sjalv

sjalv

CVICU

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All Content by sjalv

  1. Energetic after your shift.

    sjalv replied to CardiacDork's topic in General Nursing

    I am a 22 year old CVICU nurse but I don't usually feel energetic after a shift. I mean, I don't mind going to breakfast and staying up a couple hours, but I'm not inspired to go lift or anything like...

  2. Say What?

    sjalv replied to blueberrysundae's topic in Patient, Colleague Relations

    I would agree with what others have said. When he said he was getting 2 of your patients, I would have said something like, "OK, are you ready to receive report?" This prompts the

  3. Lifestyle of a Nurse

    sjalv replied to contemplations's topic in General Nursing

    1. I have never had a shift where it is stressful all 12 hours. Usually it's most stressful at the beginning if the patient is new to the unit or has had a sudden change of condition and requires many...

  4. New Charge Nurse

    sjalv replied to Chilled1121's topic in Critical Care

    I have only ever asked for an assignment change after having a difficult patient (as in, delirious and unresponsive to reorientation attempts) for 5 nights in a row. Another time, a nurse and I asked...

  5. Hands off my vent!!

    sjalv replied to adventure_rn's topic in Critical Care

    I would be calling security. I work for a hospital that can and will ban visitors for interfering with patient care. I fortunately have not had this issue

  6. Do nurse practioners round with doctors?

    sjalv replied to RN to be soon's topic in Nurse Practitioners, NP

    I work in a CVICU and the NP's round with the intensivists almost always. However, the surgical NP's do not usually round with the interventional cardiologists/CV surgeons. They do that

  7. Versed IV push or Ativan IVP

    sjalv replied to icumurse1122's topic in Critical Care

    Zyprexa, Seroquel, or Geodon are preferred. Others have mentioned a Precdex drip but I echo the sentiments that it rarely has the desire effect. We still use it in my ICU though. To answer your...

  8. Precepting New Grads

    sjalv replied to EDRNCCmom's topic in Emergency

    I have been a nurse for over a year now in the same unit where I was a new grad. It is a CVICU and let me tell you, my clinical experience during school sucked. One of the biggest things that helped...

  9. I don't want to work as a CNA during undergrad

    sjalv replied to outsidegirl's topic in General Students

    I never worked as CNA prior to becoming a nurse, and there was a slight learning curve when I became a nurse. It was embarrassing not knowing how to change linen with a patient in the bed and other...

  10. What type of soap do you use?

    sjalv replied to TheCommuter's topic in General Nursing

    I use a face mask from Lush before every shower (right now, I'm using 'Don't Look At Me', which is one of their fresh face masks, but otherwise I use their Mask of Magnaminty). In the shower, I use...

  11. Too sick to leave AMA?

    sjalv replied to Rexie's topic in General Nursing

    Why do you abbreviate the word 'very'? I don't mean to be inflammatory, I've just seen that a lot on this forum and it's not something I've seen elsewhere on the

  12. Should I use my tuition reimbursement from work to get my RN?

    sjalv replied to Nursing pursuit's topic in General Nursing

    Go to the community college. The lack of debt will be an enormous relief when you graduate, and it sounds like it will prepare you better

  13. ¿Hablas en Espanol?

    sjalv replied to adventure_rn's topic in General Nursing

    I speak Spanish very well but I wouldn't say fluently. I explain the situation and answer questions as best as I can but if I find myself unable to describe a medical procedure adequately, I will...

  14. Are You Where You Thought You'd Be?

    sjalv replied to Fancychicken's topic in General Nursing

    I started nursing school knowing I wanted to become a CRNA, which would entail getting an ICU job upon graduation. I got into nursing school my first try, passed the NCLEX my first try, got a position...

  15. Does anyone live alone?

    sjalv replied to direw0lf's topic in General Nursing

    I live alone and have no pets, no SO, and no kids. I am a young 20 something and have no issues keeping up with my bills/rent and putting money in savings with every check. I work full time 7p-7a at a...

  16. Post-op TAVR's & Swans

    sjalv replied to sjalv's topic in CCU, Coronary, Cardiac

    Thanks for that explanation, and you're right. Especially having taken care of open heart AVRs and TAVRs, the loss of all the hardware makes them a lot more low maintenance and seems to improve...

  17. Post-op TAVR's & Swans

    sjalv posted a topic in CCU, Coronary, Cardiac

    Hi all I work in a CVICU where we get everything from CHF exacerbations to post-op TAVRs/CABGs. Our CABGs still come back with Swans & Art lines. However, the new practice at our facility is that...

  18. Post-op TAVR's & Swans

    sjalv replied to sjalv's topic in CCU, Coronary, Cardiac

    From what I understand, none of them will even come back with a Foley. I think all of them should have arterial lines because what if they're having bp issues and need to be on Cardene to protect the...

  19. Oklahoma City New Grad Nurses

    sjalv replied to kjordan5's topic in Oklahoma Nursing

    Sounds like Hillcrest Medical Center. I have a friend who works there and has told me about the same incentive

  20. Hardest things we tell family

    sjalv posted a topic in General Students

    I've only been a nurse for a few months now, but working in a CVICU, I've been in some very somber situations. I knew I would be experiencing this as a critical care nurse, so it's not like it has...

  21. Hardest things we tell family

    sjalv replied to sjalv's topic in General Students

    Yes, I would say so. I already had a clear distinction between 'quality of life' and just living before even becoming a nurse, but seeing what some families put their loved ones through, and what we...

  22. How to help your relationship survive night shift

    sjalv replied to Kharma711's topic in General Nursing

    I don't have an SO so it's hard for me to relate, especially because most of my friends work night shift too. However, I'm just chiming in to say that there are at least 2 nurses on my floor that...

  23. Type B in a Type A world

    sjalv replied to ThePrincessBride's topic in General Nursing

    I strongly disagree with this advice. Why should the OP brown nose some nurses who are being catty towards her? Constructive criticism is welcome and should be encouraged. Nitpicky behavior should...

  24. Would you report possible diversion?

    sjalv replied to Emergent's topic in General Nursing

    Please use the 'quote' feature where you can cite another member's post and subsequently write your reply. I do not understand your logic. Refusing to witness something you did not actually witness...

  25. Transition from step down to ccu

    sjalv replied to RescueNinjaKy's topic in CCU, Coronary, Cardiac

    I work in a cardiovascular ICU. I think the most important personality traits to possess include the ability to remain calm under pressure. Many people say they can, but when push comes to shove many...