Raquel8

I started as a med-surg nurse briefly before SICU. I LOVE SICU, but in my eyes, the two are completely different. Critical Care is a comprehensive in depth care of patient with multiple system issues. I love the balance and honestly how sick patients can get. Its a challenge and allows me to constantly think on a large and small scale in regards to my patient care. I feel as well you are more of team player of the MD level, they look at you more as a colleague. Which they should look at floor nurses like that as well but they don't. Or at least not my experiences. I say go for it, if you have good time management and can balance multiple issues. Let me know how it goes for you.

Obviously not ideal, but I have had patients on pressors for the purpose of dialysis, it allows you to create a pressure while dialysising, often you can use albumin to pull fluid from 3rd space into vascular. But this practice isnt unheard of and from my personal experience patients do well. I also fight for aline with all patients on pressors to more accurately monitor bp during the procedure and through out the night.

2009, yeah pretty sure I have heard from new grads that it is still the same. But if there is no other job then I would take it but I'd look others places for sure.

I have been a SICU nurse for 2 years and some change and love it! I wanted to move to Richmond VA and possibly work at MCV. What ICU is the best there in your opinion? The place I work now has great teamwork which really makes it a joy to work there. I want to try to keep that at my next place I work. MCV is a level 1 trauma center which my current facility is not. Any advice? I'm willing to learn and can be taught. I just want to be the best nurse I can be and enjoy my job.

My experience Carilion pays awful and works you to death. dollar more for nights and another for icu. I started there as a new grad got paid 19.00 and 19.25 after I passed my boards. I wasn't clearing a 1000 every two weeks and worked my butt off. When Carilion gives you are raise its in terms of .25/hr and that's like after years. I'm also not a fan of their computer charting, it was new when I was there and no one knew how to use it and I am a computer programmer. But on the positive, you can get alot of good experience since they are the only level 1 center in the area.

I work ICU and questions I was asked was, Tell me a time when you have multi tasked and the outcome? How have you worked as a team? Clinical skills? Have you ever caught a med error? etc. They want to see you work well under stress and could do more than one things at once.

Girl I get it, I'm try to move to the other side of the state and I put in an application and havent heard anything back yet. I called and they basically said wait and see. All I can say is anxiety, haha. All things happen for a reason.

I have been a SICU nurse for 2 years and some change and love it! I wanted to move to Richmond VA and possibly work at MCV. What ICU is the best there in your opinion? The place I work now has great teamwork which really makes it a joy to work there. I want to try to keep that at my next place I work. MCV is a level 1 trauma center which my current facility is not. Any advice? I'm willing to learn and can be taught. I just want to be the best nurse I can be and enjoy my job.

patient denies Headache or lightheadness, but it a renal pt, I documented everything they said when I tried to get orders and talked to my nurse manager about this as well. But they Drs were mad and wanted to give dilt metop and viagra and ami, with pressures that low and dialysis, I was concerned for the pt. My words fell on deaf ears.

I had a pt call for EVERY little thing, he called me in there one time and didnt even look at me and said put the remote in my hand, it was in his lap he knew it was there he wanted me to put it there, his arms were fine. That got me, usually I'm pretty cool and laid back, but I wanted to say Really?

Ok so I was taking care of this pt, without giving too much info, his systolic pressures at night usually are 90-100 systolic maybe once or twice he'll drop to systolic of 80s (which I watched but dont like), but his MAP stays above 60s. I was off a few days and started taking care of him again and the nurse told me that his systolics has been 70-80 with MAPs consistently in the 50s. When asked what the MD order she stated, that they were aware and didnt want to do anything. The MD was on the unit so I trended the bp for her to see and she said, not to page her unless it "stays below a MAP of 50 for a while." At one point systolic even in the 60s at times, she said its fine. I didnt feel comfortable with this, MAPs of 60 ok I can deal with this but less than 50?????? and what is for a while? Anyone know of research that support of MAPs less than 50???? What are your thoughts on this?

Girl, you fought the fight through nursing school and now fighting a rough period across the nation of sporifice jobs that I think is going to get better, I'm proud to call you a fellow nurse. Welcome.

Ok so I was taking care of this pt, without giving too much info, his systolic pressures at night usually are 90-100 systolic maybe once or twice he'll drop to systolic of 80s, but his MAP stays above 60s. I was off a few days and started taking care of him and they nurse told me that his systolic has been 70-80 with MAPs consistently in the 50s. When asked what the MD order she stated, that they were aware and didnt want to do anything. The MD was on the unit so I trended the bp for her to see and she said, not to page her unless it "stays below a MAP of 50 for a while." systolic even in the 60s at times, she said its fine. I didnt feel comfortable with this, MAPs of 60 ok but less than 50?????? and what for a while? Anyone know of research that support of MAPs less than 50???? What is your thought.

I would freak out if I was the nurse, I love our RTs some are better then others, but even our best RT doesn't thoroughly understand how all the systems and medications work. They ask me all the time whats that for why are the getting it...which is great education but I wouldnt want any of them pushing drugs and not knowing what to look for or what to do if they give too much. ahhhh...that policy at your place needs to be changed asap.

If this is same place, I would try somewhere else. To get skills and use them working at a hospital is the best place. You can always transfer later. I know jobs arent as easy to come by as they were before but A) I think that will change, B) you'll feel better about making judgments. Just a thought but its what I recommend.