Larry3373

Larry3373

Critical Care; Recovery

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All Content by Larry3373

  1. Wrong decision to enter critical care

    ICU can be stressful for a while, but it gets better. I was feeling similar when I first started, but I started in the same facility I was already working at. That made it easier to transition,...
  2. new to LTACH-tips?

    Not to burst your bubble, but LTACH is not a fun place to work in my experience. I briefly worked for Select, because it was closer to home than the ICU I was working for, and they were offering a...
  3. Late admissions/close to shift change

    It sounds like you work in an ICU where there is limited staff to assist with admissions. In one ICU I work for, the admission is basically done for you by the other nurses while you're getting...
  4. Is pursuing a BSN smart in 2016

    I work in an area that is saturated with nursing schools and it took me about a month and a half to find a job (almost 4 years ago). When I hear things like "the market is too saturated" I take it...
  5. Can you specialize and still do other things?

    If you become an RN you can work wherever you want, as long as you can find someone willing to hire you. New grads work in med surg all the time, so why couldn't an OB trained
  6. FNP vs. ACNP

    I am going part time, so shouldn't be a
  7. FNP vs. ACNP

    Also, I have not worked in the ER, but they accepted me into the masters program for ER providers with my ICU experience (they actually prefer ICU experience over
  8. FNP vs. ACNP

    I am currently enrolled in the FNP- AG ACNP dual role through university of south alabama, which is designed for the ER, and will allow me to test for both FNP and acute care certifications. I...
  9. NP Education Sites

    No
  10. Overwhelmed at work :(

    To the OP. Did you notice how many people have shared a common experience with you. The common theme here IMO is floor nursing. In states that do not have mandatory nurse patients ratios (all...
  11. Overwhelmed at work :(

    I get how you feel, because I experienced something similar with my first job. Fast forward 3 1/2 years later and I've been working ICU now for about a year and a half. I would never go back to...
  12. NP Education Sites

    YouTube has a channel called Strong medicine. He is an IM doctor and has a nice playlist for interpreting X-rays. I think he has like 180 videos on YouTube exploring various aspects of medicine in...
  13. Family NP as a hospitalist

    At on of the hospitals I work for (in Mississippi), FNPs work as hospitalists, but they can't follow patients in ICU. They also work in the fast track part in the ER. I personally believe that if...
  14. New to the ICU: Need a book

    SICU will take primarily surgical patient that are critically ill. In many hospitals, the heart surgeries go to SICU, unless CCU or a CTICU is available to take them. My hospital has 4 ICUs and I...
  15. New to the ICU: Need a book

    Go to YouTube and type in critical care. You will be amazed at the resources that pop up. Here are a few YouTube channels that were helpful: IUCriticalcare; medcramvideos; strong
  16. An LTACH is not the same as a nursing home and does sometimes have both patients on vents and pressors. It is a long term hospital. many patients have picc lines for long term abx, and they maintain...
  17. I did 1 year med surg, 1 year telemetry, and 1 year ICU before I applied for NP school. My ICU experience was important because of the acute care component as I'm in the Acute care/Family dual role...
  18. Specialty pay

    I make an extra 2000 or so per year if I get my critical care certification
  19. Help on decision of NP specialty

    There should be programs out there that offer a dual role family and psych NP program. Many people go for family NP first because they see it as the most in demand (you can see all age groups). The...
  20. Can pushing fluids lead to pulmonary edema?

    Don't forget to assess for changes in LOC (level of consciousness) frequently. If the patient becomes nonresponsive, or they go from being oriented to disoriented, then they are likely declining...
  21. Are the pts in the ICU mostly unconscious?

    I work in a surgical icu that takes postop hearts and a more general medical/surgical icu. Most patients are not unconscious in my experience. Yes it can be nice when you have sedated and ventilated...
  22. Ok great, I think that will give you a great overview. You can even play the videos in fast forward if you're listening from a laptop to save
  23. If you like listening to YouTube videos, Andrew Wolf teaches and advanced patho on his YouTube
  24. New nurse-what do I bring daily for work?

    I work ICU. I bring a stethoscope, scissors, hemostats, and several pens. I also bring plenty of snacks and maybe 2 meals. Remember to stop and eat something if you find yourself unable to...
  25. At one facility I work at they have threatened to report us to the board of nursing if we write an order without talking to a doctor first. It doesn't matter if they would be ok with us writing the...