sugarmagnolia3

sugarmagnolia3

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All Content by sugarmagnolia3

  1. Peds vs. Adult ICU

    These are my pros and cons, and would vary from person to person, or facility to facility. Adult ICU- my job felt like death prevention, while PICU is lifesaving (most of the time). Adult ICU I felt...
  2. VENT WARNING Nights: Just Need encouragement I guess

    Sorry you're going through that! Nights are rough, and though no one really totally adjusts, and some people really, really don't adjust. Hang in there, and I hope you find a day position
  3. CCRN "Cram Cram Repetition Nail it"

    Thank you, this is very
  4. Don't rule out nursing yet: My advice would be, to focus on gaining a sense of self-worth, whether that's from therapy and healing your childhood wounds, learning new internal dialogue, or doing some...
  5. Don't rule out nursing yet: My advice would be, to focus on gaining a sense of self-worth, whether that's from therapy, learning new internal dialogue, or doing some community service to realize you...
  6. New Grads going straight into critical care

    Also, one suggestion I have to make is if you have any interest in obtaining your CCRN-adult cert, do it before you transfer! I regret not doing it while I worked with adults, and am pressing to...
  7. New Grads going straight into critical care

    Yes! In PICU now! I just started in PICU last October after 5+ years working in various adult ICUs. I love it, and am learning so much! I think the transition was relatively smooth, but I felt like I...
  8. Most drips at once

    vaso, levo, epi, neo, dopa, dobutamine, insulin, bicarb, nimbex, fentanyl, versed, TPN, blood products, Xigris & multiple ABX. 2009 pt had H1N1, was younger and was on HFOV and rotoprone. All gtts...
  9. First and second patient death

    Sorry you went through that, and I don't think it's ok that your colleagues are calling you "grim reaper"; It is very unprofessional and insensitive to say the least. If my colleagues gave me a...
  10. New Grads going straight into critical care

    I went straight into adult ICU. My hospital had a strong new grad program and my preceptor was awesome. Best opportunity I've ever
  11. Adult ICU nurse transitioning to PICU

    After 5 1/2 years as a nurse (all adult ICU), I am transferring to PICU next week and will also be also be floating to NICU to care for the "feeders and growers" (that term makes me smile=). Would...
  12. Adult ICU nurse transitioning to PICU

    Mrs. H, thank you so much for the thoughtful and amazing reply, and yes of course it was very welcome!!!! So awesome that you are still actively working- you are proof that once a nurse, always a...
  13. Adult ICU nurse transitioning to PICU

    Thanks for the great response! I did know kids were more prone to respiratory arresting first. I love what you said about kids being Houdinis and utilizing the parents! "Even if they're old enough to...
  14. Adult ICU nurse transitioning to PICU

    Thanks for the advice! That's exactly the kind of thing I need to know...Will be watching some kids movies soon! Woo
  15. Looking to transition out of ICU

    I'm looking to transition out of ICU. My body just can't take the physical aspect anymore. Transferring patients from bed to bed, turning and repositioning Q2 hours, elevating arms and legs that are...
  16. Looking to transition out of ICU

    Thank you so much for replying. I don't think I could do it. I enjoy floating to other units once in a while, but I don't think I could make a career working on tele. I'm also looking to expand my...
  17. blood transfusion and first 15 minutes

    Doesn't have cardiac history, or prone to overload? in ICU that's pretty much no one. And even those with normal cardiac function can overload with too fast of a transfusion- have seen it
  18. Ativan

    I don't understand why IV ativan wasn't given, however maybe you could ask next time, maybe not right then but later...Approach is everything: Start with saying, "I'm just really curious but
  19. blood transfusion and first 15 minutes

    I prime with saline, and run wide open until the blood almost reaches the patient. Then I start at 75mL/hr for 15 minutes. I stay close by. Then I turn up to 120-150/hr. To the poster that said they...
  20. Old/New Grad seeking ICU Internship (HELP)

    Hey thisdoll...I just checked ECCO (Essentials for Critical Care Orientation) by AACN, but it is not unfortunately available for individual purchase=/ It looks however, like AACN has an EKG course and...
  21. Old/New Grad seeking ICU Internship (HELP)

    My personal opinion is keep doing the best job that you are doing in your current position, and continue to look for other full-time positions in acute care. If you can't find an ICU position, you...
  22. what is an appropriate migraine treatment

    I'm not an NP, but I thought I'd respond with personal experience. I understand there are migraine pathways to follow. I have been treated personally with an IV cocktail of Toradol, Solumedrol, Zofran...
  23. I am an RN with 4 years all ICU experience. I have thoughts about becoming an PMHNP, but I feel like I shouldn't seriously consider it unless I get some direct experience first Anyway, I feel like I...
  24. Has anyone done the WGU online RN to BSN program?

    Glad to hear most comments are positive about WGU. I have my enrollment call with my mentor tomorrow, and have already completed the EWB. I too, am going to pursue an NP program. WGUs competency is...
  25. Disability Insurance for Travelers?

    Hi, I have looked at taking out private disability, but was dismayed at the exclusions/riders I would have on a private plan: had neck injury due to an MVA/whiplash. Strained my T-spine at work 3...