sjalv

sjalv

CVICU

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All Content by sjalv

  1. CVC dressing change

    sjalv replied to drdonna's topic in General Nursing

    Clean gloves to remove. Mask, sterile gloves/technique, and CHG prep around site when applying new

  2. What's your side job?

    sjalv replied to thejetsetnurse's topic in General Nursing

    Does everyone have a side job? I work my shifts and leave it at

  3. IV Insertion in School?

    sjalv replied to meganec17's topic in General Nursing

    You didn't even cover it in lab? It's not unheard of for a student to not have a chance to start one in clinicals, but it's strange to me y'all won't be shown how it's done on a mannequin or even an...

  4. House Fire

    sjalv replied to ladytraviler's topic in General Nursing

    On the contrary, the support from random strangers on the Internet can often be overwhelming. Have you ever seen the photos on Humans of New York on Facebook? People are always volunteering their help...

  5. House Fire

    sjalv replied to ladytraviler's topic in General Nursing

    I am not in a position to host anyone, but have you considered starting a gofundme page and have her contact the local news station? It is situations like these that truly deserve public donations,...

  6. Bedside report - hate it? Like it? Love it?

    sjalv replied to ixchel's topic in General Nursing

    For clarification, I work in an ICU where the patient often has multiple drips, drains, lines, and many issues going on at once. Not to imply that other types of units don't have such patients, but...

  7. TMI for Nurses

    sjalv replied to Joe V's topic in General Nursing

    I met a friend who is also a nurse at a diner right after she got off work. We hadn't seen each other since graduating nursing school and started talking about our experiences on our units (I'm in a...

  8. 12/5: What I've learned this week - No, I don't have "just a second" to help you

    sjalv replied to ixchel's topic in General Nursing

    Your charting system allows this? At my facility, you cannot edit or delete someone else's charting in any way. You can't even copy

  9. 12/5: What I've learned this week - No, I don't have "just a second" to help you

    sjalv replied to ixchel's topic in General Nursing

    I've learned that having a patient who sundowns makes a very, very long shift. An added bonus is when you work in the CVICU and they rip their radial arterial line out on a whim and you are...

  10. Safe to take new admit at shift change

    sjalv replied to russianbear's topic in General Nursing

    While I would prefer to get an admit at start of shift too, I do not stay past my shift just because I got an admit right near shift change. Nursing is a 24/hour job. I focus on doing a) what's most...

  11. Does your ICU provide sitters?

    sjalv replied to sjalv's topic in Critical Care

    That doesn't sound like it would be at all effective. My only experience with patients who would need sitters are people constantly picking at their IV's/arterial lines, trying to get out of bed while...

  12. Safe to take new admit at shift change

    sjalv replied to russianbear's topic in General Nursing

    What is up with some hospitals and the ER not calling report? Is it a time issue? I work in an ICU and if we are getting a patient from the ER, they always call report before they send the patient up....

  13. as a nursing student will I get more out of working in the ICU as a CNA?

    sjalv replied to michigan94's topic in Critical Care

    I would think you could learn a lot as a tech in the ICU. As an RN in the ICU, if I weren't busy and a tech wanted to learn how to do basic things like priming IV tubing, drawing blood from an...

  14. Medication errors

    sjalv replied to fangirl's topic in Patient Medications

    In no particular order: 1. Tell the patient 2. Tell the attending 3. File an incident report 4. Tell your charge nurse 5. Meet with unit manager to discuss how it can be prevented in the future Med...

  15. Compassionate Connected Care (C3)

    sjalv replied to calivianya's topic in General Nursing

    It depends on how the phrases are used. I routinely have patients who apologize when they soil the bed, or when they ask for something simple like a glass of water. I usually say, "It's no problem at...

  16. Need reasons why becoming a nurse first, then becoming a doctor, is a bad idea

    sjalv replied to jeaux's topic in General Nursing

    My assumption was that they were the ones paying for it, but that is also a valid

  17. Need reasons why becoming a nurse first, then becoming a doctor, is a bad idea

    sjalv replied to jeaux's topic in General Nursing

    I have never heard of anyone 'working their way' through med school. The coursework is simply too demanding. Not to mention the clinical component that would take up any extra time you could imagine...

  18. Need reasons why becoming a nurse first, then becoming a doctor, is a bad idea

    sjalv replied to jeaux's topic in General Nursing

    Perhaps because majoring in Nursing does not tend to require the level of 'hard sciences' that a specific science field such as Molecular Biology, Biochemistry, etc would require, and that lack of...

  19. Customer satisfaction callbacks

    sjalv replied to Emergent's topic in General Nursing

    I'm not sure if my hospital just doesn't do these, or if we just don't them in the ICU because patients never are discharged directly home from the ICU. Either way, I hadn't heard of them before this...

  20. Need reasons why becoming a nurse first, then becoming a doctor, is a bad idea

    sjalv replied to jeaux's topic in General Nursing

    How old are you? Why is your family deciding your career path for

  21. Compassionate Connected Care (C3)

    sjalv replied to calivianya's topic in General Nursing

    We do bedside report, but I don't 'talk up' a nurse unless I genuinely believe what I am saying. And if I do, it's usually before the next nurse gets there anyway. I might tell the patient at 0630,...

  22. How do you scan insulin?

    sjalv replied to Ann.E's topic in Medical-Surgical

    For short acting insulin (Apidra), we scan the barcode of the actual vial. When removing it, we have to override to access the refrigerator, but we don't specify what we're removing. For instance, the...

  23. How would you interpet this order?

    sjalv replied to dudette10's topic in General Nursing

    I would call and clarify the timing of the dosages. I realize it's only MoM, but it's the principle. At my facility, pharmacy won't even profile a PRN order that does not have the frequency

  24. new nurse thinking of leaving hospital job

    sjalv replied to n1wgmp's topic in First Year After Licensure

    If I were you, I would be wary of this offer. No offense, but what about you vs more seasoned nurses on the unit made him single you out as the nurse he wants working with his practice? Why would he...

  25. Do differentials make up for working 36 hrs vs 40 hrs per week?

    sjalv replied to Philly85's topic in General Nursing

    What gives you the indication that this is a homework question? In what nursing school do they talk about salary/income? In mine, it never came up, because it varies so much. I don't get what this...