All Content by 8jimi8ICURN
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Flight Nurse Advice
Do you know of any other RN to EMT-P bridges?
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Flight Nurse Advice
Not everyone requires 5 years. Air Evac (in Texas - san antonio area) requires 3 years and passing their test. I volunteered as an EMT-B then an EMT-I85 in texas with a third service 911 and a volunteer firefighting company. My prehospital experience was MINIMALLY relevant. I was asked one question about it in my interview, to which my answer was, i have earned my NREMT-I85. Get, Your TNCC and an EMT-B and you will be solid for what you "need to know" about scene work and concentrate on ther critical care aspects. Try to get in on a CVICU or a CCU that runs a lot of balloon pumps/impella/ or ECMO. Those skills will translate greatly to what a potential flight company (that does interfacility CCT). But DO get a least a year or two in the SICU. That will also help greatly.
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Arizona ICU nurses! Are you happy?
UAMC in Tucson CVICU has had 3 managers in 4 years if that tells you anything.
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Question for nurses working in various ICU settings
Did you get the job?
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Is there a "safe harbor" law in Arizona?
In Texas, my home state, there is a "safe harbor law" which allows a nurse to accept an UNSAFE assignment, but still have their license protected if there is a negative patient outcome. Is there anything like this in Arizona? http://www.bne.state.tx.us/practice/safe.html
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how to get a job as flight nurse
You might do well to get some 911 EMS experience if you can.
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Amiodarone help!
Are you really stable if you are unresponsive? Bp or not, the patient is post code. Doesn't sound stable to me.
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CVSU or CCU?
If you can hold your own on a CVICU, any Icu will take you . And you'll be guaranteed to float to your other units... Whereas.. You don't get to float to Cv /s cv experience.
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Narcotics administration
i dont care how much they want. i give it . if they want it more often give them a pca. if the doc prescribed it they can have it. push it fast, sure. if they are trying to get high i document their request and notify the md.
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Sedation in ICU... your opinions/ experiences?
Typically 1mcg/kg fentanyl /c a little versedOr propofol bonus on top of that.Plus or minus. Unless they are a ventilator PRO, one of the rare patients who doesn't mind and well tolerates alertness while intubated.
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Propofol & Cocaine = violent patient??
Every intensive care unit I have seen requires restraints for intubated patients. And +1 for dexmedetomidine induced bradycardia and hypotension.
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Teacher said NOWAY....new grad hiring into ICU positions
Most residencies for RNs are @6 months tops for ICU. 2 year committment maybe but not on your own as an RN for 2 years is ridiculous
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What to do about disruptive behavior?
No one is judging. You DID ask for opinions. Part of Icu nursing is knowing when and how to ask for help. You didn't and a patients care suffered for it. Bottom line. Heartfelt analogies do not excuse your lack of care.I would have told another nurse or the house supervisor that I was unable to safely care for my second patient since it seems your charge nurse is against you. I've done it before. No one likes to admit they are overwhelmed but if you don't. People can die.
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What to do about disruptive behavior?
And in accepting and depending on help, one must make specific requests such as hey, will you please turn so and so for me. Then follow up.
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What to do about disruptive behavior?
12 hours without turning is horrendous. I hope you learned that lesson. Write an incident report and request an arbitration with the disruptive nurse. She was out of line. You also need to write an incident report on yourself for providing substandard care. If this patient developed a dti. Likely that's on you.
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Brainstorming needed!
Also do the pacep.org coned mods. And mention them in your interview. I'm about 3 mi from the hospital.
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Brainstorming needed!
Palmetto Richland Hit me up on fb I never have luck with the pm system on this website.Fb/8jimi8
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How did you break into CTICU?
Move to Tucson. My CVI is hiring.
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ICU or ER?...Dec 2012 Grad
ICU. level 1 trauma is more likely to hire a newer, but with experience ICU nurse (because they are trained to do ICU nursing) than a ER nurse with the same amount of experience. Because that ER nurse still has to be trained as an ICU nurse.
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Teacher said NOWAY....new grad hiring into ICU positions
2 year residency? that doesnt makes sense.
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Brainstorming needed!
Let me know. I'll splitter recruitment bonus with you.
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Use it or lose it
lmao.... you'll like the neuro patients! hahaahahha who likes doing q1 hour neuro checks. NOT ME! Better start studying. There was a period of time when i worked on a mixed icu/imc and i found that if i spent too long in imc, i was forgetting numbers that, when working in icu i would know instantly. Beware.
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What do you want in a set up of a new room for an incoming patient?
i want two suction setups, a zero'd bed, 4 sets of iv tubing, iv pumps, monitoring equipment, flushes, poccbg supplies, iv start setups and angiocaths, bath supplies, a new gown, chux/ultrasorbs, a slideboard or sheets, information on the whiteboard. Time arrived:, Weight:, Temp:, and Height: and any supplies that we might need when we see what the patient has. core temp foley kit, central line dressing change kits, if the patient has wounds: supplies to dress them AND the unit camera. have all that and i won't complain.
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PRN pay
3 years experience, 2.5 in critical care.I signed per Diem with Maxim staffing solutions for 40/hr last week.
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Understanding cardiac gtts
If you want to understand the drugs, study the pharmacokinetics. Especially the method of action.