calivianya BSN, RN

ICU

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All Content by calivianya

  1. calivianya

    Why do some nurses "hate their jobs"?

    I don't think this is true. I would be much more satisfied if I made more money. I do well enough working just full time, but I'm not really able to save as much as I'd like. If I could stock up...
  2. calivianya

    Here Now Gone Tomorrow

    This is very true! I was a second degree student, and even though I got admitted to my BSN program on my first attempt, I started back in summer of 2010 taking the prerequisites and did not graduate...
  3. calivianya

    Here Now Gone Tomorrow

    I won't reiterate the points about ADN/BSN/whatever or the lack of shortage, most people have done that already, but if you need to work, I wouldn't go back to school to get a LVN/LPN degree. You'd be...
  4. calivianya

    Night Shifters - Am I being too sensitive?

    My unit rarely has people awake/alert enough to notice the noise, so we're particularly bad in the middle of the night because we're not used to having to mind our volumes. If I have a patient who is...
  5. calivianya

    Anxiety has taken over

    I know what you mean. At some places, newcomers aren't treated well. A lot of the coworkers at my FT job see anyone with experience as a threat. New grads are welcome, people changing specialties are...
  6. calivianya

    "Smart" students make bad nurses?

    I'd also say "smart" students may be more likely to dislike the day to day duties of nursing and have a tougher time just because they don't like the job. I'm saying this to represent people who are...
  7. calivianya

    Something Positive: Your 5-Year Plan

    In five years I will hopefully be working PRN somewhere while I'm in med school, in 7 years I should be about to graduate med school, in 10 years I should be almost done with residency, and in 13...
  8. calivianya

    What is your Nursing Kryptonite?

    I actually agree - of all the quads I've taken care of, I can only think of two of them that I liked. I get that they HAVE to be assertive about what they need because they can't do it for themselves,...
  9. calivianya

    Type B in a Type A world

    With some of them it is the only way to get them to stop. Until their need to be seen as better than everyone else is met, they are just going to be nightmares to work with. It has been my experience...
  10. calivianya

    4/2 WILTW: Disney Edition

    I had a patient who was legally blind (but not totally blind) swear up and down his vision was better after receiving an albuterol neb. I went and told respiratory that albuterol fixes blindness, and...
  11. calivianya

    didn't call about anticoagulation

    Unless you had proof that there were other DVTs hanging out in the legs or wherever ready to become new PEs at a moment's notice, the patient can afford to wait a little bit to have anticoagulation...
  12. calivianya

    4/2 WILTW: Disney Edition

    The crazy families are indeed the worst part of nursing. Picking up a day shift tomorrow to try and catch up on the hours I don't have yet towards this round of incentive pay and I'm dreading it. At...
  13. calivianya

    RT focus on pao2?

    SpO2 doesn't always correlate well with PaO2. Just had one satting in the high 90s last night who came back on the gas with a PaO2 in the 50s on 100%. SpO2 is a piece of the puzzle, but not the only...
  14. calivianya

    Adensonie

    You don't need a physician to be present - technically, you don't even need the physician to give you the order. Most places (at least, most I've worked) have ACLS as standing protocol - as in, if the...
  15. calivianya

    Too Old to Enter Critical Care Nursing?

    I would be more concerned about the condition of your back than your age. I am going to be 28 next week and ICU is wearing my back down quite quickly - all these 400 pound floppy vented patients that...
  16. Re:Atul Gawande - Complications is his best one; none of the others are as good IMO. My health system actually had us read Being Mortal last year (gave us BRANDED copies of the book; it had the...
  17. calivianya

    The worst job you had before becoming a Nurse?

    Honestly, I kind of feel like the worst job I've had is being a nurse. The worst and best, I suppose. All of the other jobs I've had were tons easier than being a nurse. I worked at a movie theater, a...
  18. I haven't made that choice, but if you can swing it financially, I'd say go for it and stay PRN at your current job! It sounds like a wonderful opportunity. You can't put a price tag on lowering your...
  19. Oh crap. You are a better person than I am; I would have had to leave and take a shower
  20. Recently, we had a new admit who ended up buying himself a ventilator really quickly because he was not breathing well at all. All during the intubation, and while the physician was dropping a central...
  21. calivianya

    Residency program question

    New grads do not get hired outside of residency programs in my area, so if you don't apply for one, you might have trouble finding a job. On the flip side, you might indeed have to sign a commitment...
  22. calivianya

    What's better for nursing student?

    I think that if you can get into a hospital, that would be the better experience if you want to work in a hospital after graduation. However, CNA positions are even more competitive than nursing...
  23. calivianya

    How to stand out?

    Check out your school's career center; I bet they have people who will do mock interviews with you. It's good to do mock interviews with people you don't
  24. calivianya

    Straight Caths

    If the patients' breathing will tolerate it, put them in Trendelenburg. It is way easier to get to the urethra because it is going to be facing more upwards, and also all the belly fat is going to be...
  25. calivianya

    Admitting a Patient

    Honestly, your PHYSICIANS should have a protocol or something that reminds them to order what they need to order when they admit a patient. It's pitiful that you have to ask for a whole bunch of basic...