KeepinitrealCCRN

KeepinitrealCCRN

SICU,CTICU,PACU

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All Content by KeepinitrealCCRN

  1. What is the hardest shift you ever had?

    KeepinitrealCCRN replied to vxxen's topic in General Nursing

    1st night off ICU orientation - 12 hour code (septic pt and ended up passing away the following night not with me) plus another intubated pt. special thanks to whoever was my charge nurse that night...

  2. In need of a confidence boost!

    KeepinitrealCCRN replied to Emm_RN's topic in PICU, Pediatric

    some people are just not going to be good preceptors no matter how much experience they have. it takes a lot more than experience to be a good preceptor. i would try to get more shifts with your...

  3. Time and blood pressure meds

    KeepinitrealCCRN replied to jodispamodi's topic in General Nursing

    just my 2 cents ANY pt on BP meds i would not go longer than 1 hour. if more than 1 hour goes by i would recheck their blood pressure. it is not appropriate to give a pt BP meds on a blood pressure...

  4. Why so much Negativity in Nursing?

    KeepinitrealCCRN replied to lindsayCalifornia's topic in General Nursing

    i LOVE being a nurse but i think there are better choices in healthcare. if you have the brain and are willing to put in the work i would recommend being a dentist, physical therapist or pharmacist....

  5. Intubated Pt's Using Bedside Comodes

    KeepinitrealCCRN replied to EDrunnerRN's topic in Critical Care

    in SICU most of our pts are critically ill and when they are no longer critical we extubate them. i have seen a few pts intubated out of bed in the chair but they are mostly trach to vent. i would...

  6. alcohol withdrawal-Ativan

    KeepinitrealCCRN replied to sassyann85's topic in Addictions

    i do not really like the CIWA protocol. in the ICU I've seen pts given 30mg of lorazepam and still be wild. maxed out on lorazapam and precedex drips and still wild. i believe these meds are...

  7. Seeking Advice: Direct Entry Blues

    KeepinitrealCCRN replied to mk989's topic in Nurse Practitioners, NP

    I'm not sure if going to work as a bedside RN at this juncture is your best bet. I'm not an NP so hard for me to direct you, a specialty may be hard too since you have no prior experience in that...

  8. Icu nursing just not for me

    KeepinitrealCCRN replied to Wvurn15's topic in Critical Care

    hmm imo a lot of what you mentioned you should feel comfortable with at this point, especially vent settings and drip titration. NP may be worse, you are responsible for more and you are the final...

  9. How to get a critical care position after med-surg

    KeepinitrealCCRN replied to independentkitten's topic in Critical Care

    i agree with the others - stay for 1 year at least and then just apply, you shouldn't have a problem finding an ICU position after 1 year of

  10. Catholic Nurse Sues Duke University Hospital After Refusing to Assist with Abortions

    KeepinitrealCCRN replied to tnbutterfly - Mary's topic in Nursing News

    why would this person even become a

  11. Pressure Ulcers as a Quality Indicator?

    KeepinitrealCCRN replied to luffle's topic in Patient Safety Issues

    i also don't know much about exact rates but we do not have a lot of pressure ulcers that are acquired on our unit. we also have a wound care nurse who rounds every day and she will see every pt that...

  12. New grad overwhelmed in ICU

    KeepinitrealCCRN replied to novicenrs's topic in MICU, SICU

    yes the overwhelming feeling will go away! also, this may sound mean but i mean it to be more empowering; you need thicker skin. doctors are going to be upset and may even yell at you but who cares...

  13. Good shoes for MEN

    KeepinitrealCCRN replied to MurseAt50's topic in Men in Nursing

    i alternate between nike running sneakers and calzuro clogs. calzuro clogs are nice because they are 100% rubber so you can clean them very easily and you can get them with an insole if needed. i...

  14. Will Nursing be stressful?

    KeepinitrealCCRN replied to Aa1Bb2Cc3's topic in Pre-Nursing Students

    probably one of the most stressful careers but that depends on what unit you work in and how easily you get stressed out. the good part is that you do not take it home with you. typically its not 3...

  15. Vent management and sedation/pain management

    KeepinitrealCCRN replied to MaxAttack's topic in Critical Care

    unless the pt is telling you they are in pain or they have had some kind of procedure where you know they would be in pain i do not think fentanyl is appropriate. propofol is great short term but pts...

  16. Nurses and bullies...

    KeepinitrealCCRN replied to nightingale4me's topic in General Nursing

    there are always a few bullies on every unit but for the most part i have worked with a lot of really nice people. the few that we have tend to be older nurses and i have seen them berate an orientee...

  17. Mispronunciations That Drive You Nuts

    KeepinitrealCCRN replied to ixchel's topic in General Nursing

    a CNA i work with says the pts are incubated instead of intubated! i love

  18. I'm loving Community Health nursing

    KeepinitrealCCRN replied to thelittleRNwhocould's topic in General Nursing

    congrats! we definitely need more nurses interested in community health. i had zero interest in community health in nursing school but it was my favorite clinical as well. best of luck to

  19. NO experience new graduate BSN student applying for MSN-FNP graduate school?

    KeepinitrealCCRN replied to 2bABLE's topic in Student Nurse Practitioner

    no i don't and i think it is totally fine and valid to become an NP without RN experience. if you know that is what you want to do then go for it; the roles are very different as we both know. i...

  20. NO experience new graduate BSN student applying for MSN-FNP graduate school?

    KeepinitrealCCRN replied to 2bABLE's topic in Student Nurse Practitioner

    my evidence is in common sense. I'm not an NP and have zero desire to be one, if i did i would go back to school and become one (its really not that hard). the fact that i am not an NP means nothing...

  21. NO experience new graduate BSN student applying for MSN-FNP graduate school?

    KeepinitrealCCRN replied to 2bABLE's topic in Student Nurse Practitioner

    so i believe you can do just fine as an NP without RN experience but seriously??? NP students without RN experience have better clinical exam skills???? how can you even type those words and believe...

  22. I literally hate my job

    KeepinitrealCCRN replied to basenjilove808's topic in First Year After Licensure

    my advice is to switch to nights and stick it out 1 year then try to transfer to ICU. you will need ICU experience for CRNA school anyway. if you you don't like cardiology maybe MICU would be a good...

  23. Clients who prefer a specific gender

    KeepinitrealCCRN replied to jameshutch's topic in Men in Nursing

    this has only really happened to me once or twice and i think it is fine as long as we can accommodate the pt request. i find it happens mostly with older muslim women due to their religion/beliefs...

  24. Should ICU get more pay than floor nursing?!?

    KeepinitrealCCRN replied to francoml's topic in MICU, SICU

    i do a lot of the same as Cowboyardee mentioned. where i work we make a lot of decisions or recommendations. we always have a resident on the floor (usually 2nd year) and they are very overwhelmed....

  25. Unable to Advance my RN Position

    KeepinitrealCCRN replied to Volley88's topic in General Nursing

    i agree with other people. i would look for employment in different hospitals. the hospital you currently work at clearly does not care that you are invested in staying with the company as they are...