ProgressiveActivist BSN, RN

ICU

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All Content by ProgressiveActivist

  1. ProgressiveActivist

    New Grad in ICU feeling terrible...,

    ProgressiveActivist replied to janelicurn's topic in MICU, SICU

    It comes down to maturity, and I think there is a world of difference between a new grad age 22 and a new grad who is five years or more older with some life experience. The older ones get it faster...
  2. ProgressiveActivist

    Rough night at work...

    ProgressiveActivist replied to Dazglue's topic in General Nursing

    Don't worry about his dramatizing ass filing a complaint. You'll be told not to take him as a pt again and I bet they stock up on the oreos just to shut him up. BFD. I would talk to the MD and let...
  3. ProgressiveActivist

    Looking for a great ICU flow for RNs to organize their shift

    ProgressiveActivist replied to christen13's topic in MICU, SICU

    Here's mine report
  4. ProgressiveActivist

    How to deal with mean old men

    ProgressiveActivist replied to AMCNurse's topic in General Nursing

    A patient complaint should take no more than five minutes (ask your administrators). Follow the script: What happenned? I am sorry that that happenned. What can we do to make it better. Don't...
  5. ProgressiveActivist

    Things you'd LOVE to tell coworkers...and get away with it!

    ProgressiveActivist replied to General E. Speaking, RN's topic in Patient, Colleague Relations

    Here is my rant to a know it all RN: Would you please for the love of god shut up. Because it's all about you, you, you, oh yeah, and you. We must all bow down before the greatness that is you!...
  6. ProgressiveActivist

    The "bully" nurse

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

    These types always fall on their own sword. Bide your time and they will be exposed. I believe that half of the people in nursing have a mental disorder &/or personality disorder. I am not...
  7. ProgressiveActivist

    What makes a good ICU nurse??

    ProgressiveActivist replied to KayceeLeeRN's topic in MICU, SICU

    A good ICU nurse has a solid knowledge of anatomy, physiology, chemistry and biochemistry. You need to be able to interpret ABG and lab results and trends. You need to know the pharmacokinetics...
  8. ProgressiveActivist

    Things you'd LOVE to be able to tell patients, and get away with it.

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

    don't call me again unless you're *******
  9. ProgressiveActivist

    How to deal with mean old men

    ProgressiveActivist replied to AMCNurse's topic in General Nursing

    "Well Mr Smith, when you speak to us like that, it makes us not want to come in here at
  10. ProgressiveActivist

    "If I Knew Then What I know Now" -Med/surg-to-CCU

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

    Med Surg means a lot of quickie problem focused assessments. No judgement here but you need to assess every square inch of your patient. Report is in depth. Memorize the anatomy of the heart and...
  11. ProgressiveActivist

    Rough night at work...

    ProgressiveActivist replied to Dazglue's topic in General Nursing

    Fire code regulations mandate clear paths in the halls and in the room. You most certainly are allowed to touch his property if it is interfering with your work. Put his crap in the corner. Why...
  12. ProgressiveActivist

    New Grad in ICU feeling terrible...,

    ProgressiveActivist replied to janelicurn's topic in MICU, SICU

    I couldn't agree more. Even basic Med Surg skills such as IV insertion, NGT placement, chest tubes, injections, accessing a port, CBI, telemetry and catheter insertion aren't being taught. Two six...
  13. ProgressiveActivist

    New Grad in ICU feeling terrible...,

    ProgressiveActivist replied to janelicurn's topic in MICU, SICU

    Shorthand for laboratory values: CHEM-7 (SMA-7): CBC: Attention: Some people switch WBC with platelets Liver Enzymes:
  14. ProgressiveActivist

    New Grad in ICU feeling terrible...,

    ProgressiveActivist replied to janelicurn's topic in MICU, SICU

    Sorry, I just can't get it to post with the spaces where I want
  15. ProgressiveActivist

    New Grad in ICU feeling terrible...,

    ProgressiveActivist replied to janelicurn's topic in MICU, SICU

    HGB Na CL BUN gluc WBC PLT gap HCT K C02 CR
  16. ProgressiveActivist

    Excessive smoke breaks

    ProgressiveActivist replied to ProgressiveActivist's topic in General Nursing

    Thank you everyone for your thoughtful responses. You all made many good points. And it has gotten to the point where I have to do something. I know one thing. Her stogies are going to disappear...
  17. ProgressiveActivist

    Excessive smoke breaks

    ProgressiveActivist replied to ProgressiveActivist's topic in General Nursing

    'often gone as long as 40 minutes' is what I wrote. Twice an hour is not an exaggerration. One night I counted 32 extended
  18. ProgressiveActivist

    Do you have PCTs in your CCU?

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

    Our ICU CNAs (techs?) take a half an hour smoke break every half an hour. The rest of the time they complain about being overworked and how much they hate the nurses. They are not worth the...
  19. ProgressiveActivist

    New Grad in ICU feeling terrible...,

    ProgressiveActivist replied to janelicurn's topic in MICU, SICU

    Here it is. If you want me to explain the old time graph for CBC and Chemistry I will. Also I will write down repeat labs with a box around them or in the right hand column when they are due to be...
  20. ProgressiveActivist

    Leaving Work at Work

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

    Set your boundaries. When the door closes behind me when I leave, I forget it. Self
  21. ProgressiveActivist

    New Grad in ICU feeling terrible...,

    ProgressiveActivist replied to janelicurn's topic in MICU, SICU

    I will post a copy tomorrow night at work. It covers everything you need to call a doc, manage your day, system assessment,
  22. ProgressiveActivist

    New Grad in ICU feeling terrible...,

    ProgressiveActivist replied to janelicurn's topic in MICU, SICU

    Congratulations on your new job. Buy the book Critical care made incredibly easy. Carry it to/from work and read it. In a medical ICU you are going to see a limited number of situations over and...
  23. ProgressiveActivist

    How to handle particularly pushy/picky/questioning family members

    ProgressiveActivist replied to RNLaborNurse4U's topic in Ob/Gyn

    The surgeon surely spoke to the next of kin post-op. I would refer this PIA to the surgeon. "What did Dr Smith tell you?" "you'll have to take that up with Dr Smith." "No, I am not going...
  24. ProgressiveActivist

    How do you remain civil with coworker's you hate :)

    ProgressiveActivist replied to lifein08's topic in Patient, Colleague Relations

    You have no friends in nursing, treat them as you would any business partner -contact-associate. Keep yourself in this professional mindset. You can discuss the weather, books, movies,...
  25. ProgressiveActivist

    what do you talk about at work?

    ProgressiveActivist replied to nola1202's topic in General Nursing

    It's really a bad idea to assume that the people that you work with are your friends. They aren't. They are your business partners or business contacts and that's all. There will always be someone...