humanity
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CT-Surgery patients will be post-op CABG, Valve replacements, Heart Transplant if your hospital does it. As a ICU especially CT surgery you have to be familiar with hemodynamic monitoring from front to back need to know the hemodynamic parameters such as CVP,RAP,PA, PAWP, CO, SVR , SVRI, CI, PVR, PVRI and so on need to know what to do if something is abnormal, need to be aware of pressors from head to toe such as dobutamine,levophed,epinephrine, dopamine,amiodorone, esomolol and so on. Also need to know which is compatible with what and which one needs filter, how often you changed tubing. I don't know how your facility works but, if you work in ICU you just not get only CT-Surgery patients but might get SICU or MICU patients. Assessment wise your heart needs two thing to work one is mechanical and other one is electrical. If their is mechanical problem may be due to tamponade then the patient has to go back to OR IMMEDIATELY or they may have to open the chest crack open at bedside familiar yourself your unit Heart Cart. Other thing your heart may need is a jump start from the external pacemakers. Usually a surgeon will connect a pacer wires Right one is Atrial wire with a ground wire and left one is ventricle wire with a ground wire. Make sure it is connected to pacemaker. Take one day at a time. You may have a patient with a balloon pump. Cardiac is my favorite. I hope you'll like CTICU. If in doubt Always ask questions.
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Level I Trauma primary care nursing Med surg 5 max ICU 2 max Oncology 4 max Multiple Myeloma 3 max Progressive Care 3-4
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Little Rock has couple of big hospitals feel free to check their websites. UAMS--Level 1 Trauma Center St. Vincent-- Level 2 Baptist---? VA I work i the hospital so, i don't know much about nursing homes, LTC, hospice. Most of the hospitals has some sort of residency programs and it's little competitive to get in. I am not saying you'll not get in but, they like to hire their own PCT's,CCA's or any other unlicensed personnel. Do you have any hospital experience as a unlicensed personnel?
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Which part of the Arkansas? North, Central, South. UAMS is Level 1 trauma center, St. Vincent is Level 2, VA, Baptist Health who does team nursing. Pay differential may be few pennies difference for new grads. You did not mention which area would you like to work LTC, hospital, nursing home, hospice, clinics and so on. Arkansas is laid back community. Definitely don't have that many hospitals than Washington. Good Luck!
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Try Arkansas, Little Rock
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I need to pass this HESI Pease send me any suggestions to [email protected]
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I have never thought nursing school will be this hard before i got in the program. I didn't have a single C on my transcript which nursing school gave it to me. No matter what i gone a say it may not feel good to you, Just keep on going find out what was the problems you were having and set realistic goals change the study strategy if needed. Nursing school is a full time commitment for two years but , once you are fininshed then you will look back and feel proud to yourself hope. I know it's tough you can do it.
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your school has a very high passing percentage our is 78%, you have to know the content of the material then try Saunder's NCLEX examination i like this book because it breaks down on each unit and sub-unit say for example you are reading about Diabetes Mellitus ater you read your book and lecture you can refer to Saunders and read their outline and practice the questions, when you practice the questions make sure you check the incorrect ones and read the rationales even you choose the correct one hope that will help you out
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Clean gloves are used for medical asepsis technique and Sterile gloves are used for sterile procedures
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Right now, most of the hospitals does not have a enough budget so, they are trying to cut back the cost by not hiring new grads it takes a lot of money for the hospitals to train a new grad so, if they have someone who has a 3-4 years of experience they will hire that person rather than a new grad, hanging their you'll find one.
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here in central arkansas, starting PCT is $8 an hour
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after a patient get discharged or deceased the medical records thin the chart that means they will keep the originall copies and shred the duplicate ones and then it goes to the machine to scan all the records and they keep the original ones forever
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due to the economy hospitals are trying to cut down their budgets we didn't even get our raise this year, our hospital census stays full which is a good thing but, our hospital is on hiring frozen which mean if new postion opens they will not post the job for at least 90 days unless it's a critical unit staff and the preferences of hiring is given to people who already work their as a CCA or other unlicensed positions, so, my suggestion will be try to find a job in the hospital and in the mean time you can also apply for RN postions