calivianya BSN, RN

ICU

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All Content by calivianya

  1. calivianya

    Summer Externship? Yes or no.

    I would take the externship. You never know, you might like the floor - and if they like you, too, it's just about a 100% guarantee of a job after graduation. It is also going to look good to future...
  2. calivianya

    From RN to Medical School

    I am doing the same thing you are. I am getting another degree (biology) to make me a stronger applicant and I'm taking the pre-reqs at the same time. None of the things I need are online. I am in...
  3. calivianya

    Coping with emotionally difficult patients

    It's just one of the many perks (insert sarcasm here) of working night shift that the middle of the night is when the patients tend to have their emotional breakdowns. They have sunlight and visiting...
  4. You will be if you are flexible and you look hard enough. There are tons of places in this country that hire new grads in ICU. If you want more info when it's time for you to graduate, PM me, and I...
  5. calivianya

    Is this low?

    I accrue 8 hours of PTO biweekly, so that does sound really low. The people with the longest length of service accrue 10.77 hours biweekly. I end up accruing way more than that sometimes because it's...
  6. Did you at least try talking to this other nurse before going over her head? I think you made a mistake going up the chain of command about this person's attitude. If she didn't like you before, she...
  7. calivianya

    How do you study medications?

    I used flashcardmachine.com a ton. I would sometimes make questions instead of taking traditional notes. I would listen to what my instructor was saying, and formulate a question/answer based on what...
  8. calivianya

    Haldol, Pneumonia, PD

    What does any of that have to do with managing a patient's behavior? Regardless of the source of the confusion, if patients are a danger to themselves, we can't just let them get hurt. We tend to use...
  9. calivianya

    Bad situation

    This is how my job is. ASN/ADN nurses are not even allowed to apply for clinical unit leader positions or manager positions - they don't meet the minimum qualifications, regardless of how many years...
  10. I am burned to a crisp! Walked into a code at shift change last night - wasn't originally going to be my patient, but I was tripled anyway so it was going to be a bad night no matter what. The charge...
  11. calivianya

    I let one slip past me

    This is exactly what I see the most. I particularly "loved" an admit I got a couple weeks back - SO called 911 for a respiratory failure. SO came with the patient to the hospital. The patient gets...
  12. calivianya

    med error!!!

    I don't think that's a huge mistake, either. Be kinder to yourself! The patient got the blood as ordered. Sure, it's supposed to run in quicker than you ran it in, but he got what he needed. It was...
  13. calivianya

    Ridiculous medical mistakes on TV

    Can't tell you about the ED, but I can tell you on my unit it depends on a whole lot of factors - presenting rhythm, patient age, comorbidities, and the patient's overall ability to survive. On a...
  14. calivianya

    No pump, no drip rates - OR

    I'm right there with the OP on this one. Some things are okay to run off the pump - boluses, maybe some abx, etc. However, what if the abx that needs to be given is Levaquin instead of Rocephin? If...
  15. calivianya

    Need some advice - am I that unreasonable?

    Good for you! Since you're developing such a good relationship with the interventional cardiologist, I would make sure to talk to him personally about why you're leaving and do something like give him...
  16. calivianya

    The return of the sign on bonus

    There is a relatively prestigious teaching hospital right up the road from me that is offering between $6,000-$10,000 if you have at least two years of experience, depending on your specialty. From...
  17. That's it, really? ...I didn't realize it was that rare. Just goes to show how much it screws you up, I suppose - maybe once a month or so I get a patient who isn't a diabetic, and then I'm all, "No...
  18. calivianya

    Nurse residency programs--be aware!!

    This is very true of the big-name hospitals. They will take advantage of you and pay you less than you'd make other places because you have the "blessing" of having their name on your resume. Duke in...
  19. calivianya

    Burnt out

    I am a bio major. I am taking all junior level courses at this point, and they are very challenging. None of my teachers do multiple choice for anything. The cell bio class in particular feels like...
  20. calivianya

    Resignation

    Unless you are financially independent, have another job already lined up, and/or have someone else paying the bills, I'd urge you to strongly consider working out a notice. Quitting immediately can...
  21. calivianya

    Burnt out

    Right there with you! Going to school and working is exhausting - I'm doing it right now, too. I have actually found the opposite to be true with my energy towards work, though - going to school is...
  22. calivianya

    Career vs Family

    I would take the promotion. If it doesn't work for you, you could always step down to bedside again. I don't know how it works on your unit, but we have one manager and two unit leaders per shift....
  23. calivianya

    High Alert Medications during Transport

    I've never worked anywhere that considered narcotics or benzos to be high alert medications, so this is not a problem I've ever run into. High alert medications that require a dual sign off include IV...
  24. calivianya

    How in this world do you ever get 1 year experience?

    Are you able to
  25. calivianya

    Guilt

    This is what I was going to say. He was your neighbor, not a patient of yours. We think differently at work than we think at home. I bet you would have recognized trouble if he was a patient in the...