alaskaman

First off you are not alone in your reaction and symptoms. Your response is a natural event related to a world wide pandemic. Talking talking talking is the recovery ticket. Like many you thing you can do it. Give yourself a year talking weekly, pote...

You probably know already that talking it out is the main way to recover from traumatic events. The other thing that will help is to understand that the world is going through a worldwide pandemic. It is real. Step back and just consider that for a f...

I have worked critical care for 10 years and the last 2 years in a step down unit. I am considering taking one of the very high paying ICU jobs on travel. I can make 4x what I may now in one month. I can carry COBRA. May or may not be able to r...

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 pullin...

I have not placed a female foley for 15 years. Nothing happens if I'm not there. I routinely request a female colleague to place it. I do this to protect my practice. It only takes one allegation of any kind and my income is gone. It is simply ...

Trust your gut and yourself. Walk the unit. Meet the people. Are they friendly? Do you like the physical layout? Do people smile or do they look away...? Of course you're nervous. There are techniques to manage anxiety. Work with a Psychologist to le...

Is the OP still here?

Does your pump have a med library? If so it should have prevented this rapid infusion of lasix.

As I approach semi retirement very interested in finding out more about remote telephonic nursing. Any companies you would recommend would be helpful. Thanks!

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

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 wo...

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

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...

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 i...

How many months of nursing experience did you have before taking a break? What units?

What have you been doing while earning your BSN?

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....

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 wi...

What happened and has anything like this occurred prior?

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.

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...

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 porte...

This is about organizing charting in the practice of nursing imho.

You'll need to build your charting immediately after your patient assessments. What charting system are you using. This is a very common issue.

Have you thought about case management and certification? Sounds like after many years moving to a step away from the bedside might be a good idea. There is also insurance agencies which use telephonic case management. You may want to speak with them...