Rabid Response

Rabid Response

ICU/CCU

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All Content by Rabid Response

  1. Use of C/O in Documentation

    Oh, please say it isn't so. "Complaining of" does not have a negative connotation when used in a medical context. I am so tired of people looking for things to be offended by. We were actually told in...
  2. Moving to CA as New Grad ADN

    You do not say why you are moving to California. If you do not have to move, DO NOT unless you have a job lined up beforehand. There are local new grads who have been out of work for a year or more,...
  3. I know this may sound rediculous but....

    I met some of the best friends I'll ever have in nursing school. Don't look for things to be annoyed about before you've even started classes. The sort of energy you put out is what you are going to...
  4. Tattoos and body jewelry policies in hospitals

    I think it depends on the city in which you work and also the hospital. I know lots of tattooed and pierced nurses who work at hospitals in the San Francisco Bay Area. A few have been asked to cover...
  5. Would you switch to nights for alot more money?

    I would take a $15/hr pay cut to switch to
  6. Most embarrassing mistake you've ever made

    About 15 minutes before the end of my shift once, I discovered that one of my patient's feeding tubes had migrated up out of his esopagus and was curled in his mouth. I pulled the tube, informed the...
  7. Ideals vs Reality for the Aspiring Nurse

    When I was a nursing student I never had a bad thought about a patient! I felt nothing but compassion for everyone. Last night I had a patient who had two speeds--obtunded or obnoxious. All night he...
  8. what do you regret?

    I wish that I had been more adventurous in clinicals. I wish that I had started applying for jobs much sooner, while I was still in
  9. should i invest in a new steth?

    I use a Littmann Classic II, and I think it works just fine. I own an electronic Littmann that I received as a gift, and it mostly sits in my locker. I have lent both of my stethoscopes to doctors and...
  10. Dislikes

    1. Performing painful and often degrading life-prolonging interventions on patients who will not benefit (ie octogenarian with stage IV metastatic CA whose family keeps him a full code until we've...
  11. Techs in the ICU

    We have no techs in our ICU and no unit secretaries on the night shift. We are expected to do everything ourselves for patients that are mostly total care. I didn't know that techs were even an...
  12. Working?

    I happen to work in a part of the country where you can make 100K/year without killing yourself. However, you will pay 24K of that each year to live in a crappy one bedroom apartment in a so-so...
  13. We're out of ideas.....can you help?

    If you can't get the family to work with you on this issue (the wife is pushing staff away from the resident?), then you should tell them to find another facility for this man or to care for him...
  14. 36 hours is only part time??

    At my hospital anything under 40 hr/wk is considered part time. A 36 hour week is .9 of full time. A 32 hour wk is .8 of full time. My hospital provides benefits to anyone who works a .6 or greater. I...
  15. yes or no

    It depends on the nurse and also on the unit and the hospital's training program. I don't think my hospital's critical care training program was any great shakes, but my unit was friendly and...
  16. "When nurses eat their young"... I think I've been eaten...

    Perhaps I am misreading your post, but it appears that the ICU nurses who are giving you this advice are not actually working on the unit into which you have been hired. These are not your future...
  17. I would second the suggestion of sepsis as a subject. Early goal directed therapy is a hot topic in critical care right now. You might also consider pulmonary embolism and ventilator associated...
  18. Your Favorite and Your Weirdest

    I really like wound care--packing, irrigating, etc..., especially if I get to see the wound heal over time. I also get a big thrill out of starting IVs. The thing that skeeves me out the most is bad...
  19. To Throw in the Towel or Not?- Opinions Please!

    I loved nursing school classes, but I did not love clinicals. It seemed as if all of my fellow students had previous experience working in the medical field, and I had none at all. I always felt at a...
  20. Changing a complaining profession

    I don't know what to tell you. These are not big problems where I work, so I have to conclude that where nurses complain a lot and treat each other badly it is because they have a lot of things to...
  21. Call Bell Over Use (Abuse?)

    Perhaps you could keep a log of every time that he hits the call light and the reason for each call over a period of several days. Then break the reasons down into legitimate and not-so-legitimate...
  22. Night Shift Blues

    I could have written your post myself. I, too, am a day person stuck working nights for the past two years, and it is killing me. I feel like I'm functioning in a big hazy cloud. I work in a pretty...
  23. Do you wear your nursing pin at work

    I don't wear any pins on my badge because nobody else on my unit does. But recently when I passed my CCRN exam my manager came by and affixed a little CCRN pin to my badge. I was so proud of myself...
  24. Anyone gone from ICU to ED?

    Recently our pre-emptive Rapid Response rounding was changed to include the ED, and I am slightly embarassed to say that this was the first night that I ever visited our hospital's ED. As an ICU...
  25. Anyone gone from ICU to ED?

    Thanks for all the replies and advice, people. I guess I'll apply for a per diem NOC position in the ED and see what