Nurse_Lily

Hey Gromit! Thank you for the insight. I'm pretty much preparing to feel like a new grad all over again. Appreciate the reply :)

I currently work part-time for a level I trauma center in the neuro ICU night shift. I just recently accepted a day shift job at another facility, which is a stroke center, but mostly a medical ICU, per diem days. Just wondering if anyone has recently made the switch from nights to days as a critical care nurses. Any advice or suggestions on making this a smooth transition? I'm freaking out over here just thinking about switching facilities as well as the shift change. Obviously, super excited for the changes as well. :) TIA!

Hello! Call the main line and ask for the number to Nurse Recruitment/Retention office and then ask to be transferred. HR just processes new hires and deals with the paperwork, so they would not be able to help you with regards to positions and interviews. I am a relief nurse at HUCLA. Good luck!

In our neuro ICU, our visitation policy is as follows: 24 hour visitation policy. 2 visitors per patient every 10 minutes (meaning they can switch out that often) No visitors allowed during change of shift (7a-8a and 7p-8p) as well as at the discretion of the nurse. We have them step out during CHG baths and blood draws. If the patient requires a lot of interventions that night, we tell the family that we will be asking them to leave at a certain time so that they are aware. The key is to be confident. You are your patient's advocate and while family in the ICU is great, sometimes family visitors can be more disruptive than calming.

In our mainly Neuro ICU, we definitely have patients who stay long. RN's will do the dressing change on triple lumen IJs and Femorals q7 days or PRN (when visibly soiled or no longer intact). We also stay on top of IV bag changes and IV tubing changes. We've also implemented the use of Curo alcohol caps for all lines (central and peripheral) and IV tubing being used by a patient in the ICU. Daily CHG baths with wipes are also part of our protocol. CLABSI free for 6+ years.

Chief complaint: Stuffed.

How has no one mentioned the informal use of "am" as a stand-in/shortened version of the contraction, "I'm." It's mostly used in written form, but I first started seeing it in high school when my best friend used to write "am bored" sometimes. I'm starting to see it much more often on social media.

I love reading the school nurses forum! I want to be one, one day. When I'm over bedside nursing.

I'll save my comments regarding the post itself because it really makes me mad even thinking about the content, the delivery, and the praise for the rant posted. I wanted to to post a link to a story about a Saskatchewan nurse who posted a rant/rave about the care her grandfather received before he passed earlier this year. She's facing charges for professional misconduct. Although this instance is outside of the U.S., could this RN, DON face the same charges since she mentioned her licensure and position? Facebook post leaves Prince Albert, Sask. nurse charged with professional misconduct - Saskatoon - CBC News

I hate clogs. I feel like I would roll an ankle walking in those. I like NB. Used up a pair recently. I switched to Nike walking shoes and they're a dream! My feet are no longer tired.

LOVE LOVE LOVE. All of the above. I, too, have a baby. 8 month old precious minion. I am 0.6 so I work three 8's, but transferring to ICU next month. I am a zombie most days, but I love spending time with my little one.

Sorry. I'd like to clarify. I think the ER nurse might have dropped the ball in informing the MD of the latest Hgb. The first two units of PRBCs had been given and the post-transfusion CBC was drawn at 0156. That's a 5-hour difference from that critical result to when the next 2 units were ordered. On the floor, we have to inform MD of a critical lab result within the hour. How do you handle critical lab results in your ER? Back to to the topic, I will talk to my charge to ask her and then have her bring it up to our manager because this needs to be addressed to everyone and not just day shift.

I don't think that would have been possible since the pt arrived at 0650. She would be paid the 30 minutes extra as time-and-a-half. Obviously, because she worked during that extra time. I guess it is management trying to save a buck. Next time I'll let my orientee leave on time.

My thinking as well with the ER. I also think they dropped the ball on reporting that Hgb to the MD. But that's beside the point. I took primed the blood tubing, took initial vitals and double checked with the oncoming nurse as she hung the back.

Blood was ready at 0644.