JulieCVICURN

JulieCVICURN BSN, RN

CVICU

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All Content by JulieCVICURN

  1. Questions about Triple Lumen Central Catheters

    The only thing that's a given is that you do CVP's in the distal (brown) port. Other than that, we use any port for any med/fluid admin, or for blood draws. We try to avoid doing blood draws off of...
  2. CVICU Job For A Future New Grad

    Of course you should go after the jobs listing 1 year experience or more. The absolute worst that can happen is you won't get an interview or won't get hired. They can't shoot you for
  3. What is the most professional way to quit a job?

    I'd offer to go PRN for the other job. Odds are, they won't need you that often (unless it's a really busy unit with difficulty keeping nurses) and maybe they won't be so
  4. What to do about pay?

    Normally if you have it in writing, you should be ok. However, the DON may have made promises she couldn't keep. Your best bet is to
  5. New to nursing, advice?

    I sort of agree and sort of disagree. I also am not a member of the "nursing is a calling" gang, and yet in my 3 years of nursing I have found things I love about it and I'm happy that I went into...
  6. When does one become an experienced nurse?

    According to my textbook for my BSN program: fresh grad = novice, new grad =advanced beginner (1 year in same setting), competent = 2-3 years in same setting, proficient= 3-5 years in same setting....
  7. Amazed with Nipride

    I work in CVICU and use nipride frequently. I'd never start a patient at 1mcg. We start at 1 ml, which I couldn't even tell you what that is in mcgs but it's something like 0.234 or some ridiculous...
  8. Can RNs really make this much?

    Ha! Sorry, I'm guilty of stereotyping nurses as women, even though I work with several male
  9. Can RNs really make this much?

    Dang, girl. How much overtime are you
  10. Can RNs really make this much?

    I graduated nursing school in May 2007 and I make 42.50 per hour, but I'm a weekender and on night shift. My base is 24.85. But technically, I make over $67K a year in the far south Chicago suburbs....
  11. double
  12. I think it's ridiculous to expect someone to risk their lives to get to work. We have a code SSS, which means that when there's severe weather the previous shift stays until enough staff arrives for...
  13. ER Nurses -- Any Advice for RN Student?

    Pay attention to what's going on around you so you can figure out where you'll see the most stuff, and stay out of the way if they tell you
  14. Just had my first one.....

    I guess I'm just cold hearted, but it doesn't really affect me when the patients die. Most of the time it's expected and more of a relief than anything else. Once in a while we get a surprise death,...
  15. cardiac arrest

    If the patient is a DNR, notify your instructor and the nurse you're assigned to work with, but don't start yelling and calling codes,
  16. CVICU nursing

    Otessa's description sounds pretty much like my CVICU. Mine recovers immediate post op CABG, AAA, and we get overflow from telemetry for cath lab patients, also MICU overflow, so we see a lot of...
  17. Trying in vain to get in a vein

    One thing that really helped me when I was new at it was taking off the tourniquet as soon as I got the flash, and then threading the catheter the rest of the way in. My ratio of blown veins dropped...
  18. Insulted by DNS

    In my hospital, the nurses from my unit run the codes until the ER doc comes and takes over. However, sometimes the ER doc just stands by and only interjects if he's not happy with what we're doing,...
  19. Share your story: How did you land your first nursing job?

    Ha!My story is pretty boring and straightforward. In January 2007, about 5 months before I graduated from ADN school, I attended every open house offered by any hospital near me. There was one in...
  20. Do you have a best friend at work?

    I honestly like everyone I work with, but there are two people in particular who have become close friends. We all decided to get our BSN together and being in school together has really cemented a...
  21. Med errors...the scary reality

    Here are just a few of the things that have happened in our ICU, all of them from excellent and seasoned nurses (except for the one that I did, I was new at the time): 1. An entire bag of dilauded...
  22. The wait is killing me!!!

    You have to wait until Monday. A good friend advised me to not take it on a Thursday, advice I definitely heeded. Drink
  23. Help, I have a test tommorow, question

    Our heparin protocol is something like this: you give a bolus, either 5000 or 8000 units. Then, you start heparin based on weight. Do a PTT every 6 hours until range is therapeutic, (in our unit,...
  24. I feel so DUMB!!

    FYI, Benadryl doesn't just mask the reaction, it stops it from happening or getting worse. We give prophylactic Benadryl all the time to patients who have allergies to contrast dye so that they can...
  25. fresh ideas for jobless new grads

    Those are some good ideas. The only one I disagree with is the resume thing. Most places take resumes electronically now and they specifically say do not do any fancy fonts, etc., because it just...