All Content by weirdscience
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Transferring fron Med-Surg/Tele to ICU advice please
Your tele experience will be an asset to you. The biggest transition I experienced (and have witnessed other med/surg to critical care RN's undergo) is the shift of priorities from a task orientation to an acuity and systems orientation. You really have to set aside that task-y mindset and think through what is the most pressing need your patient(s) have, plus why you are doing what you're doing, what could go wrong, and what you plan to do if it does go wrong.
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Use of backup saline infusions for medication infusions in ICU
We use a 10 ml per hour backer at minimum, unless the gtt is running at 10 or greater.
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Does your ICU use CHG wipes for bathing patients?
We use the CHG wipes, and are also starting to move away from calling them a "bath."
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Univ of Texas Arlington RN_BSN Online experience, anything?
OP, I work full time nights and have gotten straight A's taking 1-2 courses at a time. I have 4 classes left, including Capstone. I have taken two of the "dreaded" ones (Assessment and Management) already, and am in the process of taking the third (Research.) As I said, I have not found the program difficult to achieve good grades in, just annoyingly time-consuming for not a lot of new knowledge acquired. All of my general coursework transferred without issue, but I did not have coursework from another state. YMMV. But they will do a transcript eval for you prior to admission--I think you just have to pay the ~$50ish application fee. So you'll know what you are getting into.
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Univ of Texas Arlington RN_BSN Online experience, anything?
Time-consuming but easy.
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How much compassion is necessary to be a Great RN ??
I think you'll be fine. This is normal. At least for some of us girls. ;-)
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A sobering story-------
I got the impression that the statement came from her self-report to the hospital's event reporting system, which does not go into the chart. Not sure how the press got ahold of it, though.
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Is being a CNA imperative?
I worked a better paying job throughout NS. I learned the CNA stuff hands-on my first year as a RN (we went over some of it, very generally, in a prerequisite for NS but there was very little hands-on training, so it didn't really stick.) In retrospect, it sucked sometimes to feel like I was behind on the basics...but making $11 or $12/hour would have sucked more.
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Thank you, Joy Behar!
Michelle Collins is no peach, either. She's the one who initially brought up the monologue in a derogatory way, but Behar is getting most of the heat.
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Thank you, Joy Behar!
Also, if you click on "Visitor Posts" on the View's Facebook page, there are many more scathing comments.
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Thank you, Joy Behar!
They're not going to live this one down quietly. Their Facebook page is exploding. I thought it was refreshing to see her monologue about her talent. Not everyone plays an instrument or does ballet. I was really proud of Miss Colorado.
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Why is everyone hating on ED?
Totally agree. I'm an ICU nurse also, and I can't imagine expecting the ED nurse to have done a 1900 glucose check at 1850 whilst transporting said patient. That's pretty ridiculous.
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What do nurses bring during duty?
Not a dumb question, not everyone uses different colored pens. Some do it to organize their brain sheet (seen a lot in ICU, different tasks get different colors or things get checked off with another color) and some who are still using paper charting need a red pen to chart check orders.
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Why does everyone say that they "consigned" a drug waste.....
I hate Frozen! Lego Movie for the win!
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Odd days with Moon Phases
I have two superstitions: one is about moon phases and night shift, the other is having money in my pocket on New Years. Otherwise, I'm a very logical and rational person.
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THANK YOU, to the staff, mods, and admins....
I just wanted to start a thread to show some support for our hard-working mods. Your job is never easy, but today, it's especially difficult. I can't speak for everyone, but I know I speak for many when I say that what you all do is appreciated. Keep your heads up.
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Why does everyone say that they "consigned" a drug waste.....
New favorite thread. *cackle*
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Going "Above and Beyond" UGH
When an RT spiked a humidification bottle incorrectly and I had to clean up a giant puddle under and around my patient's bed, in the near-dark, at 3 AM, without waking him... Sigh. The patients and administrators TRULY never know how the night shift goes "above and beyond" for them. No pin awards for that biz!
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Employee vs Patient: Do you receive care where you work?
I would absolutely get care at my facility, because it's far superior to the alternatives in town.
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Nursing report ED to Floor
Assume you're getting minimal to no report and figure out the hot spots of your computer charting to dive in and read quickly (h&p, labs, recent vitals, then MAR is what I speed-read if I get crummy report.)
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NEW TO ICU
Second the MANY posters who've said your orientation was terribly inadequate. I came into ICU with 18 months floor experience, and I still got 12 weeks orientation. Not to mention the more seasoned ICU nurses are ALWAYS willing to jump in and help if you tell them you haven't done something in awhile or want a second opinion. If your experienced nurses are THAT busy with their patients, something's off. Even as a relative newbie of nearly a year, I generally have (or MAKE) time to help coworkers nearly every shift, unless I have an unstable one-to-one. Where was your charge or resource in the code situation?? If you can't negotiate a preceptor, RUN, don't walk. If you can, sounds like this situation could be a trial by fire and you'll definitely learn a lot. But don't do it if inadequate support puts patients at risk. There's a difference between super high acuity and a **** show.
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The Controversy: Mandatory Flu Vaccines
By the way, as far as I can tell, the guy who cured his prostate CA with bone mets via molasses and bicarbonate has sadly passed. There was an obit online in the Bellingham Herald which has now been archived. Guy was from Birch Bay, WA so the name/place match up. His Facebook/website hasn't been updated, probably not a good idea to publicize it when family's still making money off his book. I'm in no way making light of this. I feel sad for his family and followers. Heck, I feel sad when chemo and radiation doesn't work...not everyone can be cured, and that SUCKS. I'd post links, but this is all a three minute Internet search away. Back to vaccination?
- The Controversy: Mandatory Flu Vaccines
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The Controversy: Mandatory Flu Vaccines
Not sure what your fixation on ADN vs. BSN has to do with, well, ANYthing. All it takes is a rudimentary understanding of statistics, ability to read at a collegiate level, and an understanding of logical reasoning/common fallacies to interpret peer reviewed studies appropriately. As to your shocking headlines about scientists falsifying data...no surprise that highly competitive people sometimes seek the easy route to glory in their field. Or, as we've seen in this thread, so desperately want to believe in their hypothesis even in the face of overwhelming evidence to the contrary. Other scientists come along and bust them. At least there's a system in place for this to happen. Ever wonder why the alternative medicine blogs frequently have no dissenting comments, and look like they were cobbled together by a ten-year-old?
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Trivial Question: What do you usually bring for lunch?
Salad, nuts, string cheese, yogurt, hot/cold tea, water, sometimes leftovers.