veggie530

I protect my patients from harm when I work as a nurse. I go through training and develop skills and critical thinking in order to help me fulfill that role as a nurse. I protect myself and my family (and anyone who needs it) from harm when I carry my firearm (licensed to do so) with me on a daily basis. I go through training and develop skills and critical thinking in order to help me fulfill that role as a sheepdog. In a self-defense situation where deadly force is warranted, do not render aid unless you are 1000% certain that no harm can come to you (in other words: don't). If anything you should be dialing 911 and bugging out to a safe location.

I think this topic demonstrates a lot of what's wrong in nursing. I'll just leave it at that.

Interesting. I didn't get an IABP question on my exam.

So at a new facility I work at, we were reviewing hypothermia protocol. I asked "what if the patient wakes up and is following commands?" and everyone laughed and said "what?? they're on nimbex and sedation, they won't" and even went on to say that if they woke up during induction to increase sedation and nimbex and continue on. WHAT?? It made me question myself immediately, but at my old facility, I know I've had patients that coded, got hypothermia protocol ordered, and during the process of initiating the induction phase (nimbex, cooling, propofol, etc.) they've woken up and were able to follow commands (squeeze hands). Subsequent to this the intensivist DC'd the hypothermia. I know I've also had patients on nimbex/propofol that became responsive, probably due to the dosage need of the drugs being relatively small s/p the code, but later on the patient is able to excrete/metabolize drugs better after recovering from the code. Anyway...am I crazy here? If a patient became responsive...continue on with hypothermia and sedate/paralyze???

Here's some. IV Critical Care Infusion Drip Chart

I say a lot of these things regularly. It makes other nurses squirm and get all nervous and some actually seriously get upset by it. I can't help but laugh that people actually think these things impact what happens.

Hey guys, I'm an RN and also a type 1 diabetic. Recently at work my pump malfunctioned and I received 40-50 units of humalog in a single bolus. Needless to say it was a pain, and I ended up going to the ER to get some IV dextrose. The physician gave me 500ml of D10 initially (after 14 apple juices and 28 sugar packets), still not enough. So, he gave me 2 liters of D10 with 150meq of NaCl in each bag. The bag said NaCl 24.5% or something like that. I didn't get a chance to talk to the doc about it because the ER was a zoo and my nurse had never seen it before either. Anyone else seen this or could tell me the indication? I didn't tolerate all that fluid well. I wasn't dehydrated and the 2nd liter was infused via pressure bag and I had heart palpitations, HR increased from 80's to 120's, chest tightness and dyspnea. It did make my headache go away (lol).

I used the $150 AACN online review course offered on the AACN website, nothing else! And some youtube videos about concepts I wasn't very familiar with.

Literally 5 seconds after posting this I figured it out. Whoops :) --> Verification of certification on AACN website I do wonder how long it takes for your certification to post, though

Odd question, but I passed my CCRN recently... now what? Do I get a card or something to go with my ACLS/PALS/BLS/etc.? I googled with surprisingly not many relevant results...

It's a myth. Some A-students do great hands on. Some C-students do, too. I have noticed that I see a lot of A-student types have extreme difficulty in the work force because there is no "A-grade" for them to achieve, and often they are in fluid situations that aren't black-and-white answers like exams in nursing tend to be. But it is a popular thing I hear.

They will probably gladly oblige you. Honestly, I would. There are ways of correcting correctable behaviors, and your posts in this topic do not demonstrate a knowledge of how that process works. Good luck in your future in nursing. Making mountains out of all of these mole hills is going to be a lot of work for you in the long run. ^^^ Exactly.

With terms like "baby nurse" being thrown around I'm not entirely surprised by a high turnover rate. At face value, it sounds like the unit culture is not conducive to wanting to stick around. Hopefully I'm wrong, or you'll never have more than toddler nurses.

Stand up for yourself, don't take nonsense from anyone -- doesn't matter what it says on their name badge, you're all human beings. Now, maybe you're colossally screwing up all the time, I can't speak to that. Regardless, don't take crap from anyone including surgeons. Don't give up OR experience to go to a floor, that would be a very potato move. Find another OR or put in your time here before you can transfer and stand up for yourself.

If the message came across far less whiny people may take it seriously. In my experience thus far, your experience in nursing is going to depend largely on your co-workers, your facility, and your patient population. I was miserable in my first 6 months on the job before I switched units/specialties, and since then it's better, albeit not all that fulfilling. I'll refrain from saying things like "put your big boy pants on" because saying that from the safety of a computer screen is just as bad as being a whine baby. Do yourself a favor, work your way up the ladder and find a way to get out if you don't like the profession -- or at least find something you like.