calivianya BSN, RN

ICU

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All Content by calivianya

  1. calivianya

    phenergan

    calivianya replied to moni929's topic in Patient Medications

    We can push it - I always dilute it with a full flush, push slow over at least 2 minutes, and make sure there are maintenance fluids infusing on the line I push it through so it gets further diluted...
  2. calivianya

    Demanding patient wanting me to page MD about insignificant issue.

    calivianya replied to 0.adamantite's topic in Patient, Colleague Relations

    I have done that before and it has come back to bite me on the butt, so I definitely police anything that comes from home now. Last time I just "allowed" the patient to take something and told him to...
  3. calivianya

    Undershirts

    calivianya replied to studentnursemon86's topic in Scrubs, Uniforms, Gear

    I wear athletic shirts - the form fitted ones made for runners who run in the winter time. They have fuzzies on the inside of the shirts, so they are very well insulated. I still freeze to death,...
  4. calivianya

    Given a do over, which (feasible) career would you pursue?

    calivianya replied to Libby1987's topic in General Nursing

    I worked at a movie theater for my first job. If I could do that and make more than minimum wage, I would. Laid back job, laid back coworkers, free movies whenever I wanted to go, free movie posters...
  5. calivianya

    Demanding patient wanting me to page MD about insignificant issue.

    calivianya replied to 0.adamantite's topic in Patient, Colleague Relations

    I had the exact same situation happen - apparently, the patient's regular MD had said something that the patient interpreted as he would go blind if he didn't take his eye vitamins exactly when he was...
  6. calivianya

    Deciding what to give to the patient who gets everything

    calivianya replied to Birdy2's topic in Patient Safety Issues

    I'd give whatever would last the longest and is the weakest - so I'd give the Percocet first. What kind of trouble breathing and what kind of low BP are we talking about? Some people's normal BP is...
  7. calivianya

    How do I get into the ICU?

    calivianya replied to TheNextCRNA's topic in Critical Care

    I did it! If you are willing to apply a lot of different places, maybe even in different states and more rural areas, I'd say your chances are very
  8. calivianya

    Could I have done anything else?

    calivianya replied to MDMBSNRN's topic in Critical Care

    What an awful work environment. A four patient assignment in ICU? A four patient assignment with an admit? A four patient assignment with an admit existing, let alone given to a float? Just... wow....
  9. calivianya

    Could I have done anything else?

    calivianya replied to MDMBSNRN's topic in Critical Care

    That is a BIG jump in troponin! Are there policies in place for calling critical labs? That second troponin would have been a critical result at my facility. Lab would have called the critical to me...
  10. calivianya

    Residency Hit List

    calivianya replied to aluv4health's topic in Job Search, Interview, Resume

    If you are willing to work outside of a major metropolitan center, you could land a residency next summer instead of in two years. My first job (ICU, with residency) had about a half and half mix of...
  11. calivianya

    Name the Hospital and Starting Salary

    calivianya replied to idani's topic in North Carolina Nursing

    New grads at Cone made $21.25 last year. Not sure about this year; I'd bet it's probably the same
  12. calivianya

    Nurses Enabling Substance Abusers

    calivianya replied to zombienurse13's topic in Patient, Colleague Relations

    I don't think you can change people, ever, period. We aren't locking these people up in a hospital for the rest of their lives. They have to go out of the hospital and live the way they choose to...
  13. calivianya

    Difficulties With Intubated Patients on Sedatives?

    calivianya replied to All4NursingRN's topic in MICU, SICU

    I feel like I have more awake and calm people on Precedex. People on a Precedex drip seem more likely to actually open their eyes, look at me, and follow commands. I have had people on Precedex very...
  14. calivianya

    Nurses bettering lives

    calivianya replied to NorthmanRig's topic in Pre-Nursing Students

    If you mean me, I work ICU. Hospice and palliative definitely better people's lives - I will add those to my list of nursing specialties where you really make a
  15. calivianya

    A new year, a new challenge to be solved

    calivianya replied to jsand's topic in General Nursing

    I would change the triple-charting I do at my job. I spend more time charting than I spend interacting with patients. I would like more time to do actual patient
  16. calivianya

    Nurses bettering lives

    calivianya replied to NorthmanRig's topic in Pre-Nursing Students

    Honestly, I don't better people's lives. I enable them to live a little longer so they can go to a nursing home or LTACH, which is always a nasty shock to them because the ones who didn't come from...
  17. calivianya

    Justify this nursing diagnosis

    calivianya replied to malenurse69's topic in General Nursing

    Did you really see that diagnosis used somewhere? I could see it referring to a case of V-tach or seizures - but in any other circumstance, I might just
  18. calivianya

    CNA2day vs 120+ hour course?

    calivianya replied to anga7692's topic in General Nursing

    Don't bother to take a course. After you finish your first nursing skills class, you are eligible to sit for your CNA license. Just be patient and wait so you can just pay to take the test instead of...
  19. calivianya

    should i stay or should i go

    calivianya replied to ladymaam817's topic in General Nursing

    I honestly think nursing is too hard to stay around coworkers you don't mesh with. You don't have to be buddy-buddy with them and hang out after work or anything, but you should at least be able to...
  20. calivianya

    The Importance of the Need for Early Vascular Access Identification

    calivianya replied to Beverly Sampson, BSN, RN,'s topic in General Nursing

    I really do wish we would line people right away. Some of our docs are good about this, others aren't. It really should happen for most
  21. calivianya

    New grad over 1 year and a few months

    calivianya replied to Nurse J1112's topic in Job Search, Interview, Resume

    Why do you have to live somewhere so you can interview there? Do you have your driver's license and access to a vehicle? You can always rent a car for a couple of days if you don't have one. I know...
  22. calivianya

    how to be a better team player when struggling with your own work?

    calivianya replied to RNexplorer's topic in Critical Care

    If your assignment is overwhelming you just can't be a team player. Some days are just like that. On your "easier" days, make sure you walk around and ask if people need help then. Otherwise, it's...
  23. calivianya

    So disappointed in hospital RNs and MDs

    calivianya replied to carachel2's topic in Patient, Colleague Relations

    Back to the main topic of the thread, the team leader pulled me aside the other day to tell me I'd missed charting a turn from the shift before and to go back and fix it. There was no, "Hey, did you...
  24. calivianya

    So disappointed in hospital RNs and MDs

    calivianya replied to carachel2's topic in Patient, Colleague Relations

    I call physicians every single night usually, sometimes multiple times a night (sometimes more than once an hour, depending), to tell them what I see and hear and I get new orders based on my...
  25. calivianya

    What are the stress level ranking for these units?

    calivianya replied to Humaneclowninscrubs's topic in First Year After Licensure

    I'd say ortho is the worst of that list. Floated there a few times as a CNA and put it on my "never, ever, ever; will live under a bridge first" list. Everybody is in pain, everyone needs their...