Let me start with some facts. I am 45 years old and have been an RN for over 18 years. The last 9 years I have worked in critical care at one particular hospital. (2000-2009) I received my CCRN certification in 2006. I have had an excellent reco...
Wilbur, I am going through the same thing you are now. They were able to do a constructive discharge with one of my co-workers and it worked because she quit, but it nearly destroyed her. When they tried it with me I fought them so they fabricated so...
TomCCRN1991 replied to RNRebecca83's topic in Texas
You could do a lot worse. That's better than I make after 18 years in ICU in Wisconsin. You have to compare it to the cost of living though. Wisconsin's ecomnomy sucks, with high cost of living and low wages.
TomCCRN1991 replied to stdntnurse's topic in General Nursing
It is definately not a recession proof job. I was laid off in February after 9 years with that employer. I have 9 years ICU experience and 18 years overall experience. At 45, I have not been able to find a job in ICU anywhere, especially competing...
TomCCRN1991 replied to Danielle7's topic in Relations
Screw 'em! Thats why they make the big bucks. If they didn't want to get woken up at night they should not have gone to medical school. You just do your job, and let them yell if it makes them feel better.
TomCCRN1991 replied to TomCCRN1991's topic in General Nursing
Thank all of you for your input. I am working very hard to find another job using some inside connections I've acqired over the years and trying to move on as quickly as I can. I'm waiting to hear from lawyers about my case, and if I can have a goo...
I was wondering how many of us are , when given our evaluations by our managers, are downgraded because we don't think, act, or behave enough like women. Men think, act, and behave differently than women and some manager's in my 18 years, just dont ...
TomCCRN1991 replied to racing-mom4's topic in MICU
Thanks. I agree that a swan would be very helpful. I'm glad you agree with me that an inotrope would be helpful. You are correct though that Primacor would be a better choice. The swan would tell us his SVR and if he needed a balloon pump. I thou...
Iwasn't women,but a woman, my manager. My co workers like me very well. We just got a new manager, and the old manager, before leaving, left me a big F-Uon my final eval so bad that I wouldn't get any raise at all. The new manager refused to belie...
No, due to family issues (children), I never went back to get my BSN. Someday I will. Yes, that is THE MATC. Although some will use it for Madison area tech college. Can't help you with the UW system since I never went to one, but I hear they a...
In sepsis, with a patient on a vent, you should shoot for a CVP of 12-15. This is because the high positive intrathoracic pressure decreases venous return to the heart, thus significantly decreasing preload and cardiac output. A higher CVP offset t...
Speed Freak, that sounds so cynical, but I fear you are correct. We are damned if we do and damned if we dont. However, it does effect the size of my annual raise, and that does concern me.
TomCCRN1991 replied to racing-mom4's topic in MICU
I agree. After 20 mcg/min of Levophed, you're probably not going to get much more of a response from increasing the dose. You did well to keep putting the onus back on the doctor for the low pressures. 2nd guessing yourself, in my experience, is ...