thevez17

You did your part while working, now it's time for her to do hers. They can stay mad but being mad will not benefit the patient at all.

RRT nurse?

pass CCRN

Nursing is a tough job, doctors think, we do the job for the most part and carry their orders. I hope doctors will have a rotation with a specific nurse and shadow them atleast once in their medical school career or life cause we work closely with doctors. They should know how it's like to be in our shoes.

Thank you guys for the reassurance.

Recently, I shot myself in the foot by unknowingly scheduling myself for a 5 day straight 12 hour night shifts. I should have known it was coming. I cared for the same patients for most of these 5 nights shifts and by the fourth night, I told myself I was done taking care of these two patients. Done in the sense of thinking "please give me another group assignment cause I don't think I can do the same routine of caring for this patient again." I felt this immense annoyance and impatience when I cared for this patient by the fourth night and that I don't want to harm her in anyway possible that's why I requested for my nurse manager not to be assigned to this patient again. They asked me why? I told them, I might be experiencing "compassion fatigue." They looked at me as if I just spoke a "foreign word." So some of you experienced nurses out there, was I experiencing "it"? P.S. I have been a nurse for 2 years now. I have more to learn and more to experience.

it can be both but these measurements are not to be seen as "solely" volume measurement

none. Nursing has have its ups and downs.

omg that cardiac sx patient. Anyway, this is why you have to learn how to be an anesthesiologist haha do you guys have protocols with a nimbex drip?

Lol, your first paragraph

NG inserted by nurses, confirm by air and then chest X-RAY. The air thing is just for the nurse to know if she's in, if not then reinsert. We don't use it until confirmed by Chest x ray and doctor has read the xray.

CVP is PRESUMED to be a measure of the Right Ventricular End DIASTOLIC PRESSURE. RIGHT ATRIAL PRESSURE= RVEDP This is a huge problem with assumptions. As an ICU nurse DO NOT DEPEND ONLY ON NUMBERS and ASSESS the patient's overall signs and symptoms. You ask, what indicates fluid volume status of the patient? Well there is A LOT of s/s that can give you an answer. 1. Urine output 2. Blood pressure 3. Cardiac output, SVV, CI, SV if you have a vigileo monitor 4. s/s of edema, crackles in the lungs Do not just depend on the numbers and look at the overall picture of the patient. decrease venous return (and other things) leads to decrease cardiac output that leads to low blood pressure because BP= cardiac output x resistance. Low cardiac output then lead to low blood pressure. Low cardiac output leads to decrease blood flow towards your kidneys thus leading to low urine output.

Please get that RN after your name and then come back here if you don't get a job in a month. You are way ahead. Hospitals needs RNs. Are you an RN?? NOT YET.

I agree with some. It was a rush move to report the nasty nurse just by one episode of nasty attitude. I have worked with one nasty nurse and tried to get along. Sometimes they mught be having a bad day or she had experienced bad shifts with new nurses. I would talk to this nasty nurse if I could. They will warm up unless they start ti bully you then that's another story.

Try it out. Am in ICU for 8 months now. Still a lot to learn but you fail and you get back up. Enjoy the journey. Cheers.