francoml ASN, RN

Critical Care at Level 1 trauma center

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All Content by francoml

  1. francoml

    Rapid Response

    I work at a level one medical center in Texas in the Medical ICU. This week I have an interview with the director of Rapid Response for a position on their team. I have been a nurse for almost a year...
  2. francoml

    First PICC insertion!

    Thank you
  3. Wait what??? You had to sign a contract stating that you have to pay 12k for your residency?? Wow that is terrible. I did an ICU residency and a level one facility and I got a 4k sign on bonus and my...
  4. francoml

    Rapid Response

    I got the position, thank
  5. francoml

    Rapid Response

    In my facility there are Rapid nurses from all the critical care areas although the vast majority come from SICU and MICU. To answer your question, there is always as dedicated RRT nurse available and...
  6. francoml

    Rapid Response

    Does your facility have dedicated RRT nurses or are they staff nurses who have one or 2 RRT shifts a week? At our facility I work staff in MICU and then once a week I am a rapid response nurse with...
  7. francoml

    Synthetic Marijuana - Research

    I am doing a research project for a regional medical center and would like to get some testimonials about how you treat patients coming in with synthetic marijuana intoxication. Obviously no patient...
  8. francoml

    Bad time to start ICU job?

    Go for it. It is a lot to learn but with some hard work you can make it
  9. francoml

    New grad

    Go ICU right away, I strongly disagree with the idea of having to have med/surg experience before ICU. I am a strong supporter of learning the "ICU" way before you have any bad habits. That being said...
  10. I really think it just depends on the day and what going on in the unit. I work at a level one regional hospital in MICU. I am also rapid response and float to the other ICUs. Open heart is super...
  11. francoml

    ICU as a new grad

    Thank you all for your support. To Meriwhen, my internship was vital to my success in the ICU. There was always watching over us to make sure we didn't make any life threatening mistakes. They would...
  12. I am about to graduate nursing school in May and am interested in getting into an ICU. I am a 22 year old male, have a 3.8 GPA, phi theta kappa, and crimson scholar at New Mexico State University. I...
  13. How old are the nurses on your unit? In mine the average age of the nurses in mid 20's I work at a large level one hospital in MICU. What about
  14. To all the PICC nurses out there... How do you like your job? Are you a dedicated PICC nurse or is PICC insertion just one of your many responsibilities. The reason I ask is because next month I am...
  15. francoml

    Fired for refusing??

    Unless you have a serious medical issue with getting immunizations I dont see how them being mandatory is a big deal. Hell be eradicated polio and small pox with immunizations obviously the good...
  16. francoml

    Coude

    I agree call urology. Even for males the thought of using a coude makes me shutter.
  17. francoml

    Nurses are Not Doctors

    Just look at the APRNs in the 16 opt out states. They practice independently and studies have shown that they have the same patient outcomes as MDs. Obviously they are not performing heart surgery but...
  18. francoml

    PICC Nurses input on their job.

    Also when you are placing ultrasound guild IVs do you need formal training or just OJT? Additionally, are you restricted to what veins you can use such as "no brachial veins?" We can use all veins as...
  19. francoml

    PICC Nurses input on their job.

    Rapid response is "the" IV team at my hospital. Our order of priority goes in this order. Codes, RR calls, critical care calls (multiple traumas coming in at once in SI or ER), Chest pain calls, code...
  20. francoml

    PICC Nurses input on their job.

    why do so many places restrict EJ placement by nurses? In my facility it is only allowed by ER charge nurses and rapid response nurses. Its not that hard to do and if you look at the vasculature with...
  21. francoml

    New Grad - Interviewing in a Trauma ICU

    Oh and congratulations on the interview, that is half the battle! Good
  22. francoml

    New Grad - Interviewing in a Trauma ICU

    in regards to interviewing.... Be confident but don't BS your way through things. If they ask you critical care questions it is always better to say I don't know what I would do but I will sure as...
  23. francoml

    ICU as a new grad

    Not being rude but you did not read my last post. I was providing an update. I am now an ICU nurse at a level on hospital and part of the Rapid Response
  24. francoml

    Working crazy hours

    How many hours do y'all work a paycheck? Myself I usually work 100+ hours, all by choice mind you. This paycheck I am on for 5 off 1 on 5 off 3 I work nights and 12 hour shifts. Am I just crazy or are...
  25. So I have really been thinking of going into the Air Force for many reasons. (not in any order) 1. I have a sense of duty to my country 2. I want to further my education as a CRNA and military...