MinoritySN

Hi there, I Well first I want to say if the pt was on Nitro had the nurse administered 3 nitro with unrelieved chest pain? or was this pt on a nitro drip? If so this does call for her to notify the MD. Also had the nurse used MONA (Morphine, oxygen, nitro, and Aspirin? secondly electrolyte protocols are used in the ICU so if this pt was in the CCU there should have been standing orders to replace the K+ if the pt was not in renal failure. Also I would not call the MD for PVC's unless there are 3-5 in a row and sustained (lasting more than 30 seconds) if sustained this is considered a run of V-tach and the pt might have needed their Magnesium checked. Magnesium is also given in codes especially with Torsades de Pointes which caused by Magnesium. I hope this helped!!

My career goals are to ultimately work in CVICU. I applied for a position to CVICU without knowing how far the job was from where I lived. They finally called for an interview and come to find out the job is a 2 hour commute. I do not know if I should interview for this or even commit to this! Any advice?

Exactly this is why I say every shift just has a different kind of busy

Exactly!! I also helped the CNAs giving that I use to be one. NOC's are crazy, and I don't understand why they think the shift is easier LOL!!!

Well for me nights are extremely busy just a different kind of busy from day shift. After report its med pass, and treatments. Notifying MD of changes of change of conditions for new orders before 9 pm for patch calls, chart checks and taking off orders, and of course documentation. Then as soon as your busy pharmacy delivery stops you again. Then its all the discharge paperwork for the day nurse (writing out ALL) the meds and completing the discharge packet and making appointment packets (for follow appointment with ortho, cardio, etc). I also would complete admissions from the day shift did not. Hourly checks (people code at night) not to mention sundowing, and/or behaviors. All checks for crash cart, and medication fridge. Maintain IV etc hanging a new for the day shift was a MUST for me to help out. Glucometer highs and lows, stocking the med cart for day shift!! I can go on and on I NEVER had a break

Don't be scared of a nursing home the skilled units have plenty of need for RN's and are always short staffed. I will not sugar coat anything it is a tremendous amount of work however while there I managed care of patients with various post acute/surgical patients ex; post surgical CABG, AKA,TKA, Total Hip, Laminectomy, GI Bleed, Lobectomy, ORIF of the ankle, pneumonia, post subdural hematoma, Post CVA, management and care of tracheotomy, PEG and TPN feeding and tx of wound and wound vac. Also I am an RN with my BSN looking to go back for my Master's and still have a hard time finding a job, so don't be discouraged.-

I totally understand this is stupid because LTAC nurses are highly trained and clinically competent. I worked at an LTAC as an CNA and I loved it, the charge RN came from ICU. Also because I know my goals are CVICU I think an LTAC will prepare me for this, I just don't understand why recruiters don't read the resumes for the best candidate based on education and experience (vent,drips etc). LTAC nurses have the experience!!!

I would try the local Nursing Homes first.

Thank you for your reply. I ultimately would like to work in CVICU (Cardiovascular ICU) so would the LTAC suit this goal better? Thanks

I have been a RN for a 1 1/2 yr. and just finished my BSN. I have recently relocated to a new state and can not decide which job would be better for me in the long run. I need help choosing between. 1. LTAC 2. Med-Surg 3. A TOMS Tripod Unit (Telemetry,Oncology, and Med-Sug) mixed unit Any advice?

yes if you need more time just ask

OK, what was the NAME of your school? MinoritySN

Front Range Community College has a waitlist of about 1 year. If I were you I would apply to be wait listed there, I would not take those classes over. The wait will be around the same time, so I would go about it this was and save on the tuition money, and by the time your wait list number has come up you will be a Colorado resident. MinoritySN

Hey Katie, You Never mentioned the name of the Program, I already had Pharmacology Lecture Based and got a C, the material is just so much in just a little time (10 weeks), so I wanted to take it over, but online and considering I already had pharmacology the material is still fresh in my brain, and I like online course work, so I figured I'll be fine. MinoritySN

Can anyone tell me where I can take Pharmacology Online with at least 2-3 credits. I'm am REALLY LOOKING for ONLINE. Thanks, MinoritySN