Rosie_one

Rosie_one

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All Content by Rosie_one

  1. I just got hired in a plastic surgery clinic. Are these red flags?

    Rosie_one replied to Puppylover0213's topic in General Nursing

    DoNot Take This Job!! OK, first of all it's not uncommon for a plastic surgery office to have one RN. The RN that's hired by a plastic surgeon that I've seen are always youthful. After all you're...

  2. PA catheter and parameters

    Rosie_one replied to hyhero89's topic in Critical Care

    PA Catheters are used frequently in our CVICU. You will not see them in use in any other specialty, only cardiothotacics. The alternative option is a PICCO monitor, which I have used in MICU, but in...

  3. Help! How do I deal with frustrating patients

    Rosie_one replied to FDE123's topic in Neuro Intensive Care, ICU

    Oh I forgot to mention. When you start out in ICU, you will be given the stable patients. They are assessing your skills with "simple patients", mind you often mentally draining. If you can handle...

  4. Help! How do I deal with frustrating patients

    Rosie_one replied to FDE123's topic in Neuro Intensive Care, ICU

    I would also make sure the husband isn't making your confused/agitated patient worse. Often family members will talk to and expect conversation and just stress a patient out more than if the family...

  5. New Grad in Neuro ICU

    Rosie_one replied to jb_mmmm's topic in Neuro Intensive Care, ICU

    Congratulations! Welcome to the dark side haha. Have a lot of patience. You will be dealing with a lot of confused/delirius/agitated patients. You will sometimes feel, "is there a point to this". I...

  6. Intubation turning into a code blue

    Rosie_one replied to ICUisLife's topic in Critical Care

    Agree with all previous entries. Just to add. I always think back to the oxygen dissociation curve, once Sp02 is under 90%, it will drop very quickly so no surprise it got down to as low as it did. I...

  7. What to see in a SICU

    Rosie_one replied to tickledlemur's topic in Critical Care

    I'd ask to be put with chest trauma, always interesting as great for resp assessment, surgical chest drains (ICCs). They're complex from a ventilation stand point and as such require quite a bit of...

  8. First med error/mistakes

    Rosie_one replied to Smhcdh0623's topic in General Nursing

    First of all you made it through the night!!! Some shifts I just want to crawl into a ball haha.The problem with nurses we strive to offer the best patient care to our knowledge and ability, but soon...

  9. Post-Extubation Policy

    Rosie_one replied to A_RN's topic in Critical Care

    Ventilation requirements are that pt. needs to be on Spont mode (no brainer really). Grade of airway should be noted in case of reintubation. PS 10 or less, PEEP 10 or less, Fi02 30% or less. Assess...

  10. Med error . I’m devastated

    Rosie_one replied to Stephen ww's topic in General Nursing

    Glad your patient was ok and be glad that this error was not fatal. We have all been there. Looking into most mistakes, a lot of the time it's not just the nurse, but the environment that leads to...

  11. How do I transition specialities?

    Rosie_one replied to paulahill's topic in Critical Care

    Not sure how it works in the US, but I'll tell you how it works in Aus, as I'm sure there can't be that much difference in landing a position. Easier to get your first gig in a large teaching...

  12. Delirium & neuro patients

    Rosie_one replied to carolelainern's topic in Neuro Intensive Care, ICU

    I work in a neurotrauma unit and unfortunately hourly neuros are part of it. I would ask the neueo surgeons if it's safe to change frequency of neuro obs. It depends on what's the problem, but they...

  13. Blood products

    Rosie_one replied to pepitojp's topic in Critical Care

    Hang separately as what everyone else has said regarding possible reactions. Easy to remember is stop signs, amber before red so I'd give FFP first, then blood. Your country should have a blood...

  14. Please help me with central line education

    Rosie_one replied to CVICU RN 513's topic in Critical Care

    Maybe when dressings and lumen changes are due routinely and when dressing soiled, coming off. How long to wipe with alcohol wipe before accessing, approx 15 secs then allow to dry to reduce...

  15. First code blue, hard not to blame myself.

    Rosie_one replied to 1793stopper's topic in Critical Care

    Don't blame yourself. Good to look back on performance and spot whay could have been improved on, but you have to remember they were sick and despite medical/nursing care people still die. I had a...

  16. What do you do with families who think badly of you?

    Rosie_one replied to hazyblue's topic in Patient, Colleague Relations

    Sorry you were put in a very difficult situation and it's completely normal to take this to heart when you're doing the best you can to care for their loved one. It generally haopens when you're...

  17. Tips for nurses in their first year of nursing

    Rosie_one replied to Brian's topic in First Year After Licensure

    Nursie69, your forms at your place of work sound terrible lol. They have these stupid forms at my work that you have to fill in with the idea that it will help you pick up problems with your patients,...

  18. does this go away

    Rosie_one replied to RNttu's topic in First Year After Licensure

    Maybe you should chat to some of the other nurses you work with and debrief on the situation and what was good about your actions and what you could have done differently, so when this situations...

  19. Tips for nurses in their first year of nursing

    Rosie_one replied to Brian's topic in First Year After Licensure

    *sorry about some spelling, grammatical errors. I shouldn't really write a post when tired

  20. Tips for nurses in their first year of nursing

    Rosie_one replied to Brian's topic in First Year After Licensure

    Thisthread has been great! Ihave a few more tips that I have found of great help...and made my work a lot easier in the long run. Always check with radiology,xRAY etc when your patient has been...

  21. Let's introduce ourselves...

    Rosie_one replied to pedi-RN's topic in First Year After Licensure

    Hi all! I'm Rosie and have a bit over a month before I finish my degree and become an RN. I live in Sydney, where I have been working as an Enrolled Nurse for 4 yrs (equiv to LPN). A bit of a...

  22. which stethoscope would fit me best in your opinion?

    Rosie_one replied to meghan91's topic in Scrubs, Uniforms, Gear

    Haha. I have a Classic II se in carribean blue also with name engraved. I find it a great stethoscope for my needs. Can hear perfectly with it...and I have lost a little bit of

  23. new nurse switching positions

    Rosie_one replied to codeblue20's topic in General Nursing

    How about drug/alcohol at a private clinic, not public as that can be pretty demanding. Another option that could be community

  24. Scholarship thank you letter

    Rosie_one replied to shananigansWI's topic in General Students

    Congrats on the scholarship. I just sent my thank you letter the other day and just said how it was an honour to be the recipient of the scholarship and wrote how it would assist me with my uni...