OhioCCRN

Do you have a DOI for those articles? Cant seem to find them and I'm interested in your methodology and outcomes

I applied for my ACNP job in January, interviewed and accepted the job Mid-Feb. You have to apply before graduation- at least 4 months if not more. Also my CCRN/leadership stuff was important during the interview but I doubt its going to make much of a difference when I start working as a NP- Also a bunch in my cohort took boards early- that may help

New Grad NP here- My first job is a Critical Care NP- I also did AG-ACNP- and I've never heard of clinic work being an option (unless you're working with a specialty service). Take heart, there are jobs out there- especially for acute care- Maybe its your area?

To the OP: You have to review the orders because it is LITERALLY YOUR JOB! Providers have multiple patients across different services, You just did a head to toe and you know the patient best, how is this not your job to make sure discharge instructions are right? Why waste time trying to throw providers under the bus?

A machine that should never have been programmed to allow an override for such a dangerous med. Ours are programmed only to allow override for things like NS, D50, Epi ampules. No narcs, benzos and most definitely not paralytics. I disagree with that statement. all meds are dangerous when administered incorrectly, in your argument, anything we give in the ICU should not be under override? time is muscle ... such restrictions break the flow of activity in an emergency. Need better training and less work load for nurses. not locking everything up reactively

this is a terrible idea! Severe restrictions of a nurses scope , not to mention the time wasted getting pharmacy to get a medication up to the unit in a timely fashion.. is this a small ICU?

because in a fast paced ICU, you cant always have a witness to grab intubation meds. In the same way that studies show that double verification insulin and heparin does not significantly reduce errors

Great thread. Applied to KSU for AGACNP. I like putting all my eggs in one basket :)

I work in a high acuity SICU and I push propofol. During RSI the RN usually pushes the medication (prop/Roc). the only caveat is that anesthesiology is ready to establish an airway during RSI. If the airway is already established, we are allowed to bolus propofol.

i know this thread is 3 years old but holy crap! a chest tube on 20 of peep? ouch! lung explosion is all i can picture!!

*bump

Yes.. otherwise known as the PA catheter... maybe thats how it is listed?

This was a joke I was clearly not being serious I understand that ACLS and BLS are not part of a title ( which is why I prefaced it with a wink)

[emoji6][emoji6] Ohio, BSN, RN, CCRN , (ACLS, BLS)

1 I hate it when we get new residents and fellows, every day is a nightmare until they are well trained ( to nursings specifications [emoji12]) 2 liver failure patients are ticking time bombs.. When your ptt is 100+ with no anticoagulants on board.... You are going to die of a bleed...not if, but when... 3 we put a patient on an insulin gtt.... And then gave them a diet... And then everyone was scratching their heads as to why the BG was still uncontrolled.... I used to think the hyperglycemia protocol was pretty standard ( npo on the gtt) I guess not 4 I'm seriously burned out when I work Day shift...