calivianya BSN, RN

ICU

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All Content by calivianya

  1. We actually recommend different amounts of pain meds for different CPOT scores, though most people just use their judgment about how much of a med to
  2. calivianya

    Vent about toiletting patients

    I worked in acute rehab as a CNA, and even though you're subacute, it sounds like the patient population may be similar. The nurses had 5-6 patients, and the CNAs had 6-12, and that was not enough...
  3. calivianya

    Disability: genuinely curious

    Back to this, instead of talking about disabled patients - I am all for accommodating a few people, but at what point is it okay to sacrifice the healthier staff members so the staff members with...
  4. Man, I really need to make some waves and get fired. I'd never have to work again with that kind of
  5. calivianya

    Go into a specialty area right after nursing school?

    Definitely apply for your dream job first. I feel like people who start off in a specialty might honestly do better because they don't come into the job with any bad habits from working a different...
  6. calivianya

    Pros & Con's of baby making while in nursing school.

    I've had several of my coworkers get pregnant recently. Two of them ended up on surprise bedrest for the last four to six weeks. That's why I'd say don't do it - if your pregnancy goes well, that's...
  7. calivianya

    How to stay positive?

    I think you found the million dollar question. If you figure out the answer to it, please let me
  8. calivianya

    HELP!

    I don't know how it works where you are, but after the first nursing skills lab, I was qualified to sit for my CNA exam - so if you are in nursing school, you don't have to take any sort of CNA...
  9. calivianya

    The Slow Code: Justified?

    I need to move to wherever you live. The only thing that is extremely clear to me is that almost every DNR that goes unconscious gets coded if family is there when the event happens at my facility....
  10. calivianya

    Do RNs get extra pay for working with students?

    It takes a huge effort to explain what I'm doing when I'm doing it. Having a student around adds HOURS of explanation if the student is not familiar with the process/equipment. Let's take a very much...
  11. calivianya

    No Longer a Fan

    I love those real life ER shows, so I definitely knew who Katie Duke is. I liked one post of Nurse Eyeroll's way back in the day when I was a nursing student and I subscribed to her blog, but I keep...
  12. calivianya

    Dying, unresponsive patient and assessing pain

    I really like the CPOT scale for patients that can't tell you what the heck is going on. It works like
  13. calivianya

    Patient fall without bed alarm

    I use Proliability. They offer discounts for membership in several organizations, so if you're a member of your specialty's professional organization, they're worth checking out. I got one for being...
  14. calivianya

    Did you marry a doctor?

    Of course we want to watch! I like a good train wreck. It's quality
  15. calivianya

    First on scene to car wreck

    People still have to get places, even when they have major medical conditions. Life doesn't stop with a diagnosis. It sucks that these people are on the road, but in many places, public transportation...
  16. calivianya

    Did you marry a doctor?

    Marrying another nurse would be way better. Then, we could both pick up travel gigs and get to see the whole US one travel assignment at a time. It would be
  17. calivianya

    Respiratory therapist to RN

    You're really going to have to crunch the numbers big time. RTs at my hospital make more than RNs do, not to mention you would be an experienced RT switching to new grad RN wages. So, you'd...
  18. calivianya

    Frugality thead:work less, spend less

    I use Walmart's Straight Talk service ($45/month), but I have heard very good things about Republic Wireless. Republic is much cheaper, but I think you have to use one of their
  19. calivianya

    Patient transfers and Nurse ergonomics

    I am very fortunate in that at my full time job, every room has a ceiling lift. They can only support up to 400 pounds, so we have several rooms that have double lifts to support up to 800 pounds for...
  20. calivianya

    Wound care opinions (apologize for length!)

    I don't think you're going to be able to do anything to fix the blisters, either. What does the patient have to say about this? If he's well enough to get up and walk, is he cognitively intact enough...
  21. calivianya

    Unsupportive boss? Is it worth quitting over??

    Honestly, I feel like counseling isn't enough. I feel like write-ups are in order if a nurse asks a CNA to clean up a patient and the CNA chooses to leave the patient soiled instead. I used to work as...
  22. calivianya

    Firearms

    I don't know a ton of people who concealed carry now, but when I was in rural Georgia, it was just astounding how widespread guns were. A lot of people think NC is the South, and parts of it certainly...
  23. calivianya

    Frugality thead:work less, spend less

    I'd say it's worth it to buy even if you don't plan on staying forever if you can buy for considerably less than average rent prices. This is very market dependent, as some places mortgages are a lot...
  24. calivianya

    Frugality thead:work less, spend less

    Yep, it really is. They have no idea how you're going to handle debt if you never handle debt. You're a total wild card, and that's scarier to them than someone who's screwed up a few times but has...
  25. calivianya

    Day two after termination: Getting better

    My school didn't have a pinning "ceramony," but to be fair, we didn't have a pinning ceremony either. And if everything you were taught in school is based on history and tradition, did they teach you...