jamisaurus

In the ICU, we give 20 mEq over 1 hr diluted in NS. So a 40 mEq k rider goes in over 2 hrs, never faster. Agreed with above poster, dangerous!

We monitor continuously in leads III&V. If prisma in running, sometimes it messes up one of the leads so bad (usually V) and creates so much interference that you can't distinguish ST segment measurements or even QRS complexes. We've tried changing patches, cords, everything and it continues until CRRT treatment is stopped! Didn't know if anyone else noticed this.

Question for the PrismaFlex users: when you're running it, have you noticed it creates so much interference on your continuous cardiac monitors that's it's impossible to read one or two leads?

If the patient is NPO, what might happen to their blood sugar? Is their potassium within normal limits?

ASAP. Took me a month to get my ATT, And that was during slow season.

If you know the managers already, like you work as a PCA, they would probably be lenient. Or you could push back your start date to after the honeymoon. I was in the same situation as you, we got married last June and I'm just now taking my "latermoon" (what we called it) on Saturday!

The associates degree in non-nursing is a waste of time. Cut your losses now and start a BSN program, you need a BSN for a MSN.

It's very difficult to get a job in the cath lab, at least in my location. Everyone wants their schedule! Ours requires 1+ years of ICU experience, or 2+ years of med/surg. In my opinion, it's very specialized and you won't get the chance to expand your skills, critical thinking, time management as an independent student. Since you likely won't be working here has a new grad, you'll lose valuable opportunities to practice these things. I would do something more generalized, like ICU or med/surg if cath lab is your end goal. Again, this is my location. It may be different in other regions.

I only wear Greys Anatomy tops. I've come to accept that it's the only fit for short, busty gals like me. 😩

I also have the cheapest model. Many people I work with have the watch. If I'm getting down and dirty, I tuck my gloves around it and double glove so its projected. I also like setting alarms for lab redraws, restarting tube feeding, etc. washing hands and it getting wet is a non issue, it's resilient!

Talk about setting yourself up for failure as a new grad!

Do you want to become an NP? you can apply for direct entry MSN programs but in my area these grads have a hard time getting hired. They don't want to hire an NP who has never cared for a patient as an RN! I have a similar undergrad story as you. (Biology/pre med) I did a 13 month accelerated BSN. I currently work in an ICU. it all depends on what your long term goals are! So very sorry to hear of your loss.

We have PrismaFlex. It's amazing and pretty much runs itself once set up.

You will learn more as your program progresses. A lot of nursing school is assessments and helping clean up patients. Incontinence also depends on which area you are in. You will learn the most when you start working, but bedside nursing involves cleaning up your patients. For now, look in depth at your patients charts, meds, labs, why they're there.

I was #8 on wait list. Got accepted in November. Classes started in Jan.

I got critical care nurse, and what do ya know that's where I work 😎

Honestly, in my opinion the MD treated you poorly. He was unprofessional and rude. It was something you weren't comfortable with, and he was disrespectful. However, this means he's used to other nurses pushing it without him there. I would have pushed it and I have without a physician present with order of course (I do have ACLS). He was right around the corner if the patient didn't tolerate it, and so was your physician. In my facility ACLS nurses can push it. I would investigate your policy, it might clear some things up for both you AND him.

At least 2 years usually. You'll get only a few days of training/orientation to the new facility and then you'll jump right in taking patients. You need to be a confident expert, and that only comes with time and experience.

Well you wouldn't even be considered until you have 1-2 years experience, and you only have 6 months experience. Wait.

The best is when you're putting one in during a code and the drill stops working and just spins and spins slowly into the bone... I almost gagged. Poor patient.

Medical cardiac surgical and neuro ICU. Everything but fresh hearts 😋

Running CRRT prisma!! All day every day! And I love bridling an NG tube. That magnetic click is so satisfying.

When I'm off for a long stretch, I literally enjoy going back to work in my MCSNICU. (I know, right! A mouthful!) Every patient is different, the docs respect us more, I feel like I practice to the top of my license. I love the thrill of a code with a bunch of ICU nurses there. What I don't like is unnecessary prolonging of life and frequent fliers, but hey. Decided against NICU, ICUman??

You could also consider ICU. MDs are very trusting and respectful of the nurses. Also patients are usually too sick to complain!

My answer is specific to the ICU. First 2 weeks is usually computer/charting orientation outside of the unit. Then we started with a preceptor with one stable patient to get the lay of the land. Gradually, you would take on sicker patients, do more on your own, and work on time management. By the end of orientation your preceptor should be just a resource and doing nothing but checking charting. Our educator has started doing skills classes at the beginning of orientation, with basic intro to art lines, vents, etc.