NickiLaughs

NickiLaughs ADN, BSN, RN

Emergency, Trauma, Critical Care

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All Content by NickiLaughs

  1. need to brush up on flow during trauma cases

    NickiLaughs replied to tarotale's topic in Emergency

    We have different rules depending on their code level, and have you taken TNCC? Most trauma hospitals attempt to flow with that. Of course it can get confusing when so many people decide they are in...

  2. Crowd funding: Yay or Nay?

    NickiLaughs replied to roser13's topic in General Nursing

    Maybe I should crowd fund my student loans... "Please contribute because I really think others should contribute since I worked hard!!!" Nah, ill take responsibility, since I'm the one that signed...

  3. How acceptable are odd hairstyles?

    NickiLaughs replied to aspiring.nurse's topic in Nursing Professionalism

    They tend to be stricter about facial hair, unnatural hair colors, and hair in your face. From the pics I saw of googling it, I don't think it'd be an issue as long as it wasn't in your face. But...

  4. Relocation to a family friendly livable city with warm climate

    NickiLaughs replied to wasup's topic in General Nursing

    SF as others said is not likely doable on one income, but Sacramento is. We are notorious for being difficult to get a job in tho. But the cot of living is reasonable. I hhave a nice house in the...

  5. Crowd funding: Yay or Nay?

    NickiLaughs replied to roser13's topic in General Nursing

    Other than the catastrophic fund raisers, house burning down, family member with cancer etc. I go crazy at the sense of entitlement inn today's culture. I have a former high school classmate who won...

  6. ER to LTAC

    NickiLaughs replied to tiggerslilyrn's topic in Long Term Acute Care

    My orientation was 2 days in a snf when i was a new grad lvn. It really wasn't adequate but I survived. The biggest difference is the huge increase in patient number. Its hard at first but as time...

  7. Apply for same company who fired me

    NickiLaughs replied to berhaelee's topic in Job Search, Interview, Resume

    You should be honest, they will likely figure it out

  8. Fix me NOW (but on my terms or I'll leave AMA)

    NickiLaughs replied to HikingEDRN's topic in Emergency

    I like it when they yell and cuss while all of us point towards the exit, which is the opposite direction of what they are walking. Better to save the bed for someone who actually wants better...

  9. Incompatible drips

    NickiLaughs replied to cablefree's topic in MICU, SICU

    As the others said regarding the different lumens have different locations where the medication is released in the blood stream. Regarding passinggas, seriously? You work in OR, do you ever follow...

  10. everyone is leaving my floor

    NickiLaughs replied to ivyfishbone's topic in Patient, Colleague Relations

    What everyone else said. ICU is definitely a good place to strive for. The things you learn there will help you anywhere. I did that for 3 years and it gave me a great foundation for

  11. What kind of car would you want?

    NickiLaughs replied to Brian's topic in General Students

    cadillac CTS coupe...i mean, we're fantasizing here right? I can pretend it's got great MPG, will be appropriate to cart my son around and how economical it is. More like sexy in white with chrome...

  12. Demanding family members

    NickiLaughs replied to PerfectlyNumb's topic in Emergency

    When that kind of situation is happening, I know the doc should have back up. I make the time to stand right by him and usually repeat his statements. Its easier as a group to say, "we are not going...

  13. I/O in ER

    NickiLaughs replied to kool-aide, RN's topic in Emergency

    IF they want very strict I & Os the patient needs a foley, or needs to be in a unit where their pee can be closely monitored, as in not the

  14. First Job

    NickiLaughs replied to joe_mulligan88's topic in Job Search, Interview, Resume

    My first RN job was ICU, it's a great foundation for other opportunities (I'm in ER now). Since you don't seem certain of what you want to do down the road ICU is a great option. However, don't turn...

  15. Can a Experienced Nurse without a BSN....

    NickiLaughs replied to RunawayN's topic in California Nursing

    Let me put it this way. They used registry on occasion at my current hospital in the Sacramento area. There is a great nurse who has over 20 years experience. He has been trying to get in our...

  16. Never left med/surg! Need a specialty but not Mother-Baby.

    NickiLaughs replied to gladysgraceRN's topic in California Nursing

    It's not so much classes you need as a job that will train you. I don't know what part of the state you are in, some areas are easier to transition in than others. Critical care is a good place, you...

  17. no new grads allowed in hospitals?

    NickiLaughs replied to ramosyasmin16's topic in General Nursing

    Sacramento is rough for new grads. It helps if you have your BSN. Some units hire new grads, some don't. I recommend taking your NCLEX as soon as possible after graduation, it helps. Apply...

  18. Could Be Fired for IV skills.

    NickiLaughs replied to Caffeine_IV's topic in General Nursing

    I'm a nurse in a trauma ER where we get some of the hardest sticks ever. None of us is 100%. I'm trained on ultrasound pig placement and I still have misses. I'm guessing they are comparing you to...

  19. NEW GRAD Having a hard time getting finding a job.

    NickiLaughs replied to newbiegrad1's topic in California Nursing

    Its hard across the board, and Northern California is one of the worst places in the US to find a job because of high salary. You are competing with experienced people across the country. Try the...

  20. Moving to california

    NickiLaughs replied to jcurrier79's topic in California Nursing

    No, uc has great benefits but if you are only working at a facility for the pension you might be surprised how many burnt out individuals you work with. I love ER but I'm not going to be miserable...

  21. <20 BS Hypoglycemic episode- Need Advice.

    NickiLaughs replied to NYMurse91's topic in Medical-Surgical

    I've had a patient who would be in the 300s and 30 minutes later be in the 10s, super brittle diabetic that was usually controlled with some fancy insulin pump and when it broke it was a nightmare, we...

  22. ratios

    NickiLaughs replied to kimdav's topic in California Nursing

    It's in part because of the very strong nursing union in

  23. Moving to california

    NickiLaughs replied to jcurrier79's topic in California Nursing

    I haven't started kaiser yet so am unable to provide a comparison. All I can say is the income difference is significant although the pension is

  24. ratios

    NickiLaughs replied to kimdav's topic in California Nursing

    That's out of ratio. If you have a tele patient, you should have no more than 4 patients total. It's not uncommon for hospitals to go out of ratio on occasion. It's reportable to the union if you...

  25. Best CEN review material

    NickiLaughs replied to foragreatergood's topic in Emergency

    I haven't taken the test yet, but what I bought was Boswell's CEN review book, he has free youtube videos that go along with it and it only cost 25 bucks. It's helpful for "targeting information" I...