calivianya BSN, RN

ICU

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All Content by calivianya

  1. calivianya

    Is the nursing profession causing its own RN shortage?

    calivianya replied to RNDave's topic in Nursing Professionalism

    Mine is starting to look like this. My unit had a ton of nurses with 2-5 years of experience when I started, and the occasional new grad was a rare occurrence. Within the past year, a good 8-10 of our...
  2. calivianya

    IVs in the breast

    calivianya replied to kasekin's topic in General Nursing

    So true. It can definitely take half an hour when some of our reluctant physicians who like to sleep in the on call room and order PICCs place one, but we've got one young rockstar pulmonologist in...
  3. calivianya

    Vital signs/Less interruptions for patients during night shift

    calivianya replied to BSNbeauty's topic in General Nursing

    If you have extra BP machines, leaving one hooked up to the patient who needs q4h VS and doesn't want to be disturbed might help. We take q1h vitals where I work unless condition warrants more...
  4. calivianya

    Is the nursing profession causing its own RN shortage?

    calivianya replied to RNDave's topic in Nursing Professionalism

    I see both what she was getting at and what you're saying. There are plenty of jobs in nursing that aren't like that as far as the handmaidens and punching bags part goes - but frequently, the places...
  5. calivianya

    Should I work nights in ICU or days on med/surg (CNA) advice please?

    calivianya replied to michigan94's topic in General Nursing

    I worked 2300-0700 for several years, including partially through my junior year of nursing school, and it was doable but difficult. I was working Sunday through Thursday nights and I had class five...
  6. calivianya

    IVs in the breast

    calivianya replied to kasekin's topic in General Nursing

    I don't know about evidence, but I have started a couple that were borderline breast/shoulder and I have seen a coworker start one not too far above a nipple before. I'd say regardless of safety, if...
  7. calivianya

    Sign-on Bonuses Are Alive and Well

    calivianya replied to HouTx's topic in General Nursing

    My hospital is not offering a sign-on bonus yet, but they are offering $1500 referral bonus for experienced RNs. I wish I knew some that wanted to come work with me because I really want $1500. The...
  8. calivianya

    Odd interactions

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

    It really is. CRPS is exactly what we use it for - we just admit ours and have them on a continuous infusion for four days. We require family to stay in the room because the patients get so out of it....
  9. calivianya

    Drug seekers

    calivianya replied to russianbear's topic in General Nursing

    I've got to say I've never done it, but I totally understand why it happened. I am thinking about one particular night a couple weeks back - one patient had a BP of 50s/20s and was a full code, the...
  10. calivianya

    General Disdain Toward Job

    calivianya replied to shaneb9's topic in General Nursing

    For me, it's the sense of not accomplishing anything ever. I feel like I am running in place all shift. I got my documenting done, because they audit that, but we have had more patients than we are...
  11. calivianya

    Drug seekers

    calivianya replied to russianbear's topic in General Nursing

    Just have to say that I often go the other way with pain management. I gave my patient pain meds all night even though he didn't ask for them last night, and I had zero qualms about it. Why? Because...
  12. calivianya

    Odd interactions

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

    People on ketamine infusions talking about "the man in the corner." "The dark man." "He's standing right behind you - can't you see him?!?!" Oh god, the hallucinating ketamine patients freak me out....
  13. calivianya

    Bedside Reporting

    calivianya replied to Bluebell.'s topic in General Nursing

    I flat out refuse to participate in bedside report unless the other person insists on it. I plop down at the desk and I'm only getting up if the person I'm getting report from/giving report to walks...
  14. calivianya

    Where do you float/work per diem?

    calivianya replied to sergel02's topic in General Nursing

    Per diem/PRN can work as much as they want to. At my PRN job, the requirement is two shifts every six weeks. I only work the minimum there because the drive is awful. I had a PRN job in the past with...
  15. calivianya

    How do YOU handle these situations?

    calivianya replied to SleeepyRN's topic in Rehabilitation

    I work in a hospital, but my facility follows the rules pretty strictly, too. We have to have the specific indication we're using a med for as the reason to give it. Even if we have Tylenol ordered...
  16. calivianya

    Hospital Cares More about HCAHPS than Nurses!

    calivianya replied to CardiacRNLA's topic in General Nursing

    Welcome to nursing! If you find an area that's better, please report back and let us know about it. I would love to work somewhere that this isn't the
  17. calivianya

    Magnet status

    calivianya replied to dec2007's topic in General Nursing

    My facility is Magnet and it's terrible. We have people leaving left and right to escape - and I'm not talking about people going back to school. I don't know if it's the hospital or my unit, really -...
  18. calivianya

    Question about weekend schedules

    calivianya replied to melc0305's topic in General Nursing

    We pick up 4-5 weekend shifts in six weeks. How I pick those shifts up is up to me. When The Walking Dead is not on, I often schedule myself for Sunday/Monday/Tuesday to get rid of the "weekends"...
  19. calivianya

    Drug seekers

    calivianya replied to russianbear's topic in General Nursing

  20. calivianya

    Plan B!

    calivianya replied to Determined2017's topic in General Nursing

    Plan B for me was changing careers after a few years if I really hated nursing. The fact is, I was making $10/hr in customer service with few prospects open to me, even with a previous bachelor's, and...
  21. calivianya

    Many of my colleagues are raising their grandkids

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

    I had a high school classmate who decided to live on campus during college and party it up... and ditch the little girl she had when she was 16 with her mother. I don't know how people can be so...
  22. calivianya

    Very Low Dose Insulin Administration

    calivianya replied to ILoveMyJobRN's topic in General Nursing

    That's ridiculous. I get that every little bit of insulin counts, but I honestly think I would roll my eyes pretty hard if I ever got told to give half a unit of
  23. calivianya

    Most Embarassing Nursing Moments

    calivianya replied to Jessiedog's topic in Nursing Humor

    I feel like everybody has heard this story, but I have finally seen it in real life. A couple weeks ago, I was working next to a coworker who was running her butt off all night. I had a 1:1 with...
  24. calivianya

    Student Final Placement in ICU

    calivianya replied to paperbag_panda's topic in Critical Care

    I did my final placement in a MICU, and I was taking both of my preceptor's patients by the end of it. If you want to go into critical care, this is the best way. I had a huge leg up over people who...
  25. calivianya

    I Am Struggling to Find My Purpose in Nursing

    calivianya replied to SteelyJones's topic in General Nursing

    Going back to school for something else is expensive, but changing jobs is free. I would personally go for the free option and exhaust that before I incurred more debt, even if you think you are sure...