KeepinitrealCCRN

Might as well have the family members inside the OR too while you're at it! PACU is no place for visitors and should be an open room for safety issues! Why would you want to risk the safety of pts by having visitors inside the PACU and walls??? Image if they all had visitors so that would be an additional 10 people inside the PACU and what if another pt codes? Awful idea!

I would do an incident report for unsafe staffing every time Im tripled. It is unsafe and you shouldn't put up with it.

Never only in CTICU.

For me I don't think it is safe. You have more medications running together, you might need to flush the IV site or if there's an emergency and you use that line to push meds through or hanging piggy back medications you might make a mistake. Also changes in rates will push more or less medications through the line. For example I would never Y site levophed to IV fluids but that is just me. Of course some patients are hard sticks or you only have limited options so you have to do it.

Any high risk medications I run alone if possible no matter compatibility.

Maybe not the question you asked but I would never Y site anything to a heparin drip. I always run heparin alone even if it is compatible with other medications.

Nope. The IV drips have nothing to do with your arterial line blood draw.

I would only bring it up if they ask you what your plans are for the future.

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

Agree with everything above. MICU is hell on earth. ECMO is also boring and depending on where you work a perfusionist might run the machine so you really don't do anything with that. You need to learn hemodynamics and managing emergency situations and intubations. CTICU or Surgical/Trauma ICU are your best bet for experience. Go for CSICU if your goals are CRNA or NP as they favor that type of experience over MICU.

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.

I don't want a 4.0 GPA nursing student working alongside me. I'd like someone with some common sense, critical thinking skills, hardworking and knows how to communicate with people. You can teach most people the skills to being a nurse but you cannot teach common sense. They need to develop different testing measures for nursing school other than GPAs.

Everyone should come together and help out. Even if they are just transporting pts, putting IVs in or giving meds. The MICU nurses should not have to be the only ones working with the Covid pts in this very stressful time.

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.

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!

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.

Nope, it is a bad idea. There are very few situations where I think it would be ok. 1. You already work on that unit as a PCA. 2. You have a 6 month orientation. Outside of these 2 options I think you are doing yourself a disservice.

is this really even a question?

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!

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!

new onset fib + CHF history = Telemetry admit

zombie

So a few things to note here prop/fent for vent purposes should not affect a patients pupils. Unless there is a neuro aspect or some kind of anatomy/defect all pupils will be reactive. The most important thing though is you should be pausing all sedation (unless contraindicated) and do a thorough neuro exam at the beginning of your shift to get a true assessment. A lot of pts wake up easily and follow commands even without pausing their sedation.

Just a few things that stuck out to me. psych per diem? Thats a whole different game and with no experience not a very good idea. Also, it will not help you at all in terms of ICU/CRNA in the future. Travel nursing I doubt they will take you and even if they do it is a bad idea. In my opinion you need at least 2 years in a specialty before you travel. You will have minimal orientation and be expected to get up and running right away. You also don't even have 8 months experience since a lot of it is on orientation. You need to set a plan and stick with it, whatever the plan may be.

In the past 5 years I've had it happen to me maybe 3 times where they want a female nurse all together and then maybe another 3 times when they want a female to provide personal hygiene but everything else I provided for the pt. It rarely happens and should be accommodated if possible. Why not make a pt more comfortable if we can easily accommodate these requests.