RoyalNurse

RoyalNurse

CVICU, ER

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All Content by RoyalNurse

  1. Working While In Nursing School!!

    RoyalNurse replied to Soon2baN.U.R.S.E's topic in Virginia Nursing

    Hi, I worked mostly full-time throughout RN school and got my BSN. The most important thing is having a manager that understands nursing school and is willing to be flexible with your schedule...

  2. Dangerous nurse?

    RoyalNurse posted a topic in General Nursing

    hi, i've been reading the "dangerous nurse" posts, and all i can do is wonder about myself sometimes. long post: assigned to an elderly woman, who looked terrible when i first went in to assess her....

  3. Dangerous nurse?

    RoyalNurse replied to RoyalNurse's topic in General Nursing

    You're right, we were thinking of starting CRRT later that day. The thing is, she was still a full code at this point, and we were still actively treating her. (She originally came in for an...

  4. Dangerous nurse?

    RoyalNurse replied to RoyalNurse's topic in General Nursing

    I guess what I was saying was a good ICU nurse would take one look at that patient, say "Gee, she looks worse than this morning", called the intensivist back, and told him to get his butt over there...

  5. "Fired for NO Reason"

    RoyalNurse replied to Ruby Vee's topic in Nursing Professionalism

    I love this sentence. You could say the same thing to some preceptors who worry about whether the orientee will be "loyal" to the unit, or leave within a few months. Even if that orientee only worked...

  6. Who's going to NTI 2009 in New Orleans: 5/16-5/21 ??

    RoyalNurse replied to icunurse36's topic in Critical Care

    I just found out this morning my hospital pays for everything, including food! I'm going the 12th through the

  7. Chest compressions s/p open heart

    RoyalNurse replied to mcknis's topic in CCU, Coronary, Cardiac

    On my unit we have a "open chest compression board": a taped-up padded board to use on post-op CABG patients to compress the sternum evenly so the sternal wires don't break and pierce the patient....

  8. Do you think saunders practice questions will help me on the Nclex?

    RoyalNurse replied to hlhulse's topic in NCLEX Exam, Programs

    I tried the Saunders questions, and thought they were too easy. I like the NCSBN website, after all, they're the ones writing the actual questions on the NCLEX! Go here: http://www.learningext.com/...

  9. Charge nurse with less than a year RN experience???!!

    RoyalNurse replied to RNpandoraRN's topic in Nurse Management

    They did it to me: I had 1 month over a year of experience, but really didn't feel ready to be charge, I talked to my manager about this, and she said "No one ever feels ready." We get "charge pay":...

  10. How much experience is good for a new agency nurse

    RoyalNurse posted a topic in Agency Nurses

    Hi everyone, I started out as a new grad 1.5 years ago in a CVICU, have done a lot of post-op CABG patients, a moderate amount of general ICU patients (septic, vented, on drips), and feel fairly...

  11. made a mistake, might get fired- thoughts/advice?

    RoyalNurse replied to xariel's topic in Nursing Career

    I hope you get a warning, but seriously, learn from that mistake, it may have been nothing now, but shortcuts can lead down a Wrong path quickly. I can understand you forgot you needed the cup, but on...

  12. How to build good relationships with MDs?

    RoyalNurse posted a topic in General Nursing

    Hi everyone, I work in a CVICU, have a little over a year of experience, and have noticed that I have a "friendly stranger" relationship with most of the MDs on our floor. Meaning I tell them info if...

  13. Vasoactive meds/ Inotropes + Rate

    RoyalNurse posted a topic in CCU, Coronary, Cardiac

    Okay, When you hook up a NTG drip to a peripheral IV that's ordered to be 10 mcg/min, then attach NS at 75 cc/hour to it, aren't you affecting the rate of the NTG drip? That's what I had always...

  14. Vasoactive meds/ Inotropes + Rate

    RoyalNurse replied to RoyalNurse's topic in CCU, Coronary, Cardiac

    then why do we hook up a carrier to levo, if the levo rate is less than 10? I was taught, and I've seen for myself, that adding ns carriers to drips makes them

  15. When will I be less task-oriented?

    RoyalNurse replied to nursealanarae's topic in First Year After Licensure

    Does the floor you work on have a certification course? Like a Med-Surg certification, PCCN or CCRN? Studying for that helps you see the big picture. As far as assessment goes: I assess patients all...

  16. What can I do to improve?

    RoyalNurse posted a topic in General Nursing

    Hi, I've been a nurse for a little over a year, and the clinical side is becoming easier (I'm a CCRN!), but sometimes I just can't seem to "get it together". I made two med errors in the last two...

  17. Anyone else studying for CCRN exam?

    RoyalNurse replied to deeDawntee's topic in CCU, Coronary, Cardiac

    2. 8 3. 10, if you're talking about the book I also used the Gasparis CDs, these helped a lot. The PassCCRN has great questions, and there's a lot of them, so you can practice answering 150 questions...

  18. Not happy in 1st year

    RoyalNurse replied to HURN's topic in First Year After Licensure

    Have you thought about weekends? They're still busy, but a little bit less than M-F, most docs on my floor don't show up until 10 am or so, less admissions in general, the whole "vibe" is a little...

  19. Anyone else studying for CCRN exam?

    RoyalNurse replied to deeDawntee's topic in CCU, Coronary, Cardiac

    Thanks, I feel congratulated! My feedback at work has been good, my co-workers are very congratulatory. There's no recognition and very little financial reward from administration, but I plan to use...

  20. Anyone else studying for CCRN exam?

    RoyalNurse replied to deeDawntee's topic in CCU, Coronary, Cardiac

    Hey, I took it and PASSED THE CCRN today!!! I had a lot of cardiomyopathy, swan ganz, CHF modalities, a few questions on shock: recognizing early septic shock, and treating. I also had upper GI...

  21. Anyone else studying for CCRN exam?

    RoyalNurse replied to deeDawntee's topic in CCU, Coronary, Cardiac

    I'm scheduled to take the CCRN next week. I'm taking the PassCCRN! CD questions (Dennison), and getting about 60-70% of 150 questions. Most of the questions I miss are in MODS and Cardiac. I'm...

  22. ICU new grad survival kit!

    RoyalNurse replied to PiPhi2004's topic in First Year After Licensure

    I would also add: 1. Start studying for the CCRN as soon as you can. Go to the forum here, under Critical Care Nursing, and buy one of the books they recommend. It's helped me tremendously to study...

  23. Feeling Overwhelmed

    RoyalNurse replied to casperx875x's topic in First Year After Licensure

    :icon_hug: I'm sorry you had a bad night. I hope your next night is a little better. I've been in that situation, where it seems like you're doomed to fail, no matter what you do. Calling cranky...

  24. Help for stress and worry- CBT

    RoyalNurse replied to willy2's topic in Health, Stress Management

    CBT (Cognitive Behavioral Therapy) has worked for me as well. I like Dr. Burns: Feeling Good, The New Mood Therapy, you can get it from Amazon. CBT is based on the premise that emotions/moods stem...

  25. first incident report

    RoyalNurse replied to law3576's topic in First Year After Licensure

    It sounds like the doc was upset that he wasn't called about the decrease in O2 sat on a higher level of O2, especially because the patient just came back from ICU for respiratory arrest. Is that what...