calivianya BSN, RN

ICU

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All Content by calivianya

  1. calivianya

    Online Nursing Schools vs Traditional Schools

    I honestly don't get the stigma associated with online schools. I find online courses much more difficult than taking brick and mortar ones. I learn very easily by listening, so if you stick me in a...
  2. calivianya

    How many graduates were in your graduating class?

    My class graduated 72. Don't let low requirements fool you. My BSN program had a 3.0 requirement, but that didn't matter because the year before mine the candidates were so competitive that nobody...
  3. calivianya

    Nonsedated Pt's equal self extubations

    This is great; I wish we did this where I worked. I think maybe I will start filing incident reports if my patients self-extubate now. Maybe that will bring some attention to how under-sedated some of...
  4. calivianya

    Changes in language

    I will be honest, I don't really know what a station wagon is, and I'm 26. I know it's a type of car, but I'm a little fuzzy on exactly what makes a station wagon a station wagon. I don't think I've...
  5. calivianya

    Nonsedated Pt's equal self extubations

    I have seen a lot of this recently. The worst part of it is that we have a NP who used to work as a critical care nurse, and she's the one who usually goes in and D/Cs a bunch of the sedation/pain...
  6. calivianya

    Obesity: A disease or a lifestyle

    I've wondered this, too. I have never been addicted to anything like narcs/nicotine/alcohol, so I don't know what those cravings feel like, but I will tell you I have been so miserable with sugar...
  7. calivianya

    Wear gloves during assessment?

    I've gotta say I agree with Pangea Reunited when she mentioned comfort for the patient as a reason to wear gloves. I would also be more comfortable if a stranger touching me had gloves on. In general,...
  8. calivianya

    New Grad RN can't find a job

    I know a bunch of people who got hired in Atlanta. Several on the floor I worked on as a CNA, which was a hospital in NC, got jobs in Atlanta right out of school. You might have just started applying...
  9. calivianya

    do you think a degree/ education is ever a waste?

    I think education is valuable in and of itself. However, if you rack up a ton and a half of student loans, and don't even get a job in the field you majored in, I think it's a waste of your time and...
  10. calivianya

    Monitoring nurse rounds??

    I used them at a previous job. I liked them. Like a PP said, they do turn the call lights off for you automatically (which I am always forgetting to do now because I never had to do it before), and...
  11. Yep, we check them. Everyone on tube feedings with us usually gets put on the glycemic protocol. If the patient is not diabetic, this can cause a lot of unnecessary work. If a blood sugar is ever over...
  12. calivianya

    Taking Patients down to the Morgue

    We take ours down to the morgue unless the funeral home people are just amazingly quick. I've had some stroll up before I've had the chance to get the patient down to the morgue before, but that's...
  13. calivianya

    Nursing ghost stories 😧

    I met a patient that seriously made me question if she was possessed once. Just straight up creepy, held her head at weird angles, would smile this predatory, sinister smile, and had the most evil...
  14. calivianya

    Most annoying reason for admission?

    This reminds me of one I had once. The nursing home thought she had a UTI so they called the ambulance. The paramedic asked her to squeeze his hand and she did not, so he called in a code stroke. We...
  15. calivianya

    Code Lavender?!

    We have talked about this at my work environment, but nobody has made a move to start the ball rolling. Code lavender, as I understand it, only happens after an event like a horrible violent death of...
  16. calivianya

    Deciding between 2 schools

    I would pick the Minneapolis one for a lot of reasons. Minimizing debt is important. Having family support is important. However, what is probably most important is the fact that the first time pass...
  17. calivianya

    Wear gloves during assessment?

    I usually wear gloves at all times. You'd be surprised at the things even alert and oriented people stick their fingers in sometimes... better safe than
  18. calivianya

    Tell me about your first RN job

    Mine was a MICU job in a very isolated city. The best part was my coworkers, who were AWESOME, and the worst part was having no friends or family within a 400 mile radius. After a year, I ended up...
  19. calivianya

    Pathophysiology behind this ABG??

    I think you're making it a little complicated. Whether the patient is getting better or getting worse depends on what her initial ABG looked like. Or, if that is the initial, to draw a second one....
  20. calivianya

    Protonix in GI bleed

    Protonix shouldn't affect the BP. My first thought is maybe the patient was getting dehydrated with no IVF running. Also - it could just be something as basic as the patient being sleepy. If you are...
  21. calivianya

    Most annoying reason for admission?

    "Chest pain." That was an ICU admit for me once at one job, and it was only because he had a known heart condition. Cardiac enzymes were WNL every time they were drawn. Serial EKGs were WNL. The...
  22. Smile! Smile a lot! Smile even when you don't feel like smiling! Smile at every single person who walks up to you! I got brainwashed into smiling all of the dang time at a hotel job. Like, we would...
  23. calivianya

    Advice from RN's who've moved appreciated!

    It's easier to endorse than to get a new license altogether, so you need to get your GA license while your KY license is active for the best results. The GA BON can take a while sometimes - I think it...
  24. calivianya

    ICU pay differential?

    I don't think anyone is saying floor nurses don't do these things. But, it is indisputable that there is more equipment in an ICU patient's room, and it's not too bad to explain to patients and...
  25. calivianya

    Most Difficult Decision

    If someone asked me that question in an interview, I would be totally stumped. I have no idea what I'd say for a work-related decision. I did move across the country for my first job, but I didn't...