nrsgnerd

nrsgnerd

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All Content by nrsgnerd

  1. Would you (an experienced nurse) help me? Please?

    (1) how important is writing in this profession? it is very important to write well and to be able to express precisely things such as, events, times dates, what was said and to be able to do so objectively. (2) how often do you write a day, a week?...
  2. Does your unit do it's own CRRT?

    we do our own and use the gambro prismaflex. our pts are 1:1. the documentation and keeping all the bags going is labor intensive as well as if you have a pt that you have to adjust how much your pushing and pulling off based on their tolerance. yo...
  3. New health care bill..

    Strong standpoint! Good for you!! I HATE INSURANCE COMPANIES! I paid for years for dental insurance and then when my daughter needs her wisdom teeth out, they file it under medical and tell me I'll need $1200 to have it done! What the hell am I pa...
  4. Anybody ever see an IABP balloon failure?

    Luckily, our unit is 1:1 for IABP's and thus far no ruptured balloons. I am taking the class in the next month or so to start taking IABP's so it was good to read these posts.
  5. Is this the norm or unfair? thoughts and opinions needed!!

    Woah woah woah! Im on your side here. Lets remember there is more than one way to skin a cat. For instance, we just draw blood from the art line and do our own accucheks....we don't wait on lab results that can take forever in our hospital and its...
  6. Is this the norm or unfair? thoughts and opinions needed!!

    Bob has the right to inquire as to why he is getting this new pt. when it seems clear that there are other nurses who are available/underassigned and more capable of being able to accept this pt. My question is what are the accuities of the other two...
  7. I think I'm too slow for Critical Care...

    You are in the same boat as me! I have just graduated and work in CCU/CVICU and as soon as one of my pts start having less than a perfect reaction to care I start to freak....though Im told it doesn't show, my Lord I feel it! I start thinking its m...
  8. Pay Scale

    GA. new grads start from $18-22/hr base pay depending on what kind of hospital you work in, obviously the bigger hospital ICU/CCU's pay more. With shift differentials...weekends....nights... you can make up to 27/hr. I was a tech and just graduated ...
  9. How visible are your patients in your ICU?

    Boy, I understand your concern. Our unit has glass doors and the nrsg station is in the middle with desks inbetween each room. Our of 17 beds there are only two rooms that are not very visible and so we try to keep confused or unstable pts away fro...
  10. Switching to Critical Care

    Utter persistence and try to get to know some of the people that work in the ICU if possible. Alot of times in nursing, networking can get you further than experience can. Start asking people you work with if they know anyone that works ICU, or call...
  11. I work as an RN in CCU/CVICU. I had a pt last night that has had a permanent stoma for years. The stoma is open with no type of appliance to hold it open. You can look straight down into it with a flashlight. At the top of the stoma, still inside the...
  12. I got my coworker fired

    "someone's perception of someone else's actions can be far different from the reality of the situation. especially a cna who does not understand the responsibility of the nurse on any given day". i was a cna for 12 years before getting my nursing li...
  13. I got my coworker fired

    I did not work 5 years in school and train myself to be a nurse to have "weak links" jeopardize my ultimate goal which is excellent patient care. If your mind is on joking, and having fun at work then your not thinking about patient care enough. You...
  14. heparin drip and ptt

    First of all you can call the lab and ask them, or better yet the physician who should be well versed and able to help you. Do you have a heparin protocol? We do in our CCU, and we draw an AntiXa which is more specific to see if heparin therapy is...
  15. stressed already.. highscshooler.

    I have met some wonderful LPN's, however, alot of hospitals are getting very technologically advanced these days and do want to hire RN's over LPN's. You can also call and talk to the nurse recruiter at a hospital you'd like to work at and ask them ...
  16. Nursing Me Black

    I did not grow up in a family that was colorblind but early into my adulthood I soon learned that people are people. I had all sorts of misconceptions, false beliefs told to me by family and when you get to a certain age you realize that so many thi...
  17. Did I Miss Something?

    Well, my brother once said to me that he answered an online survey and it asked him who he admired more than anyone else and he said, "Doctors, because they sacrifice so much for their patients and they are like the smartest people on the planet." N...
  18. Nurses: Remember The Calling?

    I did my nursing capstone on Postive Socialization in nursing and this, your message, is the message that young nurses need to hear. I see nurses who do their job, and do it well, however, its the nurse that takes that one moment to touch the hand ...
  19. So, just to give a little background, I'm a very type B personality EXCEPT when it comes to work. There I thrive on being the best, very Type A and for the past 12 years I have worked as a CNA/TECH. I got the name Super Tech several years back from...
  20. How to give a thorough report?

    Hello all. I am a newer nurse and just learning how to give change of shift report. I have tried to do so and found that I leave out information and was wondering if anyone, seasoned nurses, can help me with this. this is what I know to say and would...
  21. It seems to me its the type of employees you have there meaning they either truly don't give enough or they are too overwhelmed to get it all done. Some employees are completely comfortable with doing the bare minimum and without the support of your ...
  22. Lessons from a blind man

    Thank you for sharing. It is so true of the calluses we grow. Thank you for sharing.
  23. The Day My Bucket List Changed

    You should totally write a book! You have talent and I was pretty captivated while reading. :typing perhaps writing a book before you die should be a bucket list goal! Good luck to you!
  24. Malpractice Insurance

    Elkpark, Thanks so much for your reply. I have decided to get the insurance asap. You mentioned a few things that I had not thought of and its great to get advice from someone who has some experience in knowing what the facilities attorneys look f...
  25. Malpractice Insurance

    I'm so glad this conversation is going on. I just graduated and had it pounded into my head that I need to have malpractice ins., however, some senior nurses i work with say that if you have insurance then it is inviting a patient to sue you. some ...