CNL2B

CNL2B

multispecialty ICU, SICU including CV

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  1. Staff nurses in my facility in the midwest at the top of wage scale make 96ish plus shift/weekend differential. That is over $100K/year and that is without OT and excellent benefits (this is for FT...
  2. Advice for "seasoned" nurse moving to ICU

    You sound like you are doing well. Good for you! The best advice I can think of to give you is know who your resources are. Know which staff have been there and are willing to help. Off the unit,...
  3. What does this mean?

    This is just my best guess, but NPs don't learn how to do everything in their schooling. I doubt that one comes out of any adult NP program knowing how to do a bone marrow aspiration, although if...
  4. Here is a quick rundown. Pacemaker types: permanent (implanted) and temporary (external). Of the temporaries, there are 3 types -- epicardial (pacing leads that are threaded into the heart and out...
  5. post turp patient catheter wont drain Why?

    Agreed. I don't do a whole lot of TURPs but it seems to me if one of the "out" ports is running, the others should be as well (at least
  6. Agreed, OP. I personally think that scrubs look like P.J.s to begin with. Why would we REALLY want to make them look like pajamas by adding a cutesy print? Pajamas are not professional. I wear...
  7. What boundaries do you set?

    My advice to you is to not get too personal right away. You will eventually through many hours with your co-workers learn who to trust with your personal life and who NOT to. It is not worth...
  8. Viking, I think this is an interesting perspective because (I think you know this) -- we work at the same facility under the very same ladder. I can see how it would work in some areas from your post...
  9. Potential MN Nurses Strike?

    This rant is ridiculous. Exactly how many years has it been since you worked at the bedside? Since when is a 4:1 acute care ratio a cakewalk? I have to say NO, we don't all know this -- similar...
  10. fell asleep during night shift.

    I used to work in home health as a PCA years back and had vented/trached patients (no idea how much responsibility I had gotten myself into at the time at the tender age of 20!!!!) I had two...
  11. Thinking of moving to MN

    PMFB, who are you? You must be new on my unit. I know my boss has been mad that her jobs haven't been posted outside. I have a feeling we are talking about the same
  12. What do you pack in your work bag?

    I bring nothing and feel lucky about it. I work in a unit and I get my scrubs out of the hospital machine and we have all our supplies including stethoscopes (Littman cardiology ones!) in the room...
  13. Master's in nursing with low GPA of 2.4

    Is a 2.4 below a C? I thought it was like a C+. Isn't an A a 4.0, a B a 3.0 and a C a 2.0? Or am I
  14. Healthcare Admins and Experience??

    Most hospital admins at the highest levels are physicians/nurses in this geographical area. We are full of "non-profit" hospitals though, and I think in heavy for-profit areas there are subjectively...
  15. Nurse Anesthetists

    I work in a SICU and NONE of the women that got in and went through anesthesia school had children. The time requirements are extremely demanding. You are essentially either expected to be in class...
  16. Fluids vs Pressors?

    I currently work in a SICU with three staff MDs that are general surgeons/intensivists that are academically very well respected/published/medical school educators, etc. Especially after abdominal...
  17. Deciding to call MD

    I think it was sort of stupid for your doc to admit a patient with suspected sepsis without 1. a sepsis protocol with what to do like the previous poster mentioned 2. expecting frequent calls from you...
  18. ICU discharge criteria, guidelines?

    As a longtime charge nurse in a SICU (and have been in the past in other ICU specialties) this type of patient does NOT meet the criteria for an ICU bed. You have to be just about dead these days to...
  19. I think private companies can do whatever they want. However, if they wrote a policy (which was what they chose to do) as far as having to at least interview one outside applicant for a job before...
  20. That is crappy. It's like dangling a carrot in front of a donkey, if that is indeed what they are doing. I would have thought it was more along the lines of they have multiple positions open, or...
  21. Can anyone tell me?

    Reading this again -- I would suspect diversion. Her not accessing the Pyxis is an attempt not to get caught anywhere near narcs. Definitely report
  22. Can anyone tell me?

    I have seen this only once before. The nurse that I was working with (I was orienting with her as a float pool nurse at a temp job I started) could NOT administer narcotics because she was in some...
  23. :yeah::yeah::yeah::yeah::yeah: Absolutely. Always be professional at work. Be very careful who you share your personal information with. You need to be there long enough to make sure that what you...
  24. Totally agree with this. The only time I worry about a dB/P is when it is too HIGH -- like over 90-100-110. Typically your systolic is way up there too then. I've seen a number of patients with...
  25. Master's in nursing with low GPA of 2.4

    Moog, I thought this too, and then just got flamed in a threat I posted on today about someone wanting to go into a "general" MSN. I posted that there weren't really any available (my point was, a...