calivianya BSN, RN

ICU

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All Content by calivianya

  1. calivianya

    Career advice please!! *poll*

    If you're only going to be working 2 days per week at the L&D job, that gives you plenty of time to be at home. Follow your dreams and take the L&D job.
  2. calivianya

    Growing pains

    I don't think you could have really improved her outcome. Sounds like she was ready to go. That being said, here are some thoughts: You mentioned paying attention to the MAP, so definitely pay...
  3. calivianya

    How do you get over feeling like you'll pass out

    Some things you will find are one and done when it comes to reactions. The first time I saw a LP while I was in clinicals in school I almost passed out. That huge needle is going WHERE? Something...
  4. I think a better question is why some CNAs think the RNs are delegating with a power trip. I worked as a CNA for a year while I was in school, and no one ever delegated with a power trip to me. Mostly...
  5. Your story reminded me of one of my recent ones. She was an elderly lady with COPD that we extubated way too soon - she went into respiratory distress within an hour of the ETT being removed. She...
  6. calivianya

    This week, I learned.... (7/25)

    For some reason, it's not letting me quote, but I was trying to quote odaat. I wanted to apologize. I came across as hating all addicts, and I didn't mean to. I didn't mean I thought she should have...
  7. calivianya

    Night Shift Impacting My Relationship

    I'm also going to say don't ditch her yet. She is wrapping up her degree, you said? Give her time to get done and find a job. Coordinate date nights like a PP suggested. I think it's too soon to say...
  8. calivianya

    Mobilizing While On CRRT

    So few of the patients are well enough to even be conscious that it's not practical. The rest are usually extremely weak and couldn't walk anyway. I can't really picture having someone stable enough...
  9. calivianya

    I cry when I'm stressed

    I think transferring to CCU might help you. I am an ICU nurse and my worst nights are the same as yours - the nights I have the call bell riders. You still get some of them in ICU/CCU, but the most of...
  10. calivianya

    This week, I learned.... (7/25)

    Sometimes crying about things other than my problems makes me feel better. Maybe that'll happen to you! *offers hugs and
  11. calivianya

    Poll: Nurse and law enforcement couples

    Mine's a truck driver - we're not married, but we've been together for a bit. I haven't seen anyone else say truck driver yet. I guess we're
  12. calivianya

    Nurse on Pt end of Pain Mgmt - UPDATE

    Had one of those recently! Post op belly surgery, they put him on a morphine PCA 1mg bolus q6m 4 hour lockout of 24mg, a fentanyl epidural (high epidural! Scared the bejeezus out of me, had to have...
  13. calivianya

    Question about IVPB

    Are you using the Plum pumps? We have those at my PRN job and it doesn't matter if one bag is higher than the other. The Plum pump can even run both lines plugged into it concurrently, so the...
  14. calivianya

    This week, I learned.... (7/25)

    I haven't seen anyone say Opana is a hell of a drug yet... are you guys not getting these ones that crush it up and inject it and give themselves bad endocarditis? And live in the ICU on pressors...
  15. calivianya

    Oral chemotherapy

    The only meds that had to be handled by chemo-certified nurses were the IV ones at my first job. Oral chemo was fine, for whatever reason it was
  16. calivianya

    Do you wear a back brace?

    Thanks for starting this thread. It's giving me a wake up call that I need to get back on my stretching exercises. I threw my back out in middle school and saw a chiropractor three times a week for...
  17. calivianya

    Need some New Grad advice:(

    As someone who lives in NC, I can tell you that we have a metric ton and a half of BSN programs. Our hospitals take a lot of new grads, but mostly BSN new grads. It's going to be tough to get a job as...
  18. Mine is my first code as a nurse. I'd had a couple of codes while I was a student, but I knew we had done everything we could for those, so I'd been fine with them. This one was different. We'll call...
  19. calivianya

    Are care plans valuable?

    I agree that care plans are useless in the real world as actual plans of care. I always chart in them every shift anyway, and chart about things I actually did, just to cover my butt. The only reason...
  20. calivianya

    Patients wants a back rub

    Peri care and catheterizing someone are way less intimate than a back massage. IMO, an action isn't intimate because of the areas you're touching; it's intimate because of the intention behind it. We...
  21. calivianya

    Daily Huddle

    We arrive at 1845, so huddle goes from 1845 to whenever it is done... sometimes that's 1846, sometimes it's almost 1900. We remind people of what education has a deadline coming soon, policy/procedure...
  22. calivianya

    Fired for Pyxis discrepancy

    That's ridiculous. I have wasted things under my name for other people, other people have wasted for me, I have wasted like we're supposed to (i.e. get a coworker when I'm first pulling it), and I...
  23. calivianya

    Patients wants a back rub

    LOL! I just mean that I rub it on quickly and for absolutely no longer than necessary, and I don't take time to do slow movements with pressure. That's what I think of when I think about massage -...
  24. calivianya

    Nurses with second jobs

    Just saying - a lot of places have dedicated weekend option positions because it's harder to fill weekend shifts. If you work weekend option as a nurse, you will work every single Saturday and Sunday...
  25. calivianya

    Patients wants a back rub

    Touching strangers (and being touched by strangers) makes me uncomfortable, too. I don't even touch my best friends, really - I just talk to them. I can touch hands, sure, and squeeze a shoulder for...