calivianya BSN, RN

ICU

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All Content by calivianya

  1. calivianya

    How much do you make?

    I can't say I think raising requirements will help around here, at least. There are two DNP programs within an hour from me, and they are already fiercely competitive. We don't have any of those...
  2. That program is awesome! I don't get politicians; I really don't. Paying for this program is a helluva lot less expensive than paying out thousands in tax refunds for dependent children and/or giving...
  3. calivianya

    How to perform CPR on a hospital bed?

    I saw stuff like that multiple times when I worked at a rural hospital without a code team. Anyone from ICU that was free got to run to the codes. We had a code in Peds once where most of the nurses...
  4. calivianya

    ICU or CCU

    I have always worked general ICU, at multiple jobs, and I can tell you it is a depressing place. I hear a lot of CCU patients, especially heart surgery patients, can actually get better and go home....
  5. calivianya

    How much do you make?

    NC - and I don't think really had problems filling the slots because it never seemed like they stayed up for long. If you want to work in a hospital, that's about what the pay is here, at least...
  6. calivianya

    Weird meds

    The only med I double glove for is nitro paste if I am massaging it in, like for half-dead vasopressor hands/feet where we are trying to use nitro to restore circulation before declaring those fingers...
  7. calivianya

    Cross Training to ICU

    You will see a lot of GI bleeds, DKA, COPD exacerbations, sepsis, and miscellaneous other causes of respiratory failure. I would go ahead and pull your facility's P&P on how they run insulin drips...
  8. calivianya

    How much do you make?

    Just have to say - unless it really is the autonomy you are looking for, that's a really good deal and I wouldn't make the jump. I have a coworker that managed to crack 100k last year because she...
  9. calivianya

    What I learned this week (7/4/15)....

    I laughed. It's so true - I have also scared the poop out of patients this way. I am the queen of just digging up there to see if something's waiting for the gate to open wide enough, though. I...
  10. calivianya

    Good ICU Nursing Books (Non Textbooks)

    I don't know, but I will be following this thread with interest. I love medical nonfiction! How about Intensive Care: The Story of a Nurse by Echo Heron? I loved that
  11. calivianya

    how did you pick your specialty?

    I have been a nurse for two years also, and I picked my specialty for a couple of reasons: 1. I am still thinking I will go to CRNA school one day, 2. I love being challenged (in an intellectual way),...
  12. calivianya

    WELL, WOULD YOU???

    I didn't think there was a single naughty thing about any of those pictures. I expected something more provocative. Instead, I found perfectly normal scenes you'd find anywhere in a lab or doctor's...
  13. calivianya

    The Hotel Phenomenon

    I would so get fired. I am pretty sure my response to any of those kinds of complaints might just be to tell the patients to do "something" to themselves and walk out the door. It would be my last day...
  14. calivianya

    Night shift blues

    I think, if anything, you'd have a worse time finding a parking spot if you worked day shift. When you are coming home from a night shift, many day people have already left to go to work and have...
  15. calivianya

    Why don't you just read the chart?

    There have been plenty of times I haven't been able to log onto the computer between when I was made aware I was getting a patient and when the patient arrives because I'm so tied up with other...
  16. calivianya

    Does everyone have a conscience?

    I don't think the story is unbelievable at all. I just think it's representative of 99% of teenagers... or maybe I was just a sociopathic teenager, too. I also think you can be a great person without...
  17. calivianya

    You should know better

    Food and alcohol, for sure. I drink probably 1-2x per week with my boyfriend. Once every couple of months, I really go all out in the alcohol department to the extent that I'm hung over the next day....
  18. calivianya

    Delirium tremens, level of care?

    We have three basic levels of care at my hospital - med/surg, intermediate, and ICU. We have at least 10 med/surg units I think, maybe 3 intermediate units, and 4 ICU units. The med/surg units have...
  19. calivianya

    When do going back to school STOP!!

    He did go to college, but he only went once for one degree - and he held more than 15 job titles with the company. There are new avenues to spice a nursing career up, for sure, but they are all for...
  20. calivianya

    Delirium tremens, level of care?

    Sorry for all the acronyms, I forget how we all use different types of language. PRN is just as needed, FT is full time - so those aren't different levels of care, they just differentiate how much I...
  21. calivianya

    When do going back to school STOP!!

    I think what the OP is hitting at more is that every level is a dead end in healthcare. That is something that bothers me a little, too. Of course, you need education for every different role you...
  22. calivianya

    Getting back in the swing of things

    I have the same problem. The more I work, the happier I am at work. I am happy as a clam working 60 hours a week. If I stay home more, I WANT to stay home more, and my get up and go is totally gone...
  23. calivianya

    Another Case Study For Your Learning Pleasure

    I will say I have no idea about anything dermatology related, but that sounds like a totally whackadoo case of acne. It makes me wonder if you're trying to get at something else, especially mentioning...
  24. I would go ahead and give the Lasix as just about one of the first things I did. The patient is short of breath, sats are borderline, she's tachypneic, and has crackles. It's not hard to picture this...
  25. calivianya

    Delirium tremens, level of care?

    Intermediate care, which is the level this patient needed to be at, is going to vary a little bit by hospital. My PRN job says three patients is the max per nurses, my FT says four is the max for...