meluvsquki

I work in pediatrics so things might be a little different but our practice is such: Anesthesia will give you report ahead of time, telling you patient's access, airway, any drains, etc. Then they bring the patient up with their little sedation bundle, which usually includes bolus doses of fentanyl, versed, paralytics, etc. They are almost always calm and well sedated when they first arrive in the ICU. When they're not, anesthesia will usually give a PRN before they leave. Anesthesia sticks around for 10, 15 minutes after patient arrives to give report to the team and to make sure patient is stable right after transport. We've had kids who wake up too soon with a bang, and a lot of times the sedation drips don't come as fast as we'd like it to, so in the mean time we do our best to keep the patient calm with PRNs. Also, we always keep restraints in the room before patient arrives if we find out that the patient is intubated. What happened to you is most certainly not safe and is reportable.

Good job! Yeah the 22 week position definitely sounds better. 3 months on orientation in the ICU as a new grad sounds scary.

New nurse here four months into orientation... I've been struggling with writing my narratives. Since I've been so used to banging out care plans in nursing school, it's been much more difficult than it should be to write my nursing notes or narratives. It also doesn't help that I've had 7 different preceptors and everyone has their own style of writing their note. Some people are very brief, some people write paragraphs.. Some people want me to write out my shift assessment, describe the patients as how I found them when I received them...even though I've already charted in the shift assessment flowsheet.... How do you guys write your narratives? Also, is there a good way to practice writing them?

Yes it does make sense! :) Thank you janfrn!!!

Hello, I'm a new grad few weeks into a preceptorship in PICU. I've been bouncing around among few preceptors and shown different ways to zero lines. First I was told that the transducer has to be at 4ICS (phlebostatic axis) but someone else said that it just has to be uncapped, open to air, since it zeros to atmospheric pressure and it's not necessary to be at 4ICS... ??? Who's correct? I never realized that there would be so many ways to perform nursing tasks... even the simple ones O.o

NYC - Peds CICU

If anyone's interested, NYP-Cornell is currently looking for "nursing companions." You have to be enrolled in a nursing program and have taken one year of nursing courses. Sounds like an amazing opportunity to get your foot in the door! NYP is also looking for NAs from time to time. They hire people with CNA certifications and nursing students in BSN programs. The positions are up online only for a short period of time (few days at most) as HR gets flooded with applications.

I agree with the above posters... The job market for new grads in the tri-state area is VERY saturated right now. Even for those who have their foot in the door working as unit clerks, nursing attendants are having a difficult time landing a job in the hospital they are working in... Most hospitals won't even look at your app if you do not have a BSN. I suggest get an offer first and then move.

Make sure you snack as you go and take a nap during your break... Idk how Id do it without caffeine.

I passed my NCLEX but yet to receive my license#. Everyone on my floor knows I passed including my manager and I start working as an RN in September. My manager hasnt said anything about me being taken off schedule though...

I studied the night before. I did some questions, saw that my scores were good and then watched an episode of my favorite show. I couldnt sleep until 2am.. got up at 5am to get ready.

So frustrated here as well. I already have an offer but cant start til i have my license! God knows how long this is gonna take...

Some of my instructors actually used older edition books. I did too and I would just compare my book with the newest one from a friend. I saved money by renting books also.

Try to make the most out of your clinicals. Ask questions. Get an externship or a tech/na job at a hospital. Learn how to write a good cv & resume.

If you have a job lined up and u just passed the NCLEX, theres a form u can fill out from HR that can accelerate the licensure process. Ask ur HR and u can fill out the form and HR will file the from to NYS BON.