detroitdano

detroitdano

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All Content by detroitdano

  1. Applying to CRNA school w/ 1 year exp.

    I think in this case, it depends on your age/maturity. Some of my younger classmates with less experience seem overwhelmed, while the older ones with less experience seem to be doing just fine. That...
  2. AACN Membership/CCRN

    Nope. One of my instructors said it best; by the time you've graduated, you're a master at all of the material on the CCRN, so there's no need to prove it once you're a
  3. Put every single bill on auto-pay. Clean your house really good, to the point where it won't need it again for another two years. Take a vacation, at least a week, away from home. Do not look at...
  4. Beginner's Blues?

    That's all that's expected of you as a new ICU nurse. The rest comes with time. Critical thinking skills come from experience and you'll trip over your own two feet over the next year or so, but give...
  5. This. If you're asked, don't lie. You don't think the local program directors talk about students? If they found out you lied, HUGE red flag and you're in the denial pile
  6. I told my close friends at work the day I got in, and everyone else about 2 weeks later. Nobody treated me differently on my unit. However, other units would dump on me. I walked in one night on...
  7. Bullying

    Union, before she makes a really harsh accusation that will get you suspended or
  8. It looks horrible to just up and leave the residency, so tough it out for 12 months. As that year grows closer, start looking for an ICU
  9. It's not as hard as everyone makes it out to be, sure. You have to come into school with good study habits and time management skills. People that struggled with those issues in undergrad who never...
  10. another ICU nurse's opinion

    That seems like a heck of a lot of work running a calcium drip if it's only for hypocalcemia (not a beta-blocker OD like mentioned). Even when I've had really sick patients with very low ICal's, all...
  11. I wouldn't tell them. It should not change their opinion of you at all. If they want you, they'll let you know. There's not a shortage of applicants, so don't think they're desperate to steal you...
  12. ICU visiting hours

    My old unit was open for 10 hours during the day, then visiting hours were "over" at 8 PM, but it was nurse's discretion to let people stay over. They basically made you feel like crap if you didn't...
  13. Patient responsive but in cardiac arrest

    If you're not thumping them within the first minute, it's
  14. fentanyl dosing on a vent

    If they're rocking out on 300 mcg/hr of Fentanyl, that's when it's time to bring in a little Propofol. I've had drug addicts on 300 of Fentanyl and 30 of Versed who were climbing over the rails. Even...
  15. Patient responsive but in cardiac arrest

    Did I hear just hear someone say to shock a patient in asystole?
  16. Patient responsive but in cardiac arrest

    I had a patient wake up during CPR, start talking and then her vitals normalized. She was fine for about 10 minutes after that then arrested again and never came back. I'll never forget that. Really,...
  17. How does your facility treat ARDS?

    Someone that sick is not meant for APRV. If his sole issue was arrest, then he didn't really have a direct lung insult. He was probably poorly oxygenating because of a bunk heart. I'm assuming things...
  18. fentanyl dosing on a vent

    That's an insane amount of Fentanyl to start off with. I'd either verify that you're using the correct terms (maybe they're on 10 mcg/hr not 10 mcg/kg/hr) or let someone else know if they are in fact...
  19. CRRT training, how much is enough?

    That's about what I got, if that. They took all the new hires down to dialysis, showed us a machine, gave us some paperwork and that was it for formal inservice. The next time I touched a machine it...
  20. How does your facility treat ARDS?

    I have never seen anyone proned a day in my life. We used the heck out of APRV and if that failed HFOV. I can't give you numbers but I have personally seen many people who looked like they'd never...
  21. Could be simple enough. Just add an extra box to the pre-ops with an actual consent line for patients, saying any complications due to body habitus is on the patient...obviously it needs to be worded...
  22. Europe has been going through the stuff like water since 2008. I guess the FDA thinks the human body must act differently on the US
  23. Doesn't mean that you ain't gettin' sued! "With regard to the verdict, the irony is Miett (the MDA) was not found liable for the injuries to the plaintiffs, presumably since he was not in the room...
  24. Awesome stuff. Kind of one-ups Suggamadex with the benzylisoquinoline-reversal potential. I can't believe we still don't have Suggamadex despite all the research out there saying it's perfectly...
  25. Just call any hospital and ask around. At least you have youth/ignorance as an excuse at age 17 if they're upset you called, we don't have that