Bec7074

Bec7074

Trauma, Critical Care

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All Content by Bec7074

  1. CCRN and being more competitive for the ICU??

    I think being a PCT in an ICU makes you competitive enough. Stay in touch with you manager and let her know you want to work there. The CCRN is hard and you will likely need actual hands on RN...
  2. How would you handle this..?

    I work in a trauma ICU and MRIs are fairly frequent. We have to change the leads once we get to MRI to all MRI compatible EKG patches and wires. Also, we don't change tubing, but we have to use...
  3. Ordering antibiotics!?!

    Just an update. Went back to work tonight and the patient is on vanc and meropenem. And still febrile with nasty urine....but it made me feel better. Working nights can be frustrating. I often feel...
  4. reporting a med error

    Obviously you feel bad about the situation since she was upset. However, you really did the right thing. Medical error reporting is for "process improvement." It's done so organizations can study...
  5. Treating the ABG

    Peep and FiO2 will aid in oxygenation. If you have someone who is desatting or with a pO2 less than 60, you would increase one or both (need an order to increase PEEP). PEEP is great , but it may...
  6. You know you're an ICU nurse when...

    Oh, and a favorite... When you forget your patient isn't intubated/sedated and you pass gas in their room. Not saying I've done this, of
  7. You know you're an ICU nurse when...

    When you can't stand your patient not to look tidy and calm in the bed with all their lines neatly organized. When you get angry that a patient doesn't have a central line. When you see a bad car...
  8. Is This Normal??

    If you even have to ask, I think it's safe to say you should keep looking. Doesn't sound like an environment that is supportive and beneficial to a new grad. Anxiety is normal and heck, dreading work...
  9. ANP vs FNP vs ACNP for ED?

    When I think ED, I think acute care. I've looked at job postings in my area and some for ED require acute care NP
  10. How to Answer a Nurse's Question

    I love this. Thanks for
  11. MSICU vs trauma ICU?

    Totally facility dependent. Ask a nurse recruiter about it. I work in a level one trauma center, and we don't have the name "trauma ICU" or anything like that but all the traumas come to us....
  12. Having trouble applying knowledge, pls advise

    I think we're a lot alike, Ashley. I'm def more book smart than common sense smart, but I still don't have any issues functioning as a nurse and was recently asked to precept. A couple things came to...
  13. I went part time. I started in ICU e summer before starting school. To me, part time made sense for the following reasons: 1. Extra year working as an RN (will have been RN for 5 years when I...
  14. Stay on tele or go back to neuro/trauma?

    I personally choose happiness. Do what you love. It sounds like you have learned plenty on the tele floor (like how cruel and lazy ppl can be). Are the pt's that sick anyway? It doesn't sound like...
  15. Not so nice registered nurses

    It's unfortunate but true. The saying "nurses eat their young" didn't come about for no reason. However, there are older experienced nurses that are wonderful and kind. Give it time. Once you get to...
  16. Should I have left pt's restraints on?

    I'm sure it's been said, but bed alarm is one thing I see missing here. Where I work (ICU) restraints are common and the docs trust us to put them on and off as we feel necessary. In our order set, we...
  17. Friday the 13th - Any madness?

    Wasn't too bad for me, other than my patient who seized and caused a car crash wanted to leave AMA and refused her MRI. They dont know what caused the seizure. Scary if she left and starts driving...
  18. How to stand out at a nursing job fair?

    I'd suggest making a plan of attack and "warm up" with hospitals you don't really care about. That way you get comfortable talking to the recruiters and get used to their questions. A friend of mine...
  19. The strangest write up ever.

    Agree with xoemmy...start looking ASAP. You want to leave on good terms and not have the termination on your
  20. The strangest write up ever.

    Managers are responsible for following up with every incident report/write-up they receive whether they prove to be true or false. I have been written up for a transfusion reaction in which the blood...
  21. CCRN testing help

    I used Kaplan for GRE. The flash cards were especially especially
  22. I'm glad you asked this! I used to have the same questions and now I feel like I may have some insight. This is my experience: I worked in a small, rural hospital that had about a 15 bed ICU, a...
  23. This made me laugh

    Hopefully this will bring a smile to you all...I had to share. The other night I cared for a young guy in our ICU who had oral surgery and was going to be left intubated all night just in case the...
  24. CCRN testing help

    I'm taking mine in about a month and really nervous. It is a lot of money but my institution will reimburse if you pass the first time-that is motivation!!! What are you guys doing to study? I bought...
  25. Sounds like you are wanting more respect from the experienced nurses. It's that feeling that you have to prove yourself. In my experience, it's not just when you are a new grad. I've also felt that...