beckster_01 BSN, RN

I/DD

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All Content by beckster_01

  1. beckster_01

    Your PROPOFOL stories wanted

    I love propofol. I have certainly seen symptomatic bradycardia as well as significant hypotension in certain patients, but if a patient has required continuous sedation for more than 48 hours we...
  2. beckster_01

    What's your nursing kryptonite?

    I just learned mine today- yeast infections. Had a patient with one so bad you could smell rotten vag in the hallway... Pardon my french while I go
  3. I second what most people have said here. I don't think it would be unreasonable to go without RT, however their in-depth knowledge about ventilators/settings in general is very helpful. I think it is...
  4. beckster_01

    You Know You're A Nurse If...

    That sounds perfect! A Newfie will be our next
  5. beckster_01

    The newest and coolest thing you've ever done

    ^ sounds about right Fun haldol story: 20mg q6h atc with 10mg prn q4h... But we fixed his delirium in 24 hrs! Of course we were watching his
  6. beckster_01

    Interventions without MD orders

    In nursing school do you learn how to calculate a free water deficit? I didn't. If you don't know that how do you know what rate the solution should run at? Do you know whether a patient should have...
  7. beckster_01

    The newest and coolest thing you've ever done

    Precedex is the bane of my existence. Every now and then we get an attending who thinks we can replace propofol running at 80 with precedex...of course only titrating by what, 0.2 q15 minutes? Or...
  8. beckster_01

    You Know You're A Nurse If...

    Can I turn this into a pet thread?!?? Dexter is so cute! I'm not going to hijack the thread, when I was out of town my dog bloated and the boarding facility took him into the emergency vet for surgery...
  9. beckster_01

    New grad struggling...should I stick it out?

    One last piece of input: if you decide to stay and a year from now you feel comfortable and confident and have a good relationship with your boss, you really should talk with them about extending...
  10. beckster_01

    New grad struggling...should I stick it out?

    For what it's worth, I truly don't think a 12 week orientation to the ICU is sufficient for a new grad. Where I work it is 6 months for a new grad, 12 weeks for an experienced floor nurse, and 4-6...
  11. beckster_01

    Assertiveness, Having an "edge". Advice needed

    ^ Exactly. Being assertive is not synonymous with being mean. It is having confidence in knowing what is right for the patient. When I have a family agitating my patient I don't just tell them to...
  12. beckster_01

    ICU Nurse in USA To Ask Questions Of

    As others have said, this will greatly depend on the type of ICU you are in. I work in a 650 bed teaching hospital MICU (affiliated with a university). As such all of the ICUs are specialized, and...
  13. beckster_01

    Leaving the nursing field after 3 years

  14. You've got that right. I have grown up in the northeast, victim to lake effect snow, major snowstorms, ice storms, and combinations of all three. Weather is a fact of life. Part of being an adult is...
  15. beckster_01

    looking for my niche in nursing

    In the NICU are you using your resources? I started in the MICU after two years but had my orientation during "slow season," which meant I had NO sickies while I was on orientation. That meant that...
  16. Deleted post, I'll send you a PM
  17. Just because we are INTJ's does NOT mean that we make bad/unhappy bedside nurses. I definitely thrive in the ICU. Even though I am an introvert, I still like people. I just can't give give give all of...
  18. beckster_01

    Charge nurse

    Making the next shift schedule, helping to facilitate/coordinate discharges and admissions, helping out where needed on the floor/floating, and (ICU) responding to code blues throughout the hospital....
  19. Put a bandage on my ankle today and had to stop myself from putting the date on
  20. beckster_01

    Trauma Centers- East Coast

    If you aren't looking for glamorous weather you can check out University of Rochester, rochester is right between Buffalo and Syracuse, and is the region's level 1 trauma center. It isn't very...
  21. beckster_01

    A little frustated

    That is a nice little benefit, but I would focus more on getting I to peds/neonate, than into ICU. I know what it feels like to feel rushed in life, but you have a whole career in front of you. It...
  22. beckster_01

    when to start compressions?

    Lol... Best story ever. Although not for that patient, poor guy. Should've told him to quit walking the line and make up his mind already so you could do something about
  23. beckster_01

    CRRT training, how much is enough?

    I learned on orientation, but then they updated our machines so we got a class to learn that. In preparation for that we had to do an online evaluation of what we knew about CRRT which I failed...
  24. beckster_01

    A little frustated

    Getting a little bit of experience on the floor before transferring to the ICU was the best decision I ever made. As a new grad you are learning a lot more than how to be a nurse. You are learning how...