calivianya BSN, RN

ICU

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All Content by calivianya

  1. Good reminder! I'm just glad we have single-use vials of saline and sterile water stocked in the carts in every patient's room. I can't imagine using water someone else has opened for med...
  2. The hospital doesn't have a summer internship program, does
  3. calivianya

    Personal Values as a nurse

    I really don't think everyone is capable of this. This sort of behavior - being able to have one belief or opinion, but act in a professional manner anyway - seems like a rarity. People who can't do...
  4. calivianya

    8 or 12 hour shifts

    The con of working 8s is you have to work five of them to work full time, where you only have to work three 12s. I would never survive at this job if I had to work five days per week. It's just too...
  5. I just about had tears myself on my overtime shifts yesterday (not happy ones), and I have a whole new respect for one of the intensivists I work with. He stated he was going to be squirting some epi...
  6. I have seen that particular training, and I've got to disagree. It's about the type of active shooters who kill everyone - the type of people who look under desks and search rooms to make sure every...
  7. calivianya

    Solutions for Drinks at Nursing Station?

    That's gross. Who puts lab specimens on the desk?! They get labeled in the room, bagged, and put in the tube system. They should never touch the desks at all because there's no reason to stop at the...
  8. calivianya

    Solutions for Drinks at Nursing Station?

    My personal solution is working night shift. There's fewer people around to criticize you about food/drinks at the desks on night
  9. Nope, not fat, but I have rolls I don't want and would rather pay people to get them off of me than get them off myself through hard work. I have no time for eating right and exercising right now....
  10. calivianya

    Unsafe ICU staffing/ patient ratios! Please help!

    Nopeville... I like that! I'd get the heck out of there. I can handle three real ICU patients, though that is one too many. Four is completely unacceptable. I've never had four and I never will -...
  11. calivianya

    Having second thoughts..

    I don't understand why people who want to "make a difference" go into nursing... we can't force people to do what they don't want to do, and we're too busy drowning in paperwork and juggling all our...
  12. calivianya

    Paradoxical reaction to Benadryl?

    I used to be that way with oral Benadryl. Now it makes me sleepy like a normal person. So, it's definitely possible to switch from the paradoxical reaction to the normal
  13. calivianya

    0200 BP's - Dealing with Tired Rude Doctors

    That is a very condescending statement. If you want people to agree with you, this is the wrong way to go about it. I feel like the question of why the patient's BP was being taken at 0200 was a...
  14. This! RTs are amazing. They will tube the patient and put in arterial lines for you. They are awesomesauce. The RNs on my unit have a great relationship with the RTs, and that's the way it should be!...
  15. You don't have to work extra shifts at all. If you come in for the shifts you are scheduled for, you are meeting the requirements of your job, no matter how much management whines about being short....
  16. calivianya

    Breaking contract and its consequences

    I was supposed to pay back a prorated amount after I broke my two year contract at my first job, but my employer never came after me for it, and I certainly didn't volunteer. I do know people who have...
  17. calivianya

    Dear Preceptors

    It doesn't matter if someone is a good preceptor or not if there aren't enough experienced nurses to go around. My first job out of school was on a unit that had trouble retaining nurses, so I had a...
  18. calivianya

    Is LinkedIn Necessary?

    I don't have a LinkedIn account and I never will. I may be wrong, but it seems like desirable jobs would have enough people applying for them that they wouldn't need to look for people on LinkedIn, so...
  19. calivianya

    Will I have any time as a nursing student?

    I had plenty of time while I was in nursing school to do other things. I didn't think it was significantly more difficult than my previous bachelor's, but there was more material to cover. I think the...
  20. calivianya

    What do you do when a pt goes into anaphylactic shock?

    I have never had a patient have an anaphylactic reaction from a medication I have given them, but I have taken care of several patients who had anaphylactic events either outside of the hospital or on...
  21. Yay ixchel! Glad you didn't end up with TB after all. It's nice that nursing schools teach that living wills actually matter. I'd say that living wills get followed less than half of the time. I've...
  22. calivianya

    Starting neuromuscular blockers

    Agreed! We always do TOF in the hypothermia patients, but it's 50/50 or less with ARDS for this very reason. It really depends on the physician who's ordering the drip whether or not they want TOF...
  23. calivianya

    Ridiculous medical mistakes on TV

    How about in the very first episode (the only one I've watched so far) where the smoking man talks and smokes through his trach hole at the same time... you know... without ever occluding it? Somehow,...
  24. calivianya

    Passing Meds without the REDS

    That's hard to imagine, at least the way my PRN job has it set up. I have used Meditech, McKesson, Cerner, and Epic, and Cerner is the worst by far. I have honestly recommended people away from that...
  25. IMO, there is no way to get a feel for it until you work it. Nursing school is not even adequate preparation, and I had a preceptorship where I worked a person's full time schedule for I think 6? 8?...