calivianya BSN, RN

ICU

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All Content by calivianya

  1. calivianya

    Very frustrated, need advice please!

    I wouldn't move anywhere until I already had a job lined up... but I think you've learned that the hard way. Is your family situation so crucial that you HAVE to be in IL right now? Can you move back...
  2. calivianya

    Pharmacy or nursing school

    If I could do it all over again, I would probably pick pharmacy over nursing, but that's just my opinion. I am sure pharmacy is stressful, too, but it would be nice not to have to ruin my back to do...
  3. calivianya

    Importance (or not) of social ties in workplace

    I think making friends and having real social ties at work is very important. Personally, I think the patients get better care when we are closer to each other. I have been guilty of not turning as...
  4. calivianya

    I need a passion...

    Until you can find something else, maybe try reading ER-related journals and research? I know that sounds nerdy, but I find going back to the science behind what I do, and behind the way I do things,...
  5. Most of the rude ones I've had have been demented or confused, so what they say doesn't count. I did have a nasty as heck patient a few times - a chronic dialysis patient with a slew of other problems...
  6. calivianya

    Pay grade: experienced nurse vs new grad

    You have a valid point, but unfortunately nobody in hospital admin cares. I've never worked anywhere that the experienced nurses made significantly more than the new grads. Hospitals will periodically...
  7. calivianya

    COPDer de-satting? What do you do?

    I would definitely focus more on getting his O2 sat up first. If he gets hypercapnic, you can always fix that with the BiPAP later. Although, if he desats that badly just from working with therapy,...
  8. calivianya

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

    Hallelujah, someone who understands what I have been going through the past two weeks! Going to general orientation, general nursing orientation, two days of computer training, facility-specific...
  9. calivianya

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

    I learned that one of our intensivists blushes very easily when we show him our crude humor! He is too
  10. calivianya

    Didnt pass boards before deadline

    NC is only one state away from you. I was just looking at the BON requirements, and all they say here is that you need to graduate from a nursing program to take the NCLEX - although you do have to...
  11. calivianya

    CMC

    I know this is old, but how did you do the second time around? What did you use to study? I am thinking about sitting for my CMC in the near future. I'm looking for resources
  12. calivianya

    IV push failure - how I am failing

    I'm honestly curious, because your hospital's policy strikes me as a little scary. I get that there are risks to inserting peripherals for sure, but if you have a patient receiving a heparin drip...
  13. calivianya

    IV push failure - how I am failing

    I just thought I'd add in that if the patient is on a critical drip (heparin, insulin, pressors, etc.) you should think about having a second line anyway for antibiotics, IV pushes, and anything else...
  14. calivianya

    Planning to move to NC

    Charlotte isn't a half bad place to be if you want to stay in peds. Not a ton of cities have children's hospitals in NC, but Charlotte has two - Hemby and Levine. Charlotte is just a great place to be...
  15. calivianya

    New Grad - Just got a job at Starbucks. Help.

    If you're only working part time, I'm assuming you're working 30 hours per week or less. If you look at the 40 hours between 9-5 Monday through Friday as being reasonable business hours to call people...
  16. calivianya

    This week, I have learned... (5/30/15)

    I learned some hospital systems really do have a heart as the one I just got a PRN at had us do a community service project during new hire orientation! I have never felt so good about getting a job....
  17. calivianya

    This week, I have learned... (5/30/15)

    Or if they burp. They say they're not nauseated, but then they burp and you have exactly 0.003 seconds to
  18. calivianya

    This week, I have learned... (5/30/15)

    MICU, actually, and we don't take any trauma patients because there is a level 1 trauma center next door. It is a major regional referral center, though, so we get some really sick people. The current...
  19. calivianya

    Seeking new job; Less than 6 months experience

    The fact that you say attendance comes last and you have missed work a few times is scary. I would check your P&P immediately to see where you are in your attendance policy just so you know if you...
  20. There are a ton of new grad friendly places in Georgia. Anywhere on the coast or in Atlanta is going to have stiffer competition, but a lot of those places still hire new grads
  21. calivianya

    First and second patient death

    Death typically comes in twos for me. I had two patients die on a Friday the 13th this year, and then I had two die in the same week, but three overall this month. It's just going to happen,...
  22. calivianya

    This week, I have learned... (5/30/15)

    The boob story made me laugh, thanks! High ammonia levels really do cause severe brain damage and you can actually herniate if your ammonia level gets too high. My patient with an ammonia level over...
  23. calivianya

    Nursing Student : Back Injury

    There are nursing jobs with less back involvement. I imagine MD office, school nurse, public health nurse, etc. don't require as much physical labor, but I could be wrong. However, these types of...
  24. calivianya

    RT vs. RN? Is RT a useless profession?

    I like my RTs; they are awesome. How necessary they are depends on unit culture, IMO. My first ICU job, we might only have 1 RT for all of the ICU beds if they were short. They were managing 50...
  25. calivianya

    Moving to Another Area - New Grad

    You've got it right here. A lot of those types of places are desperate for help. I didn't bother to use a fake address or anything - the place where I got my first job knew I lived 400 miles