JulieCVICURN

JulieCVICURN BSN, RN

CVICU

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All Content by JulieCVICURN

  1. Tonight's Boston Med: nurses featured!

    JulieCVICURN replied to HappyNurse2005's topic in General Nursing

    PatMac, I don't know if you think I'm being aggressive or rude, but just so you know, I'm not being condescending by calling you naive. I really do remember thinking the same way before I got done...

  2. First code- sort of a vent..

    JulieCVICURN replied to Cat_RN's topic in General Nursing

    Yeah, sometimes people just die. It's time. It's also possible that she went into flash pulmonary edema, which can happen as fast as it sounds, and someone can be talking one minute and frothing at...

  3. Question about pts leaving AMA...

    JulieCVICURN replied to NBMom1225's topic in General Nursing

    Through my research I have found that the "insurance won't pay" thing is not true. Obviously, I can't know for certain that it's true for all insurance companies, but the majority will pay for the...

  4. Tonight's Boston Med: nurses featured!

    JulieCVICURN replied to HappyNurse2005's topic in General Nursing

    Which is exactly what some people need sometimes. I found that this particular situation totally warranted it and that Amanda was appropriate. As far as treating the resident like a child...believe...

  5. RN 6 months - How long does it take to find your nitch?

    JulieCVICURN replied to azilliRN's topic in General Nursing

    My niche is L&D, but I've never worked in it. I'm in CVICU, where everyone keeps telling me I'd hate L&D because it's very "crotchy". LOL. Anyway, you'll figure it out, everyone's

  6. Interview this week - Nursing admin??

    JulieCVICURN replied to Flare's topic in General Nursing

    Nope. I pronounce death all the time. The ICU nurses, doctors, and house supervisor are allowed to do it. Probably the ER nurses too, but they don't usually need to because they have a doc there all...

  7. Tonight's Boston Med: nurses featured!

    JulieCVICURN replied to HappyNurse2005's topic in General Nursing

    I thought that ER nurse, I think her name was Amanda, was fabulous. She obviously has the spine needed for ER work, and I thought she was absolutely appropriate with that patient. Drunks and addicts...

  8. Help me with patient with unstable diastolic blood pressure

    JulieCVICURN replied to Blackheartednurse's topic in General Nursing

    That's an interesting parameter. I've never had a cardiologist or a primary ask me to notify them about any low diastolics. I wonder what that particular doctor is up to, because that seems strange...

  9. Help me with patient with unstable diastolic blood pressure

    JulieCVICURN replied to Blackheartednurse's topic in General Nursing

    We're never concerned about unstable diastolic BP in the ICU when it's low. It's only when it's high and the pulse pressure narrows that we worry. I don't think I've ever called a doc about a low...

  10. Nursing Diagnoses: Useless Statements secondary to Professional Insecurity

    JulieCVICURN replied to Fribblet's topic in Nursing Professionalism

    Which is precisely why I said, in the very same post, that it's a good teaching tool for student nurses. I don't know about your nursing school experience, but we had an awful lot of people in our...

  11. Nursing Diagnoses: Useless Statements secondary to Professional Insecurity

    JulieCVICURN replied to Fribblet's topic in Nursing Professionalism

    I agree. Can you imagine calling a doc at 2am to tell him that the patient is in afib, rate 150, hypotensive...and instead of just saying that you beat around the bush with NANDAs? "Dr., the patient...

  12. Career help?? (Nursing vs Education)

    JulieCVICURN replied to LisaMay127's topic in General Nursing

    So you've decided against teaching because shadowing a teacher was boring? I'd guess that actually being a teacher is far more challenging than following one around. Wouldn't you be the one lecturing...

  13. Nurses' Spiritual Lives

    JulieCVICURN replied to FutureMaleOhioNurse's topic in General Nursing

    I have seen amazing things at work. I've seen people purposely wait for their loved ones to leave before they die, and I've seen the reverse (waiting until they arrive and then promptly dying). I've...

  14. Nursing Diagnoses: Useless Statements secondary to Professional Insecurity

    JulieCVICURN replied to Fribblet's topic in Nursing Professionalism

    I understand how you feel. I felt, in nursing school, that the whole nursing diagnosis thing was actually condescending to nurses. Feeling a lack of respect? Awww. Here's a bone we can throw you....

  15. Calling for help!

    JulieCVICURN replied to Tepidorchid's topic in General Nursing

    Personally, I stick my head out of the patient's door and yell to the nurses' station, "I need some help in here NOW". Or, if it's a code situation, I push the blue button on the wall and holler...

  16. I hate my supervisor

    JulieCVICURN replied to kikwon89's topic in Patient Safety Issues

    I wish ours would do this. In our ICU, we have a lot of autonomy. For example, I likely would NOT be written up or even reprimanded for holding this insulin dose. I might even be told that if I...

  17. Are cardiology Stethoscopes harder to uses?

    JulieCVICURN replied to Rmedin19's topic in Scrubs, Uniforms, Gear

    Self editing is more fun than seeing all the auto-editing if I were to write motherf*****. (See, I did it now just for fun). ETA: Oops! I thought it would automatically censor! My

  18. I am physically sick with worry :(

    JulieCVICURN replied to SmithTNRN's topic in General Nursing

    Seriously? I mean, I'm not pregnant, but I get meds splashed on my fingers all the time. It cracks me up because I'm cardiac ICU and I remember my nursing instructors telling us to not get nitro on...

  19. Are cardiology Stethoscopes harder to uses?

    JulieCVICURN replied to Rmedin19's topic in Scrubs, Uniforms, Gear

    I agree. I own a Littmann Cardiology 3 and also a cheapo 18$ steth that my mom gave me when she retired from nursing. I can hear better with the cheapo. The only drawback is that the earpieces in...

  20. I always take help for inserting IV

    JulieCVICURN replied to newsupernurse's topic in General Nursing

    It's true, what everyone is saying. Just do it. Every time there's an opportunity, volunteer. If you have to, ask people to let you know when they think they have an easy stick - a few successes...

  21. Why are so many nurses so bad these days?

    JulieCVICURN replied to ghillbert's topic in General Nursing

    I think it's ok to tell someone having difficulty breathing or anxiety to try to relax. Sometimes just having someone remind you helps you keep things a little more under control until the important...

  22. What advise would you give to your younger self?

    JulieCVICURN replied to Destiny12's topic in General Nursing

    Have the balls to act on your original dream so you won't have to be a nurse

  23. "Can I take one of your patients for this one?" "No! And I resent your asking!"

    JulieCVICURN replied to Alnitak7's topic in General Nursing

    Bluejumperbunny, quite often it seems that here the adage is "the customer is always right". I recently had a complaint issue where the customer in question was quite literally certifiably confused...

  24. "Can I take one of your patients for this one?" "No! And I resent your asking!"

    JulieCVICURN replied to Alnitak7's topic in General Nursing

    I wouldn't trade every 4 hours, but I think that passing around the drama/abuse IS fair. In my unit, we get some frequent flyers that are well known nurse abusers and who have families that are just...

  25. LTC- resident in clear distress

    JulieCVICURN replied to anonymous1919's topic in General Nursing

    Spackle is correct. A compound fracture is one associated with tissue laceration and is the same as an open