calivianya BSN, RN

ICU

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All Content by calivianya

  1. calivianya

    Forced transfer

    calivianya replied to imintrouble's topic in Patient, Colleague Relations

    I agree with everyone who says that being moved to critical care without orientation is awful. I hope your hospital is at least relatively low acuity and they ship the really bad stuff out if staff...
  2. calivianya

    Catheters/ IV starts

    calivianya replied to Jengon9344's topic in General Nursing

    No, not all hospitals use the fancy IV catheters. Out of five hospitals I have started IVs at, one of those hospitals used the fancy IV catheters. If you really want to practice, DON'T practice with...
  3. calivianya

    Least stressful nursing specialty

    calivianya replied to Svkd's topic in General Nursing

    We have had three staff leave our unit for PACU within the last year (three different PACUs) and every single one of them has reported it's so much less stress. I guess it depends on where you're...
  4. calivianya

    How To Document Sleeping On Night Shift

    calivianya replied to Iggy123's topic in General Nursing

    Unless the patient is snoring, there really isn't a way to tell when he/she is sleeping. You could argue that they're sleeping if you observe the rapid eye movements associated with REM sleep, I...
  5. calivianya

    Being a Hostage to Your Bladder

    calivianya replied to Lunah's topic in General Nursing

    Glad somebody resurrected this one - it's hilarious. I am really bad about drinking enough so I usually only pee a couple of times per day. I have definitely run into this
  6. calivianya

    New Grad RN... is this patient load safe?

    calivianya replied to new.grad.rn's topic in Medical-Surgical

    The med/surg nurses have eight patients each at my hospital, and sometimes they have no or inadequate numbers of CNAs. Six patients would be a good
  7. calivianya

    PO vs IV Medication Question

    calivianya replied to smithma5's topic in General Nursing

    The biggest deal is the XR PO meds that can't be crushed and don't have an IV equivalent; regular PO meds can still be given via a OG/NG/PEG if the patient is not NPO. The patients who need the...
  8. calivianya

    Passing Meds without the REDS

    calivianya replied to flamingoree427's topic in General Nursing

    I honestly think Cerner was originally created by a disgruntled former patient who hated his nurses so badly that he wanted them to
  9. calivianya

    Tube Feeding on Hold

    calivianya replied to grace08's topic in Critical Care

    I wouldn't turn tube feeds off for those vitals, especially without any other indications. Those vitals look great, especially if you haven't started pressors yet. Now, if you have a rock solid...
  10. calivianya

    Seasoned bedside nurses.......how do you plan your day?

    calivianya replied to Beffers81's topic in General Nursing

    It definitely depends on where you work. Ideally, if no one is terribly unstable at the moment, I like to read the H&P and the recent consult notes on my patients before I see them, so I can...
  11. calivianya

    When the Hospital Fires the Bullet

    calivianya replied to Not_A_Hat_Person's topic in Nursing News

    I have never worked somewhere that gave me that kind of extensive psych training and everywhere I have worked as had a violent things happening code, but it's the same regardless if it's a visitor or...
  12. calivianya

    How do you deal with your anxiety?

    calivianya replied to ashrose1992's topic in Health, Stress Management

    Mine is the same way. It's so nice having a breath of fresh air like that in your life. He always pulls me out of a funk when I get anxious and
  13. calivianya

    My Burnout Story

    calivianya replied to jk2185's topic in Health, Stress Management

    "Ever had a day where you got sent home because both of your patients died?" I have, actually, and that's a crappy feeling. It feels like you're getting blamed, like the charge is saying, "Well, you...
  14. calivianya

    Financial Independence And Nursing

    calivianya replied to Soliloquy's topic in General Nursing

    That's rough. I'm sorry you went through all of
  15. calivianya

    Least stressful nursing specialty

    calivianya replied to Svkd's topic in General Nursing

    That's interesting - every hospital I've worked in has paid psych nurses the same as any other inpatient specialty. Are there areas of the country where they actually pay them
  16. calivianya

    Least stressful nursing specialty

    calivianya replied to Svkd's topic in General Nursing

    For me personally, I'd say anything where you don't have to deal with demanding patients and family members. Informatics/educator jobs would be lower stress for
  17. calivianya

    Passing Meds without the REDS

    calivianya replied to flamingoree427's topic in General Nursing

    In most of the EMRs I have worked with, the medication was either highlighted in red or the font went to red text once it was late. I am assuming that is what OP
  18. calivianya

    Financial Independence And Nursing

    calivianya replied to Soliloquy's topic in General Nursing

    How about free money or free gasoline? I just ordered $200 worth of stuff on Amazon that I didn't pay a dime for, and between the basic rewards and the rewards credit card for the gas station I use...
  19. calivianya

    Passing Meds without the REDS

    calivianya replied to flamingoree427's topic in General Nursing

    I like that "not freaking possible" option. It really should be on there; there is no way to medicate that many patients on time. Although, I hear cocaine and amphetamines help you work faster. You...
  20. calivianya

    When the Hospital Fires the Bullet

    calivianya replied to Not_A_Hat_Person's topic in Nursing News

    I would have to agree that there is a hospital leadership problem here. The biggest failure that I see after carefully reviewing the article is patient placement. Mr. Pean came in for a psychiatric...
  21. calivianya

    Financial Independence And Nursing

    calivianya replied to Soliloquy's topic in General Nursing

    I think people who don't use credit cards and are responsible people are throwing money down the toilet. I make at least $300-$400/year plus a free hotel night or two off my credit cards, because I...
  22. calivianya

    Financial Independence And Nursing

    calivianya replied to Soliloquy's topic in General Nursing

    You can try your best to avoid it, at least. There's no avoiding a situation like what happened to you, unfortunately - sometimes people stab you in the back and that can't be planned for. I'm sorry...
  23. calivianya

    Family Drama and Nursing

    calivianya replied to Sorebeth89's topic in General Nursing

    You can't change people's minds. If they are determined that the patient is going to be a full code, there's no telling them otherwise. If you seem unbiased and just state the facts, sometimes the...
  24. calivianya

    The Fifth Vital Sign

    calivianya replied to bgxyrnf's topic in General Nursing

    It's not all the time, but at least 3-4 times a week, and it's at least half of rapid response calls. Especially if the patient is having a COPD exacerbation and is already having trouble getting rid...
  25. calivianya

    Not enough equipment

    calivianya replied to Rexie's topic in General Nursing

    Oh, definitely. And then when the supply people bring up a new set of IV pumps, and the first two that I try give me error messages and I have to send them right back, that just makes me want to throw...