Sun0408 ASN, RN

Trauma Surgical ICU

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All Content by Sun0408

  1. It really depends where you live like others have said. I work in a very large hospital and had no issues getting hired with my ADN fresh out of school. Very few places in my area offer BSN programs...
  2. We also use the Alaris pumps and they can be a pain. I stretch the tubing when I prime it especially the area that goes in to pump.. I have found air trapped in there and the stretching allows for the...
  3. Sun0408

    A little puzzled, looking for some input

    I have seen something similar as to what you describe. The pt was in his 40's, AMS, extreme pain, enlarged liver/spleen, fever, increased ammonia levels, almost unresponsive one minute to 4 point...
  4. Sun0408

    Charge Nurse Ignores Me

    I don't know but this sounds like really childish behavior Some how you have annoyed the charge nurse or she may feel your questions are invalid, either way this has to be handled. Pt safety is...
  5. Sun0408

    How do you prime a nasogastric feeding line?

    Fill the bag with the correct feeding, fill the chamber half way by squeezing it and then open the roller clamp til it reaches the end. This set up does not look like it connects to a pump so you...
  6. Sun0408

    Feeding tubes - Help!

    Yes, a Dobhoff can be inserted by the RN. I have yet to see a MD insert one. A Dobhoff is the brand of the tube inserted through the nose, they clog very easy and much smaller than an NG tube....
  7. Sun0408

    I did a dumb thing today and learned a lesson

    Not enough details but if this is over the instructors language, then I have to say: pick your battles. In the grand scheme of things, this is not something to get all worked up over and possibly...
  8. Sun0408

    Do Nurses Earn Big Money? You Decide.

    Please tell me where you work because I can promise you, I do not get holiday pay, double overtime, large shift diffs etc.... No triple holiday time or regular time and a half for holidays either....
  9. Sun0408

    Is it possible to do maternity nursing in a clinic?

    The obvious come to mind; OB office, peds office but for couplet care the only thing I can think of is a free standing birthing center (not hospital). I'm not sure how popular they are in your area...
  10. Sun0408

    Flushing PICC lines with heparin

    If we have a line with heparin, we pull off the heparin before we flush or run anything through the lumen. Once we are finished with the lumen, we flush with NS then flush with the heparin. My current...
  11. Sun0408

    Passing meds prepared by someone else

    Agree with above. In addition, I have had people refuse this med or that one;how would you know which one was which.. Sounds like bad practice to
  12. Sun0408

    Pretty bad at starting IV's

    #1 will depend on your policy. Many do require an MD order for the foot d/t the high risk of infection. #2 will also depend on your policy, we are not allowed to place a line on the affected side....
  13. Sun0408

    TNCC Course next weekend-freaking

    Still can't help you with the written exam, sorry. Don't remember much from the test. You can google TNCC video's on youtube to see what the scenario's looks like. Hope that helps
  14. Sun0408

    Nursing presentation HELP!

    Is there an area of nursing you are more familiar with that you can do the PP based on that?? If it must be the OR, maybe google can you pin point
  15. Sun0408

    TNCC Course next weekend-freaking

    Wait, I never said you were preventing others and that was not my intention. TNCC is emergency/trauma based which is seen more in the ED/trauma unit but it is all about assessment and still...
  16. Sun0408

    TNCC Course next weekend-freaking

    Know the scenarios in the back of the book, pay close attention to the * and **, they are crucial to hit during your test. It is similar to ACLS and the megacode, you will walk into a room and get the...
  17. My last facility was the same as above, a few days class and that's all. I miss CRRT, my current facility doesn't do it, they just do traditional HD or
  18. Sun0408

    New nurse and very depressed

    Night shift is tough but this sounds more than just "night shift adjustment". The anxiety is getting to you. Being a new grad is tough the first 6 months. Hopefully your PCP will be able to help. If...
  19. Sun0408

    days vs. nights--family life perspective

    Night shift works best for my family. My children are 12 and 10. During the school year, it works great. I see them everyday, able to help with homework and do dinner. I sleep while they are in school...
  20. Sun0408

    Ever had a Dr. mad at you?

    Yes, I have had plenty of people mad at me.. New pt, expect new orders, look for them, make sure they are in the computer or place them in the computer. All pts in the hospital will have orders. Check...
  21. Sun0408

    Getting new orders

    This is a very specific question for your facility, best to ask your charge nurse, NM, or someone that has been there longer than you.. Typically when the doc says "ok" to your request you write a TO...
  22. Sun0408

    New Grad ICU Need Encouragment

    Um no, that is not how it is everywhere. 6 weeks orientation to the ICU is unreal, it should be 12 weeks or longer with classroom time. Being a new grad is hard enough, this is not something you...
  23. Sun0408

    Clinical instructor offended me during clinicals

    I'm sorry but I am not seeing a problem. Have a talk with her so she knows you understand and speak english very well. I see this as a misunderstanding. I also think you are reading too much into this...
  24. Sun0408

    Read this email my NM sent to all the nurses.

    I can see that, I stated in my original post there must be major issues.. Maybe the NM is now seeing the issues and working to fix
  25. Sun0408

    Read this email my NM sent to all the nurses.

    How are we doing that? The NM sees a problem and is doing something about it. Now I am not saying you are doing this but usually people don't get upset unless they are guilty. If you are not one of...