calivianya BSN, RN

ICU

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All Content by calivianya

  1. calivianya

    marriage and nursing school

    calivianya replied to futurepsychrn's topic in General Nursing

    I think any relationship that can fall apart because of school stress is a relationship you would be better without. Life doesn't stay perfect for long, if it's ever perfect for you at all. People...
  2. calivianya

    The Fifth Vital Sign

    calivianya replied to bgxyrnf's topic in General Nursing

    I will add - the other round of under-treatment of pain I see is from people who are on insane amounts of home narcs. It is just about impossible for people who take megatons of Opana and methadone to...
  3. calivianya

    The Fifth Vital Sign

    calivianya replied to bgxyrnf's topic in General Nursing

    I really do agree with you. I see over-treated pain more often than I see under-treated pain. I swear half of the rapid response patients I get from the floor are because somebody pushed too much...
  4. calivianya

    Cardiac Observation Unit-a step down unit?

    calivianya replied to minmin11's topic in Cardiac

    One hospital I worked at had a post cath observation unit that sounds sort of like what you're describing. These patients needed to be monitored because they'd just had invasive procedures of some...
  5. calivianya

    Burned out and looking for job

    calivianya replied to calhirn's topic in General Nursing

    Can you relocate? If your area is saturated, moving somewhere else might make it more likely for you to find a job. Good
  6. calivianya

    Residency or orientation - difference?

    calivianya replied to manager123's topic in General Nursing

    IMO, there are only two differences between a residency and just regular orientation. At both, you will orient for the same amount of time, and at both, you will be working full time. Residencies have...
  7. calivianya

    2/6 What I Learned This Week: If you annoy them, they will order

    calivianya replied to ixchel's topic in General Nursing

    I really think they're just incompetent. Mistakes happen a lot. Our timekeeper takes care of all the ICU and stepdown units, too, so I think the fact that she is doing payroll for 300+ people doesn't...
  8. calivianya

    2/6 What I Learned This Week: If you annoy them, they will order

    calivianya replied to ixchel's topic in General Nursing

    Laughing about the paycheck's about the only way to avoid punching someone in the face. :) One of my coworkers legit started waving her arms around and yelling, "I WANT TO BURN THIS ******* PLACE...
  9. calivianya

    2/6 What I Learned This Week: If you annoy them, they will order

    calivianya replied to ixchel's topic in General Nursing

    Yeah, me too. It is one of those books that you know the movie isn't going to be right... nobody's going to put kids having an orgy in a movie, not that I'd actually want to see that happen anyway....
  10. calivianya

    Job Embeddedness

    calivianya replied to NursehoneyBeBe's topic in General Nursing

    I think I will start to feel embedded in a job when I have good coworkers, good management, and I'm paid what I think I'm worth. I've got the (mostly) good coworkers down, my manager is just okay at...
  11. calivianya

    percussion and vibration used in ICU bed

    calivianya replied to RBRN2885's topic in General Nursing

    We use the percussion/vibration in the bed instead of vest therapy if we have modules available for the bed the patient is in that support it. We have more beds than modules, unfortunately. Usually it...
  12. calivianya

    Help with first semester of nursing school?

    calivianya replied to xmilkncookiesx's topic in General Nursing

    My nursing school was nothing like that - it was still an overwhelming amount of material, but we were taught by an instructor in class, who was always more than willing to explain things again if...
  13. calivianya

    2/6 What I Learned This Week: If you annoy them, they will order

    calivianya replied to ixchel's topic in General Nursing

    That reminds me of a new slang word I learned recently: Slides. Learned when my SO's kid asked, "Hey dad, where are my slides at?" SO: "Your what?" Kid: "Oh, here they are." *insert kid putting on his...
  14. calivianya

    2/6 What I Learned This Week: If you annoy them, they will order

    calivianya replied to ixchel's topic in General Nursing

    That's the good(?) thing about working MICU. We get them, but not as often. We just have the very elderly who it just really feels like we're torturing them for no reason, especially after they get...
  15. calivianya

    How many days do you work in a row?

    calivianya replied to Jaellys's topic in General Nursing

    The most I have ever worked in a row is nine 12-hour shifts between two jobs. I am set up to do another run of seven in a row during spring break week this year. I don't usually do that to myself, but...
  16. calivianya

    2/6 What I Learned This Week: If you annoy them, they will order

    calivianya replied to ixchel's topic in General Nursing

    Honestly... it's just their personalities. This particular intensivist has always been touchy-feely, so I would almost be surprised if he wasn't boning the staff (he's not the only one, there is...
  17. calivianya

    2/6 What I Learned This Week: If you annoy them, they will order

    calivianya replied to ixchel's topic in General Nursing

    I love the NxStage. I love love LOVE having a CRRT - we 1:1 them because apparently someone had a disconnection event once in my system and almost died... someone has to be laying eyes on the...
  18. calivianya

    Self defense and protection in a hospital.

    calivianya replied to Ruger8mm's topic in General Nursing

    After some patients we have had recently, I am thinking about bringing pepper spray. We DO need to be able to defend ourselves when situations get questionable. In January, we had an alert and...
  19. calivianya

    Nursing: The Highly Skilled Customer Service Representative

    calivianya replied to gleanns's topic in General Nursing

    Whether or not we like the content of this article is irrelevant. It is the way things are now - this is what administration expects and this is indeed part of what "being a good nurse" is all about...
  20. calivianya

    1/30 This week I learned: you suck, EMTALA.

    calivianya replied to ixchel's topic in General Nursing

    I think the farthest their ABC priorities ever extend is to passing test questions, and they are unable to make the jump from paper to real life. Maybe if I asked them whether the ABCs or getting...
  21. calivianya

    1/30 This week I learned: you suck, EMTALA.

    calivianya replied to ixchel's topic in General Nursing

    Oh yeah, we have one (experienced) nurse who is absolutely hell-bent on getting the patient bathed and clean on admission. I'm all for bathing someone on admission, but last month I had to literally...
  22. calivianya

    Finances in Nursing School

    calivianya replied to poeticlove's topic in General Nursing

    Nursing school is competitive, period. Just remember that there is not necessarily a "huge need for nurses" - that is a lie the schools feed you to get you to apply. There is a shortage of experienced...
  23. calivianya

    1/30 This week I learned: you suck, EMTALA.

    calivianya replied to ixchel's topic in General Nursing

    Patient was already maxed on neo and dopamine - I didn't bother to ask about those because I saw what the pumps were running at. The patient was very sick, but still - if I walk into a room and see a...
  24. calivianya

    1/30 This week I learned: you suck, EMTALA.

    calivianya replied to ixchel's topic in General Nursing

    I wouldn't even eat a preceptee if I got one... unless they were exceptionally stupid. We have one of those on our floor right now. I'm most afraid that if I am assigned a preceptee, it will be like...
  25. calivianya

    1/30 This week I learned: you suck, EMTALA.

    calivianya replied to ixchel's topic in General Nursing

    I just read the staff meeting summary email, and I learned we have seven new grads coming in over the next couple of months. Seven. With our acuity level! And they have been shortening orientations to...