JulieCVICURN

JulieCVICURN BSN, RN

CVICU

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All Content by JulieCVICURN

  1. Changing one's spots

    Ugh, we have a lazy night nurse. It drives us all nuts, but because nobody wants to be the one to rat her out, we just shut up and live with it. We're hoping she'll move on on her
  2. Changing one's spots

    Inability to admit when you're wrong Inability to admit when you don't know the answer Inability to admit you don't understand something Refusal to accept advice from more experienced RN's. You don't...
  3. "Breathable" air bed mattress pads?

    We use driflow pads, which are basically like strong chux. Because the beds are fairly slippery, they usually hold up just fine for boosting and moving the patient. I'm glad this question was...
  4. Home Health a good option for fairly new grad??

    My personal opinion is that home health nurses should have a lot of experience because sometimes the only thing between life and death is recognizing a situation that could mean impending doom. You...
  5. Would it be tacky to advertise this?

    I can see why you would think that. I just don't know if the average layperson who schedules a massage cares about that. I don't, but maybe other people
  6. Would it be tacky to advertise this?

    I don't think it's tacky, but what services are you planning to offer? I don't see any reason why a massage therapist would also need to be a nurse, if you see what I mean? Is there some sort of...
  7. Fitting in at a new job

    Just give it some time. People will get to know you gradually and eventually you'll make friends if you're like minded people. Maybe the younger nurses are still not so far out of school and are...
  8. Full Code

    I suppose the lesson learned here is, when in doubt, do CPR. If nothing else, it would have been good practice. I feel for you, really, because I'm not sure I wouldn't have done the same
  9. Interview an RN

    how do you assess and address the spiritual needs of your patients?upon admit, we have a section in our computer that has questions regarding faith and whether the patient has any specific religious...
  10. Denial is more than a river in Egypt...

    I wasn't offended. It's fine. Regarding allergy to Cogentin and Haldol - one of our primary docs told me once that if you get a patient with a huge list of med allergies, there's a very good chance...
  11. Obesity and shift work in hospital setting.

    If you're having PVC's, you should also get an H&H. I had the same problem recently and was found to be very anemic. I ended up having to get an endometrial ablation and take 1000mg iron every...
  12. Night shift duty is it better than days???

    I love nights. Not only do you not have family and administration breathing down your neck, but you get paid a lot more! And usually the people working on nights are less type A personalities and...
  13. Obesity and shift work in hospital setting.

    I think it's pretty common for stuff like that to happen when you throw your body out of it's normal rhythm. There's a reason for the old joke: What's the difference between a night nurse and an...
  14. Denial is more than a river in Egypt...

    Yeah, I don't know. All I can tell you is that for 3 years I was considered to have impaired tolerance and was on metformin, and now I'm considered to be diabetic (so, really, there's been no "sugar...
  15. Denial is more than a river in Egypt...

    Well, according to your patient's description it does sound like she has diabetes (and maybe a not so smart doctor) but I can tell you from personal experience that there are lots of people who are...
  16. takotsubo

    It seems like we had a bunch of them all in a short span of time in our unit, and they all came from the same cardiologist. We'd all joke that he must have gone to a seminar recently. Don't really...
  17. I wouldn't say the hospital felt "homey" when I started to work there, but because my mom was an ER nurse and I used to visit her at work a lot, the hospital wasn't intimidating to me. I felt...
  18. Did I use alcohol swab?

    I just wanted to add that I've noticed recently that subclavian central lines tend to fall into the armpit when not in use, so I'm especially careful to alcohol swab those, because as we all know from...
  19. Did I use alcohol swab?

    It's possible, but really, I think there are some studies out that show that it doesn't really make much difference. I always swab because I don't want to be contributing to the risk of infection....
  20. A sign of the times

    I sure hope it's not the DNR that I'm thinking it is, because it seems like that's an inappropriate (and illegal) action to make someone a do not resuscitate after someone else has threatened to kill...
  21. Digitally removing fecal impactions

    We don't need a doctor order to do it in my unit, however, you can bet we'll usually wait until we have one because NOBODY wants to do
  22. Because I work in a cardiac unit, we give mucomyst frequently to patients who get contrast dye for caths or any other reason. Yes, it smells and tastes horrendous. I usually mix it with a little...
  23. How do you build confidence as a nurse?

    The first six months absolutely suck. Then, slowly, it starts to get better. You'll know you're there the first time a doctor tries to make you feel stupid and you throw it right back at
  24. I just wanted to add that really, you were very lucky to get to experience something like this. I went entirely through nursing school and never encounted a real emergent situation like the one you...
  25. You actually did well. Others have pointed out the med thing - even a mean instructor has got to recognize that staying with a patient in respiratory distress will override getting meds out on time....