calivianya BSN, RN

ICU

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All Content by calivianya

  1. calivianya

    Night shift scheduling!

    If you don't switch your sleep around, working night shift becomes no different for your body than working days. It's the flipping back and forth and interfering with your sleep schedule that causes...
  2. calivianya

    Girlfriend of a NP student!!!

    He might not be able to make time to go out and do fun stuff with you quite as often, but like the PP said, you can always go over and stay in with him. Have nice dinners at his place with him. Even a...
  3. calivianya

    Intern in the ER...terrified.

    Just remember - right now you have a ton and a half of people backing you up. Work with confidence because you are not
  4. calivianya

    8/22 What I learned this week....

    I learned that fuzzy cats are even better than sleeping pills. I was just sitting on the couch minding my own business, my very cute cat jumped up next to me and turned on the warm fuzzy love factor,...
  5. calivianya

    Working OT helped me to pay....

    Right there with the above poster - I have been working OT to start socking some stuff away into savings. I am intending to max a Roth for the first time this year (probably will do that by the end of...
  6. calivianya

    What's your favorite floor

    I love ICUs of any sort. Love all the lines, drains, machinery... love only have two patients... :) A close second has to be the times as a CNA that I got floated to the hospital's inpatient hospice...
  7. calivianya

    RN vs BSN, is a BSN really worth it?

    Around here no one offers a pay difference between ADN and BSN prepared nurses. The ADNs are just more likely to still be working at their restaurant jobs waiting tables than the
  8. calivianya

    Tough point in my life

    Everyone's right - you need to get help now - I won't expound on that - and you need to resign from your job right away. This is about your future - three absences likely already has you on...
  9. calivianya

    Who here works both part time and per diem?

    The more jobs the better! Kidding, sort of. I have a FT and a PRN job. The worst part is the PRN scheduling period is open before the FT scheduling period for me, which is a headache because I would...
  10. calivianya

    8/22 What I learned this week....

    40% is way too high to extubate someone, IMO. I've seen a few extubated on 40% and none have done well. I'm sure there are people that do fine, but I'm not comfortable extubating until they're down to...
  11. calivianya

    ICU burnout?

    That's standard ICU charting - every ICU I have ever worked in charted all of those things, and I have never gotten out as late as you do in any of them. They even took away copy and paste at one of...
  12. calivianya

    ICU burnout?

    We have been tripled a lot, too, but getting out as late as you are talking about is very uncommon. We are considered leaving "late" if we clock out after 0722/1922, and we have to write in an...
  13. calivianya

    Our units acuity is at an all time high.

    Just laid off all our LPNs, who were supposed to be resources but were actually taking assignments, and then the hospital went on a hiring freeze. So, not only were we short before we laid off people,...
  14. calivianya

    To LPN or not to LPN, that is my question!

    I advise everyone coming out the gate to go ahead for a BSN. It's not really any more classes than an ADN except for fluff gen eds, a research class, and a leadership class. It's extremely difficult...
  15. calivianya

    That one reference hold out...

    The last couple of places I've gotten hired wanted five. One that I'm working PRN at now wanted five including TWO supervisors/managers. The people with the actual supervisor/manager roles (clinical...
  16. calivianya

    COB rollcall

    Alas, I may never be crusty. I hope to retire before I hit 20 years of experience! Hats off to all of you with so much experience. I can only dream of your level of
  17. calivianya

    Admissions

    We get verbal report, but I can't tell you what the rest of the hospital does. I have learned from this forum that critical care usually gets verbal report even when other floors don't - which is...
  18. calivianya

    Having no car for nursing school?

    I had a friend buy a $500 car and it got her through college. Cheap cars are major gambles, but hers survived three years and round trips from NC to NY several times to visit her family. Sometimes you...
  19. calivianya

    What do you guys like to do in your free time?

    You guys do a lot! I mostly just sit on the couch and browse the internet. I am a real homebody and I am really lazy when I'm home, LOL. I hang out with the boyfriend whenever I can - we mostly just...
  20. calivianya

    Patient bathing

    My job has gotten rid of bath basins altogether. My hospital sees it as unacceptably expensive to get a new bath basin every time, apparently, and they are seen as an infection risk. All we have are...
  21. calivianya

    Are too many certifications a bad thing?

    I had this problem a lot when I was younger because I was a very arrogant person. I learned the hard way that the line is keeping my mouth shut. It is perfectly possible to be proud of yourself...
  22. calivianya

    This week, I have learned... (8/8)

    Happy belated birthday! I love coworkers' birthdays. There's nothing that beats eating cake I don't have to make and I (usually) don't have to pay
  23. calivianya

    Nicotine-Urine

    It could be grandfathered in - I have a cigar bar not too far from where I live. It is in a historic downtown building and it is considered a community landmark, so even though it's illegal to smoke...
  24. calivianya

    How to learn to start IVs?

    One job I had made us go to the GI lab for a day. You want to talk about a place where people start IVs? That's it - and a lot of time those sorts of procedures are non-emergent and the patients are...
  25. calivianya

    Is everyplace like this?

    I hate to tell you, but everywhere I've worked was like this to one degree or another. Probably the closest thing to an exception was my first job. Brand new shiny unit with comfortable (easily...