NoviceToExpert

NoviceToExpert

CCRN-CMC-CSC: CTICU, MICU, SICU, TRAUMA

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All Content by NoviceToExpert

  1. is it just me?

    NoviceToExpert replied to cloudstrife1ph's topic in General Nursing

    If you want to advocate for less pharmaceutical intervention you should take it upon yourself to learn as much about the commonly prescribed drugs in your specialty area you encounter regularly and...

  2. I can't cath to save my life!

    NoviceToExpert replied to espritjolieRN's topic in General Nursing

    If you used a copious amount of lubricant it will clog until the water soluble lubricant dissolves... this could take a little time... but will open up the fenestrations at the catheter tip in a short...

  3. Would you use a sub-clavian heading towards the head?

    NoviceToExpert replied to ukstudent's topic in MICU, SICU

    I've had surgeons give an order to use it without a CXR... because "it's in the right spot... you don't have to check mine".... if you can believe

  4. Please help, orientation problems

    NoviceToExpert replied to pupnurse's topic in MICU, SICU

    You may not have been a good fit with your preceptor... maybe your new mentor will work out better... I switched preceptors during my critical care unit orientation... worked out great for me...It...

  5. what do nurses hate about doctors?

    NoviceToExpert replied to futureMD's topic in General Nursing

    Fair enough... but your tone to begin with is "I don't yell at my nurses"... except I am the patient's nurse... not the doctor's nurse... It is inappropriate for the doctor to call the nurse "my...

  6. Need to Make Decision...HELP

    NoviceToExpert replied to SummaFocker's topic in CCU, Coronary, Cardiac

    I'm CTICU and I hope you took the critical care

  7. what do nurses hate about doctors?

    NoviceToExpert replied to futureMD's topic in General Nursing

    Here's some advice from me... I'm a CTICU nurse... First of all, I'm not responsible for keeping the chart available... I use the chart and put it where it belongs... if it's not there later because...

  8. Male Nurse Insert a Foley

    NoviceToExpert replied to NewTexasRN's topic in Male Nursing Students

    He let them do the Foley, and then the nurse who initiated the whole thing asked him for a favor because she put in his Foley... and he laughed and cited the fact that she kicked him out of his room...

  9. Male Nurse Insert a Foley

    NoviceToExpert replied to NewTexasRN's topic in Male Nursing Students

    This is one of those nurse needs to check in with nurse's feelings and determine if nurse is able to provide care and leave feelings at the door... Now if the male nurse was gay would it be okay for...

  10. help cardiac nurses!

    NoviceToExpert replied to RN75's topic in Patient Safety Issues

    I'd like to know if the MD that didn't stop the Plavix is being called to the mat the same as you are...There is a rationale here for continuing the Plavix since the pt. was newly stented and the...

  11. new grad -3 yrs ago. homemaker. now, cant find job

    NoviceToExpert replied to drRN's topic in General Nursing

    There are lost of hospitals with the nurse refresher course...for nurses just like yourself... if you sent me a private message I'll tell you of a few I

  12. Need help with a resume - open heart

    NoviceToExpert replied to mummer43's topic in CCU, Coronary, Cardiac

    Another way to find more specifics is to look at the job postings at your hospital and/or others... you can see how people word the critical care RN responsibilities on similar units and then piece...

  13. How To Determine ET Tube Placement

    NoviceToExpert replied to Kwest70's topic in CCU, Coronary, Cardiac

    That's very

  14. How To Determine ET Tube Placement

    NoviceToExpert replied to Kwest70's topic in CCU, Coronary, Cardiac

    Keep on top of the basic assessments and back it up with the tests...no one has mentioned abdominal distention or your basic SpO2 monitoring while waiting for the CXR...all good points on the thread,...

  15. Wide complex SVT versus VT

    NoviceToExpert replied to jdiekhof's topic in CCU, Coronary, Cardiac

    Use The Netherlands Clues (named so from research originating in The Netherlands by Brugada and colleagues). Any of the following = VT: No RS in any precordial lead, R to S interval > 100 ms in any...

  16. CCRN discouragement?

    NoviceToExpert replied to nursecass's topic in CCU, Coronary, Cardiac

    I can't believe nurses sometimes... that a colleague would discourage the effort to elevate yourself... don't fall for it... Probably they don't want you to have a certification as a new nurse that...

  17. Need help with a resume - open heart

    NoviceToExpert replied to mummer43's topic in CCU, Coronary, Cardiac

    I see Sharrie has already suggested going to your job description... What I do on my resume is state my position followed by "caring for patients with...(fill in the admission criteria for your unit...

  18. New to CV ICU from NICU! Yikes

    NoviceToExpert replied to SFRN's topic in CCU, Coronary, Cardiac

    I'm surprised nobody has mentioned nitroglycerin or amiodarone yet... you'll see a lot of that... also be familiar with Labetolol, Cardene, Cardizem...know your A-line usage...go to Edwards.com for...

  19. why did potassium level rise?

    NoviceToExpert replied to utahliz's topic in CCU, Coronary, Cardiac

    Exactly what I was thinking... the closer the blood is to the expiration date, the higher the K+

  20. how do you NOT get overtime and get done?

    NoviceToExpert replied to dcnballmom's topic in General Nursing

    This is exactly what I've seen... nurses are signing off on things they haven't done. I see it every single day. Unfortunately I'm still on orientation in an ICU. Get this...and I quote... "Orientees...

  21. How Can We All Take Ownership For Unit Culture?

    NoviceToExpert posted a topic in Patient Safety Issues

    To nurses and students one and all, I am starting this thread under patient safety because I believe this issue impacts patient safety and outcomes. I have noticed many opinions from students, from...

  22. Am I too old to go to nursing school and into a nursing career?

    NoviceToExpert replied to is58tooold's topic in General Nursing

    thanks, telerner. like i said... i make mistakes and plenty of them i am sure... i more than appreciate when they are pointed out to me. i hope i'll take ownership of them non-defensively...all i want...

  23. Am I too old to go to nursing school and into a nursing career?

    NoviceToExpert replied to is58tooold's topic in General Nursing

    Thank you thank you thank you... my mistake/by bad. I meant THC (as in 9-carboxy-THC), a metabolite of the primary pharmacologically active compound of marijuana. This, as I'm sure you know (if I...

  24. It Seems Like It's Student Nurses vs The Nursing Staff

    NoviceToExpert replied to APBT mom's topic in General Nursing

    Hey Kan, Thanks for the article... I'll pull the full text from pub-med. I do submit that regardless of the pt's condition and equipment the NPs response was wayyyyyy out of line and inappropriate....

  25. It Seems Like It's Student Nurses vs The Nursing Staff

    NoviceToExpert replied to APBT mom's topic in General Nursing

    Actually my post wasn't addressing manners, it was addressing patient