JulieCVICURN

JulieCVICURN BSN, RN

CVICU

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All Content by JulieCVICURN

  1. LTC- resident in clear distress

    I've only worked ICU and we have a lot of autonomy so I don't know if this is legally correct, but I would absolutely not wait for a doctor's order to put on oxygen. I also would not leave the room...
  2. Waste of Time Complaint against me

    That does seem like a waste of time and a silly complaint. Is there more background to this story? Do you have a bad history with this staff? I work ICU and other employees come in and out of our...
  3. pt was very upset about fluid restrictions

    Me neither. Not at 3 am, anyway. This issue is something that doesn't warrant waking up the on call doc. It can easily wait until the doctor rounds or until a more reasonable time of day, like 7 or...
  4. "practice what you preach"..am I only one who gets this?

    Yeah, um, I wasn't aware that a nursing degree automatically wiped out all the bad habits that you gain throughout your life. I sure hope they don't start revoking licenses for that, because I spend...
  5. Maybe I should quit before I start...

    It's more difficult to find a job than it was 3 years ago, but I have also noticed that it seems like hiring is picking up a little bit. Don't give
  6. How serious/lifethreatening is ETOH detox?

    ETOH detox is serious and can be deadly if you try it on your
  7. inappropriate sinus tach

    How's her H&H? I had similar symptoms when I was anemic. After 3 months of taking 1000mg of iron a day and an endometrial ablation, I'm right as rain. Barely a PVC at all and only tachy with...
  8. What do you do when telemetry calls?

    As a cardiac ICU nurse, I definitely want to know about 6 beat runs of PVC's. This is considered V-tach, and if it's not typical for the patient then you need to be checking electrolytes. Most of the...
  9. Community health project

    For my community nurse interview, I was allowed to use an elementary school nurse. Try calling your local school nurse and see if she'll talk to you. They're usually happy
  10. Revised Cover letter

    I disagree with this. If you're willing to start in any department, you could be pigeonholing yourself and end up not getting an interview. Example, say you say in your cover letter, "My long time...
  11. People think you are rich because you are a nurse

    No offense, but you must be putting it out there that you're a pushover. I have never in my entire life had anyone ask me to float them a loan for anything bigger than a cheeseburger because they...
  12. Advice Need: Am I taking the NCLEX too soon?

    Taking it sooner is better than later. I can't even believe some people wait until the end of summer or whatever to take it! The only reason I could see to delay it is if you have a planned review...
  13. L&D nurse at my wit's end....

    Don't beat yourself up. First of all, except for a couple of things you maybe could have done better, you did fine. I don't work L&D, so I'd guess that sepsis is maybe not that common because...
  14. Baylor?

    That sounds like a bad deal. I also have Baylor hours and I work 24 hours (2 12 hour shifts) and get paid for 36. Sounds like they're hosing people at that
  15. Low census vs. on call????

    I don't think you can rely on what it means to anyone else when you're trying to figure out what it all means for you. At my facility, if you get low census you are on call for your entire 12 hour...
  16. Clinical Jobs

    If you find a way to change the plan so that you start getting younger, you will share, won't
  17. Clinical Jobs

    I'm 42, have been working 12 hour nights for 3 years, and would not switch to 10's, 8's or days for anything! I love it. You find that your body
  18. Nurses not speaking english at work

    That behavior is just rude and thoughtless. I feel for you, because I doubt you'll really be able to change
  19. Worried Patient

    No. You can't possibly live a productive life thinking that way. Sure, passing the occasional smoker might increase her risk, but she's not going to have much choice in who she's around if she...
  20. Worried Patient

    accidental
  21. Degree questions

    Most of the professors and administrators I've talked to say that the Health Administration degree is a waste of time. Better to get your BSN because you can still do administration with that degree...
  22. Signed up for ACLS...what to expect?

    I found it to be very similar to BLS, but more in depth. You'll need to be pretty familiar with cardiac rhythms to pass. Typically the class starts with a BLS review, then you do stations with...
  23. To suction or not to suction?

    If we have problems with people clenching their jaws and the need for suction becomes an airway management issue, we'll use the soft catheter and go in through the nose. It's not fun, but sometimes...
  24. To suction or not to suction?

    It seems like no force should have been necessary to remove the yankauer. Eventually the resident would have let go of it on her own. Forcing her jaw open does seem excessive. I don't know if it's...
  25. dental nurse, a good field?

    My friends who are experienced hygienists usually make a higher hourly than I do, but they're mostly stuck in part time jobs with no benefits. Benefits make a huge difference in your