dah doh

dah doh BSN, RN

Member
  • Content

    496
  • Visitors

    9,707
  • Followers

    0
  • Likes

    13

All Content by dah doh

  1. Annual Physical - Does Your Job Require This?

    No annual physical required. We have annual TB testing and annual mask fit testing. We also get a health insurance premium discount if we do a questionnaire, a health screening (height, weight, BP,...
  2. How long should my resume be?

    New grad = 1 page; don't list every clinical experience unless it's pertinent for the unit you are applying to; list awards & certifications; list other jobs briefly to explain 2nd career or show...
  3. My approach to your orientee if I was training them: this is what I see you doing (give specific examples), this is what I need to see you doing (give examples), or these are the consequences! Also...
  4. Transition to ICU...Residency?

    Unless you have ICU experience, my facility puts you through new grad orientation. For nurses experienced in other areas, skills are evaluated and orientation can be lessened (fast-tracked). I've...
  5. Experienced NICU Nurse Shadow an ICU nurse

    No, but if you work in the NICU, you should talk to the adult ICU manager at your facility to see if they would let you shadow for a day. I've never seen it happen, but it doesn't hurt to ask. You...
  6. 42cc/hr as a KVO? Wow! That is super precise! We do 10-30cc/hr at my facility. As to the original topic: yes we use a manifold, stopcocks, or 3 port adapter for compatible gtts. Did you check with...
  7. ratio's with induced hypothermia patients

    1:1 until they are
  8. Should I take this job?

    Accept it only if you want to work Burn ICU. Sometimes you have to settle on lower pay, a bad commute, & an undesirable work schedule to get a few years of experience under your belt so you can...
  9. Nurse Recruiter and HIPAA violation?

    Actually I know it has happened in the past that non-clinical staff personnel at my facility have accessed their family members EMR to read doctors notes and look at test results. Also when our...
  10. Starting an IV with Lidocaine or Not?

    I work in several departments in my hospital. All the areas need to get a doctor's order for the lido or Emla creme. The exceptions at my facility are pre-op and some of the procedural areas use...
  11. Sodium Bicarbonate -- bad for acidosis?

    Bicarb gtt is used to treat severe metabolic acidosis such as single digit bicarb levels with very low pH. Letting the CO2 levels rise too high only leads to ALOC and bipap or
  12. Have you communicated your feelings to your preceptor about her intentions versus how you are interpreting her actions? It sure doesn't sound like you have! You sound frustrated and offended. That...
  13. Pulses Assessment

    If you don't know what someone is talking about when they give you report, PLEASE ASK! Most nurses know you are new and will most likely explain it to you (some will do so kindly because they know you...
  14. Simulation lab is getting out of hand

    I don't agree with the professor giving out answers or instigating. That behavior needs to be addressed with the dean. As to the sim scenarios that "get out of control"... we do that deliberately for...
  15. Hire Me

    Many hospitals aren't hiring as many new grads now. The SoCal job market is flooded with them so hospitals have their pick of several hundred candidates for just a few jobs. Are you in school for...
  16. What is your opinion on getting the flu shot?

    I get the flu shot every year; ever since I started working in a hospital and my preceptor dragged me down to employee health to get it while on orientation. I get a tad unwell initially but then I'm...
  17. New Job in Surgical Trauma ICU

    Hopefully you will bring a few skills with you: priority setting, organization, assessments, charting, and communication to name a few things! Nothing wrong with being the newbie! Keep an option...
  18. I.V.Albumin 25%

    We usually hang it by gravity and just let run in wide open. We only use a pump if it doesn't run at a decent
  19. In the old days, 10 patients on med/surg?

    I started nursing working night shift on a med-tele unit around 15 years ago. 10 patients was considered "a good night". I averaged 12-15 patients that were mostly total care type patients. We had a...
  20. Do RN's insert EJ's at your hospital

    Usually I see EJ's coming in from the field or put in by the anesthesiologist because they couldn't get a central line. Our PICC nurses will put peripheral lines in the usual places (arms, hands,...
  21. do you drink coffee during your shift?

    ....mmmm...same here...but there's a travel mug of coffee glued to my hand every morning. I sip on it for the first few hours. I think I officially wake up around 10 a.m. Then I get another cup of...
  22. Code situation

    Agreed! Codes aren't pretty! They do not look like TV! Sometimes families are reassured we've done everything we could because they witnessed it! It gives them comfort & some sense of closure....
  23. Hematoma after heart cath

    The ones that can't follow instructions & bend or move too much, the first time they get OOB after they are past the designated bed rest period, or just bad luck! I've had them all! So...
  24. DDAVP administration with fresh hearts

    Amicar for our hearts if
  25. I totally agree! Sometimes you bend over backwards and the patient and/or family don't like you for whatever reason. The first time or so it happens you overthink the situation of what did you do...