classicaldreams

classicaldreams

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All Content by classicaldreams

  1. I want OUT!!!!

    classicaldreams replied to shoegalRN's topic in First Year After Licensure

    I think there are so many dynamics to hospital nursing, that saying it wouldn't have happened years ago easy to say. Nursing school is academic, yes, and too generalized. I would have much preferred...

  2. I want OUT!!!!

    classicaldreams replied to shoegalRN's topic in First Year After Licensure

    Dear AfrocentricRN, Of course, by the time I reposted my reply, there were many others, and the thread had taken a different twist. Don't discredit the older nurses for being sticklers about the...

  3. I want OUT!!!!

    classicaldreams replied to shoegalRN's topic in First Year After Licensure

    Dear Afrocentric RN, Wrote a long reply to your message, but I messed up and now it is gone. (Kind of ironic, given this post.) I was once where you are at, and I admire you for reaching out here....

  4. Health Care Legislation and the ICU

    classicaldreams posted a topic in MICU, SICU

    Forgive me if this question has been asked before and answered. I did a search but didn't find anything. How do you think health care reform will effect the patient population and health care we...

  5. Things you would like the ICU to understand

    classicaldreams replied to I_LOVE_TRAUMA's topic in Emergency

    Let me guess. You took care of all them and with one hand tied behind your back.

  6. detoxing in ICU setting

    classicaldreams posted a topic in Psychiatric

    I am soliciting the much needed help of all of your seasoned psych nurses. I work in a busy medical/surgical/trauma ICU. We see all kind of patients with drug problems: 1) The saturday night...

  7. detoxing in ICU setting

    classicaldreams replied to classicaldreams's topic in Psychiatric

    Just wanted to thank everyone for your replies. We do have psych for consult, but they don't get involved in our detoxing patients. In fact, rarely do they get involved at all, unfortunately. I'll do...

  8. detoxing in ICU setting

    classicaldreams replied to classicaldreams's topic in Psychiatric

    Thanks for the reply. I googled the term "behavioral health resource team" and actually received a few useful links. If you know of any resources, please let me know.

  9. detoxing in ICU setting

    classicaldreams replied to classicaldreams's topic in Psychiatric

    I agree my unit needs education on this whole matter. Because some of the meds can have a sedating effect, I think our hospitalist/intensivists tend not to give them at all. Much easier to just not...

  10. detoxing in ICU setting

    classicaldreams replied to classicaldreams's topic in Psychiatric

    Jules A: Thanks so much for responding. Yes, we are guilty of pawning, I'm afraid. Your instincts are correct. Some of us do try to address the issue before they come to you. Sometimes, though, it is...

  11. Things you would like the ICU to understand

    classicaldreams replied to I_LOVE_TRAUMA's topic in Emergency

    I'm sorry ER, but our ICU is often just an extension of your situation. Unstable patients with another one rolling through the doors. (And sometimes two at a time.)

  12. A-fib + metropolol + diltiazem gtt + soft bp

    classicaldreams replied to buddiage's topic in CCU, Coronary, Cardiac

    I've seen trauma patients drop their H/H 1-1.5 grams 48 hours after fracturing a long bone. It was a dramatic drop from one AM lab to the the next. Don't forget you were fluid resusitating her, so...

  13. Poor spelling in charting

    classicaldreams replied to nrsman1's topic in General Nursing

    I chart in the same record as doctors do, and they abbreviate the majority of their words and their handwriting is atrocious! I've had other doctors complain they can't read the chart. A misspelled...

  14. Questions about PA pressures

    classicaldreams replied to aCRNAhopeful's topic in CCU, Coronary, Cardiac

    the vigileo is not accurate when a patient is in a-fib. think about it. how could it

  15. St. Mary Medical Center - Langhorne, Bucks County

    classicaldreams replied to Qtp2t RN's topic in Pennsylvania Nursing

    I was thinking of working per diem in their ICU. Can anyone offer info on working conditions? Do the nurses work as a team? What is the ratio?

  16. Things you would like the ICU to understand

    classicaldreams replied to I_LOVE_TRAUMA's topic in Emergency

    You didn't say if management has looked to see if this is a systemic problem or a problem with a few particular nurses. In my hospital, I fully understand and appreciate what the ER does, but there...

  17. Still Uncomfortable with Code Blue

    classicaldreams replied to fixinhearts33's topic in General Nursing

  18. Still Uncomfortable with Code Blue

    classicaldreams replied to fixinhearts33's topic in General Nursing

    You didn't say the size or acuity of your ICU, so I'm not sure how many you have attended, but I would give yourself more time. I, too, after several years, fine codes difficult. When I'm at a code,...

  19. Got trauma from ER trauma cases...

    classicaldreams replied to iza's topic in Emergency

    Thank you. I'm not an ER nurse, but an ICU nurse, and we feel the same some days. Some days it seems like the whole world is sick. Then you get a patient that reminds you that what you have done makes...

  20. Bonus

    classicaldreams replied to dgclough's topic in Neuro Intensive Care, ICU

    I just finished by 3-year mark in a very busy ICU. My bonus was $5,000/year or $15,000. Was it worth it? Yes. Have learned a lot and will continue to work there past my three-year mark. First, you...

  21. I was slapped by a doctor!

    classicaldreams replied to cluelessRN81's topic in General Nursing

    . . . SHE DOES HAVE A RESPONSIBILITY TO HELP HERSELF AND OTHERS THROUGH THIS UNFORTUNATE SITUATION. . . . She has no responsibility to others here! It is easy for you to tell her to prosecute to the...

  22. mouth care/intubated patient

    classicaldreams posted a topic in MICU, SICU

    Hi, I'm currently a tech in an ICU and will graduate and take my boards this summer. I'm looking forward to starting my job in a MICU/SICU/CCU Level II trauma center after boards. Can you share with...

  23. how am i ever going to do this

    classicaldreams replied to BethT's topic in General Nursing

    Hi TFAM, I was in your shoes years ago, and I still cry at ackward moments. But that is part of what will make you a great nurse. Just when you become jaded, you will realize the brevity of the...

  24. Did You Change Careers And Regret It?

    classicaldreams replied to alliestar's topic in General Nursing

    I worked in publishing for many years before becoming a nurse. I've been a nurse for three years. No, I don't regret it. Nursing is rewarding, much more rewarding than business, at least for me. I did...

  25. ICU nurse to pt ratio "norm" on your unit?

    classicaldreams replied to Natef26's topic in General Nursing

    2:1 99% of the time. 1:1 on occasion. Sometimes I see an order for 1:1. Would your doctors be willing to write for a 2:1 or 1:1