calivianya BSN, RN

ICU

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All Content by calivianya

  1. calivianya

    Delirium tremens, level of care?

    calivianya replied to hybr1d's topic in Patient Safety Issues

    I just tried to find you a sample protocol that matched my hospital's, but I looked through four different protocols and they were all different on their dosing. I like this one that I found because...
  2. calivianya

    Alaris pumps?

    calivianya replied to Tantorium's topic in Critical Care

    I love the Alaris pumps a lot... unfortunately, haven't seen them in real life since nursing school. They're definitely better than the big giant Braun monsters I use at one
  3. calivianya

    Boosting my resume with certifications?

    calivianya replied to n.clement's topic in Job Search, Interview, Resume

    BecomingNursey beat me to it - I was going to say NIH. Both my current full time and PRN jobs require it. It is a must if you plan on working in critical care or with neuro patients of any sort. The...
  4. calivianya

    Right time to go into the icu

    calivianya replied to garn12's topic in Critical Care

    I would say the best time to go into ICU is whenever you want to go into ICU. I went in as a new grad, and I did fine. If a new grad can survive it, I am quite sure someone with skills as varied as...
  5. calivianya

    Diluting a medicine into a drip

    calivianya replied to Faithnelly's topic in Patient Medications

    This is really facility specific. You probably have access to Micromedex or something similar through your job - check that if you aren't sure of IV compatibility. I had one job that always mixed...
  6. calivianya

    Diluting IV meds

    calivianya replied to wanderlustnurse88's topic in Patient Medications

    I only dilute vesicants. I never dilute controlled substances unless I have to - like with Ativan, since it's such a horrible vesicant, or if I have to give a really small dose like 0.25 ml of...
  7. calivianya

    Delirium tremens, level of care?

    calivianya replied to hybr1d's topic in Patient Safety Issues

    We usually manage them in intermediate here. My first hospital was lower acuity across the board, so they were managed in ICU. I almost never see them in ICU anymore. Assuming they are getting the...
  8. calivianya

    Impaired Colleague

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

    I think the idea of calling a rapid response is awesome. It would bring several new witnesses onto the scene. Maybe your manager can ignore the complaints if it's just you, but if you have a...
  9. calivianya

    Everywhere I read it's telling me that PTC is a waste of time Please HELP�������

    calivianya replied to Misskeena1's topic in General Nursing

    OP, why don't you just waitress or bartend instead. Both of those jobs bring home a lot more money than PCT, and they don't cost $16,000. I wouldn't recommend anybody who has four kids and actually...
  10. calivianya

    Comfortable living?

    calivianya replied to Kdao's topic in General Nursing

    Okay, yeah, I rescind what I said about the car payment now that I noticed a lot of it is extra. That's a wise financial decision. :) I actually disagree about new cars being a bad investment. It's...
  11. calivianya

    Fellow nurses???? Job relocation advice please!!!!!

    calivianya replied to Pearl2014's topic in Nursing Professionalism

    I would also recommend staying. I did the long distance thing for nine months when I was a new grad - and it sucked, I'm not going to lie to you - but it's not going to kill you. How far is this...
  12. calivianya

    How can I increase the morale on my unit?

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

    At my PRN job, I just found out this week that the hospital PAYS for a woman to come in every now and then and do massages! She works for three hours or something like that, and gives ten minute...
  13. calivianya

    Job fair?

    calivianya replied to Stella_Blue's topic in General Nursing

    A good number of my classmates got offers during job fairs right out of school. I also got offers at a different job fair later, but they weren't what I was looking for so an actual job did not come...
  14. calivianya

    Comfortable living?

    calivianya replied to Kdao's topic in General Nursing

    Good lord, a $500 car payment.. for a Camry?! That's the part I can't get over... not the $500 car payment, but the fact that it's a Camry. I just bought a brand new car with no money down. It is a...
  15. calivianya

    How to keep a quiet environment on the night shift

    calivianya replied to Lobe220's topic in General Nursing

    Oh yeah, I'd bet money on it. The loud units are the ones where people get along and really like their coworkers. They also aren't usually afraid to say, "Hey, I think my patient looks funny, what do...
  16. calivianya

    Physical Restraint in Intensive care unit

    calivianya replied to samer2014's topic in Patient Safety Issues

    I think restraint use is unavoidable in most ICU patients. Some are calm, but most are not. You can go without restraints when patients are deeply sedated, but by default, they are not going to be...
  17. calivianya

    The Patient's "Guests"

    calivianya replied to rnsheri's topic in Nursing Humor

    I had my own horrible version of #23 once, except it was the severely disabled patient's mother instead of his wife. How much she doted on him was almost cute - the way she'd get on us if mouth care...
  18. calivianya

    Have YOU, ever gotten to literally gotten to experience the feeling of the RotoProne bed m

    calivianya replied to ECMO's topic in General Nursing

    No, but I'd love to. It sounds like fun. If we prone someone, we do it manually - with about five or six people involved to make sure all the lines and tubes stay put. I have been the guinea pig on...
  19. calivianya

    Respect from patients as a Registered Nurse?

    calivianya replied to tiamaria123's topic in General Nursing

    I feel like people give a lot of lip service to the idea of respecting nurses - hence why we rate so high as most trusted, etc. However, it's only one out of five awake patients, if that, who actually...
  20. calivianya

    Depressed about a job offer

    calivianya replied to richardgecko's topic in General Nursing

    If they really liked you that well, ask them if there are any vacancies on day shift. Call the person you interviewed with back and say that your home situation precludes working nights; is there...
  21. calivianya

    O2 percentages and liters

    calivianya replied to smartnurse1982's topic in General Nursing

    I don't have any advice for you here, I just have to say I am glad you bumped this one because I just learned my knowledge is limited after reading some of the PPs. Time to go read some of those links...
  22. calivianya

    This week, I have learned..... (6/13)

    calivianya replied to ixchel's topic in General Nursing

    ...Just learned that I REALLY can't stand working in a combined ICU/stepdown environment. The patients are too awake, too needy, and too crazy. I love my coworkers at my PRN job but the patients I saw...
  23. calivianya

    I got reported to HR

    calivianya replied to katie92's topic in Patient, Colleague Relations

    People can be really sensitive about unusual names sometimes, or even normal names with unusual spellings. If I am curious about a name's origin, I'll say something like, "What's the story behind your...
  24. calivianya

    Will a small hospitals ICU still offer patient variety and opportunity?

    calivianya replied to essenm25's topic in Critical Care

    Now that I am in a larger, regional referral center, I have less variety in the patients I see, but higher acuity. Larger hospitals are going to have specific ICUs for everything. Smaller hospitals...
  25. calivianya

    Don't talk bad about your patients

    calivianya replied to BrendaH84's topic in Patient, Colleague Relations

    Maybe I'm just weird, but I think patient/family behaviors are the most important part of report, period. I can assess the patient myself and find out where his/her access is, I can read the...