JulieCVICURN

JulieCVICURN BSN, RN

CVICU

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All Content by JulieCVICURN

  1. It gets much better the more you do it. My unit is responsible for running the codes until the ER doc or another doc takes over, and usually the ER doc lets us just run it as long as we're doing what...
  2. Am I going to make it?

    I guess I'd just say, "I don't know, but we're going to do everything we can to not let that
  3. Exhausted and depressed

    Personally, I'm not depressed at all. Just tired all the time. I undoubtedly need to eat healthier and find time to work
  4. Took Care of a Patient with MRSA Today

    Wow. I think our ID doc would crap his pants if we tried to push for that! Personally, I don't think there should ever be shared rooms in ICU, isolation or not, but that would be in perfect world...
  5. Took Care of a Patient with MRSA Today

    Never? This horrifies me. While I don't freak out about MRSA (if I did, I sure couldn't be an ICU nurse!), I do think it's irresponsible to not isolate for anything like this. I've seen patients die...
  6. Took Care of a Patient with MRSA Today

    Not necessarily. We only mask if the MRSA is in the sputum. Otherwise, it's contact precautions only. This is based on info from our ID doc, who is one of the smartest and most careful physicians I...
  7. Exhausted and depressed

    It's not easy working nights. After a 3 or 4 day stint, I find that on my first day off I sleep all day until about 4pm, then go to bed at 9pm again and wake up at 1am. I stay up until the kids go...
  8. I hated CNA clinicals for most of the same reasons you described. I hated them so much that I had serious second thoughts about going into nursing. You'll be fine. Nursing clinicals are better,...
  9. low blood sugar symptoms without actual hypoglycemia?

    I am a diabetic. I can tell you that yes, it is possible to have symptoms of hypoglycemia without being hypoglycemic. If you don't have good control over your glucose levels and your body has gotten...
  10. Discontinuing IJ turned into a Rapid Response

    The only thing I see that you missed is that you didn't draw back on the line before you pulled it. We always do that because large clots can get stuck on the end of the cordis. I once pulled on that...
  11. Why don't you get them laser closed? I did, and my insurance paid for most of it. Mine were really really
  12. Wow, this looks more like a homework/paper assignment than a
  13. Pulled to another unit by unit manager

    Wow - how often do you see a unit manager work the floor? Mine does, but only for post op CABG and only in an absolute emergency. She never takes her own patients. I say kudos to that
  14. anyone else?

    Oh, I absolutely adore the old patients who call me sweetie, dear, and make flirty little comments like that. As long as they're not being sexually aggressive or inappropriate, a little term of...
  15. why do doctors order more vitamin d tests than anything?

    In my 3 years of nursing, I have never once had a doctor order a vitamin d
  16. MRSA, Is this true?

    Our infectious disease doc says that if you're taking proper precautions with isolation patients and universal precautions with the rest, plus washing your hands like you're supposed to that your...
  17. Pyschotic Trauma Patients

    We also intubate if they can't be calmed with other methods. It's necessary to keep them from injuring themselves. Sad that it comes to this, but sometimes it's the only
  18. Don't be lazy, and don't act like you know it all. I know it's been said many times, but that's the thing the rest of us hate - when you act like you already know everything. You don't. There are...
  19. Help, I have two job offers

    Be professional and courteous - make sure you give proper notice. Maybe if you have the time you could offer to stay on as a PRN or TR nurse if they'd want you
  20. TV shows and movies that are ruined, because you know better

    I was watching my favorite show, Chuck, and one of the characters took a pill and dropped "dead" on the floor. The note he'd given Chuck said, "The pill was Amiodarone. It stops the heart." Uh,...
  21. Knowing your meds. . .

    I don't know about other phones, but the Davis drug book for the Droid is $99. A bit out of my price range for something that I'll lose the next time I upgrade my
  22. New Grad- Charge Nurse?

    If you're not comfortable, say so. Every unit is different. I hate being charge because you're responsible for everything that goes on on the floor - not to the point where your license is in jeopardy...
  23. ET size HELP!

    I've never seen an ETT that didn't have the diameter printed right close to the open end of it that sticks out of the patient's mouth. The most common sizes I see are 7, 7.5, and
  24. Why do I get yelled at for doing the correct thing??

    Do your best to get along with your preceptor and keep that relationship working for you. If you don't agree with the way she wants you to do things, just go along with her (unless it compromises...
  25. insomnia question re: night shifts

    Mine was. The first year was 1.5 days of classes and 1 day of clinicals. Second year was 1.5 days of classes and 2 days of clinicals, but if the clinical instructor preferred we did one 12 hour...