calivianya BSN, RN

ICU

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All Content by calivianya

  1. calivianya

    How to Get NIH Stroke Scale Certification

    My job uses the trainingcampus.net one, too, so you're doing it right. We just do one of them each
  2. calivianya

    ICU ingenuity? Tricks of the trade?

    We don't use heparin flushes for PICCs at my current hospital. They think the rate of HIT is too high or something. What happens is we use a crap ton of tPA to unclot our lines instead of preventing...
  3. calivianya

    ratio's with induced hypothermia patients

    Because they're lower acuity ICUs and the TH patients are well and above the normal level of difficulty. My first ICU job was that. Getting a TH patient was something to brag and whisper about, one of...
  4. calivianya

    Broke my foot - risking my job?

    Are you eligible for FMLA yet? That could help protect your job if you officially ask for FMLA leave. My job actually recommends we do that if we are going to miss more than 4 days. It doesn't have to...
  5. Most NC hospitals prefer BSNs. Smaller and/or rural hospitals will hire with ADNs, but if you're talking about places like Duke, you're going to need a BSN for sure. You might get lucky and get a job...
  6. calivianya

    Code Blue Systems

    Most of the places I've worked had a code button in the room. At one of the hospitals, pushing that button immediately opened a line to the unit secretary desk as well as turning the light outside the...
  7. calivianya

    3:00 a.m. victory

    That is real satisfaction right
  8. calivianya

    RNs with a Bachelor's in another field

    I really do agree. My bachelor's in Psych was way more rigorous than my BSN program as far as thinking goes. Nursing school was a bunch of memorizing with some critical thinking thrown in. There was a...
  9. calivianya

    Physician Bullying of Nurses Reaching Epidemic Levels

    I don't know; I just might believe it. I would say perhaps 1:4 or more hospitals are rural, and I would also say that nurses in rural areas are more likely to be bullied/abused by physicians....
  10. My BSN program technically required chemistry, but I placed out. I last took chemistry in high school in 2005, and took the AP exam then which got me credit for two semesters of chemistry. By the time...
  11. calivianya

    Didn't follow through and caused med error

    I don't think what you did was horrible, by any stretch of the imagination, if the patient wasn't harmed. Yes, there was a med error, and yes, you technically were the cause because you did not chart...
  12. calivianya

    Ventricular tachycardia

    You said the patient has a history of a-fib - you should trace out the person's strip and see if the "V-tach" is perfectly regular. V-tach is usually pretty regular unless it's torsades, which looks...
  13. calivianya

    if you suck at nursing interviews, clap your hands!

    The interview is the easy part. It's corralling five people to do your references afterward (two of which have to be supervisors, of course) that's the tough part. Getting five nurses to sit down and...
  14. calivianya

    Scared!!!

    A little bit of apprehension is healthy; a whole lot of fear is not. Don't be afraid! You are going to be paired with a preceptor for a long time before you get turned loose on your own. Just pay...
  15. calivianya

    Day shift vs. night shift

    Welcome to nights! :) I have only worked as a nurse for two years, but I have worked nights in various positions for eight years now. I love it. ICU patients are not that different from day to night....
  16. calivianya

    My patient died today

    Whoa! Common sense! Sorry, couldn't help myself. OP, losing someone is always hard. You clearly did everything you could. Blondy2061h is absolutely right that death is sometimes the best outcome. I...
  17. calivianya

    As a single nurse were you able to buy a home?

    Kids get emotionally attached to everything. I remember crying when my parents sold their nasty old station wagon when I was a kid, and there was hell to pay if my favorite blanket got lost. I...
  18. calivianya

    Nurses cant do IO?

    I've never had an ACLS class teach me how to place IOs... only PALS did that. We got to play with the Easy IO drill and all I could think about was how terrifying that was - that we literally have a...
  19. calivianya

    ratio's with induced hypothermia patients

    We never make ours 1:1... just treat them like a regular ICU patient. They're not usually higher acuity than any of the other patients on the floor, so I guess that's why they're not singled. We only...
  20. Is it presumptuous? Every RN job I've ever worked has used reference software. You provide the email, the company sends your reference the link to the form, and the person completes the reference...
  21. It sounds like you think the first job would be a good fit for you. Call that recruiter back ASAP and tell her you're
  22. calivianya

    Low acuity nursing job???

    I would be interested in knowing if you quit! I also agree on asking for a new preceptor. She is clearly not the right fit for
  23. I have worked with plenty of nurses who worked during ABSN programs and did well. Don't write off working altogether just because you're going for an ABSN program; it really is the best way to get...
  24. If your residency is worth anything, you shouldn't really need many extra materials up front. Mine involved class time, and I have two 2" binders filled to the brim with power points from the classes...
  25. Shadow, shadow, shadow, shadow, shadow. I have interviewed at eight places total (a couple more than once), and of those, only two didn't offer me a shadow experience built into the interview....