ProgressiveActivist BSN, RN

ICU

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All Content by ProgressiveActivist

  1. ProgressiveActivist

    What should I do?

    ProgressiveActivist replied to rusure's topic in General Nursing

    Over 4 lpm nc requires humidification. If this patient is a full code, I would request an ABG and proceed from there. If they are hypoxic, BiPAP is the next step. Bacitracin in the outer nares is...
  2. ProgressiveActivist

    First tech shift in ICU - hints/tips?

    ProgressiveActivist replied to foreverLaur's topic in CCU, Coronary, Cardiac

    Wear your running shoes and be prepared to work, always try to be present and available to pitch in and help. Always inform someone if you step off the unit. It's a team effort to stabilize a...
  3. ProgressiveActivist

    OPINION: Would you accept this job offer as your first job?

    ProgressiveActivist replied to Sammie_R_N's topic in Job Search, Interview, Resume

    no no no no. Impossible and unsafe nurse patient ratio. You might have 18 acute patients. It will all you can do to pass meds document and do treatments. Even with great CNAs and respiratory...
  4. ProgressiveActivist

    Anyone have any good critical care questions to quiz me on?

    ProgressiveActivist replied to nurse678's topic in Critical Care

    The surgeon would notified of the need for pt to go back to the OR and get set up for a bedside sternotomy to scoop out the
  5. ProgressiveActivist

    How important is it to accept extra shift work?

    ProgressiveActivist replied to onthemark's topic in General Nursing

    Just say "I'm sorry I have plans" if you need your day off. You will get brownie points for working extra once in a while but you don't have to do it if you don't want to. Staffing coordinators...
  6. ProgressiveActivist

    How do you get thicker skin?

    ProgressiveActivist replied to Loves2Lurk's topic in Emergency

    If this loser spoke to an employee that way in an airport, a bank, a post office or pretty much any other place of business, he would be charged and arrested for assault. Treat and
  7. ProgressiveActivist

    Broken mind/ broken Spirit..crying over laundry detergent..where from here?

    ProgressiveActivist replied to Lucky724's topic in Health, Stress Management

    take the 24 hour QI job. You need health insurance. Hospital nursing is brutal these days. Forgive yourself for any mistakes you may have made. It just means that you're human. I also think you...
  8. ProgressiveActivist

    Anyone have any good critical care questions to quiz me on?

    ProgressiveActivist replied to nurse678's topic in Critical Care

    tamponade
  9. ProgressiveActivist

    Defining nursing with a single word...

    ProgressiveActivist replied to tgyles's topic in General Nursing

    healing
  10. ProgressiveActivist

    Defining nursing with a single word...

    ProgressiveActivist replied to tgyles's topic in General Nursing

    a thankless
  11. ProgressiveActivist

    how to get in the elusive ICU club...any suggestions

    ProgressiveActivist replied to supervisorhatchet's topic in CCU, Coronary, Cardiac

    What skills do you posess that the position requires? Have you had a dysrhythmia course, telemetry experience or progressive care unit experience, or any experience with ventilator dependent...
  12. ProgressiveActivist

    Shafted on Thanksgiving

    ProgressiveActivist replied to DeeAngel's topic in General Nursing

    You can refuse to take call in my hospital but they will place you wherever you might be needed. This is so nurses don't have grounds to file for partial unemployment. I knew a nurse who did just...
  13. ProgressiveActivist

    Surviving a passive aggressive co-worker?

    ProgressiveActivist replied to TheOracle's topic in Patient, Colleague Relations

    I didn't read anything negative into him referring to the employees as
  14. ProgressiveActivist

    How do I handle insubordinate CNAs?

    ProgressiveActivist replied to ginnieann's topic in First Year After Licensure

    There will always be CNAs who do the bare minimum of work and who have a huge chip on their shoulder. These are not people who respond well to reasoning or kindness, they will perceive that as...
  15. ProgressiveActivist

    Excessive smoke breaks

    ProgressiveActivist replied to ProgressiveActivist's topic in General Nursing

    WBF rhythm = we be
  16. ProgressiveActivist

    How do I handle insubordinate CNAs?

    ProgressiveActivist replied to ginnieann's topic in First Year After Licensure

    I strongly suggest you not to send a write up by email. The nuances of communication are never conveyed by email. Go to the manager. Give details of the CNA attacking other staff, not be present...
  17. ProgressiveActivist

    What do I do if the patient's family member is very fresh because I am a sitter?

    ProgressiveActivist replied to leogirl8's topic in General Nursing

    This is crude but very effective. Get the nurse to turn the volume as high as it will go on the monitor. When the patient removes the mask and desaturates the alarm will be very annoying to everyone...
  18. ProgressiveActivist

    A new night nurse on the cusp. Tips appreciated.

    ProgressiveActivist replied to dudette10's topic in General Nursing

    0500: or as soon as you labels print, draw am labs, hang am abx, get fs, give SSI coverage, Make sure your pressors and sedation won't run dry or mix new bags, place pt on his back for PCXR....
  19. ProgressiveActivist

    Surviving a passive aggressive co-worker?

    ProgressiveActivist replied to TheOracle's topic in Patient, Colleague Relations

    Might be a good time to write an employee Code of Conduct which is something required by JCAH for hospitals to decrease lateral violence. Require everyone to sign a copy and if they violate it,...
  20. ProgressiveActivist

    Excessive smoke breaks

    ProgressiveActivist replied to ProgressiveActivist's topic in General Nursing

    She left to smoke when we were receiving a pt with a K of 8.8 and the WBF rhythm. Supervisor followed through on it and I didn't have to do a thing. It was perfect. She is transferring to another...
  21. ProgressiveActivist

    How to grow backbone in ICU?

    ProgressiveActivist replied to AllAngelsRN's topic in MICU, SICU

    You should have said: DO YOU WANT TO TAKE THIS PATIENT? I think they are out to make an ass out of you. Step it up a notch a tell THEM what to do. And since your leaving this place have fun...
  22. ProgressiveActivist

    neat tricks

    ProgressiveActivist posted a topic in MICU, SICU

    Did you learn something really useful at work that is not taught in an ICU course? Let's help out the new ICU nurses and start a thread about that. Here's mine: A few weeks back I had a severely...
  23. ProgressiveActivist

    Question re: OG tube - New in ICU

    ProgressiveActivist replied to cm8816's topic in MICU, SICU

    AACN has a new practice alert on gastric tube
  24. ProgressiveActivist

    Get off your phone and help us already!!!

    ProgressiveActivist replied to abbaking's topic in Patient, Colleague Relations

    My doctor has signs in the waiting area: As a courtesy to our physicians and staff please turn off your cellphones. Thank you. This should be adopted in hospitals as well, by patients, visitors...
  25. ProgressiveActivist

    Colleague of mine always wants to talk about "you know what."

    ProgressiveActivist replied to SoundofMusic's topic in Patient, Colleague Relations

    say that's T.M.I. and walk