calivianya BSN, RN

ICU

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All Content by calivianya

  1. calivianya

    New Grad Qualification Question

    I was hired for my first job weeks before I graduated. Don't wait any longer. If you keep waiting, you risk all of the new grads who started applying earlier than you snapping up all of the new grad...
  2. calivianya

    New nurse feeling hopeless

    The being so tired you can barely drive home part is concerning for me. Honestly, that may be a big part of a lot of this - just like with being depressed, handling any sort of stress at all is very,...
  3. calivianya

    Is this reasonable or just over the top?

    This is very, very situational. I know there's research on it, but I can't help but wonder if the research was done on mostly educated people and not the blatantly ignorant general public. The most...
  4. calivianya

    Is this reasonable or just over the top?

    I wish I was never late clocking out in ICU. Out of the past 10 shifts I've worked, according to my staffing software, I've clocked out on time three times. I've had patients where the report on one...
  5. calivianya

    Unit Clerk Reading Allnurses.com ..

    I'm actually a very open person - I literally haven't said anything on here that I haven't probably said to my coworkers or unit leaders at least a few times before. Even the very snarky comments. I...
  6. calivianya

    Religious accommodation means no Saturdays....ever?

    I wanted to make one point I hadn't seen yet (though I admit I haven't read through everything). It's not this person's fault she got hired and management acquiesced to her religious exemption....
  7. calivianya

    Older nurses

    Everywhere I've worked, the age gap has been more like OP is describing. I'd say the vast majority of my coworkers are under 40, with at least half under 30. I think bedside nursing is just too dang...
  8. Just saying - you don't have to work somewhere that residents and fellows are. Nobody has to steal your spotlight. My favorite intensivist used to not only teach at a major top medical school, he also...
  9. calivianya

    Bed Assignments

    I'm guessing you don't use a computer system for documentation? Often, we get called - but we usually know before we get called if we're paying attention to the computer. The unit manager in Epic...
  10. I have no intention of staying in nursing until I retire. However, I could see myself staying exactly where I am for the rest of my nursing career. If I get into my first choice school for my next...
  11. calivianya

    Low Census

    Low census doesn't affect us at all. At this point, we're up to ten nurses short some shifts - so low census just means that we get to have the appropriate number of patients instead of having way too...
  12. calivianya

    Can Nurse Practitioners Become Doctors?

    Anybody, NP or anyone else, can go to med school if they take the classes required beforehand. Most NP programs won't have you doing the classes you need to do well on the MCAT, and they won't have...
  13. calivianya

    12-Leads on CCRN Exam

    Cardiac, as others have said, was a huge portion of the test for me. But honestly, I am a little concerned you are worried about knowing 12 leads for the test, implying you don't already know them....
  14. calivianya

    Unsafe ICU ratios

    When you have that fourth patient, take documentation of your shift and go to the Joint Commission. Your hospital will hire more people, or hire travelers, when the Joint Commission threatens to...
  15. calivianya

    Doctors Say the Darnedest Things

    Recently. Me: Oh hey, I just restarted the neosynephrine on this patient because his MAP was hanging out in the 50s. Didn't realize the order was D/Ced already - looks like I'm practicing medicine...
  16. calivianya

    What's Going on with Patients Hgb?

    Your kidneys make your erythropoietin, so when they're not working, you're going to be anemic. Just an it is what it is sort of thing. Also, if she's got that much extra fluid on board, probably some...
  17. calivianya

    100k in loans worth it?

    I paid $4000 per semester for my BSN, so about $20k total. I really think anything more than this is a total waste of your time and money. $30k, at the MOST, would be reasonable. I would not take out...
  18. calivianya

    CNA --> RN. Worth it?

    I am personally doing the exact same amount of physical things as a RN that I did while I was working as a CNA. My unit doesn't have CNAs - it's RN total care - and I actually like it a lot better...
  19. calivianya

    Question for nurses that are male...

    I've called out twice in three years at my full time job, and I never called out once at my PRN of a year and a half while I was working there. Of course, that makes me a flighty, unreliable, less...
  20. The only problem with this is you have to be aware that you have email that needs to be read/forwarded. I worked at a PRN job like the OP's - where I could only get and receive emails at work - and...
  21. calivianya

    NPC hot topic for our unit***

    You're going to have to increase your staffing on the weekends. It's one or the other, seems like - you're either going to have to overstaff and send people home for low census, or you're going to...
  22. calivianya

    Is there still a nursing shortage?

    Valid point! I don't know about the number of nurses in my state vs. the number of total openings (is there any easy way to find total openings beyond looking through every single nursing employer in...
  23. calivianya

    Tell on yourself, if you dare...

    You know, I have such mixed feelings about this. Obviously, on one hand, it's stupid. But on the other... when the attending physician INSISTS on a culture for c-diff being sent down, the on-call is...
  24. calivianya

    Is there still a nursing shortage?

    Definitely a shortage in my area. My hospital's been offering "high vacancy incentive" for any nurse in any department in the entire hospital to pick up overtime in 12 week blocks because the hospital...
  25. calivianya

    Long hair unrestrained at work

    I don't wear my hair up anymore. I am very tenderheaded - it doesn't matter how I put it up, I'm going to get massive headaches. I decided I'd had enough with being in miserable pain by the time I...