ixchel

critical care

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All Content by ixchel

  1. ixchel

    INTERVIEW HELP!!!!!

    ixchel replied to maryterrell413's topic in Job Search, Interview, Resume

    Business casual, definitely. I do think some people don't quite realize what that means. Think of a manager who always dressed sharply. Model that. Google "performance based interview questions"....
  2. ixchel

    The Controversy: Mandatory Flu Vaccines

    ixchel replied to Julie Reyes's topic in General Nursing

    It's actually a reportable thing, if my understanding is
  3. ixchel

    Dumbest thing a doctor has done/said to you

    ixchel replied to WorriedNurse25's topic in Patient, Colleague Relations

    (Oh! And! The good news was carrying them until 39w6d, 7 lbs each, trapped in my skinny 5'2" body. Holy crap the end sucked. The test was negative, cervix closed. He gave me the peace of mind I...
  4. ixchel

    Dumbest thing a doctor has done/said to you

    ixchel replied to WorriedNurse25's topic in Patient, Colleague Relations

    Ohhhhhhhh!!!!!!! You reminded me of another story! Third pregnancy, carrying twins, I had contractions begin late second trimester. I went in for an appointment and had a provider I hadn't met yet....
  5. ixchel

    How do you deal with being called a "snitch" by your co-workers?

    ixchel replied to 1Jessie86's topic in Patient, Colleague Relations

    Yes, it is. It's also a thing to eat sharp objects, then attempt to vomit them back up so they have a "upper GI bleed" worthy of busting them out of seg or gen pop for some time away from
  6. ixchel

    How do you deal with being called a "snitch" by your co-workers?

    ixchel replied to 1Jessie86's topic in Patient, Colleague Relations

    Management of staffing issues should be dealt with by management. Charge nurse, unit manager, then whoever is next on the chain of command where you are, in that order, if need be. If these people...
  7. ixchel

    Hypoglycemic dialysis pt

    ixchel replied to jessrn12's topic in Dialysis, Renal, Urology

    Our inpatient dialysis unit shares my unit's glucometers. One is docked at their door. They get QC'ed q24h on night shift by my unit's
  8. ixchel

    Dumbest thing a doctor has done/said to you

    ixchel replied to WorriedNurse25's topic in Patient, Colleague Relations

    Thank you for that. For the "although I knew", due to issues with my aunt, my grandfather didn't talk about it with anyone at first. Then I went over for a dinner with them. It was so blindingly...
  9. ixchel

    EPS or seizure

    ixchel replied to blackribbon's topic in Psychiatric

    Weird that this post was bumped. We very recently had a patient with what looked like tardive dyskinesia, but had been labeled as seizures by the MDs. Honestly, a seizure will only affect the part of...
  10. ixchel

    IV starts in arm with a DVT

    ixchel replied to freezin's topic in General Nursing

    This image shows why pulling a PICC should be reconsidered carefully. Any infusion flowing through it goes into central circulation (hence, peripherally inserted central catheter). If the clot isn't...
  11. ixchel

    IV starts in arm with a DVT

    ixchel replied to freezin's topic in General Nursing

    Agreed!!! And I would hope the MD is nearby and accessible (even more hopefully PRESENT) for that considering it's an active attempt at possibly moving a clot into the central circulation. Honestly,...
  12. ixchel

    Dumbest thing a doctor has done/said to you

    ixchel replied to WorriedNurse25's topic in Patient, Colleague Relations

    My own providers (two of them), me as a patient. I had had a recent medication change (a massive increase in a Med that drops the seizure threshold). Symptoms - repeatedly having holes in my memory...
  13. ixchel

    Dumbest thing a doctor has done/said to you

    ixchel replied to WorriedNurse25's topic in Patient, Colleague Relations

    Think about it - when we are in our 20s, making normal life milestones, being grown ups with jobs and kids, they are still in school and residency with little time to be in the real world. Many of...
  14. ixchel

    Dumbest thing a doctor has done/said to you

    ixchel replied to WorriedNurse25's topic in Patient, Colleague Relations

    Big hugs to you. My grandma has Alzheimer's. She's been mildly symptomatic for decades, but it's been tearing it's ugly head full strength for the last few years. The last time I saw her, she had...
  15. ixchel

    Hospitals discriminating against medical conditions..?

    ixchel replied to CosmoRN77's topic in General Nursing

    Employers care because they are footing part of the health insurance bill and they have to pay to cover shifts for call-outs when the smoker is
  16. ixchel

    Jealous Friends...

    ixchel replied to Upward_Bound's topic in School, College Programs

    I was using ellipses before they were cool. Mainly because I'm
  17. ixchel

    dialysis nurse daily routine

    ixchel replied to trulyblessed2's topic in Dialysis, Renal, Urology

    Acute! I want to send you a link to a thread but your PMs are turned off. Look at the thread I posted on before this one. OP, please forgive this interruption in your thread. I'm unfortunately not at...
  18. ixchel

    Hypoglycemic dialysis pt

    ixchel replied to jessrn12's topic in Dialysis, Renal, Urology

    If it is early in dialysis, can't the additional potassium be corrected during? (Genuinely curious - dialysis is not my forte.) I wonder if AcuteHD might know. I'll send him a link to
  19. ixchel

    Jealous Friends...

    ixchel replied to Upward_Bound's topic in School, College Programs

    To the first part, it is definitely necessary to use those acronyms (ADN/ASN, BSN and RN) accurately as all three have different meanings, and as mentioned before, none of them are interchangeable. To...
  20. ixchel

    Does everybody want to be a NP?

    ixchel replied to Cola89's topic in General Nursing

    I further predict that we'll then start seeing the degree wars like we do with ASN vs. BSN - MSN vs.
  21. ixchel

    Does everybody want to be a NP?

    ixchel replied to Cola89's topic in General Nursing

    Does psych have a different flow in shifts between nights and days? My unit is a nightmare on days. Absolute
  22. ixchel

    Does everybody want to be a NP?

    ixchel replied to Cola89's topic in General Nursing

    Night shift is amazeballs. More money, less annoying interruptions, and usually there is time for my derrière to hit a chair at some point. Carry
  23. ixchel

    Does everybody want to be a NP?

    ixchel replied to Cola89's topic in General Nursing

    I have never encountered this attitude, either. All (except one) of the NPs I've known and worked with have been wonderful and patient-centered. I've appreciated the very evident difference between NP...
  24. ixchel

    Yikes! Flu Shot!

    ixchel replied to ThespinaDiaz's topic in Patient Safety Issues

    This is exactly right. For those of us who are crap at z-track method, the bubble helps keep the whole vaccination in, rather than a tiny bit oozing back out. You'll often notice pre-filled SQs like...
  25. ixchel

    Jealous Friends...

    ixchel replied to Upward_Bound's topic in School, College Programs

    That is normally something to be taken as a compliment. I honest to god have no idea why this is bothering you. After I started school, with two preschoolers and a husband barely making ends meet, I...