CNL2B

CNL2B

multispecialty ICU, SICU including CV

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All Content by CNL2B

  1. How old were you. when you become RN?

    CNL2B replied to Prado's topic in General Nursing

    24 with a BS + ADN afterwards. Now working on an MSN at

  2. In response to cost cutting.

    CNL2B replied to eriksoln's topic in General Nursing

    What will I, personally, do to help? Try to keep my head above water, and support my coworkers as best I

  3. Arghhhh! Please help! Desperate!!

    CNL2B replied to dinah77's topic in General Nursing

    MVAMC is not a huge hospital, so a lot of our specialties are combined. Here is a quick rundown: MICU (small) SICU (small-all surgical specialties) stepdown (multispecialty mid-level acuity unit)...

  4. Patient Handoff Process

    CNL2B replied to NursingNotes's topic in General Nursing

    We are an ICU so we do face to face report. The hospital is now pushing us to use SBAR (Situation-Background-Assessment-Recommendation) which is a specific verbal report format. Apparently JCAHO...

  5. First code- sort of a vent..

    CNL2B replied to Cat_RN's topic in General Nursing

    Try an AHA BLS or ACLS class. They have

  6. Support Group for Nurses

    CNL2B replied to firefly443's topic in Health, Stress Management

    I think it's pretty sad state of affairs that this thread has even started. I also think it is a true testament to the reality that is nursing today. No one should need a support group for their...

  7. Did you ever have needle phobia?

    CNL2B posted a topic in General Nursing

    I don't know why I was remembering this, but it sure is funny now.... I was one of those kids they would have to lay down to draw blood so they wouldn't faint. I remember once in college (before...

  8. Did you ever have needle phobia?

    CNL2B replied to CNL2B's topic in General Nursing

    It wasn't my intention when starting this thread to help people out but I'm happy that it was useful to you! Many of us that are now practicing nurses had fears. If not of needles, it is of infectious...

  9. B12 injections,can you give it in the arm muscle?

    CNL2B replied to Blackheartednurse's topic in Patient Medications

    It was my grandma. She was less than 2 months from death. I was more than happy to let her decide where she wanted to be poked. Realizing you weren't responding to my post now. Answer still...

  10. B12 injections,can you give it in the arm muscle?

    CNL2B replied to Blackheartednurse's topic in Patient Medications

    You know what, I don't know what is preferred for sure. I tried looking it up in a drug book when I had to do it and it didn't say. You can give it both SQ or IM, I do know that, and I don't think...

  11. MICU skills needed for new-grad

    CNL2B replied to in2ICU's topic in MICU, SICU

    I think you've done plenty as a student -- a lot more than I ever did. Your exposure has been pretty great if you ask me. Re: the med administration you talked about, I hope you gave that stuff under...

  12. Arghhhh! Please help! Desperate!!

    CNL2B replied to dinah77's topic in General Nursing

    I was not a new grad, I was experienced, but in this market, you aren't going to get ANYTHING if you don't start knocking on some doors. The VA hires new grads all the time. Actually, they have a...

  13. Arghhhh! Please help! Desperate!!

    CNL2B replied to dinah77's topic in General Nursing

    There are hardly ever jobs posted to the outside at the Minneapolis VA. I got my job there by sending my resume to the nurse recruiter, cold. I wrote a cover letter with what areas I wanted to work...

  14. PLEASE tell me there is more to nursing then this.... otherwise, it's for the birds..

    CNL2B replied to Epona's topic in General Nursing

    Go to an ICU. You'll get more time (better ratio) with your patient AND get to use all your

  15. Shortening report on an ICU step-down unit

    CNL2B replied to nminodob's topic in General Nursing

    At the tail end of every shift, the offgoing charge goes around to the staff and checks on their patient status and what is going on with them and then tries to split them up equitably when making...

  16. RN 6 months - How long does it take to find your nitch?

    CNL2B replied to azilliRN's topic in General Nursing

    I think I would love L&D. I am an adult ICU nurse. My coworkers think I'm crazy

  17. Interview this week - Nursing admin??

    CNL2B replied to Flare's topic in General Nursing

    Across many settings, RNs can do it. Paramedics will do it in the field often. Hospice/homecare nurses can do it often. Many times management will do it if there is no physician or limited physician...

  18. Interview this week - Nursing admin??

    CNL2B replied to Flare's topic in General Nursing

    I've thought about looking into administration from time to time. Our positions are called "nursing supervisor" and you are basically the relief nurse manager after hours. It is a lot of...

  19. RN 6 months - How long does it take to find your nitch?

    CNL2B replied to azilliRN's topic in General Nursing

    I think a lot of us come out of school wanting to use all our skills and practice nursing in a hospital the way we were taught to. I'm not surprised you are feeling a little itchy in a clinic...

  20. Frustrated over a code

    CNL2B replied to pinky22786's topic in General Nursing

    So my question to you is this -- WHEN did you realize that you triple dosed the ER narcotic? That is a really big med error for sure and obviously one that caused the patient harm. Was it after this...

  21. What are the types of artificial pacemakers?

    CNL2B replied to ms.pebbles's topic in CCU, Coronary, Cardiac

    Start a new thread, post in critical care. The answer is yes and no but I'm not well versed enough to give all the details. Implanted pacer/defibrillators can definitely treat ventricular...

  22. Frustrated over a code

    CNL2B replied to pinky22786's topic in General Nursing

    Tech definitely should have noticed and/or reported a patient that doesn't look like they are in stable condition to someone that could take care of it, if that patient isn't being appropriately...

  23. Multispecialty SICU - how long did you wait before orienting to CABG?

    CNL2B posted a topic in CCU, Coronary, Cardiac

    My SICU is pretty small - 8 beds - and we take all specialties but we are pretty high volume CV surgery (I would say about 50%.) We do 1-2 CABGs and/or valves a day. Our current practice is to start...

  24. Share your ICU 'brain' report sheet

    CNL2B replied to General E. Speaking, RN's topic in CCU, Coronary, Cardiac

    I've been doing this for awhile. I only need a little bit of stuff on my "brain" because we have a lot of stuff in our MR that I can refer to as well. The whole patient hx is entered into a database...

  25. Multispecialty SICU - how long did you wait before orienting to CABG?

    CNL2B replied to CNL2B's topic in CCU, Coronary, Cardiac

    Our nurses get about 2-3 months on the unit as well but they only do about two weeks of OHS at the end. This isn't nearly enough for someone without a lot of other ICU experience including lots of...