RoyalNurse

RoyalNurse

CVICU, ER

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All Content by RoyalNurse

  1. ARDS + narcotic overdose

    RoyalNurse posted a topic in CCU, Coronary, Cardiac

    Hi everyone, Does anyone know how an opiod overdose can cause ARDS? I know ARDS comes from alveolar injury, and fluid getting into the gas-permeable-only membrane, but how does an overdose and...

  2. ARDS + narcotic overdose

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

    Sorry if this is dumb, but CO2 narcosis is caused from CO2 retention that ends up killing tissues, then causes the pulmonary capillary leak? That does make sense, as does the aspiration pneumonia....

  3. Anyone else studying for CCRN exam?

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

    I just attended a CCRN review class yesterday, honestly, I was surprised that it wasn't as tough as I thought. I only have a year of experience, barely enough to make the 1720 hours, but I realized I...

  4. Where to go after the year of med-surg

    RoyalNurse posted a topic in Psychiatric

    Hi, I have a little over a year on a cardiovascular ICU under my belt now, and am starting to look on to what's next. I've always wanted to be a psych nurse, I just want to be ready when I get there....

  5. Where to go after the year of med-surg

    RoyalNurse replied to RoyalNurse's topic in Psychiatric

    Now that I read it, my question wasn't worded very clearly, so: I have two opportunities: a state psychiatric hospital, or a behavioral health unit at a medical hospital (a regular hospital with a...

  6. Where to go after the year of med-surg

    RoyalNurse replied to RoyalNurse's topic in Psychiatric

    Any advice at all? I searched through this forum, back to 1998, and couldn't find any answers to this question. I just want to know, is it better to start on a hospital-based psych unit, with more...

  7. THE WORST Experience/night of my life!

    RoyalNurse replied to emmie08's topic in First Year After Licensure

    I hate to tell you this, but you'll probably have a lot more nights and experiences like this one, but after a few months, it WILL get better. You're just bombarded with everything right now, and it...

  8. ARDS criteria formula

    RoyalNurse posted a topic in CCU, Coronary, Cardiac

    hi everyone, does anyone know how the ards formula works in real life? [color=#9999ff]pao2/fio2 so, if a patient has a pao2 of 60%, or 0.6, and is on fio2 of 100%, or 1.0: 0.6 / 1.0 = 0.6 the...

  9. Keeping it all together

    RoyalNurse posted a topic in First Year After Licensure

    Hi everyone, I posted here a few months ago, ready to quit this ICU stuff and go to Med-surg. Now I know I really want to stick it out, and am starting to like taking care of the critically ill...

  10. Why do people go into nursing? Is it just the money?

    RoyalNurse replied to zoo*moon's topic in General Nursing

    I love this. I agree, I get energy from my patients, sometimes that's all I need to keep my head up and keep going. All the other junk: gossiping, backstabbing, etc, is just

  11. Being fired...long and weepy

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

    catlvr: you sound very conscientious, they're lucky to have you! That is a tricky situation, it is well within a doctor's scope of practice to give a medication that he prescribed for the patient,...

  12. Troubles in CVICU

    RoyalNurse posted a topic in First Year After Licensure

    Hi everyone, I'm a new grad in a CVICU, been off orientation for almost 4 months, and keep waiting for things to get better, and they're slowly getting worse. I used to have a good reputation at work...

  13. Troubles in CVICU

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

    I KNEW I could count on the nurses here to understand. I try to tell my non-nursing friends what's going on, and they can't see at the heart of the issue, while you guys got right to it. I can stand...

  14. Troubles in CVICU

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

    Anyone have any experience in this? Should I raise my concerns again to my boss/preceptor? Or go directly to HR? I don't want to go behind anyone's back, but I also don't want to hear the "you're...

  15. Am I to incompetent for nursing?

    RoyalNurse replied to Yenta7's topic in First Year After Licensure

    Yenta7, I posted a very similar post a few months ago. I've only been a nurse for 6 months, but it sounds to me like you're focusing on the right things, (taking care of patients versus finishing your...

  16. Just need a little emotional support this morning!

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

  17. Should I give up?

    RoyalNurse posted a topic in First Year After Licensure

    Hi everyone, I'm a new grad in a CVICU, just off orientation, I've done 4 nights on my own so far. I do well with the "stepdown" patients that we have on our unit, but when I get an "ICU", I seem to...

  18. Should I give up?

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

    Thanks so much to everyone for their replies!! I'm going to talk to my manager and preceptor on Monday, but I think maybe I'll give this a few more weeks before I give up. I really like the unit, the...

  19. To the newbies, from the Big Newbie

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

    Good advice,

  20. I LOVE my job

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

    Actually, yes, I do love my job. There are lots of challenges (understatement), and I've made more than a few mistakes, but I don't even want to take a lunch break sometimes. I feel like I'm getting...

  21. Talking/dealing with families?

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

    Thanks for the suggestions, everyone. I wish there was a mnemonic like SBAR for giving info to families, but I think you just have to gain experience at this. I'll definitely stop saying "trying to...

  22. Talking/dealing with families?

    RoyalNurse posted a topic in First Year After Licensure

    I'm a new grad in a CVICU, and I'm having a hard time talking to families. I've tried just being basic, once I've determined that they already know the patient is in the ICU, and is a family member,...

  23. orientation: I feel stupid and incompetant

    RoyalNurse replied to hollyberry678's topic in First Year After Licensure

    Hollyberry678, I felt exactly the same way starting orientation. No one really tells you exactly what you "should" know when you first start nursing, but you can really pick it up from their...

  24. grrr! gossiping, I cant stand it!!!

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

    I have fought this gossiping for the past two months that I've been on orientation, and I found some tips here that I'm going to

  25. Forgetful (help)

    RoyalNurse posted a topic in First Year After Licensure

    Hi, I'm a new grad, been in orientation for 9 weeks, coming off in 5 in a CVICU. I'm getting the patho, and understanding the complex patients, I've never had problems with that, but I just keep...