KeepinitrealCCRN

KeepinitrealCCRN has 6 years experience and specializes in SICU,CTICU.

KeepinitrealCCRN's Latest Activity

1. 

   ICU Nurses

   KeepinitrealCCRN replied to HappilyME's topic in Critical

   Please take everyone else's job off my plate so I can do my own job, that would be great. Thanks.
2. 

   Future Nurses are Brighter Than Ever

   KeepinitrealCCRN replied to M1ST3R3DW1N0_RN's topic in General Nursing

   Well if you can read between the lines what I was trying to say was grades are not everything. I've seen many new graduates "top of their class" and they are not good nurses. It takes more than a GPA to be a good nurse.
3. 

   Sick of nurses "referring" to our specialty

   KeepinitrealCCRN replied to Jedrnurse's topic in School

   School nursing is a specialty just like any other. I cannot imagine doing that ever! To me it is hard and has a specific set of challenges.
4. 

   Patient’s family threatening to report me to BNE

   KeepinitrealCCRN replied to GilligansPlace's topic in General Nursing

   A BP of 90s/60s is not a rapid response (maybe there was more to it). It seems like you did all the right things and I would not be worried at all. I wish certain family members would fire me!
5. 

   Burned out and not sure where to take my career

   KeepinitrealCCRN replied to Surgical ICU RN's topic in Critical

   PACU?
6. 

   Tips on Getting an ICU Job as a New Grad

   KeepinitrealCCRN replied to CSTtoCRNA's topic in Critical

   As Hoosier said just apply to all of them and see what happens but I highly discourage you from doing this. If you do get accepted get into a good orientation program (at least 4 months) otherwise you are setting yourself up for failure no matter how motivated and driven you are. There is just not enough time in 3 months to learn nursing basics plus ICU nursing and you will struggle big time.
7. 

   Need Advice on Accused Medication Error

   KeepinitrealCCRN replied to Shannon Dull Dunlevy's topic in General Students

   I wonder if there were cameras? I would tell them to roll the footage! and then we can see who took it off in the first place. Also, in this case it is the instructor's problem as they are supposed to do everything with the student and you guys finalized the medication and put the mask on the pt and left together. The mask coming off happens in real life all the time - could be by RT or another nurse or the pt and sometimes we have to put it back on or stop the treatment just as you mentioned in your original post. I also think you did the CORRECT thing by telling your instructor first before taking it upon yourself to put the mask back on. Im glad you got to move on as this is so ridiculous. Good luck!
8. 

   Effect of 12 Hour Shifts on Patient Care and the Nurse: A Need for Change.

   KeepinitrealCCRN replied to LindaGracie's topic in General Nursing

   I would resign if I had to work 8s and Id leave the profession all-together if that was the norm in all hospitals. There is no need for change! We shouldn't even put this out there in the world!
9. 

   new onset afib

   KeepinitrealCCRN replied to donotenter's topic in General Nursing

   new onset fib + CHF history = Telemetry admit
10. 

    Platelet Administration

    KeepinitrealCCRN replied to rn39648's topic in Safety

    I've always only hung platelets with special tubing (a filter) and it is hung by gravity usually goes in within 30 min.
11. 

    Best sedation med

    KeepinitrealCCRN replied to miamiheatrn's topic in Specialties

    I like prop/fent because you can bolus them and titrate them easily. I also love versed but it is not our go-to drug. Personally, I hate precedex because you can't bolus it, it doesn't really work and almost always causes bradycardia. Precedex is good to take the edge off or ETOH withdrawl but not great for intubated pts who need something stronger.
12. 

    What separates great nurses from decent nurses?

    KeepinitrealCCRN replied to TexasmedicRN's topic in Critical

    Number one would be critical thinking skills and a close second would be just caring about the patients. So many RNs lack these 2 even the senior RNs.
13. 

    Is it wrong to start infusion that will not finish till next shift?

    KeepinitrealCCRN replied to Capp's topic in Medications

    This can't be a real thing?? The future of nursing is in trouble.
14. 

    Shift Report: Listening, no writing...

    KeepinitrealCCRN replied to mtmkjr's topic in General Nursing

    I also do not write anything down. I felt like when I first started I would and I would miss a lot because I was writing too much so I dropped that and just started listening; the things I forget I can always look up. I only really need to know events that happened overnight and the plan for the patient, everything else I am going to assess or look up myself whether they tell me or not. I work in the ICU and only have 1-2 patients, if I had 6 I think I would need to write some things down to stay organized.
15. 

    Levophed works better in D5 vs. NS

    KeepinitrealCCRN replied to Beautifulmirror's topic in Neurological

    I believe levo in d5w holds its concentration better?/longer but I don't think it actually increases the BP more than being mixed in ns. That is my understanding of why it is mixed in d5w rather than ns ideally.
16. 

    Racial Discrimination In The Nursing Profession

    KeepinitrealCCRN replied to MasterStreet's topic in General Nursing

    "Less than 25% of the nursing workforce in the United States are minorities" This cannot be true. I think it is the opposite? Im not saying racism doesn't exist but the majority of my coworkers are minorities including our manager.