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Dinith88

Dinith88

CCU/CVU/ICU
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Dinith88 has 15 years experience and specializes in CCU/CVU/ICU.

36. male. Married w/children.

Dinith88's Latest Activity

  1. Dinith88

    1 year ICU...ready for ER?

    If you are competent, you would do better than any new nurse. Period. You'll have experience with critically-sick patients and what goes along with all of that...so you should be comfortable when dealing when caring for these patients. You should have ACLS (perhaps even PALS) by now... Cardiac/tele/rhythm stuff should be old-hat for you. You already can run a code. You already deal with critically sick patients regularly and more often than ER nurses do. A new grad has to learn all of that...there's no way around that and a new ER nurse simply doesnt have the time to devote to soley caring for critically sick patients...as it's only a fraction of what ER does. BUT that doesnt, by itself, translate into a successful transition to ER. The ER has it's own pace and speed that you're likely not used to. You'll have to do well with large volumes of patients, (Dr's office-type patients, drug-seeking ER abusers, kids, etc,). And you'll have to get used to doing more moving/running than you're used to. You may not like that. But...if you are already a good and/or competent ICU nurse, you'll be light-years beyond a new grad. It's simple common sense. The idea that the ICU has spoiled your nursing-mind-set is garbage. BUT....you will have to learn to change your style for sure. Treat-and-street can have it's merits...and you may well learn to love it. If not, you have a incorrect impression of the ER and maybe shouldn't go.
  2. Dinith88

    I am physically sick with worry :(

    Dude..you are totally freaking out for no reason...
  3. Dinith88

    New male nurse getting ready to tackle first nursing job

    And...most women (and all men) who have this attitude are at least mildly homophobic, typically lower-class/income, resentful (for a number of reasons), have poor self esteem, and a very limited life experience/world view. Without fail. Easy to pick these folks out
  4. Dinith88

    New male nurse getting ready to tackle first nursing job

    Hey man. Bros before Hos! YOu'll do fine.
  5. Dinith88

    RNs running ECMO on adult patients

    Dont be afraid of it. I say go for it. People come to the ICU all the time who die...and will die regardless of what you do or what machine/machines we use...and...when they die it doesnt mean it's your fault or your responsibility or... Or..a better idea... lets just give up all the techno-critical-care-type important machiney-stuff...and just wipe butts and pass meds. This will then let us feel less responsible..and less afraid.
  6. Dinith88

    What do you know/have you been taught about Sepsis?

    International project? Have you been talking with Xigris reps/Eli Lily? :)
  7. Dinith88

    Stop the bullying

    That's it sissies..I'm gonna kick your butts! (cracks knuckles)
  8. Dinith88

    takotsubo syndrome "broken heart"

    Yes Takotsubo reverses... usually within a few weeks to a few months. Cardiac function usually returns to baseline in that time. In my experience with it, an initial improvement occurs over a few-to-several days but residual HF symptoms can take longer to resolve. It's troubling because of the low EF and bump in enzymes and usually results in a trip to the cath-lab... At any rate, my limited experience involves a smattering of patients and picking the brains of a few cardiologists about it. The sickest of these patients was ventilated and on IABP...but improved...dramatically...after a few days. Hope your father's doing better...
  9. Dinith88

    Nursing Stereotypes and a Dumb Society

    I smell an inferiority complex here. Or just an unhappy dork.
  10. Dinith88

    Question for the CCRNs

    Spoken like a new grad. I'm glad you get confused for a seasoned nurse. Kudos.
  11. Dinith88

    Question for the CCRNs

    New grads can be ok going into ICU (or any other department). There's just a bigger (much bigger) learning curve than with experienced nurses who migrate to ICU. And regardless...even when a new -grad becomes a 1 year, 2 year, or even a 3 year nurse....the experienced ICU nurses can pick them out fairly quickly (not saying they suck...just that their relative inexperience can be obvious). There is NOTHING more valuable than experience. ICU 'culture' is only a fraction of what nursing is...and this core nursing-knowledge developes wherever you work....not just in critical-care...(the ICU stuff is the same as any other specialty) Throw good grades, test-scores, ambition, and everything else out. EXperience trumps them all. (well...as long as you're not a complete moron)... This is why any ICU that is run well (i repeat 'that is run well') will ALWAYS prefer experience over ambition...but...obviously, circumstances can and do dictate otherwise.
  12. Dinith88

    Do ICU nurses really have more autonomy?

    Nah thats wrong. The reason for this is because (forgive me if this has been stated already), In the vast majority of ICU's there are no doctors there 24/7. Yes, certainly there are many hospitals that have intensivists, and hospitalists, and etc... But in even these cases many times the MD isnt 24/7. MOST ICU's in the USA dont have this luxury. Now...keeping that in mind...the ICU is where the sickest of the sick patients are...period. Couple this with a nurse who hasnt an MD on her hip, the 'autonomy' we're talking about is born of necessity(sp?). Of course, ALL NURSES are bound and dependant on physicians orders....otherwise we'd be practicing medicine...but...the ICU nurses often-times dont have time to wait around trying track down a doctor while working with critically ill patients. If they were to wait for physician direction (which can waste considerable time) these same patients may die. As far as 'evidence' of autonomy is concerned, i'm sure ICU protocols, ACLS algorythms, etc. have been mentioned. But a better (i think) example of how an ICU nurse can be considered more 'independant' is that in many ICU's (the one i currently work in for example), the 'routine' ICU orders include various labs and tests (cbc, cxray, abg, etc.) that an icu nurse can order "In an urgent situation". This is important precisely because there is no protocol or algorythm attached to it....but rather based on clinical judgment(sp?). And yes the MD will eventually be informed and may even disagree... but it's the nature of the ICU beast. And as far as being more autonomous than ER nurses...it's simple. ER doc is always there...within earshot. And...any critically sick patient that comes through and is NOT being closely followed by the ER MD is one where patients dont want to be...!! Also, ICU nurses (ideally) only handle critically sick patients...the vast majority of ER patients are not critically sick. So...the ICU nurse becomes a specialist in this regard...because it's the only kind of patient she handles. Lastly, i think it's important to add that although there is the 'appearance' of having more autonomy, it's simply because of the work ICU does. If the ICU nurse is thought of as a 'specialist', then this pseudo-autonomy can be thought of as one aspect of this specialty. 'critical care nurse' can be applied to many nurses...including ER nurses and ACLS-trained tele nurses, etc... but the critical-care nurses who work in the ICU setting are the 'specialists' i'm speaking of.
  13. Dinith88

    A New Prespective on the Nursing Profession

    True that! (cyber knuckle-bump...bros before hos)
  14. Dinith88

    A New Prespective on the Nursing Profession

    Females like being laterally violent (what is that?)... or females like doing research???
  15. Dinith88

    ICU Psychosis ?????

    Wow...i felt like i was reading excerpts from Burrough's, 'Naked Lunch'... Your story is both frightening...and (more than a little) funny (for a quasi-burnt-out-nurse...please accept my apology if that insults you). Break-out the Haldol and four-points... I'm goin on break! *wine
  16. Dinith88

    How much lorazepam have you given....