calivianya BSN, RN

ICU

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All Content by calivianya

  1. It grinds my gears when I have a vented patient and a non-vented patient, and day shift chose to bathe the vented, sedated patient. So, if I bathe the vented patient at 0400 nobody gets woken up, but...
  2. I can highly recommend Weight Watchers - I am extremely successful on it when I bother to stick to it. I lost five pounds the first week, and my BMI was barely 26/27 to begin with, so that will tell...
  3. calivianya

    How was your shift?

    Totally agree with this. Also, I just physically couldn't stand to be a nurse five days a week. Hats off to you for tolerating it, OP - this job is so frustrating that I think I might just rather get...
  4. How exactly are they getting blood products without being aware? Are they unconscious and it's being forced on them unknowingly, or are the health care providers lying about what's in those...
  5. Edit - a little late now. xD Congrats on your ortho position! I am sure you will learn
  6. Come to think of it, we did run out of IV tubing once... that was fun when we got an admit who needed to be started on pressors and had boluses ordered and we were running to med/surg to steal IV...
  7. Well, it sounds like you learned something - you learned that patient complaints are always taken seriously, even if the patient is a troublemaker! I had a situation like that this past weekend. I...
  8. calivianya

    RN rounding for Doctors?

    We don't have this, precisely, but a RN has the hospitalist pager. She can give orders per protocol and will contact the physician for things she can't address herself when a staff nurse pages the...
  9. calivianya

    Which should I choose?

    How frequently is frequently with that 3:1? And, perhaps a better question, how many nurses are tripled at a time? If there is just a slight shortage, other coworkers would probably be able to help if...
  10. I respect my LPN coworkers, I just don't respect how much additional work I have to do when a LPN is next to me. If I have to do the first assessment, the care plan, the patient education, and run the...
  11. calivianya

    Does your ICU have CNA's?

    We didn't have any at all at my first job, not even someone to answer the phone. It sucked having the rooms closest to the station because you got stuck on secretary duty in addition to having two ICU...
  12. calivianya

    Should I call off?

    Oh yes. A double occurrence because of weather? I am jealous. If we call in on a snow day, we're up for termination. It's at the manager's discretion, of course, but it is within company policy to...
  13. calivianya

    Should I call off?

    I wouldn't call out unless I was dying, personally. I would say look at your P&P. In a perfect world, you should call out, but if you are going to put yourself in a really bad spot I wouldn't do...
  14. calivianya

    Charting etc

    My first thought - who's reading your charting and getting on you about it? Your charting is YOUR charting. It is what you saw. If someone else has a problem with it, it's that person's problem....
  15. calivianya

    Fluid bolus by gravity or pump?

    This thread has been enlightening. I never knew why PICCs took so long to do boluses. I figured it was something to do with the line but I didn't know exactly what. I'll do gravity with a pressure bag...
  16. calivianya

    Charge nurse taking patients in ICU

    We do 1:1s for CRRT and we do sort of a mix of you and the last poster. We change out all the fluids, draw the labs, and troubleshoot the machine ourselves. However, dialysis starts the therapy, and...
  17. calivianya

    What is the draw to nursing these days

    I can pay my bills. And I have money left over. I am a million times better off than just about anybody else my age that I know about. Here's my best comparison - two friends, within six months of my...
  18. calivianya

    Is this considered 1 Occurrence?

    It counts for two at the place I currently work, so be careful. Some places are reasonable; others are
  19. I agree with the PP who said that moving to a new area is hard. I moved 400 miles away for my first job and didn't know anyone, and it wrecked my relationship and I had a really hard time making...
  20. calivianya

    Advice for per diem rn

    Dang! I'd be mad, too. Try to be as calm as possible when you go in there - do some relaxation exercises/meditation in the car before you go in, if you can. Money screw ups are especially infuriating...
  21. calivianya

    Best unit to start for new grad?

    I have to agree with this second part by a factor of 10. I got floated to a renal floor a few times as a CNA in nursing school, and at that point I decided I would rather be homeless and live under a...
  22. calivianya

    Do you carry around your stethoscope?

    Oh yeah, I definitely carry mine. It even has a little "sweater" around it so I can wear it around my neck at all times without my neck oils messing it up. There are always times that pop up that...
  23. At least they only take out 30 - my current job takes out an HOUR of pay, so full time is working 12.5 hours and getting paid for 11.5. Sometimes I take less than 15 minutes for lunch. I would really...
  24. calivianya

    Going that extra mile ... literally

    Definitely haven't had to snowshoe to work, but my current job puts employees up for a written warning and possible termination if we call in or show up late on an adverse weather day, so I will...
  25. It's really interesting that you say that - that's exactly what we are expected to do. If it's illegal to take patient's medications away, then I break the law, but if I leave medications in the room,...