calivianya BSN, RN

ICU

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All Content by calivianya

  1. calivianya

    Dysfunctional Unit?

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

    Difficult people are everywhere... but in this case, ALL of your main coworkers are difficult. That is not true everywhere. Get out. Starting over is a lot less horrible than staying in this kind of...
  2. calivianya

    New grad...which ICU to choose?

    calivianya replied to s.wheeler's topic in General Nursing

    More important question: which of those units do you have active offers from right now? It's all good and well to talk about what types of units there are, but until you have an offer in your hand...
  3. calivianya

    What is a half a patient?

    calivianya replied to KATNIC's topic in Patient Safety Issues

    I know this is a slightly older post, but I will say the only thing that made our staffing change when it got really dangerous was a nurse going to the Joint Commission with documentation of what her...
  4. calivianya

    Why does a nurse not give narc. Early

    calivianya replied to KB18fan's topic in General Nursing

    I usually give that kind of stuff together. Since the Opana is extended release (at least I'm assuming so from the dose), my thought process is to give them together, so the instant release med can...
  5. calivianya

    Future plans versus the unexpected future

    calivianya replied to BlueHearts53's topic in First Year After Licensure

    My plan was very similar to yours. I wanted to go to ICU so I could go to CRNA school, etc. I do love ICU. I knew I would. I knew having eight people on the call bell in med/surg would be so soul...
  6. calivianya

    Is nursing REALLY that difficult?

    calivianya replied to lilythorburn's topic in Pre-Nursing Students

    Of course you can live a balanced, happy life, and because of "just" working three days a week, you will have a lot more time off than most people. There are also excellent benefits - my company...
  7. calivianya

    Extreme brady with strange rhythm

    calivianya replied to kataraang's topic in CCU, Coronary, Cardiac

    I had a patient flip from normal sinus into a-fib with slow ventricular response once. She had the characteristic fib wiggles, but the ventricular rate was hanging out between 27-33. Couldn't tell how...
  8. calivianya

    2017 Nurse Salary

    calivianya replied to Darkstar1485's topic in General Nursing

    NC, almost 4 years experience MICU $26.00/hr, $4 nights, $1.25 weekends, $1.25 holidays. 208+ hours PTO per year... works out to about 17 shifts or 6-ish weeks. Just got $1.50/hr specialty pay because...
  9. calivianya

    Why do patients.....?

    calivianya replied to ArrowRN's topic in Nursing Humor

    I always ask: how many can you take at once? If they say three pills, I put the first three in the cup, let them take the pills, and then give more. It really annoys me when they say, "Oh, I take all...
  10. calivianya

    So done with a co-worker

    calivianya replied to smf0903's topic in Patient, Colleague Relations

    There's always at least one. We have several of those right now. I just keep on smiling, saying hello when I run into them... and then I get the heck away from them and stay on my side of the hall to...
  11. calivianya

    Change Careers or Treat Depression?

    calivianya replied to RehabRN5's topic in Health, Stress Management

    Absolutely apply for the job! As a previous poster mentioned, you can always pick up a PRN somewhere so you can still be a nurse and keep your nursing skills current if you don't want to give up being...
  12. calivianya

    Long Term Care Nursing is Lame

    calivianya replied to purplegal's topic in Geriatric, LTC

    Also echoing again everyone else about doing things that are "important" or whatever - I think what you do as a LTC nurse might just be way more important than what I do. Last week, I had several of...
  13. calivianya

    Long Term Care Nursing is Lame

    calivianya replied to purplegal's topic in Geriatric, LTC

    I work in one of those super high acuity areas, and let me tell you... I could never do what you do. I would be ready to throw myself off a bridge having to take care of 20 patients. I hit almost...
  14. calivianya

    Tell on yourself, if you dare...

    calivianya replied to audreysmagic's topic in General Nursing

    I forgot until almost this minute the time I think I've come closest to killing someone in my nursing career. My patient that shift was very ill, running levophed, vasopressin, neosynephrine, and...
  15. calivianya

    Thinking about jumping ship, need perspective

    calivianya replied to NightNerd's topic in General Nursing

    TL;DR - I think you should finish your BSN. There are so many more doors a BSN opens up for you that would allow you to find something you might like. The thing about counseling psychology is I think...
  16. calivianya

    The Nurse at the Bedside

    calivianya replied to RobbiRN's topic in General Nursing

    Beautifully written. Thank you for all you do.
  17. calivianya

    lunch break handoffs

    calivianya replied to bookel's topic in Critical Care

    Hard to imagine nurses not looking out for each other... if we don't have each other's backs, no one does. It doesn't even matter if the two nurses in question hate each other - you never know when...
  18. calivianya

    Starting education from the bottom. End goal is obtaining BSN.

    calivianya replied to Mommyninja's topic in Pre-Nursing Students

    I advise people to go straight for the BSN, just because some employers do prefer it now. I like stacking the deck in my favor - I personally would maximize my chance at getting the job I want vs....
  19. calivianya

    DNP vs MD/DO

    calivianya replied to DrZaphod's topic in Doctoral Nursing Degrees

    Man, someone's been drinking the Kool-aid. Most of the nurses that I know who've gone on to become NPs are half paying attention to their online tests in the middle of answering call lights and...
  20. calivianya

    Tell on yourself, if you dare...

    calivianya replied to audreysmagic's topic in General Nursing

    You're a better person than I am - I would have told EVERYONE what I did so everyone could have enjoyed the moment. Just recently I was assisting my favorite intensivist with a chest tube insertion....
  21. calivianya

    Certifications - When is it too much?

    calivianya replied to CardiacKidd1914's topic in General Nursing

    I don't believe there is such a thing as too many certs. I believe in advancing your knowledge, and keeping on top of specialty certs is certainly a way to do that. The knowledge required to get them...
  22. calivianya

    Charge Nurse

    calivianya replied to nursestudent15's topic in General Nursing

    My job starts pushing people to do charge after they've been with us for two years or so. I think I started right at the two year mark. Charge is a joke here. We have a full patient load just like...
  23. calivianya

    ICU Nurse Turns Medicine Caps Into Mural

    calivianya replied to tnbutterfly - Mary's topic in General Nursing

    I actually do this - I have a set of four canvases with trees in different seasons made of vial caps. They're in my
  24. calivianya

    PIV usage for lab draws - POLL

    calivianya replied to dvmcafee's topic in General Nursing

    I don't see the option I agree with - labs can be drawn from a PIV in a pinch, but all infusions have to be stopped and I'd waste at least 5ccs. I'd never say never - if you need labs right then, the...
  25. calivianya

    I Gotta See If He Is Dead!

    calivianya replied to spotangel's topic in General Nursing

    For those of you talking about visitors in the morgue... I work in a 900+ bed hospital and neither one of the morgues can hold more than five bodies... it's sad how pitifully small they are,...