NurseHotFlash

Sepsis protocol mandated a 3L bolus, be given to pt who had high temp, and tachycardia. His BP was WNL. Developed pulmonary edema and had to be intubated. Wondering if too much fluid was given. What do y'all think?

Thanks for the advice. You are right!

Don't let them get to you! You can't change those type of folks. It sounds like you have a good situation overall. You can't fix others, but you can control your response to them. Just focus on the good people, and say a prayer for those who fall short. After the prayer, let it go!

I haven't been an LPN, so I can't tell you much about that subject. If there is anyway to skip LPN and go ahead and get your RN I think you would be better off. Not many people hiring LPNs these days.

Look into being a sales rep for either pharma or equipment. You have a lot more freedom, and probably more money also.

Hang in there! Be sure that your total debt each month is a little bit less than the month before. Set a goal as to how much you can pay down debt each time you get a check. Use coupons, and be sure everything you buy is a necessity. You can do this!

I think I would resign from a place that put me on suspension for minor mistakes! Nursing can be brutal, and I think they are trying to tell you something. Better to leave on your own terms, but I would certainly be looking for another position in any event.

My hospital is always looking for people to work nights, and I think most hospitals are the same. Maybe you should apply and underline "Willing to work nights!"

I am being encouraged to get a nursing certification. My director has a goal to get a certain number of nurses "certified". I can push to take the CCRN, which I barely qualify for, or I can take the PCRN. I am currently working in a progressive care unit, but I used to work in an ICU. I have all the CCRN books I need to take that test. I am thinking why should I do all that studying and only go for a PCRN? Is there any advantage in having a PCRN over a CCRN? Do you guys think I need to buy new books if I go for PCRN? Or, I should just relax and enjoy my current FLUNKY certification, as there is no financial incentive to do either PCRN or CCRN.

Thanks for the advice guys! I will keep asking questions, and will not risk my patient's over pride!

Excellent advice amzyRN! Thanks for your thoughtful response!

I am new to CVICU and am trying to learn, but when I ask questions some of the experienced nurses roll their eyes and give condescending answers. Then they complain to the charge nurse about how little I know. That makes me not want to ask questions, but I must put the needs of my patients first. I think they enjoy kicking me around, so I am considering standing up to them a bit more. Have y'all had experience with this problem, and how did you address it?

I am just the same.

It's just another accommodation for the morbidly obese.

I am new to CVICU and have been taking step down patients, trying to get my feet wet. It is coming up on 6 months, and I am supposed to start taking fresh hearts soon. I have tried studying meds, machines, intrepretations, etc. I feel overwhelmed. I would like to know how you guys got your training. Were you just thrown in and told "ask me if you have questions" or was there a formal training opportunity.