climberrn

climberrn

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All Content by climberrn

  1. Dear Doctor Imajerk: (vent)

    I thought your vent was pretty funny. I used to tease the docs on our floor if they were being snippy: "Be nice to me or you're gonna get a 3am tylenol call...." *winks* Had some pretty bad docs but...
  2. Tips for looking more professional

    The only thing I'd caution you on is the hair. If it's really curly, make sure you go to someone who knows how to cut curly hair. If you don't, a bob will end up being very poofy which can look more...
  3. New grad burnt out at 6 mos?

    I think you've found your answer...you need a different unit. These days, if you have "only" 4 patients, these will be pretty darn sick, maybe on their way to or from ICU...not an easy job by any...
  4. There's a situation in which a kid received an ototoxic drug. The doc wrote to check levels after the 3rd dose. It was never done. The doc realized it 24 hours later, re ordered it and the level was...
  5. Peaks and troughs...how does your unit remember?

    That's what we do. Turns out the level was sent but the lab didn't run it. And no one noticed that a level wasn't back. So they did draw it but didn't follow up. Which is just as
  6. Peaks and troughs...how does your unit remember?

    Bolding mine: Aw, man, that would have solved everything. The nurse would have called Pharmacy, most likely pissed that her med wasn't there, :chuckle and would have been told that a level needed to...
  7. New to the PICU

    It's intimidating as hell at first but in every class I've taken, the instructors are way helpful and go over the scenarios as many times as you need to 'get it'. Like Jan said, know your didatic...
  8. Ride along

    Did you do your ride along? I used to work with a bunch of those guys...awesome group of
  9. I'm Taking a Poll

    We kept the HOB at 30 degrees, had different canisters for oral vs. ett suctioning but we were allowed to lower the bed for cares (diaper changes, etc.). We also used a paralytic as long at their...
  10. customer svc the norm?

    On the flip side of that...I had a very customer service oriented history before I became an RN; I waited tables throughout college and worked for Marriott at the front desk and I honestly feel that...
  11. Anoxic brain injuries on MRI?

    Not necessarily. When I did my 6 months (admittedly not a long time) in the NICU, they never sedated babies, even on vents. Just didn't like to do
  12. Removing needle from syringe

    Remorseful? To paraphrase from 'The Princess Bride': I do not think that word means what you think it
  13. I had heard that was the reason more PNP programs were going away from Critical care, per se and moving towards the "acute care" model. This way both worlds were encompassed and the NP could qualify...
  14. David, I'm sure I'll kick myself but, what does the D in DNP stand
  15. Thank you's - memorable ones you've received?

    I've been reading these with tears in my eyes just loving all these stories but thinking I didn't have any to share (what a crappy nurse, right? :lol: ). Then I remembered two that have really made a...
  16. Trauma RUs: actually I'm looking at a pediatric critical care NP. It limits my options school wise but peds is all I've done and I love it. PinoyNP: Thanks for your thoughts. It's good to hear that...
  17. Excellent, excellent post. And whoever said, "only apologize once"...also good advice. Sorry you had to deal with that; sounds like you did a good
  18. Do you trust automatic "vitals" machines??

    Totally didn't read all 7 pages of this but in my old hospital you COULDN'T check a BP manually. The hospital didn't have manual cuffs. One time I couldn't get our monitor to get a reading on a...
  19. New to the PICU

    So how're the newbies doing? :) I'm late to the party but wanted to say welcome! Love PICU, been doing it 7 years...for me it's the best discipline ever. Hope your orientations are going
  20. any comment?

    At first, I was irritated with the posters who said, in essence, "drop the loser" because I didn't think her original post warranted that response. But your second post speaks volumes. You ARE...
  21. Vent...long, you have been warned.

    Unfortunately, it's all about CYA. Sounds like your charting was spot-on. You left thinking it was all in hand: RT was on their way, you gave report, VSS...yah maybe should have stayed but...
  22. any comment?

    Lots of good advice here. The majority seems to be saying that the problem isn't with the hospital. They won't be changing their policies anytime soon so if this is important to you than you are...
  23. PICU vs NICU

    This is late... I, personally found NICU boring and repetitive after working PICU. You will typically work the same scenarios over and over. That being said, you will get very, very good at those...
  24. Speaking of adenosine

    Are you kidding
  25. OP means "original poster" :) True, never thought about it like that but I'd absolutely cry if I got floated there...would not be competent AT ALL. There are so many things that get done on a M/S...