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Max on Levophed?
I think the thing many are forgetting is you may be able to run 1000mcg/min of a certain drug but there comes a point where more isn't necessarily better.
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NP info
Hey, I'm an RN looking into possibly going to NP school. I was wondering if some of you wouldn't mind sharing some info with me. What kind of NP are you? (acute care, peds...) How many hours do you work a week? How many hours do you take call a week? Any info helps. Thanks
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What is considered the weekend shift for 7p-7a?
Sat and Sun 7p-7a
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Having a hard time with death
Thanks for your thoughts everyone. It's not that dying as a whole upsets me, almost 1/2 of the pt's I take care of sometimes will never make it out of my unit and I know that. The weird thing with this lady was that it was so quick and I hadn't even thought about her dying. Normally, you're gonna know that they're about to die but this lady just...died. It was a peaceful way for her to go tho. Thanks again
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Having a hard time with death
Not to be too descriptive but I admitted a nice older lady from the ER last night. She was coming in with SOB d/t (from what the ER told me) a chronic condition that had apparently been somewhat stable. She was a DNR. She woke up about 0300 and I gave her something to help her rest. I left the room about 0400 telling her to get some rest. I was tending to one of my other pt's for about 20 minutes and when I walked out of her room I was gonna chart some. The monitor in the room was going off so I walk in and there my pt is. She brady'd down to about 20 or so and I had stopped breathing in that short amount of time that I was gone. It didn't take long for her to pass but I didn't expect this at all! I knew it would happen sooner or later but I didn't think it would happen last night! Looking back it's really weird and upsetting because this lady was talking to me 15 minutes before. I told her to get some rest and "goodnight" to which she replied "goodnight son." This has just kind of upset me because I kind of shrugged her off because she was so talkative and I had given her something to help her rest. I think in the end she was scared to go to sleep because she knew she wouldn't wake up, so she just talked and talked and talked! Has anything like this happened to you guys before??? Thanks
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75 questions and failed. HELP PLEASE!
It sounds like you are freaking out about the test to me. IMO, the number one rule when taking NCLEX is to not freak out. If you failed with 75 questions then you are either not taking in the material correctly, freaking out or a combination of both. I don't think Hurst review is helpful one bit, we don't need to know content, we learned that in nursing school. What we need to know is how in the world do I answer these questions!? NCLEX may throw a lot of big words at you but if you can sift through the question you may realize you don't have to know anything about the big word. I would highly recommend KAPLAN. KAPLAN will teach you a little bit of content but more importantly how to answer the questions. It's very pricey but very worth it. If money is hard for you then at least get the KAPLAN qbank and answer the questions. The KAPLAN questions are NCLEX questions from previous tests. Good luck!
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What's your personality like?
Most of all I would say that I'm laid back. I think one of the most important parts of being a good ICU nurse is your ability to remain calm when everything else is going downhill. I'm also very task oriented, if there is work to be done it's going to get done, most of the time before it has to be done. Last but not least I pride myself on my organization, I rarely if ever leave late and most of the time I'm the one who get's the 3rd patient in an ICU.
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about jeffstate, inquiring minds want to know.....
The math tests that you are required to pass are on basic drug calculations, very easy. The teachers tell you exactly what you need to know. When I went to Jeff State we had 2 times to pass with a 90 every semester. Jeff State's nursing program is not hard if you put the time in to it to study and not be an idiot. Anyone can pass anything if they put their mind to it IMO.
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How many patient's do you normally have?
We had a list and they stopped doing it because they said it was "stupid." I'm not sure how but whatever. It's not really a problem but when I'm taking care of 3 and the nurse next to me has 1 and is doing nothing it kind of ticks me off.
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How many patient's do you normally have?
I'm usually not angry when I get three patient's. Sometimes you can't help getting a third patient when you're short staffed. The only time I get mad is if I get the third patient when some other nurses haven't had a third patient in forever and less acute patient's.
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How many patient's do you normally have?
Do you ICU nurses ever have more than 2 pt's? How often if you do? We get 3 pt's every now and then, usually one or two of them are waiting to transfer in the AM. My main question is how do you deal with being assigned a third pt, mainly when someone else is 1:1 with a technically stable pt? Just looking for insight. Thanks
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Update on jobs for new grads
You must be looking in the wrong place. Brookwood has several jobs posted, including ICU.
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Does anyone work at St. Vincents?
I knew a guy that worked there before he graduated. Call up to the ER and see if you can get in touch with the Nurse Manager or ER director. If you can't get in touch with them I use to work in the ER at Brookwood and could possibly hook you up.
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Discontinued/held current medsor never started home meds
When an MD "holds" a med it is automatically dc'd by pharmacy to prevent this info from getting lost in report to the next nurse or one nurse not writing it on the MAR. The MD should write it on his progress notes or something so that they will remember to restart it when the time comes. We don't have much problem with it now that the med's are automatically dc'd.
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WI: 75 questions NCLEX RN results
You passed.