SWAT RN
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Thank you all for your comments. This is very helpful information. Pretty much reinforced what I kinda already knew which is that I need to start looking for ER jobs, Im sure I will get TNCC if Im in a Level One facility. Been thinking about CEN instead of CCRN. But maybe I will just do both, nothing like an over achiever!
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We do it as SWAT in ours.
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Always always ALWAYS keep your balloon syringe empty and the clamp LOCKED. If you accidentally wedged that balloon when you turned your pt and didnt notice you'd have a major sentinal event.
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The rate of infusion really just depends on why your giving it. As far as why its ok to run it fast...my guess is that its safe because it does not require type and crossmatch. I always run it wide open off pump unless theres some kind of cardiac history.
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Hi Ive been a nurse for 7 years. 6 years in a couple ICUs, most recently 3 years in the MICU at a very large inner city Level One - tons of sepsis, shock, CRRT, Rotoprones, Oscilators... rarely a few GSWs, head traumas, etc. Usually the traumas we took care of were transferred from the TICU because they were in profound shock, multiorgan failure and needed CRRT and/or rotoproning. Ive got plenty of experience working with Residents - I actually enjoy that for the most part and would love to go back to a teaching hospital. As a result of some serious burnout, I left the MICU a few months ago to take a SWAT position at a small community hospital and I HATE IT. The goal was to take a little break (management issues). Turns out I should have probably just taken a couple weeks off. Anyway, now that Im out of the ICU Im finding out I really want to get back to my original plan - trauma nursing. I have no ER experience and very very very very little TICU experience. My question is where do I start? Im pretty sure it varies from one facility to another how the traumas are run. I know some have TICU nurses who go to the traumas while others send their SWAT nurses or ER nurses rotate through. Any seasoned Trauma nurses have some advice for a wannabe? Already have ACLS, PALS. Should I even bother with CCRN? Would ATCN/ATLS help? Thanks.