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alaskaman

alaskaman

Critical Care Emergency Room
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alaskaman has 29 years experience and specializes in Critical Care Emergency Room.

Sun and Snow

alaskaman's Latest Activity

  1. alaskaman

    Why Are You Proud To Be A Nurse?

    Yesterday I took care of a 96 year old man who was approaching hospice and scared. He was throughout his life able to control events, his work and his scope of responsibilities of which he had many. He began to who signs of delirium at risk of pulling chest tube, 3 way foley and central line. Haldol 5 mg IVP had little effect. Assuming pain, 4 mg of morphine was given with slight sedation. Finally Ativan 2 mg reduced his fear. We had to use wrist restraints only briefly and his family came and we found a personal sitter. You could see this man's legendary accomplishments in his face and his attempts to make sense of his next journey called on my many years of caring and knowledge to help him. I was able to embrace this complex situation and help reduce his fear and terror. It was not easy, seeing him struggle and it called upon our compassion and skills. That's why I became a nurse. One person helped.
  2. alaskaman

    Your thoughts on Florence Nightingale?

    Florence was a pioneer. My daughter and I visited her Museum at the Thompson Hospital in London. There we saw a photo of her, laughing her cap held by a cocked left hand. It is nice to know she enjoyed her life of service. A remarkable life and a noble path to follow.
  3. alaskaman

    Personal PPE Respirator

    I've been looking at options to travel with my own respirator. hood air flow and batteries. Pricey but will allow me to move easily in and out without being dependent on hospital ICU variable requirements. Has any RN does so? Let me know. Thanks.
  4. alaskaman

    Californians with Convictions

    Is the OP still here?
  5. alaskaman

    Californians with Convictions

    A solid story. Congratulations. Hard work (and in your case very hard work) pays off.. Well done.
  6. alaskaman

    New to ICU from tele - tips needed!

    Yes Get an IV drug book I think Gahart's in one choice which I like. Study critical care drips vasopressors, sedation to pain. Many times these drugs will be used with patients continuously. Knowing their actions will help you understand how they work. Get to know the steps in rapid sequence intubation meds. Study the mechanics of ventilation and the most frequent settings on ventilators and why they use those settings. If they have a classroom component to your training that would be very helpful and will guide you. Know your medications.
  7. alaskaman

    New to ICU from tele - tips needed!

    Do they have an orientation to the various ICUs? It a different animal that Step Down.
  8. alaskaman

    Want to work in ICU

    https://www.amazon.com/Gaharts-2019-Intravenous-Medications-Professionals/dp/0323612725 If it were me I would look at jobs at major hospitals with commuting distance. An ICU training program can be a big commitment and frequently they will expect you to stay there for 2 years post training. I would also pay a personal visit to each of the hospitals who are recruiting or have such a program. If you can walk the unit. If you bump into a supervisor be prepared to say hi, who you are why you're there and what you're looking for. Face to face is always a good way despite the emphasis on on line applications which can also do e.g. "I put in an application....". Your edge up is your two years of experience (what type of med center was the med surgical in?) You're not a new grad....you're studying the drugs will help get you ready to talk with them. Finally, trust your intuition on your walk throughs....If the ICU door is locked you'll have to get a bit creative...
  9. alaskaman

    Want to work in ICU

    You will want to get your stroke cert. I think that your application should be refined to get attention. Your 2 years of nursing will look strong with written or phone references from those supervisors, charge nurses or managers. Those will be very important. It was a good idea to get your BSN. Critical care is very exciting. It demands a lot and forces you to be very organized and fast while remaining situationally sensitive to families. I also work closely with doctors and that collaboration is good for me and I think for other nurses. If your previous employer has records of your varicella TB etc get those. Study an IV drug book and review vasopressors, sedation and pain gtts. Finally look for an ICU training program. Are you wiling to relocate?
  10. alaskaman

    Want to work in ICU

    What have you been doing while earning your BSN?
  11. alaskaman

    Feeling terrible about mistake

    If you stand on the train tracks for a living, from time to time, you get hit by the train. Keep your chin up. You have courage, smarts and love to move you through this....
  12. alaskaman

    Californians with Convictions

    I think the key thing is be able to speak about and document how you have grown and changed since you committed the crimes. The BRN is California is one of the toughest. I think that your self reflection and your ability to speak about that along with a proven employment history will argue for advancement. However, you state you have been convicted of hurting or attempting to hurt other people. You would have to show documentation of anger management therapy and lots of testimonials as to your growth and character since the events took place.
  13. alaskaman

    Public intoxication in Oklahoma

    What happened and has anything like this occurred prior?
  14. alaskaman

    Want to work in ICU

    Frequently it requires that you find a program who has a proctored ICU training program. Does your hospital have that? If not, I would look around.
  15. alaskaman

    New Grad ICU Exhaustion / Advice Needed

    It's a gift. take it. 3 patients in ICU for a new grad is silly stupid. Bound to make any nurse tired. Follow the man to your new home. I would say while I am so grateful for the opportunity my husband got his dream job close to home. I am sorry to have to say good bye but this is a chance I cannot refuse. I am grateful and thank you so very much. Then hit the road with a smile. Interview and establish new priorities. ER can be very helpful to growing your career in the ICU.. You'll learn to move faster transfer its quicker and bring that ICU experience to the ER which they can certainly use. Best of Luck!
  16. alaskaman

    Feeling terrible about mistake

    Every clinician makes mistakes. It is impossible to know everything. You learned not to use the port. Lesson learned. Pt is ok. After 30 years I can tell you so many stories. Here's one. At the ICU VA Anesthesia established an epidural and used ported tubing. The patient had two central lines. The pt became unstable and I looked for the line to give neo gtt. Thought that I had the right tubing and rechecked. It went to the epidural. It would have killed him. Drilled a new rectum into the Anesthesiolgoist, but it has stayed with me. I made the error. I rechecked. I was milliseconds away from giving the neo. So count your stars that nothing went wrong....and you LEARNED. Take a deep breath. It will not be the last one you take when working as a Nurse in ICU.
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