ShyViolet

ShyViolet

ICU, cardiac, CV, GI, transplan

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All Content by ShyViolet

  1. Have you ever infused phenylephrine peripherally?

    ShyViolet replied to nurse678's topic in MICU, SICU

    Phenylephrine is a very dangerous vesicant which can cause severe necrosis of the tissues if it extravasates; therefore, it is always to be administered via central line. That being said, I have had...

  2. Nurse lied on me, now i may lose my license....scared...

    ShyViolet replied to Nursechristi22's topic in General Nursing

    If you were giving the medication, I don't know of any possible way they could prove that you weren't. It becomes a case of their word against yours, and neither one of them was there for the weekend...

  3. 75 Questions on NCLEX, pass or fail?

    ShyViolet replied to Lurksalot's topic in NCLEX Exam, Programs

    Congratulations, you're a registered

  4. 75 Questions on NCLEX, pass or fail?

    ShyViolet replied to Lurksalot's topic in NCLEX Exam, Programs

    I passed in 75. What I hated was that it just shut off. No "Thank you for testing" message to let you know it was over. I sat in front of the computer for about 5 minutes about to cry because I...

  5. do you think i am annoying?

    ShyViolet replied to erin01's topic in General Nursing

    I used to ask questions before I did pretty much anything! I got teased about some of the things I asked, but now that there have been a few newer batches of nurses coming to me with questions I feel...

  6. Not really "feeling it"

    ShyViolet replied to SC ANP's topic in Cardiac

    When I was 6 months in and feeling like I wasn't good enough yet, one of my preceptors gave me this breakdown: 1st year: Task oriented. You are all too aware of the clock ticking and you know that you...

  7. what is your biggest pet peeve while at work?

    ShyViolet replied to ErinDel's topic in General Nursing

    Being told that a patient had no TF residuals for day shift, only to get 6 hrs' worth of residuals when I check. When a pt has been intubated for 3 days and nobody has cleaned up the orders to change...

  8. Is this too much or am I crazy...what are your units like?

    ShyViolet replied to emersushea's topic in Cardiac

    Anybody who is on an insulin drip needs to be in an ICU, period. Q1h sugars get hard to keep up with even there; when you have 5 other patients to think about then either sugars will get missed or...

  9. Your Favorite one liner used with patients

    ShyViolet replied to scaredofshots's topic in Nursing Humor

    When I get a good blood sugar from one of my little grammies, I say "Awww, like I thought. You're perfectly sweet." When DTing patients start yanking their Foleys I say "If you yank that thing out...

  10. PHRN course near Pittsburgh/ Western Pa?

    ShyViolet replied to zatara74's topic in Pennsylvania Nursing

    Could you PM me the information as well? I've recently become interested in the PHRN

  11. From Communty Health back to Acute Care: Need Advice

    ShyViolet replied to marksimmons's topic in CCU, Coronary, Cardiac

    Getting into a casual or per diem position might help get you a foot in the door. I would take whatever I could tolerate in the hospital setting just to get in; once you're in-house it's easier to...

  12. ICU Interviews do's and oh no she did not's!!

    ShyViolet replied to lpn2crna1day's topic in CCU, Coronary, Cardiac

    In my experience, nurses who are only doing it for their required CC experience don't work out well. It's good to have CRNA school as a goal, but take the ICU experience for what it is. The ones who...

  13. Adjusting a temporary pacer

    ShyViolet replied to aCRNAhopeful's topic in CCU, Coronary, Cardiac

    It's definitely OK to change sensitivity and output as needed, because you're not changing the actual settings; you're making the settings work the way they're supposed to. I do check the underlying...

  14. what?...q 15 NIBPs with an art line???

    ShyViolet replied to ICUmama's topic in MICU, SICU

    Somewhere in your assessment notes it should state that your a-line is giving a dampened wave form, so there is no reason to chart bad data. As another poster stated, lawyers adore charting...

  15. Lung transplant: balance between sparing lungs and administering fluid.

    ShyViolet replied to sleepyrasrn's topic in MICU, SICU

    I have seen both heart and lung transplants kept fairly dry for the most part, with inotropic support for MAP and CI. Our surgeons' drug of choice for this is usually either epi or milrinone or some...

  16. what?...q 15 NIBPs with an art line???

    ShyViolet replied to ICUmama's topic in MICU, SICU

    Current nursing research does not support this. If you have an arterial line with a good wave form, properly zeroed and calibrated, then you have an accurate directly measured pressure. Who cares what...

  17. New to ICU!

    ShyViolet replied to ONCRN84's topic in MICU, SICU

    Ask a ton of questions! In the ICU, we are more annoyed by new nurses who don't ask. We know you don't know everything, and it terrifies us when people don't seek the knowledge. Be a pain. I was and...

  18. OR nurse wants to go to ICU

    ShyViolet replied to DMCRN's topic in MICU, SICU

    Even if you are still on orientation, it is better to move now than to wait. If you don't want to be there, you're not doing anybody any favors. If you're only a few months in, it's still early enough...