calivianya BSN, RN

ICU

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All Content by calivianya

  1. calivianya

    6/4 WILTW: Oui jete' du Nursing???

    It's definitely different. We have one up there right now who's a post-code who coded two weeks ago and his body is fixed at this point but his brain is still 99% gone. He will blink if you try to...
  2. calivianya

    Highest/Lowest K+ you've ever seen

    11.2. Noncompliant dialysis patient as I'm sure you guys could guess. She lived - but I almost didn't live through the results of the ridiculous amount of kayexalate we gave her. Just saying. Just in...
  3. calivianya

    6/4 WILTW: Oui jete' du Nursing???

    My master cardiology walked a few months ago, so I feel your pain. I haven't been able to bring myself to replace it. I have just been using those ratty contact stethoscopes on everyone. I loved...
  4. calivianya

    Attending work class after shift?

    I can understand the rationale, but it would make me mad. I hate coming in on my days off for education, unless it is actually good education. The drivel they have been making mandatory lately has...
  5. calivianya

    BSN degree seems off topic

    That's exactly why I got my BSN right off the bat. I didn't think I could handle taking the fluff classes alone. My fluff classes were mixed in with the good stuff. The semester I had med/surg, psych,...
  6. calivianya

    How to manage life on night shift?

    You have got to protect your sleep with a commute like that. I live five minutes from my full time job but an hour from my PRN, and there have been a couple of days where I have almost fallen asleep...
  7. calivianya

    6/4 WILTW: Oui jete' du Nursing???

    Technically, a lot of places teach that amiodarone is for ventricular arrythmias, but it is also the drug of choice for a-fib with RVR on my unit, so you might see that, too. Cardizem is a close...
  8. calivianya

    What type of soap do you use?

    I don't use antibacterial products either. I actually mostly just rinse in the shower except for my face, armpits, and genitals. Nothing else gets soap unless I have a reason to feel dirty. I love...
  9. I looked at that SF State site out of curiosity after the comments - and I have got to agree there's no way you could be a true CNS with that degree. You'd have the title, but not the knowledge to...
  10. calivianya

    Too sick to leave AMA?

    It's just like elkpark said - I've never had someone sue me for keeping them alive (most of my patients in that sort of situation end up dying anyway, eventually) but family is going to sue if we let...
  11. calivianya

    Too sick to leave AMA?

    Everybody was consulted. A million (or so) different specialties, the intensivists, the hospitalists. Psych was consulted and the ethics committee was consulted. The ethics committee recommended...
  12. calivianya

    An awkward workplace conflict

    I do charge every now and then on my unit and never in a million years would I think that just because I was charge I could go and mess with somebody else's patient. I would ask her why she thought...
  13. calivianya

    Too sick to leave AMA?

    I have thought about this on and off. I've had plenty of patients so sick nobody would bring them AMA papers even though they wanted to leave. If they are too weak to get out of bed, they can't even...
  14. calivianya

    Hosptial call out policy

    My hospital's policy is three times in a rolling calendar year. Disciplinary action starts with the fourth call out, and by the fifth, termination is a possibility. Also, calling out two days in a row...
  15. calivianya

    Are nurse's all that and a bag of chips?

    Nursing school isn't that challenging. I have a BA in Psych and am currently completing a BS in Bio... the BA was definitely more difficult material but less work, and the bio degree is proving to be...
  16. I have started hate being stuck with the patients for 12 hours, too. It's not so bad if they're unconscious, but it's bad once they start waking up and being nosy and intrusive into your personal...
  17. I'm a little more pessimistic than some of the other posters, I think. I've always been told that if no one accepted report from you, the patients are your responsibility. The DON refused report....
  18. calivianya

    Day shift lists, night nurses unsafe to move to days

    I get it. She's undermining the night people - insinuating they don't do as much work because it's nighttime and nights are "slower" or something stupid like that. I have news for her - I pick up day...
  19. I don't necessarily believe one school being "easier" amounts to it being a worse school. The community colleges around here flunk out up to 30% of the class before they take the NCLEX. Out of 70...
  20. Congratulations!!!
  21. AAAAAUGH. I had my interview for the transport gig this morning. The interview person opened the folder with all the resumes of people who had applied... and while she flipped through, I recognized...
  22. Comfort care = withdrawal of care on my unit. Antibiotics might be used if the infection itself was causing discomfort, i.e. the sepsis came from a UTI and the patient was experiencing burning and...
  23. calivianya

    Feeling lost.

    I almost never recommend people come into the hospital, but if you worked daytime 12s, you'd be 7a-7p or so three days a week and have four days off to spend with your SO. It sounds like that would...
  24. Had that happen at my hospital a couple years back. A patient contracted CJD from sterilized OR equipment, since heat does not kill prions. Anything that touches the spine, brain, or any fluids from...
  25. calivianya

    Doctors rip VA plan that would give some nurses more authority

    I have mixed feelings about APNs. I fully believe CRNAs are capable of being independent providers, as their training is so detailed and specific. NPs? Not so much. I believe NPs can do fine in...