sunnycalifRN

sunnycalifRN

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All Content by sunnycalifRN

  1. Anyone had this problem?

    sunnycalifRN posted a topic in General Nursing

    Lately, we've been having a problem with our CNA's getting a little "too helpful". One CNA, who was doing CO for a confused patient, kept silencing the IV pump when the alarm went off. I'd be with...

  2. how to become a respiratory therapist

    sunnycalifRN replied to hrdrn's topic in General Nursing

    I was an RRT before becoming an ICU nurse. There are two and four year programs to become a respiratory therapist. However, I don't know why you would want to do that, if you're an RN. You can take...

  3. Nebulized flolan for severe ARDS

    sunnycalifRN posted a topic in MICU, SICU

    We have been using nebulized flolan (epoprostenol) to treat the severe hypoxemia of intractable ARDS. (Flolan is generally used to treat primary pulmonary hypertension.) RT puts a continuous...

  4. Not feeling it...

    sunnycalifRN replied to LostN's topic in MICU, SICU

    Hang in there! I didn't feeling really comfortable working in ICU for almost 2 years. But, utilize your co-workers and ask questions . . . no one was born an ICU nurse. It WILL get

  5. Turn Teams?

    sunnycalifRN replied to canurse24's topic in CCU, Coronary, Cardiac

    A prior workplace had a "Lift Team". We loved these guys!! All were young, energetic and strong!! They carried pagers and could be paged anytime. Unfortunately, the "bean counters" determined that...

  6. Advice

    sunnycalifRN replied to dienne's topic in General Nursing

    Sorry to hear about your situation. I think you are wise to start sending out your resume. If you are in the union, you can ask your rep if they have heard anything or if they know how lay offs are...

  7. Didn't Receive paycheck

    sunnycalifRN replied to TheOracle's topic in General Nursing

    Yep. Although it's unfortunate that you didn't get your paycheck, paychecks are usually kept locked up for safekeeping. I don't think that there is any "issue" here. Just get the check on Monday...

  8. Besides CPR, what other situations/procedures require you to act fast..

    sunnycalifRN replied to okiedokie123's topic in General Nursing

    Agree! When you first meet your patient, you're using critical thinking, why is the pt here? What interventions are needed? What may go wrong? Etc. .

  9. This is getting ridiculous!!

    sunnycalifRN posted a topic in MICU, SICU

    I'm sure you're all aware of the various drugs that we use, that are in short supply. http://www.fda.gov/Drugs/DrugSafety/DrugShortages/ucm050792.htm We're out of versed and now fentanyl!! A while...

  10. Is this illegal?

    sunnycalifRN replied to markfish's topic in Nursing Career

    What they did is not right. It is favoritism. Sad to say, it happens all the time. Time to forget about it, and move on. Good luck in your job

  11. what are common times to run IV's in ?

    sunnycalifRN replied to Amy10BSN's topic in CCU, Coronary, Cardiac

    Well, OP, you've gotten a variety of answers and it shows that it is dependent on your hospital's policy. And, if you don't know, ask

  12. i cant insert an iv catheter successfully :C help

    sunnycalifRN replied to justbecamearn's topic in First Year After Licensure

    CheesePotato, excellent advice!! I second the advice about not slapping the skin. I was a phlebotomist for years before going into nursing and I NEVER slapped anyone's arms/hands and nearly always...

  13. Units with Least Amounts of Call Offs?

    sunnycalifRN replied to kirstyne's topic in General Nursing

    As others have said, very hospital specific. At my workplace, there are never call-offs (they are not allowed to) but instead we get floated to other

  14. Are shy and quiet people not allowed to be nurses?

    sunnycalifRN replied to sunnyskies2's topic in Patient, Colleague Relations

    Yes, SHY people as well as SHORT people are NOT ALLOWED to be nurses!! Just kidding!! I'm both and I do just fine, thank

  15. ICU nursing books

    sunnycalifRN replied to meghan91's topic in General Nursing

    Without a doubt, one of the most readable, yet informative is: Notes on ICU Nursing: Critical Care FAQ Files From the MICU It is written by Mark Hammerschmidt and Jayne Mulholland and can be ordered...

  16. Becoming a Nurse After 40

    sunnycalifRN replied to PacoUSA's topic in General Nursing

    I started nursing at age 55 but I don't regret it one bit. You can always look back and say, "I should of . . ." but it doesn't change the past and it's not very constructive. Just live for the...

  17. What career did you have before nursing?

    sunnycalifRN replied to julibyrd's topic in General Nursing

    Before nursing, was a respiratory therapist for 10 yrs. Great preparation for working in ICU! Before that, worked in high tech for 14+

  18. Do you think there would be less RN students if the economy was better?

    sunnycalifRN replied to kalevra's topic in General Nursing

    I saw it occur in the Bay area . . . during the "dot-com" boom, when many folks were quitting their "day jobs" . . . the local nursing program I attended only had a dozen students

  19. bloodgases

    sunnycalifRN replied to Iowa RN2006's topic in CCU, Coronary, Cardiac

    Oops. Addendum to the prior post. ABG's are also used to assess oxygenation. I'll let someone else talk about

  20. bloodgases

    sunnycalifRN replied to Iowa RN2006's topic in CCU, Coronary, Cardiac

    at a very basic level: First, look at the pH value: if next, check the pCO2 and the HCO3 for the cause of the acidosis: if pCO2 is > 45, it's respiratory; if HCO3 is and, if both conditions...

  21. Blood admin question

    sunnycalifRN replied to RNmom24's topic in General Nursing

    Agreed!! As busy as we can get, it would be too easy to spike the blood at the nurse's station and walk into the wrong patient's room!! Always do the check at the bedside, just prior to spiking and...

  22. Not a waitress or barista

    sunnycalifRN replied to noyesno's topic in General Nursing

    Yup, seen this from time to time. We've gotten our inappropriate ICU admissions who are putting in their coffee orders before they're transferred off the gurney!! We just ignore the coffee orders...

  23. 2 step TB skin testing every year?

    sunnycalifRN replied to Blackcat99's topic in General Nursing

    We are required to get a Quantiferon TB test annually. This requires a blood draw, but no follow-up "reading"

  24. pls help...advice for 1yr RN getting into ICU/SICU

    sunnycalifRN replied to stacia77's topic in MICU, SICU

    Very good point!! It's also kind of common sense . . . you don't interview for a job and say, "Oh, by the way, I only plan to stay for 2 years, then I'm jumping ship!!" I agree with other posters ....

  25. Pain control in narcotic addicted pt

    sunnycalifRN replied to dankimal's topic in General Nursing

    I've definitely had my share of this type of patient! Unfortunately, even though you are correct, that they are seeking narc's to maintain their addiction, you cannot withhold prescribed medications...