calivianya BSN, RN

ICU

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All Content by calivianya

  1. calivianya

    I am starting to love wound care - am I nuts?

    calivianya replied to hppygr8ful's topic in General Nursing

    I'm right there with you - I love wounds. Love them, love them, love them... will go out of my way to help other nurses with theirs. They know I'm the person to go to if they need help with a dressing...
  2. calivianya

    "I don't want to die"

    calivianya replied to anh06005's topic in Patient, Colleague Relations

    Somewhat unrelated, but what do you say when your patient IS going to die and they say, "I don't want to die!" I hate that. I never know what to say to them. Had one recently on the BiPAP, end-stage...
  3. calivianya

    New to the Surgical ICU - Searching for Free Education

    calivianya replied to robinha's topic in MICU, SICU

    AACN has a ton of free information if you are a member, which I highly recommend. There are all kinds of shiny new articles to read every month in the magazines, and of course, they offer lots of free...
  4. calivianya

    What is the worst case of bullying you've seen in your nursing career?

    calivianya replied to Guest878640's topic in Patient, Colleague Relations

    At my first job, we had a very angry nephrologist who was known to throw charts at the nurses every now and then. Fortunately, we were on computer charting for the most part - it was only consent...
  5. calivianya

    Is it really worth it... So Miserable!! So Insecure!!

    calivianya replied to nursy1's topic in Patient, Colleague Relations

    Not all preceptors are going to be a good fit. I had an excellent one during my senior year of nursing school - which I believe directly contributed to my success as a nurse in a major way because my...
  6. calivianya

    What is your nursing "joy?"

    calivianya replied to jamisaurus's topic in Nurses Rock

    I enjoy the days I had to work for the person to be alive at the end of my shift. I get a real satisfaction out of knowing that person totally would have died if it wasn't for me paying attention that...
  7. calivianya

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

    calivianya replied to pixiestudent2's topic in General Nursing

    A lot of people are talking about PMI, so I just have to mention that my PMI is $29/month. Would I save $29/month if I didn't have it? Sure, but I don't see how $29/month is a real deterrent to buying...
  8. calivianya

    POLL: Should telemetry techs need to know patient Dx?

    calivianya replied to mycoholic1's topic in General Nursing

    I don't think it's necessary. Techs don't need to be told a diagnosis to report a rhythm change. I will give them a general idea of what's going on if the patient is dying so they don't call me every...
  9. calivianya

    What do you do to protect yourself on floor?

    calivianya replied to juana15's topic in General Nursing

    My unit typically gowns up for admits and large bowel movements, since we're going to be rolling dead weight that's covered in who knows what onto ourselves. Other than that, we just do whatever's...
  10. calivianya

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

    calivianya replied to pixiestudent2's topic in General Nursing

    I make a hair under $23/hr and I bought a house last year. It's a townhouse, and my mortgage is $650/month. I couldn't rent for that in this area; all of the nice apartments are at least $800 for a...
  11. calivianya

    Blue Pigtail on Nasogastric Tube

    calivianya replied to mikeynizm's topic in Patient Safety Issues

    We use specimen cups to mix meds in. Brand new every day, sterile on the inside, rinse them out and close them when we're done. I can't imagine they get that dirty. We (night shift) also put out new...
  12. calivianya

    I thought we learned that in nursing school!

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

    It's not easy money if you have to play catch-up with all the stuff that went down while you were gone. If it's one of those shifts that you barely have time to pee, this is going to cost you by...
  13. calivianya

    Love Hate Relationship with CHF

    calivianya replied to hkRN83's topic in Case Management

    You can't make patients do anything they don't want to. Can't make them eat low sodium diets, can't make them stick to fluid restrictions, and we can't just let them die either when their own...
  14. calivianya

    That nagging feeling...

    calivianya replied to dudette10's topic in Patient Safety Issues

    Had another one recently. Healthy young guy who decided to take a few too many NSAIDs and gave himself a huge bleeding stomach ulcer. GI scoped him at the bedside (I love getting to watch that stuff),...
  15. calivianya

    Blue Pigtail on Nasogastric Tube

    calivianya replied to mikeynizm's topic in Patient Safety Issues

    I love it when these threads get technical. I love seeing what other nurses do in their day to day practices. :) Almost the only time I see NS ordered is when the patient has had some type of stomach...
  16. calivianya

    failed lift test, may have lost job offer..

    calivianya replied to lovescapeRN's topic in Job Search, Interview, Resume

    Making a potential employee lift 50 pounds?! That's horrible. Definitely an abusive practice even if it's not
  17. calivianya

    having a kid

    calivianya replied to hollyann89's topic in General Nursing

    FMLA's not paid, it just means you don't get fired because you're out of work for so long. I wouldn't use that as much of a consideration. I would definitely not graduate and immediately take time off...
  18. calivianya

    Please help! Job decision!

    calivianya replied to snaps's topic in General Nursing

    I would take the hospital who offered you first, the one who offered you on the spot. Here's why. You said you know the hospital, and you like the people and the staff. You will NOT have that...
  19. calivianya

    Staying comfortable vs. hastening death

    calivianya replied to RNMarykay's topic in General Nursing

    It doesn't matter whether the medicine hastens their death or not. It's still okay even if it does. Think about it if it were you - say you are dying. You know you are dying, and you know it's...
  20. calivianya

    DNR and Hospice

    calivianya replied to hppygr8ful's topic in General Nursing

    I guess it depends on your perspective. I have had this discussion with coworkers before and we are all different. I have a coworker who says, "Well, Stephen Hawking seems happy enough, right? Being...
  21. calivianya

    Tylenol ordered for pain.

    calivianya replied to gouranga's topic in Patient Medications

    I wouldn't have thought twice about the Tylenol either. Tylenol for pain is perfectly appropriate for someone with a fever if you look at pain and discomfort as being the same thing. I had a temp of...
  22. calivianya

    Every other weekend & holidays??

    calivianya replied to LuciaRN2b's topic in General Nursing

    I've never had to work every other weekend. I've always worked places that had self-scheduling. Yes, we had minimum weekend requirements, but for example, if your requirement is 5 weekends every six...
  23. calivianya

    How can I improve my reputation?

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

    I have just got to ask - what's your social life like outside of work? I know that's a personal question, but I think it's relevant. I personally always need someone in my corner. I have found that...
  24. calivianya

    Terrible Medication Error

    calivianya replied to rekea526's topic in Patient Medications

    I never pause if the patient has a second line or an art line. Not all of our patients get art lines, unfortunately. I think once we've hit the Epi drip stage a patient should definitely have an art...
  25. calivianya

    PRN Differentials

    calivianya posted a topic in General Nursing

    I am running into real surprises looking for a PRN job, and I want to know how common it is to see what I'm seeing now. I went to a job fair in February, and after talking with HR, I discovered that...