BrandonB779

BrandonB779

TNCC, PALS, NRP, ACLS, BLS-Instructor

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All Content by BrandonB779

  1. Hello All! Reaching out to my AllNurses audience for some help. I am researching whether or not formal Crisis Intervention Training (CPI as it's called here) for our ICU nurses should be offered. Now there is a cost associated with this be...
  2. ICU Overflow, What Happens Then?

    So here's a question I've been wanting to pose for some time and get some feedback from some fellow RNs. I work in a 16 bed Medical/Cardiac Critical Care Unit. What happens when the ICU is at capacity between staff and patients waiting to be admitted...
  3. Hey Murses.....Murse?

    To add some humor, I took a tactical-medic class (TCCC protocols) and one of the instructors instantly had a new nickname for me: Focker, I laugh about it, and Murse, only a few medics I work with will throw it out and say "oh he's a murse" but past ...
  4. I want to do well in nursing school...any advice

    I graduated 2 years ago from Nursing School, and much like the first reply you saw, yea its a completely different unfair world lol. The GPA hit, happened, the stress, happened. Best advice I can say, ask questions, get rationals, don't think too muc...
  5. ICU Overflow, What Happens Then?

    I wish we had that luxury, unfortunately we don't always. There is a hospital policy that doesn't really allow for transfers unless push comes to shove (anytime between like 1a-5a) and most of the time they don't transfer people anyways. The ones tha...
  6. Airforce or Navy

    So I figured I should add my 2 cents into this since I've been on/off about joining the military w/ specifics to the AF since I was a young kid. Now I've graduated a Diploma RN program and currently finishing up gathering my BSN. I have as of this mo...
  7. Shift change and visitation in ICU/stepdown

    We have started doing bedside shift change report in a 16 bed MICU. People have done it for a while prior to it getting implemented and required, others have the "old habits die hard" feeling, etc. MedScape just put out an article from research sayin...
  8. New Grad - ICU

    Couldn't have said it better. New grad into MICU myself now 1 1/2 years in, definitely keep parameters tight, dont drone out the "alarms" or "noises" pay attention, ask questions, and clarify what you dont know, and not implying that anyone will but ...
  9. New grad starting in MICU/SICU soon

    Well I'd say first day on the floor, take the time to let your preceptor explain everything to you....they're going to have a wealth of knowledge and you should be familiar with your settings. The basics of each system dont change with ICU care, some...
  10. New grad starting in MICU/SICU soon

    In all honesty I will say it may be difficult for me to give you advice on how to do a thorough and more full approach to a patient assessment; but here's best I will try to offer: First, make sure to obviously focus on the big picture of why they're...
  11. MICU RN for 1 1/2 years now, we generally have 2:1 ration, with specfiics on 1:1 criteria for care (multiple pressor titration, IABP, Protective Hypothermia, or really really crashing) but we have done 3:1 usually with our step-down patients or those...
  12. Is There Truth To This?

    I will add to this, I dont have a BSN, and work critical care new grad fresh out of school with a Diploma in nursing. All hospitals are definitely proving to want to go towards BSN's, but remember its also what you make yourself in the interview and ...
  13. Need help understanding an insulin drip

    Our hospital puts our insulin drips mixed in pharmacy, but in D5 not D10......and it gets titrated each hour based on hourly glucose checks.....
  14. Saline flush without a physician order?

    At our hospitals policy, anytime an order for fluids or IVs are started there is an automatic policy for flushes Q8 hours in our medication administration record so that we can keep veins patent in comparison to KVO IVs at 5 mL/hour.
  15. Should new grads only apply for new grad jobs?

    I find it quite interesting that alot of hospitals will specify jobs (especially with alot of the applications online now) that like "New Grads Not Accepted, or Will Not Be Considered" but then others that have no indication of it on the application ...
  16. What's an IO

    I learned about IOs while out in the field, I've been a practicing EMT for almost 8 years now, and in school we never ever talked about IOs but I've heard around the hospital ER about how some of my friends/co-workers have attempted or use them in ve...
  17. How does your unit orient new nurses?

    In the Medical/Cardiac ICU I am currently orienting to, we go through general orientation on top of the then specialty training. We get a telemetry re-run class w/ specialty information for 2 weeks before the actual ICU training that takes places w/ ...
  18. Associates or Bachelors?

    Salzburg, I originally was going to a 4 year university Bachelors program, but because of money issues, I withdrew and found myself in a hospital Diploma program that gave me so much more experience and lecture on it. Diploma are usually ...
  19. Also as another new grad, everyone has their days. I currently work in a Medical/Cardiac ICU unit with 14 beds where we usually have 2 patients, 3 if tripled due to a new admission (taking one pt from another nurse so she can have 1 not so acute and ...
  20. NCLEX Tomorrow..EEK!!

    I just recently took the NCLEX on June 13 in Connecticut and I will say its def a little bit of a stressor, but for those of you that have passed, congratulations. I def remember not so long ago haha lol its a great feeling and I hope that you can ma...
  21. First RN job & it's pay

    Same here, just graduated into Nursing, tho with a diploma degree, starting at a main hospital in a Medical/Cardiac ICU at $28.50/hour with shift differential, increase of $1.00 after 6 months probation... and PeteZar? Safe to assume its a upper fair...
  22. Telemetry monitoring patient from ICU to step-down

    Our new step down unit from the ICU is the ICA (Intermediate Care Area) which an RN travels w/ a telemetry monitor to the floor. Other units that the pt requires Tele def monitor and RN, all other general medical (uro/ortho, etc) no RN required
  23. Roll Call

    Hello all! Male Nurse here, Brandon from Connecticut, recent grad out of school w/ diploma hoping to go to B.S.N soon working currently in a Medical / Cardiac Intensive Care Unit with awesome staff, also still a current field EMT-B for jus...