francoml ASN, RN

Critical Care at Level 1 trauma center

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All Content by francoml

  1. francoml

    CMC

    francoml posted a topic in CCU, Coronary, Cardiac

    So regretfully to say, I failed my CMC certification last week. I studied for 3 full days plus I have been an MICU nurse in a level one facility for 2 years and I float to CVICU regularly for extra...
  2. francoml

    Invasive procedures?

    francoml posted a topic in Advanced Practice

    Hey everyone. Haven't posted here since I was I baby graduate nurse. Fast forward 4.5 years into my career, I have been a MICU nurse at a level 1 trauma center (4 years), dedicated rapid response...
  3. francoml

    Should ICU get more pay than floor nursing?!?

    francoml posted a topic in MICU, SICU

    Okay so I don't want to come off as rude or biased but I am pretty confused as to how my facility can pay medsurg nurses an extra $3/hr over what they pay me! I know they work very hard but I work in...
  4. francoml

    First PICC insertion!

    francoml posted a topic in Infusion, Intravenous

    I just placed my first ultrasound guided PICC yesterday!!! It was a freaking awesome experience. I still have to get 2 more successful insertions before I can place them by myself but I am on my
  5. francoml

    Advice for men in nursing!

    francoml posted a topic in Men in Nursing

    Hey guys I have read many of your posts about bias, not fitting it, the mean girls don't like me, blah, blah, blah. Let me give all you new male nurses some advice. Stop with this whole male vs...
  6. francoml

    What can I expect from the Reserves?

    francoml posted a topic in Government, Military

    Hello, I am currently contemplating joining one of the Reserve branches and had a few questions. I know civilian training/experience plays a role so here is my background. Training/Background BSN 4...
  7. francoml

    Should ICU get more pay than floor nursing?!?

    francoml replied to francoml's topic in MICU, SICU

    holy crap I started this thread years ago and people are still debating it... Kinda proud lol. After years of experience I now believe that all acute care nurses (MS, ICU, ER, ect.) should start off...
  8. francoml

    tips and tricks for difficult IV starts?

    francoml replied to amzyRN's topic in Emergency

    Ultrasound.... Should be the gold standard. I don't know how it is in other hospitals but in my unit (large level one ICU) the majority of our nurses know how to use ultrasound to place difficult IVs....
  9. francoml

    What can I expect from the Reserves?

    francoml replied to francoml's topic in Government, Military

    I would join relatively soon an an
  10. francoml

    Professional meetings....ACNP school.

    francoml posted a topic in Student Nurse Practitioner

    Hello all, It has been quite some time since I have been on this site. Anyways, I am currently in ACNP school at Texas Tech University. I am writing this to ask for y'alls help. I need to attend a...
  11. francoml

    Legalization of recreational marijuana

    francoml posted a topic in Colorado Nursing

    As most of you all know, Colorado just approved recreational marijuana use. Does this mean that someone could test positive for THC and not face any repercussions?? I know you could not be intoxicated...
  12. francoml

    The HARD Truth for most nurses

    francoml replied to Humaneclowninscrubs's topic in Nursing Professionalism

    Its okay not to like cleaning *** and ****. God knows I don't. You just have to look at what makes you happy. I am an ICU/RRT nurse, sure I have to clean poop but I also get to run codes, manage CRRT,...
  13. francoml

    ICU pay differential?

    francoml replied to Mr. Murse's topic in Critical Care

    I would like to say something on behalf of all the medsurg nurses out there. Being an ICU nurse and rapid response I too used to be on the side of we (ICU/RRT) should get paid more. I used to think...
  14. francoml

    sedation and anesthetics

    francoml posted a topic in Critical Care

    Are you all allowed to bolus propofol and titrate drips? What about ketamine? I was under the impression that all ICU nurses could do this but apparently there are some facilities or states that it is...
  15. francoml

    ccrn

    francoml replied to jpj7's topic in CCU, Coronary, Cardiac

    I thought the PassCCRN practice test where harder than the actual test. If you can consistantly pass those, even by the smallest margin, then just schedule your exam already! You will do fine! Look at...
  16. francoml

    sedation and anesthetics

    francoml replied to francoml's topic in Critical Care

    to be clear when I said bolusing propofol I was talking about when anesthesia orders induction meds for intubation. After intubation we can titrate the drips such as propofol ect. I do not bolus...
  17. francoml

    ICU pay differential?

    francoml replied to Mr. Murse's topic in Critical Care

    I am a rapid response nurse as well as an MICU nurse in a level one hospital I am CCRN certified and have my BSN. I run CRRT, and can place ultrasound guided PICC lines and PIVs. I can run codes and...
  18. francoml

    mistake

    francoml posted a topic in Critical Care

    Admins please take this down I did not realize how much personal information I was providing when I posted a research project I did.
  19. francoml

    How long did you study for CCRN?

    francoml replied to EMEddie's topic in MICU, SICU

    It depends on what kind of facility you practice in. I was a MICU nurse in a level one facility for about a year before taking the test. I took a week off work and studied HARD for 4-5 days and...
  20. francoml

    My first emergent PICC insertion

    francoml replied to francoml's topic in MICU, SICU

    Ya so I use ultrasound for all the difficult sticks... I still stick at least once without it to keep my skills up (unless they are +4 edema or something). Also I have 2 inch needles in all the gauges...
  21. francoml

    My first emergent PICC insertion

    francoml posted a topic in MICU, SICU

    Okay I know PICCs aren't supposed to be "emergent" lines but reality dictated differently. Here is the scenario, I am an MICU nurse certified to drop PICC lines. I had a status post code from the...
  22. francoml

    My first emergent PICC insertion

    francoml replied to francoml's topic in MICU, SICU

    Google sherlock ultrasound and you will see
  23. francoml

    IS MICU/SICU too much for New Grad?

    francoml replied to RNewbie0203's topic in MICU, SICU

    I have to respectfully disagree with this statement. I have way more autonomy as a ICU nurse then floor nurses do. I have standing order sets that allow me to give multiple drugs without first...
  24. francoml

    My first emergent PICC insertion

    francoml replied to francoml's topic in MICU, SICU

    Luckily I work in a facility that has a very strong support team plus we have procedure carts that carry just about every type of access one would need at a given moment. One technique that I have...
  25. francoml

    Most drips at once

    francoml replied to delphine22's topic in MICU, SICU

    Levo, vaso, neo, epi, dopamine, saline, albumin, blood, plasma, platelets, meropenem, vanco, TPN, acyclovir, insulin, fentanyl, and vecuronium. needless to say the patient didnt make