Rabid Response

Rabid Response

ICU/CCU

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All Content by Rabid Response

  1. Compassion or reality for obese patients?

    We need to be aware of our personal prejudices around obesity when we are providing care to obese patients. Some situations are more appropriate than others in which to bring up the subject of weight...
  2. Help with advice on CRNA programs

    What does it mean that most of the people who come in here asking about becoming CRNAs are not yet even working as nurses? That's not a judgement, just an observation, and I am curious. Right now I...
  3. 2 1/2 liters ascites fluid drained

    Some cases of ascites are caused by right heart failure as fluids back up in the hepatic circulation instead of returning to the heart. Recently an elderly cardiac patient in our ICU had 3 liters...
  4. What do I do? Roaches, no heat...

    You are a mandatory reporter. If you don't report this situation to APS and something happens to the patient due to these abominable conditions, you may lose your license and never be able to get any...
  5. Can you name some of the hospitals in the Bay Area...

    I've heard really good things about John Muir's new grad training, and so I assume that they must also be a great place for student preceptorships. Kaiser I think can be hit or miss depending on the...
  6. Can you name some of the hospitals in the Bay Area...

    You might also want to check out SF General for a preceptorship. Their trauma ICU gets all kinds of interesting cases. One thing to keep in mind is that few hospitals are hiring new grads into...
  7. What do you have to wear???

    We can wear whatever scrubs we like. I mostly wear ceil blue, navy blue, or black scrubs. I wear Iguana Med scrubs mostly because I like the fit and the feel of their fabrics. I also have some Koi...
  8. Do you think nursing has aged you?

    I felt like that a few months ago. After almost 4 years on night shift, I felt like I had aged 15. Always tired, always achey, pains in my joints, acid reflux, dry hair, diarrhea/constipation, weight...
  9. Your plan seems a little convoluted. Why don't you go for your BSN first? Or at least an ADN? If your ultimate goal is to be a CRNA, becoming a paramedic seems an unnecessary detour. Additionally,...
  10. sanfran hourly rate?

    50 or more per hour is pretty standard here, but finding a job in San Francisco right now is really difficult even for experienced nurses. My ICU just hired someone for evening shift (first outside...
  11. *Easy* things I just hate doing

    I hate taking care of patients who are too HEALTHY for ICU. It SHOULD be a breeze having one of your patients be med/surg level acuity, but it is hell. They complain that we are checking vitals every...
  12. I'm not sure if this is the right place for it.

    Unfortunately, your concern seems to be more about your CNA certification than about the welfare of that elderly woman. Report your MIL to APS immediately. Do you really think it is okay to allow her...
  13. New Joint Commission Protocol on Insulin

    My hospital has always used a protocol for insulin drips. We recently switched protocols to one that is a little more confusing than the old one, but still it's not rocket science. Am I to understand...
  14. HIPPA for employees?

    When I had my work physical I don't remember having to undress or even rolling my sleeves up. I had pretty bad scars on my arms (not from drug abuse or cutting) that I was kind of sensitive about...
  15. Woohoo! Congrats on the switch. Follow your
  16. vent for those who work midnights

    Gah. That's what I hated most about working nights. Nobody understood. I would have to take crap from people about not wanting to do things on my days off because I was sleepy. I couldn't believe how...
  17. Is nursing just okay?

    I think it depends on your working conditions and whether you have found your particular niche. If your unit is perpetually understaffed, your compensation is low, your management is poor, or your...
  18. What do I do?

    Move to hospital B. Put in your time with the supposedly mean nurses on that floor, and then put in for a transfer to another floor as soon as you are able if it turns out that the nurses are not...
  19. Lost My First Patient Today

    You sound like a wonderful, compassionate nurse. You did just what you should have, and your patient was lucky to have you at the end of her life. I have seen enough death now to know that, although...
  20. New grad having nightmares about work!!!!!!!!!

    Wow. I went through the exact same thing the first year. I would wake up several times a day (worked night shift) in a cold sweat with awful dreams about work. One of the worst recurring ones was a...
  21. It can be so frustrating. The other day my ICU received a patient who had been admitted to med-surg for repiratory distress. While there on bipap he attempted to stuff two cheeseburgers (smuggled in...
  22. ICU visiting hours.. What is reasonable?

    We have 24 hour visitation. Visitors are supposed to be limited to 2 per room. Visitors are not supposed to eat or sleep in patient rooms. Unfortunately, the rules are rather laxly enforced. It's hard...
  23. How come people portray nursing so negatively on here?

    I think the thing about nursing compared to other jobs is that, if you are not a nurse, you just won't understand our issues. I can't come home and vent about work to my family because a) they get...
  24. Drawing Blood Question...

    We do a lot of lab draws in my unit. If the patient doesn't have a central line, we can run out of good veins in a few days or less. So I have made it a habit to draw labs from as distal spot as I can...
  25. ccsf or merritt oakland? which school is better

    I have heard some pretty good things about the program at City College; apparently it is really rigorous, especially the clinicals. No offense to Merritt grads, but I haven't heard anything good about...