wonderbee

wonderbee BSN, RN

critical care; community health; psych

Member

All Content by wonderbee

  1. Say Goodbye to My Dream Job - Now What?

    You are taking some time off? You don't have to figure everything out today. After all, isn't that what therapy is for? Right now your mirror is too distorted to come up with answers to questions...
  2. Neuro--tell me why you do/don't like it!!

    I've been 3 months in a neuro trauma ICU so my experience is hardly a worthwhile subject for conversation but there isn't a lot of input here so here goes my 2 cents for what it's worth. I can tell...
  3. It is said that people perish for lack of vision. If you want something, see it in your mind. To see it, ya gotta know about it. It's healthy to have dreams based on rational expectation. However,...
  4. Why do I hate this

    Do you ever get that instant light bulb thing when you remember something you didn't do AFTER your shift is over and you're home and it's like two days later, and it was a big something? Horror upon...
  5. Reconstitution Question

    Do you use a computerized MAR? Our MAR gives instructions in small type with regard to administration of many drugs. A lot of people don't bother to read the instructions but I find they cut down on a...
  6. Beating myself up - anyone else?

    I'm trying not to beat myself up when I fail to perform to perfect standards. The job itself beats us up and occasionally there's another nurse or two who likes to throw a below-the-belt punch. Even...
  7. I'm still a newbie after only 3 months in. Every day is a challenge, recognizing that nursing on a trauma ICU is organized chaos. That no matter what kind of routine I set up for myself, chances are...
  8. I need your help with recruting ideas.

    A weekend program that pays 36 for 24 and full time bennies for weekend commitments. We have such a program and there's a waiting list. A career track that leads away from the bedside as the nurse...
  9. Why do I hate this

    Unfortunately, it appears that being a patient advocate includes performing duties that seem to be MD related rather than nursing. For instance, I assumed that doctors wrote their own orders. I found...
  10. Care plan

    Ahh yes, nursing diagnoses and care plans. Just reminiscing on all the time spent on those things. Here's the rub... in real life nursing, the computer spits it out for me and it's not in NANDA...
  11. RN's leaving drugs in lines

    This is a question I would not even thought to ask. This is why I come here. Not only learn the science and the art, but the questions
  12. SICU orientation

    I'm a recent grad on a neuro trauma ICU as well, finishing up a 3 month orientation. I don't think it prepared me for everything but I'm looking forward to cutting the cord. I've been on long enough...
  13. BINGO! You have described every feeling I have. Unfortunately I'm coming off a rough patch of shifts where nearly everything I did was wrong. It's kind of like the domino effect. My orientation has...
  14. Sick all the time

    I'm not sure what's going on here. Ever since I moved up North from Florida 3 months ago, I've had a couple of colds, the flu and two bouts with gastroenteritis. Normally I get sick with the flu or...
  15. Sick all the time

    My preceptor and I do have good communication and I appreciate her being up front with me about my progress. She does make herself available to to pitch in but she prefers to wait for me to delegate...
  16. sedation and the neuro assessment

    Our protocol is to interrupt sedation @ 5am and half it, titrating up from that rate if necessary. We do this for stable ICP. If ICP unstable, the physician is notified and protocol is disregarded...
  17. Difference Between Lethargic And Obtunded

    Thanks for the replies and advice. I did as was suggested on my shift yesterday. When charting, I avoided the whole word descriptor altogether and stuck with more objective information. So much to...
  18. nclex review: to take or not to take

    Do you think you need it? Mosby has a great product on the market. It an actual simulation of NCLEX, computer adapted and all. It's a lot cheaper at $39 than a review course. I found out about it a...
  19. and I'm finally an RN!! Good luck to everyone taking boards and thanks to everyone who supported me through the process. Kathy,
  20. My pinning is in three days and I get cut loose completely next week. Thursday I hit the road from south Florida to my new home in Pittsburgh. I think I've got my ducks pretty well lined up in a row....
  21. There are many days I consider my options. Orientation is so stressful. But as others have said, without a year or two under our belts, there are few options to consider. I'm committed to two years of...
  22. I passed my boards today!

    Congrats!! Rest, celebrate or do something just for
  23. I passed boards during the first week of my clinical orientation as a GN. I'm glad I got it over with. I felt that the test taking through school and the Saunders practice questions I worked on during...
  24. tough time giving report.

    We're new. It takes time to learn to give only the relevant details and what's relevant to one nurse may be irrelevant to another. Just last night I gave report to one of the very experienced nurses...
  25. Tips for new grad working Neuro ICU

    I'm learning what it means to be a new grad in a neuro/trauma ICU and you may not want to hear from me but this seemed like a great opportunity to spill my guts. I just completed my second clinical...