calivianya BSN, RN

ICU

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All Content by calivianya

  1. calivianya

    Would you tell a coworker they're going to be demoted?

    calivianya replied to jschut's topic in General Nursing

    It would probably depend from me how far away the date of the person's demotion is. If it was months/weeks away, and this coworker is someone I trusted, I'd absolutely let her know - that would give...
  2. calivianya

    The every year Snow thread

    calivianya replied to BSNbeauty's topic in General Nursing

    A snow tip I have learned this weekend - find a nice 18 wheeler to get behind. I got behind one on my commute home Friday morning (when there was three inches on the road but everything had just...
  3. calivianya

    Verbal Hand-off Reports - Are they no longer necessary?

    calivianya replied to yr.pedsnurse's topic in General Nursing

    I don't think JC standards mean anything when it comes to report. All they ask is that the person receiving the patient have an opportunity to ask questions. In theory, a faxed report 15 minutes or...
  4. calivianya

    Verbal Hand-off Reports - Are they no longer necessary?

    calivianya replied to yr.pedsnurse's topic in General Nursing

    You're assuming someone has written a H&P. If the ED nurse calling report doesn't know why the patient arrived because she wasn't the patient's nurse and no one has written a H&P yet, you...
  5. calivianya

    Staffing Ratios/Shift Length, NEW RN, What Is The Norm?

    calivianya replied to xtina15's topic in General Nursing

    I'm wondering how often you are assessing/reassessing your patients if charting takes that long. With a 6-7 patient load, it is not reasonable to expect q2h or q4h assessments, or vital signs any more...
  6. calivianya

    The every year Snow thread

    calivianya replied to BSNbeauty's topic in General Nursing

    My employer's policy on snow days is that if you call out on a snow day you get terminated. Even if it's the first time you've called out; even if this is your first offense of any kind. Of course,...
  7. calivianya

    I Know You Love Me — Now Let Me Die

    calivianya replied to Dusty Trail's topic in Hospice, Palliative

    I keep thinking I'm going to write an article one of these days about just how Frankenstein we can be these days. I had one patient for three nights straight who had no pulses in her arms and legs, we...
  8. calivianya

    Which tape to use?

    calivianya replied to mindofmidwifery's topic in General Nursing

    If the patient has good, thick skin, I like using silk tape because it really stays put. Paper tape hardly sticks to anyone at all, in my experience, but it's better than silk tape if the patient is...
  9. calivianya

    File this one under "things I think but won't say"...

    calivianya replied to allnurses's topic in General Nursing

    This. Had a COPDer recently who was totally BiPAP dependent, immediately dropped her sats into the 60s every time she took the mask off, grab my arm and plead, "Don't let me die!" I felt bad for her,...
  10. calivianya

    Student Loan Debt

    calivianya replied to KeepItRealRN's topic in General Students

    Alumni networks. Honestly, though, it seems to me like the only alumni networks worth attending a school for are the Ivys. If this person is getting her MSN at Harvard or Yale it might be worth going...
  11. calivianya

    That one random nugget of information from nursing school that you've never forgotten..

    calivianya replied to blah_blah_blah's topic in General Nursing

    It really got drilled into my head about taking your synthroid in the morning, which has apparently proven to be the incorrect way to give it as my hospital system now schedules it for 2100. My brain...
  12. calivianya

    How do I find a nurse years later??

    calivianya replied to ORLemonTart's topic in Nursing Professionalism

    That's a tough one. At least you know what hospital you were in. Do you remember what unit? Maybe you could find the nurse manager for that unit and ask if she has records of the staffing for when you...
  13. calivianya

    1/9: What I learned this week - Worst. Vagina. EVER.

    calivianya replied to ixchel's topic in General Nursing

    You only have to work ONE scheduled holiday? Whoa. That's just... whoa. We alternate years for which holidays we work, but we are scheduled for half of them every year. Last year was Easter, Labor...
  14. calivianya

    What license or certificate do I need to insert and give I.V. Drugs?

    calivianya replied to heronurse's topic in General Nursing

    Nope, your nursing license lets you do
  15. calivianya

    Nurses, do drop in! *VENT*

    calivianya replied to AutumnLeavesRN's topic in General Nursing

    In my unit, we usually err on the side of sedation. Yes, sedation does cause respiratory depression - but I've seen a BiPAP with a really good seal work as well as a vent. Really. We "withdrew" on...
  16. calivianya

    Even the Stoic Have a Breaking Point

    calivianya replied to Rose_Queen's topic in General Nursing

    I had one of those this week, too. I had a 30-something healthier than I am patient who coded at home. Her young son heard something fall in the other room, but didn't think anything of it, and didn't...
  17. calivianya

    Nurses, do drop in! *VENT*

    calivianya replied to AutumnLeavesRN's topic in General Nursing

    I would be pretty frustrated, too. Some people just live to stir up drama and let someone else take care of the ensuing
  18. calivianya

    Question about nursing and RRT

    calivianya replied to Ryan Walker's topic in General Nursing

    If you mean physical therapy assistant, you might want to reconsider that too. I worked as a CNA in an inpatient hospital-based rehab while I was in nursing school. I loved working day shift because...
  19. calivianya

    Question about nursing and RRT

    calivianya replied to Ryan Walker's topic in General Nursing

    I have seen multiple intubations on people with bowel obstructions that ended up with the patient spewing liquid feces out of his/her mouth while RT was trying to intubate. Same deal with codes. Even...
  20. calivianya

    Ethics: Brain bleed sign out AMA

    calivianya replied to Kbig2's topic in General Nursing

    I didn't call security on the husband that time - in hindsight, I wish I had. She had been my patient earlier in the week but wasn't my patient that night, but I should have stood up for her anyway. I...
  21. calivianya

    Ethics: Brain bleed sign out AMA

    calivianya replied to Kbig2's topic in General Nursing

    Thank you for saying this. We do this all the time at my facility - not ER, but ICU. We get a lot of chronic non-compliant COPDers and things of that nature. Most of them are end-stage. We have a...
  22. calivianya

    Weekend option non-bedside positions?

    calivianya posted a topic in General Nursing

    Do they exist or are they magical unicorns? I'm going to be in school full time for at least a year and a half starting in January (Monday through Friday mornings, with 2-3 afternoon labs scattered...
  23. calivianya

    Being depressed

    calivianya replied to Upward_Bound's topic in Pre-Nursing Students

    Good luck with getting a NA job. Previous posters are right that it looks good, but in reality, I put over 80 applications in for various positions at the local hospitals and got no hits at all until...
  24. calivianya

    Spouses in healthcare

    calivianya replied to Trauma_drama14's topic in General Nursing

    If my current SO and I don't work out, I'm hunting down a nurse. You can have as much or as little time together as you want, you can work the exact same shifts or you can work opposite days if you...
  25. calivianya

    Hospital that bans family members

    calivianya replied to paramedic-RN's topic in Patient, Colleague Relations

    Just saying, if I was getting in my loved one's nurse's face and asking for coffee while that nurse was trying to hang critical drips on my loved one, and trying to interrupt her and getting upset...