cloister

cloister

Critical care, neuroscience, telemetry,

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All Content by cloister

  1. I read Critical Care and the American Journal of Critical Care, I have a BSN, and I work in a Magnet hospital. Both of my bosses are ADNs and frankly, they can nurse circles around me. A good nurse...
  2. Wow. You are certainly.....passionate. Credenetials are kind of fun, I'll admit. I've got my RN,BSN, CCRN and Advanced Clinicial creds all strung out on the front of my name badge. Of course, it's...
  3. Dealing with ICU visitors

    Our SICU is starting to rehash our visiting policy, which at this time is pretty much 24/7 with exceptions made for change of shift. The day shift deals with it more than those of us on nights, but...
  4. Where Do People Dream This Stuff Up?

    "Yeah, I smoke 2 packs a day, but I take 2 grams vitamin C daily, so that cancels it out." This from an RN I had as a patient once upon a time. "Crystal meth really cleans me out." This from the...
  5. what a day last wednesday.

    Sounds like someone was covering her rear end. Sheesh, you tried to call her, and the nurse manager apparently didn't know the cell # either. On top of all that, the guy was fine. Why was the nurse...
  6. What do you guys think?

    I'd have to know a lot more about this guy to even hazard a guess as to why he's bradycardic with a short pr interval. Given his age and hx of beta blockers, however, could the pr be due to...
  7. CABG

    Nurses here start at about 32/hr. Shift diff for nights is 4/hr and you make 4% more if you have a BSN. No weekend diff at my hospital. Several of my friends made 100K last year. Granted, that's...
  8. CABG

    At my hospital, they come to the SICU. There is no CVICU, although I think that was the original plan. Thinking of moving? Consider Southern California. There's a definite need for experienced RNs...
  9. Issues with a nurse who eat their young!

    I'm with Meandragonbrett. Stop trying to explain yourself to Brunhilde and ignore the comments. Maybe she was tired. Maybe she was hormonal. Maybe she doesn't like you. It's her problem, not...
  10. Orders you wish you could have written in the chart...

    Extubate and give pt. a beer. (No, that was an actual order.....) Place nicoderm patch on head, shoulder, arm, etc....(I was actually writing all of this down before the Chinese surgeon realized I...
  11. Wish it was a NANDA diagnosis

    Saw these years ago in a nursing humor magazine (yes, there was one, once): Alteration in cardiac output, none Tissue Perfusion, cessation in Soul extravasation realated to extracorporeal...
  12. I still feel lost- any suggestions?

    Be patient with yourself. Hell, it's a tough environment. I think I was 5 years into being an ICU nurse when the phrase "doesn't wig out as much" appeared on my eval. By then, I was a little more...
  13. Charge nurse with less than a year RN experience???!!

    I came out of school with my BSN almost 22 years ago. Got the required hospital orientation ("This is a crash cart!"), and then oriented 3 weeks on a 26 bed neurosurgical floor. Had not yet received...
  14. CCRN ceu's

    Just happened to have my recert book handy...... From page 14: "For Academic credit courses, CERPS are assigned as follows: In a semester system, one semester unit credit, one semester hour or one...
  15. Nurse reality show

    A reality show, hmmmmmmm........ Let's see....we'd need a catchy title. How about "**** Happens?" Or "Bedpan Stories". Or, "Nurse in White Satin"......(my apologies to the Moody Blues). We could...
  16. So, if there's such a shortage, why is it that so many new grads are having difficulty finding jobs? I've read plenty of posts on these boards from nurses who remain unemployed for months following...
  17. Burnout in less than 2 years

    Good! It does wonders for your mental health to observe the relative mental instability of the general public, up close and personal. I had a patient's wife throw a bag of laundry at me as a new grad...
  18. Burnout in less than 2 years

    I've been a nurse for almost 22 years, the majority of it in SICU. I can relate to what you're saying about some folks' expectations. Unfortunately, as Ron White would say, you can't fix...
  19. Not to seem mean, but I would definitely hold them to their end of the bargain. Hey, you waited for the bulk of it to be paid because the hospital said it would be better for them. You stuck to your...
  20. How do you work with the "SUPERNURSE"!!!

    Tough one. I've worked with (and work with) nurses like you describe. I remember being real intimidated by one I had as a new grad in a neuro ICU, because to hear her tell it, she'd been BORN in the...
  21. You bet the patients are sick. And yes, I think all of us need to treat patients (and families) as we'd want our own loved ones treated in that situation. No one in their right mind wakes up in the...
  22. The first place I worked after I had two sons (in 17 months) wasn't terribly supportive. I was initially allowed to use the lactation roon, but that ended quickly, because it seemed to bother the...
  23. The Pushy Feeling

    It's visceral......like the tide rolling in, and it feels GOOD to push, and have your body take over, quite without conscious thought on your part. It's truly an amazing thing. Glad I got to...
  24. Med Errors: Share Your Stories

    I've done the nipride thing, too, Ruby, on a neuro patient. Wow.......it's dramatic, to say the least! Where to begin? Most serendipitous would be the one where I had 10 patients and needed to give...
  25. Yep. How else are you gonna get it started in? Unfortunately, the bluntness on the other end precluded it coming out in the same way it went in. Try explaining THAT scenario to an ER