calivianya BSN, RN

ICU

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So disappointed in hospital RNs and MDs

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

When I have proof that not living up to my facility's ridiculous standards actually hurts someone, maybe I will feel more guilty. Even previous posters pointed out that q4h is the standard for mouth...
Why do you think nurses leave the profession?

calivianya replied to Nacki's topic in Nursing Professionalism

I don't necessarily care about a lack of upward mobility, but I care deeply about the lack of reasonable compensation. It is not uncommon in my area to find 10 year nurses making only a few bucks an...
Did You Go Into Nursing For One Specialty?

calivianya replied to Satori77's topic in General Nursing

I knew I wanted to go into ICU, and that is the only part of nursing I would accept. I narrowed it down to Medical ICU after my preceptorship in one. I got Medical ICU right out of school, but I had...
So disappointed in hospital RNs and MDs

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

Technically speaking, my employer is providing adequate staffing. I almost never get tripled. Even with adequate staffing, some days it is difficult to get everything done. I will be 100% honest on my...
So disappointed in hospital RNs and MDs

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

I have falsified charting before and I admit to it. My unit policy is q4h full assessments and q2h focused assessments. Sometimes an assessment, or a focused assessment, gets missed. I definitely make...
The use of LPN's in ICU CCU

calivianya replied to RNParamedic911's topic in Critical Care

We use LPNs in my ICU as resources, and I think that's fabulous. However, we have had a lot of turnover and LPNs have started taking patient assignments and I don't like it. Call me an awful person or...
Baby RN's running ICU?!!

calivianya replied to kmarieCCRN's topic in Critical Care

My first job was like that. That job had more beginner and novice nurses than my current one, but I actually thought it was safer. Expert nurses are useless to the unit if they keep their heads down...
The hardest parts of nursing?

calivianya posted a topic in General Nursing

I've definitely found what's hardest for me - and it's when people really open up to me, especially ones that are not doing well. I had a patient this week who was freshly extubated and still in ICU...
Hospice Nursing Question

calivianya replied to stirfried's topic in Hospice, Palliative

I have questions about that, too. I saw the same thing happen with my grandfather. No morphine, but he looked miserable after being taken off his antihypertensives, blood thinners, antidiabetics, and...
You can add your credentials to your username

calivianya replied to tnbutterfly - Mary's topic in News, Announcements

How about specialty certs in the future? I like this feature, but like my name badge IRL, I am prouder of the CCRN I earned than the BSN.
4-way Stopcock for Central line blood draws?

calivianya replied to sKris's topic in Patient Safety Issues

You could also throw out the idea for a SafeSet, too. I love them. They come attached to pressure lines, such as CVP/art lines, etc. I wish I could link a picture, but I don't know how to that on my...
Your insight wanted

calivianya replied to waiting4ivpush's topic in Pre-Nursing Students

I also think you should just do the BSN right away. There are programs that offer degrees like master's in healthcare administration, but you need a bachelor's to get in. Why not go ahead and work as...
How helpful/important is it to work as a CNA before going to nursing school?

calivianya replied to ReadyToListen's topic in General Students

I worked as a CNA my senior year in nursing school. I didn't think it was helpful. I could have gotten a job on the floor I worked on very easily - my manager stated he'd love to have me - but I...
What do you think? (warning: vent ahead)

calivianya replied to Nursey103's topic in Patient, Colleague Relations

Why not? My frequent flyer a few months back informed me that Dilaudid, Benadryl, and something else... Phenergan, I think, were compatible. I checked Micromedex, and sure enough, she was right. I...
Why is Med-Surg so hated?

calivianya replied to Nola009's topic in Medical-Surgical

I just can't stand having so many patients who can talk. I have too much polite customer service in my background to cut people off and be brief. I'm a talker. I literally cannot function with a bunch...
ICU especially hard on back?

calivianya replied to Subclavian Steel's topic in Critical Care

It depends on your facility. Mine has ceiling lifts in every ICU room, so ICU is not too bad on my back. Inpatient rehab was the worst unit I ever experienced for my back (getting nearly paralyzed...
EHR "order fatigue" like "alarm fatigue"

calivianya replied to avado's topic in Patient Safety Issues

Oh, my job is like that, and they insist that only physicians add/remove orders. Yes, I'm serious. So those ten million orders from a pre-procedure set five days ago have to be d/c by a physician. Day...
Crowd funding: Yay or Nay?

calivianya replied to roser13's topic in General Nursing

I am with most of you guys here. I just think there is something tacky about asking people other than immediate family members for money. Starting a fundraising site online is no different than...
How do you handle emotional codes/deaths?

calivianya replied to Codeblue1982's topic in Critical Care

I think sometimes we can be blind to how sick our patients actually are because we see so many recover, or at least get stabilized enough to go to the floor/hospice/whatever. Even a fairly independent...
do you mask/bag during DNI

calivianya replied to SarahT1974's topic in CCU, Coronary, Cardiac

I have coded a DNR because of family wishes, too. It is all kinds of messed up, IMO, but if the person dies, he is not going to sue. If he dies and his family wanted him coded, they might. They would...
My 10 tips for a new RN or PCT

calivianya replied to prettyboyswag's topic in Nursing Professionalism

#2 is how people get killed. I know this is satire, but that is really too serious to joke about. Besides, in my personal experience, the nurse whose patients code and die (or nearly do so) because...
Another tattoo Discussion

calivianya replied to Alove725's topic in Nursing Professionalism

My current facility allows them. It shocked me because I have never worked at a hospital that allowed tattoos before. Most of the places I've worked said no tats, no facial piercings, one earring per...
Common nicknames for hospital items.

calivianya replied to LifesAJourney's topic in Nursing Humor

042 for HIV The Florida Room for the morgue IVCC booties for SCDs... still haven't figured out what IVCC stands for, but we do get some confused looks from patients when a nurse says, "I need some...
Is job hopping the only answer for matching pay...

calivianya replied to tarotale's topic in General Nursing

I hate that job hopping is the answer, but it is. I haven't stayed long enough to get a raise at my current job, but I got $.50 at my last one. I saw coworkers get smaller raises than me, and I saw...
What are the top 5 medications YOU administer daily?

calivianya replied to northmississippi's topic in Patient Medications

ICU - Levophed, Fentanyl, Zosyn, Vancomycin,

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