators, Faculty

    I did my BSN online and it worked great for me. I learned a lot and felt like I received a quality education. Online education can be whatever the student wants it to be. If the student wants to...

  13. Advanced Stroke Life Support

    bellehill replied to bellehill's topic in Neuro Intensive Care, ICU

    Thanks resumecpr. Sounds like something we might want to look

  14. Chemo Certification

    bellehill posted a topic in Oncology

    My next travel postion is on a med/surg oncology floor. My question is how long it takes to become certified to administer chemo and if it is worth it for a 13 week assignment.

  15. Finding myself negative these days. Can my expectations be too high?

    bellehill replied to dorimar's topic in MICU, SICU

    Oh, you are preaching to the choir. I have become so frustrated and disillusioned at work with the lack of care being given. Let me give you an example. I walked on the unit to be in charge as a...

  16. Experienced Neuro ICU nurses...Please tell me about the Neuro ICU!!!

    bellehill replied to AJ BSN 2008's topic in Neuro Intensive Care, ICU

    I know there are many different opinions on new grads in an ICU setting. I tend to think that nurses are better off with a year or two in a med-surg area before heading to ICU. A lot of people will...

  17. Can doctors go against hospital policy?

    bellehill replied to bellehill's topic in Patient Safety Issues

    Thanks everyone for your replies. The general consensus is that the physician is responsible but I don't believe that is how a lawyer would see it. As long as there is a policy, I will be following...

  18. Can doctors go against hospital policy?

    bellehill posted a topic in Patient Safety Issues

    We have a debate going on in my critical care unit and I would love some opinions. Our manager states that the doctors are able to write orders which go against hospital policy and we are to follow...

  19. Autonomy

    bellehill replied to Hoozdo's topic in MICU, SICU

    I agree with ghillbert, the autonomy is one of the reasons I chose to work in critical care. I know the patient better than the doctors and when I call I know what the patient needs. I can give them...

  20. You know you're a neuro nurse if.....

    bellehill replied to Elenaster's topic in Neuro Intensive Care, ICU

    Your patient's family starts to do the neuro check with you every hour. You squirt your co-workers with left over Mannitol because it's cool. You use a penlight so much you need a new one every...

  21. Will I survive this?

    bellehill replied to Imgettingthere's topic in Neuro Intensive Care, ICU

    I would look into moving to a neuro step-down or medical floor. I think it is very hard for new grads of any age to jump right into critical care. If you can develop a routine, time management...

  22. Tips for adjusting to night shift?

    bellehill replied to LonRN's topic in General Nursing

    A few people I work with swear by Melatonin supplements to help them sleep better. I have never tried them, I always sleep. Expect to be tired all the time for the first few weeks especially. Give...

  23. How long did you work while pregnant?

    bellehill replied to eden's topic in Ob/Gyn

    I was supposed to work the day I delivered. Went into labor early Sunday morning and called off for my shift Sunday night; I was 39+ weeks. My co-workers were awesome at helping me the last few...

  24. When is my shift over?

    bellehill replied to Hoosiernurse's topic in General Nursing

    Unfortunately there will always be nurses who make the new ones feel inferior. I don't know why nurses do this to each other but it isn't going to change. All you can do is your best for your...

  25. Can doctors go against hospital policy?

    bellehill replied to bellehill's topic in Patient Safety Issues

    The example I have regards CVP readings from a SLIC. Our policy states that we are not to obtain CVP readings from a SLIC and the reason for this is an accuracy question. Some people agree with this...