calivianya BSN, RN

ICU

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All Content by calivianya

  1. You should totally say, "But did they die?" I will say as an ICU RN myself that the anal retentive ones who grill you in report just need to take a pill and shut up. I don't particularly care what...
  2. I'm very comfortable giving large doses of pain medications when I'm not the first one to do it. If I am the first person to medicate the patient, you better believe I am paranoid if it's a large...
  3. calivianya

    Nursing in the Carolinas and GA

    We get more than 3 weeks of vacation where I am. I get 8 hours every two weeks now (about 210 hours per year), but it's based on hours worked so I've been earning more than that with overtime. The...
  4. If you never challenge yourself you never learn; if you don't ask when you're struggling you might not figure something out. I always tell people what's going on with my patients and ask about theirs....
  5. I'm glad you're feeling better! :) I learned people definitely see me as a resource. I had five different nurses coming up and asking me questions about what I thought they should do about things last...
  6. calivianya

    Are you jealous of other nurses jobs/abilities?

    I get jealous of other nurses sometimes... but it usually has more to do with their life successes than anything. I started off in my dream specialty because I was willing to relocate 400 miles for...
  7. That made me laugh! I would actually love to socialize more with my coworkers... none of my people throw any wild parties. Just about everybody is married with small children, or married with grown...
  8. calivianya

    Independent by day, dependent at NOC

    What time does family visit? I have seen very anxious or attention-seeking patients suddenly become helpless when their family members leave. Day shift reports patient is doing great all day, low...
  9. calivianya

    ABSN vs BSN: How Much Cost to GPA?

    I completed a traditional BSN degree after my first bachelor's because I thought the extra time would benefit me, and it certainly did - I graduated with a 3.89. You also need to consider how you're...
  10. I work ICU - our ratio is 1:2, technically, but we haven't been staffed to have 1:2 ratios for a long time. Especially when the 1:1s roll in - we've had lots of those lately, so everyone who doesn't...
  11. That just made me laugh. I am going to do that for real if I'm ever in the hospital. Tylenol doesn't do a thing for me. I honestly even feel guilty when I give one to my patients for pain, because I...
  12. I just really want to know who skips work for constipation. The article clearly says increased constipation = increased employee absenteeism. I am wondering if that part of the article was...
  13. calivianya

    Life, death, and dying.

    Yep, what TheCommuter said. I am personally of the opinion that even if everything related to the person ends at death, it's still better to go into that great nothingness than being slowly tortured...
  14. calivianya

    Where do you get your cont Ed?

    My job crams so much down my throat I don't have to worry about getting any hours elsewhere. However, I do subscribe to my specialty's journal, and they have a ton of CEs I could use for credit if I...
  15. When we bothered to pretend we were doing bedside report, some of us would find empty rooms to hide in so that management wouldn't see us at the desk, but we wouldn't be interrupting our patients'...
  16. calivianya

    Is Handover Still Necessary?

    It's 100% necessary. Just digging through the chart doesn't tell me everything. Neuro status is a great example of something that's hard to quantify just by charting alone. If all that's charted is...
  17. calivianya

    04/09 WILTW: Confused LOLs

    You have to get coffee for the family members yourself? At least we have a small food room with a vending machine and a coffee pot off of the waiting room where visitors can help themselves. I would...
  18. calivianya

    work and school at the same time...

    I am full time nights and full time school. I don't know how you could work day shift and go to school. I certainly couldn't - classes for me are M-F, starting at either 0930 or 1000 depending on the...
  19. Your instincts are good here, it's just that you don't have any LEGAL right/obligation to do anything about it, and may actually run into legal hot water if you do. Is it tacky and inappropriate of...
  20. calivianya

    Is it OK to go to work the day after having anesthesia

    I had an EGD done two years ago and I was 100% back to normal within 30 minutes of the procedure ending. I was even annoyed that I had taken a taxi there in the first place instead of driving myself -...
  21. calivianya

    Do you use a DVT/PE Risk Assessment Tool?

    VTE prophylaxis is part of the mandatory admission documentation, so right then we'll be reviewing our orders and see what we have. It's also part of the regular assessment charting as well as what we...
  22. calivianya

    04/09 WILTW: Confused LOLs

    I have never seen that before; thanks for bringing it up! What sort of ICU did you have your rotation in? I kept an Excel spreadsheet with columns for hospital name, unit type, residency program...
  23. calivianya

    Tardiness

    My school did not tolerate tardiness at all. My job really doesn't either - half an occurrence for every tardy, and five occurrences starts the disciplinary action process, with a "coaching and...
  24. calivianya

    What offends you (nursing related)?

    Yes! And, the reverse, the ones who are totally nonchalant and ignoring life-threatening issues if they're not prompted and need to have their hands held to keep them from killing their patients....
  25. calivianya

    The Sacrificial Nurse Weekend

    Weekends are LESS chaotic? I want to work wherever the people who think that work... because at my job, there are just as many procedures and tests, but there are ten times the family members than...