calivianya BSN, RN

ICU

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All Content by calivianya

  1. calivianya

    Dansko, Sorry, DO NOT GO WITH DANSKO

    Whoa, someone with more Danskos than me! I am impressed. I am simply just going to have to use the "but there are people out there with more Danskos than me!" excuse next time I want to buy a new pair...
  2. calivianya

    Dansko, Sorry, DO NOT GO WITH DANSKO

    Sorry, not listening... me and my seven pairs of Danskos are going to go pow-wow in the closet and I am going to stroke them and call them my precious. I'm only sort of kidding - I really do have...
  3. calivianya

    Relationships with floor nurses?

    The only thing that really gets me is when an emergent CT/MRI isn't done before the patient comes up. Our ED has ITS OWN RADIOLOGY DEPARTMENT. That's right, ED has dedicated CT machines and dedicated...
  4. calivianya

    How do you get over the fear?

    This is slightly off-topic, but I just wanted to THANK YOU to all home health nurses for what you do. I had a home health rotation in school and I thought it was pants-poopingly terrifying. All the...
  5. calivianya

    About U.S. vacation time..

    I accrue plenty of time off. However, we have about 70-80 RNs on my unit. Two people are allowed to take a week at a time. Then, there are individual day slots, and only one person can take any...
  6. I feel pretty autonomous in ICU. Sure, I call physicians all the time to get things, but usually they just ask me what I want and give it to me, so it at least feels like I can make my own
  7. calivianya

    Putting nurses in a bad spot.

    We absolutely cannot push propofol, even with a MD in the room, but we can push etomidate/succs/fentanyl/versed. Go
  8. calivianya

    IVP meds- is this safe?

    It's been over a year since we've had a CLABSI and most nurses on my unit do not scrub in between sterile syringes. We use swab caps, though, so we don't scrub the hubs since alcohol sits on the hubs...
  9. calivianya

    Dealing with losing a patient

    I just remember that everybody dies. Some die earlier than others, some die more horribly than others... but none of us are immortal. It just happened to be that person's time. If you hadn't been...
  10. calivianya

    Pain Seekers

    Maybe it's just because I had way too much customer service experience before I went into nursing, but I treat everyone the same. I've got a pretty good poker face regardless of what I think of the...
  11. calivianya

    IV Pumps

    I can tell you what NOT to use! Don't use these: They have got to weigh at least 6-7 pounds and lugging them around is a nightmare. They are probably 12 inches x 12 inches x 3 inches deep and take up...
  12. calivianya

    Displaying credentials

    I don't think displaying ADN/BSN is important for RNs - they are both entry level degrees. Nobody really cares except HR and the magnet people which one you have. Now, higher degrees and specialty...
  13. calivianya

    Pain Seekers

    I have lots of people in legit pain and I have had lots of people that I was quite sure just wanted to get high. Before anyone gets me about that, searching a purse after a known I-Want-My-Dilaudid...
  14. calivianya

    Huge over supply of nurses

    I am having trouble believing that NC is going to be short. There are so many nursing schools here, graduating SO MANY new people every year... I could not land my specialty of choice in NC after...
  15. calivianya

    Areas of nursing you would NOT like?

    LTC, home health, mother/baby, and inpatient rehab are my nerves. Still haven't changed my mind on
  16. calivianya

    Terrible Medication Error

    I have made some pretty dumb errors, too... my dumbest was not to check that a drip was running after I hit run. We have some dinosaur IV pumps that have been around forever - some of them are so old...
  17. I have interpreted this scenario as this nurse put the patient on the monitor, the day shift either ambulated the patient/took her somewhere/something else and took her off the monitor, the day shift...
  18. calivianya

    RN training pay at 10$/hr??

    The $10/hr part is awful. Heck, I made $20/hr at my first job as a new grad in Georgia, in a town where I rented a 3 bedroom, 1400 square foot house with a garage for less than $800/month. Still, if...
  19. calivianya

    Ethical question-WWYD?

    I would advise the owner of the epi that he/she could save someone's life right now with the epi, but I would not give it myself. I would feel horrible if someone died. I would also feel horrible if I...
  20. calivianya

    Provided with a phone for shift?

    Being tracked comes in pretty handy when you have a patient complaining, "I didn't see my nurse all day, I want to file a complaint about her," and then the log shows that you were in the room at...
  21. Wow, it sounds like some of you have really bad orientations. Mine was 12 weeks at my first job - the new grads at my current job get six months. In fact, they tend to give the full six months to...
  22. calivianya

    Diluting IVP Natcotics?

    Not going to lie, I just don't want to make my job more difficult and I don't want to get in a rough spot with management, so I don't dilute my narcs at all. My patients are on continuous pulse ox...
  23. You shouldn't ever worry about mls for insulin. Always, always, always use an insulin syringe, which is marked in units. You will be far less likely to make a mistake. Converting units to mls is...
  24. calivianya

    CCRN retake! advice?

    I took the self assessment about five hours before I took the real CCRN, to see what I needed to do some last-minute brushing up on. I passed the self assessment by the skin of my teeth and the actual...
  25. calivianya

    I shouldn't be a nurse

    I almost killed two people this week. - Felt too guilty about not bathing a DNR that I was supposed to bathe, so turned him verrrrry gently... and still dropped his O2 sats into the 70s and his BP...