ixchel

critical care

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All Content by ixchel

  1. Patient is admitted with pneumothorax. Gets chest tube, drains a ridiculous amount of fluid. Several days later, pneumothorax resolved on X-ray. Chest tube gets pulled. Immediate chest X-ray. This one...
  2. ixchel

    What are we allowed to share?

    I am so thankful to read these responses! Thank you! About this..... The thing that upset me most of all about her not talking to him is how serious she made it sound to me. Essentially what she...
  3. ixchel

    I did something bad and I'm scared

    You scheduled an interview with him, something that, at most, lasts an hour or so. He called you at the last minute expecting you could just drop everything for an entire day. His expectations were...
  4. ixchel

    Admissions

    When I was greener and wetter behind the ears, I felt like I HAD to know EVERY. LITTLE. THING. OH EM GEE HE MIGHT DIIIIIEEEEE!!!!!!!!! Then one day the thought occurred to me that I'm asking the ED...
  5. ixchel

    ixchel's 8/15 This Week I Have Learned...

    If by "hot", you mean face red hot from anger, then you totally nailed it! lol I left out the part where I mention that the PCT is a new hire. She been there maybe a month. She got nasty with me the...
  6. ixchel

    ixchel's 8/15 This Week I Have Learned...

    Thank you for starting the thread, Farawyn! I'll be back with a good list maybe tomorrow or Tuesday, but I'll get it started with this amazing lesson I learned today. Simply knowing a patient has TB...
  7. ixchel

    Why are the floor nurses so unwilling to teach?

    Your eagerness to help shines clearly in your posts, and genuinely I do believe you mean it completely. Consider for a moment, though, that the nurse you are paired with is, by license, responsible...
  8. Katie are you serious?! Is this inpatient? (I'm assuming it is.) Why in the world are the hospitalists not ordering diets for these patients in the meantime? I can't imagine what kind of patient...
  9. ixchel

    Why are the floor nurses so unwilling to teach?

    I definitely understand and appreciate your frustration. My l&d and peds rotations, literally I had one patient each (plus one newborn and newly delivered mama). That was IT. We spent the...
  10. ixchel

    Why are the floor nurses so unwilling to teach?

    I agree very much with prior posters. I'd like to add that there also may simply not be a culture of welcoming and embracing students there. Not everyone wants to teach, and frankly, even fewer are...
  11. ixchel

    ADVICE

    I went to school to become a midwife. Then I liked peds. I hated both clinical experiences. My internship was in critical care. I was hooked completely. Now I'm employed on that unit and wouldn't have...
  12. This week, I have learned.... 1. I have never in my adult life slept through an alarm clock. I only learned (realized?) that because last night was the first time ever that I DID sleep through and...
  13. ixchel

    This week, I have learned... (8/8)

    A little, but on the other hand, children with permanent or terminal conditions that cause pain might benefit from that. Eta - the saddest thing I think is the thought that pediatric pain management...
  14. ixchel

    This week, I have learned..... (8/1)

    Awwww sounds like she's been working too many shifts in a row and had a terribly embarrassing moment when she realized she had a hole down there. Imagine the horror she must have felt!! Hope you're...
  15. This week, I have learned: (Vacation edition!) 1. Absolutely nothing specifically related to nursing 2. It's hard to not judge unhealthy habits of people on vacation 3. I'm reaching a point in my...
  16. ixchel

    This week, I have learned... (8/8)

    So you've met my MIL, I
  17. ixchel

    Questions... starting on LLC?

    First, you need to research. Ask l&d nurses and the hospital educators how much interest there has been in natural methods of childbirth. I know it will feel awkward asking potential competition...
  18. ixchel

    Questions... starting on LLC?

    The very first thing you need to do is determine whether childbirth classes and lactation assistance is provided by local hospitals already. I considered doing this many moons ago and realized that in...
  19. ixchel

    Frontier Midwifery Program

    I think it's just a spin on words, making it sound more warm and fuzzy than "distance learning". You are still doing the majority of course work online, and your clinical hours are done locally where...
  20. ixchel

    So...What Kind of Nursing Task Do You LIKE?

    I do love establishing rapport with the notoriously difficult patients. I've only given up once (in my defense, he punched me because he didn't want his meds). I also love, love, love when my advocacy...
  21. I have a broken, anteriorly displaced spine and epilepsy. I care for them quite well, actually. ? At work, I chose to disclose one and keep the other to myself. At school, I found out about both...
  22. ixchel

    Nursing and the sex industry

    Best advice
  23. ixchel

    I Hate People (my rant)

    WHAT. I can't even. My hospital calls it Code Black. I'm pretty sure they just ran out of
  24. No, it was not addressed shift after shift. I didn't say they weren't credentialed. I said they don't have privileges at my facility. And unfortunately, giving it to day shift had to be a sufficient...
  25. Thank you, Brandon. And yes, that's what I'm saying. This patient facility hops and has a ton going on with her. The PICC was placed a hospital 30 miles south of where I work before she was discharged...