calivianya BSN, RN

ICU

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All Content by calivianya

  1. calivianya

    Different hospital units

    calivianya replied to emtpbill's topic in General Nursing

    Stepdown has got to be the most confusing. I count several different titles in this thread alone. We used to call our stepdown TICU (transitional ICU), but now it's ICCU (intermediate critical care...
  2. calivianya

    Weekend option non-bedside positions?

    calivianya replied to calivianya's topic in General Nursing

    Those are all really great ideas. The rounding nurse idea reminded me that our hospitalist team uses nurses to cover their pager and pass requests on. I will have to see if they have any
  3. calivianya

    Weekend option non-bedside positions?

    calivianya replied to calivianya's topic in General Nursing

    I wish I could do that. I have class on Monday from 9-10, 10-11, and 1-5, so by the time I got home I'd be up for well over 24 hours if I tried to work Sunday night. I don't think that would go over...
  4. calivianya

    Weekend option non-bedside positions?

    calivianya replied to calivianya's topic in General Nursing

    I will have to check out home health - that's a good idea I hadn't really thought of. And, yeah, that was a dumb statement with the big money comment - but by big money, I mean I'd be very happy if I...
  5. calivianya

    Nursing as a Second Career

    calivianya replied to HappyJetting's topic in General Nursing

    I found nursing school much easier than my first degree, because nursing school was more memorization while my previous degree made me think more and used more high-level educational materials, but...
  6. calivianya

    Patient Nurse Ratio

    calivianya replied to ambobam's topic in General Nursing

    Come to the ICU side, we have 1:2 ratios. Sometimes 1:1, and sometimes 1:3 when we are really short, but three patients is the most I've ever had at any ICU job. I swear it's worth moving to ICU just...
  7. calivianya

    What to do?

    calivianya replied to Ruger8mm's topic in Nursing Career

    I would get a casual position. I always have one myself. The requirements are easy to meet, and don't forget the benefit of having your foot in the door somewhere else if things really go south at the...
  8. calivianya

    We were all wrong about nursing home nurses

    calivianya replied to Ruger8mm's topic in Geriatric, LTC

    I hear a lot of that at work - a lot of my coworkers say the same things about floor nurses, too. I don't think that way, even when things really go bad for one of a LTC/floor nurse's patients that...
  9. calivianya

    Do you tell family members that their loved ones are nasty and combative

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

    It depends on what kind of nasty we are talking about. If we are talking confusion/delirium behaviors, I will say something. If the patient is perfectly alert and oriented and just chooses to be a...
  10. calivianya

    I can't believe what this resident said!

    calivianya replied to ds178630's topic in Patient, Colleague Relations

    I don't know enough about the situation to make a judgement - but I will say that there is no such thing as "pain free" when a person has really severe injuries. He will definitely be in SOME pain....
  11. calivianya

    Have you met your husband at nursing? Is nursing a good career to meet men?

    calivianya replied to Upward_Bound's topic in General Nursing

    I don't think it's an easy career to meet a SO, really - but if you do, it will probably provide the best quality of life for you both. I mean, you could literally both get paid to travel and vacation...
  12. calivianya

    Would you choose nursing again or another health profession?

    calivianya replied to Abbr's topic in Nursing Career

    That depends on the facility. We have three RTs for my ICU - one for every ten beds. We are at least 80% vents, but still - I see RTs sitting around a whole lot more than I see the nurses sitting...
  13. calivianya

    Scripting?

    calivianya replied to meg0620's topic in General Nursing

    All you have to look at to know subliminal messaging of this sort is effective is polysci research. Really. Political scientists have shown over and over that people will often vote based on what...
  14. calivianya

    Code Black

    calivianya replied to PMFB-RN's topic in General Nursing

    Oh man, my unit almost never waits 'til 89% to intubate a patient. The increasing O2 requirements plus increased work of breathing have us intubating people who are almost 100% sometimes. If they...
  15. calivianya

    Report vent turned mega vent

    calivianya replied to loveoutloud's topic in General Nursing

    Oh yes. I particularly enjoy giving report to the nurse who stomps around the room while I'm reporting, checking the lines, noticing I had missed labeling one of them, and tried to rip me a new...
  16. calivianya

    Are we "semi-professionals"

    calivianya replied to GastroAwesome's topic in General Nursing

    You know, I might actually agree with that considering the caliber of most of the hospitalists I have dealt with... Only sort of
  17. calivianya

    12/5: What I've learned this week - No, I don't have "just a second" to help you

    calivianya replied to ixchel's topic in General Nursing

    I did a degree eval out of curiosity for biology... and I learned that most of the pre-med stuff is required for the bio major, which puts me about 5-6 classes away from having a bachelor's in biology...
  18. calivianya

    IV Insertion in School?

    calivianya replied to meganec17's topic in General Nursing

    We started IVs in school, and I graduated two years ago. Especially when we got to our preceptorships and we were working 3 12 hour shifts with a nurse. I probably started at least 10-15 IVs before I...
  19. calivianya

    2016 Salary thread

    calivianya replied to kbrn2002's topic in General Nursing

    NC, a hair over 2 years of experience. Base $23.57/hr, $4/hr evening/night diff, $1.25/hr weekend/holiday diff. Mortgage around $650 for a 1400 sq foot 3bdr/2.5 bath townhouse (other townhouses in my...
  20. calivianya

    12/5: What I've learned this week - No, I don't have "just a second" to help you

    calivianya replied to ixchel's topic in General Nursing

    I'm just plain tired of working so many shifts! And hardly having any days off between! I'm going back to school, so I know I need the money, but holy crud, this is awful. I am so tired, and tired of...
  21. calivianya

    Compassionate Connected Care (C3)

    calivianya posted a topic in General Nursing

    My employer has experienced falling Press Ganey scores and has decided putting nurses through Press Ganey's C3 program is just the way to fix it! So, today I learned: There is an easy way to cut off a...
  22. calivianya

    Pharmaceutical companies are crooks!

    calivianya replied to klone's topic in General Nursing

    Don't forget that *mumblemumble* who bought the rights for that anti-parasitic drug and shot the price up for the heck of it. When people have the opportunity to make money, they will often trample...
  23. calivianya

    Need reasons why becoming a nurse first, then becoming a doctor, is a bad idea

    calivianya replied to jeaux's topic in General Nursing

    Man, I need to come work with you. My hospital only pays tuition reimbursement if it's for furthering my career on my current track. I could get money for NP or CRNA, but not for MD programs. Go...
  24. calivianya

    Compassionate Connected Care (C3)

    calivianya replied to calivianya's topic in General Nursing

    I love you for this! I've got to add a few of my own: "This is Betty Bookworm. She is a brilliant nurse, and knows everything there is to know about critical care, but she's so burned out she always...
  25. calivianya

    Compassionate Connected Care (C3)

    calivianya replied to calivianya's topic in General Nursing

    Oh, but that's why there's a script for talking to physicians! Our magic phrase is "I have a concern." Physicians are taught to stop and listen to any nurse who says that. So you don't have to have...