RN28MD

I am new to the ICU. I thought we could start with experiences to help us use our critical thinking skills. Any one?

most GN start working before passing their boards. Its ok to feel nervous we all did at this time. Choose a field were you will feel comfortable in. Start looking now. If Resp/ICU is what you love go for it! why wait. If possible try to do some shadowing. This make help in making up your mind

If this person has been using the pen over the month period how does thier sugars look like? There could be the answer wether the affect of the insulin has decreased. Is usually changed every month but people do use it longer than a month and they will start to notice their sugars to increase.

Hello. I have read many new grad experience to MICU. I was wondering what medical/surgical nurses with some experience and moving to a MICU experince was like. How was the transition? was it easier because of some nursing experience? have you learn more? Do you regret it? Would you go back to medical/surgical? ANy experience would be appreciated

I have to add that it all depends where you live and your area. I have seen ANP and FNP work in hospitals as hospitalist and that is in acute care setting. I also seen them in ER too because lot of ER is primary caring if you will.

just curious where do they have a dual program for FNP/ACNP???

I have to agree with the post above. What if the pts is on IVF? Dextrose? In our hospital regardless of NPO status any sugar higher than 300 needs to be called to the PA/MD/NP even if it says to give for example 8units. Still call. Some pt can hadle a sugar that high without any sx but some can't and if they are NPO. That sugar can keep rising. Remember the body under stress will try to fix it self but side effect of the hormones that are being release to help a sick pt will increase the sugar. What was your preceptor thinking ????

Great point! Thanks for replying.

I have started working in a medical floor and having a hard time documenting. I try to write what happened on my entire shift but can't seem to word thing right. I even bought a book on charting from the incredibily easy collection ) but is not enough info. Plz any suggestions would be great! I have to write on safety for everyone and teaching but how do I word this with out writing a book????

Sorry I can't answer your question cause I also feel the same way. I am not in a hospital but I think if I was I would contact the IV team if that is what your hospitals uses and ask them directly. They would know. Let me know if you find out. For some weird reason I thought heparin was no longer used.

Good luck to you

I haven't ever run into this problem but I would of called the practitioner to verify or even call pharm. There had to be a good reason for it or it could of easily been an order for another pts that you could catch so it can be dc

If you never practice as an RN you are still new. You are a new grad right? so why would you look to apply for experience positions? Apply to many New grad positions because they will give you the orientation you need. Make sure you write a cover letter and have a resume clear to the point. The cover letter I must say is very important because if it doesn't look good then they don't even bother looking at your resume. If you need any more info PM me. Good luck

That sounds like such a great tool! I can't wait to use it. Thanks for sharing

Those of you who have done the refresher course. Can you please described what you learned in clinicals? Someoone mentioned foley, IV and meds but what else has anyone out there learn during this time?