calivianya BSN, RN

ICU

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All Content by calivianya

  1. calivianya

    Whiny surgeons and drama-queen nurses

    calivianya replied to firemedic12's topic in MICU, SICU

    I feel like I used to work in your unit! I feel your pain. Especially with the whiny surgeons. Fortunately, at my current job, the physician staff are better, but there are still plenty of high and...
  2. calivianya

    Calcium Chloride vs Calcium Gluconate

    calivianya replied to Manurse715's topic in CCU, Coronary, Cardiac

    Nope - we only take creatinine into consideration for K+ replacement. Sorry for the slow
  3. calivianya

    Is he shirking a crap job or am I just in a bad mood?

    calivianya replied to redheadrn86's topic in Patient, Colleague Relations

    No, you're not overreacting. Your coworker is totally obnoxious. If someone asked me to give an enema for them, I would laugh at them. Really. And if they continued to be insistent, since I don't...
  4. calivianya

    Please Don't Judge Patients

    calivianya replied to NurseLife88's topic in Patient, Colleague Relations

    I really only judge people by how they treat me, but I don't act on it. I find I can't help but take insults against me personally, and I will definitely think unfavorably about the patient after I'm...
  5. calivianya

    As a graduate nurse should you start in the ER or Medical-Surgical?

    calivianya replied to kblas's topic in General Nursing

    I would go to whichever one suits your career goals. I am a big believer in starting out in a specialty if that specialty is what you want to do. I have never worked med/surg, except when I got...
  6. calivianya

    WILTW 1/22: Cozy Up To Gas Exchange

    calivianya replied to LadyFree28's topic in General Nursing

    I learned some of our docs are idiots with wound care. We have a patient with bad pressor hands/feet on my unit - I mean the entire feet on both sides have no pulses, solid black past the ankles......
  7. calivianya

    getting hired in a hospital with an associates degree?

    calivianya replied to chrisRN180's topic in General Nursing

    A lot of the bigger cities in NC (200k+ people) have plenty of places to live where you can walk to the grocery store, walk to nightlife, walk to shopping... but the hospitals are not necessarily...
  8. calivianya

    Tired of job hunting & getting no where!!!!!

    calivianya replied to RN-Que's topic in General Nursing

    I had a coworker who was a LPN for 12 years start with us a year ago. She started at exactly the same wage new grad RNs with zero healthcare experience made. She makes around $3/less than I do, and...
  9. calivianya

    Slow nursing jobs? So I can go back to school.

    calivianya replied to countrygirl1234's topic in General Nursing

    I can't believe how hateful people are being. I work a very high acuity ICU, tertiary referral center, all that jazz - and some nights I barely sit down, but some nights all of us are hanging out...
  10. calivianya

    Preventing call-ins

    calivianya replied to Brandi,RN's topic in General Nursing

    Enforcing the attendance policy works. We had blatant abusers of the call in system at my first job, for just the reason you're scared to enforce it - small applicant pool, etc. However, that makes...
  11. calivianya

    What was the REAL reason you called off

    calivianya replied to Orion81RN's topic in General Nursing

    I've only called in at my current job twice in two and a half years. One time I had norovirus and was exploding out of both ends. The second time was last Halloween last year. I was in school full...
  12. calivianya

    "Is it OK if I" vs "I just need to" vs "Could you please"

    calivianya replied to Philly85's topic in Patient, Colleague Relations

    I've never seen it this way. Here's why: (I've seen this happen more than once) Patient had a male nurse for several nights. Patient never once said anything to the nurse, never acted uncomfortable,...
  13. calivianya

    "Is it OK if I" vs "I just need to" vs "Could you please"

    calivianya replied to Philly85's topic in Patient, Colleague Relations

    I don't generally ask, because if you do, many times the patient is going to refuse and nothing is going to get done. I'll offer an option if I can, but the option is going to be between me doing...
  14. calivianya

    New RN/inexperienced nurse considering nurse externship

    calivianya replied to MarshaRabbit's topic in General Nursing

    I can't believe someone actually compared NP and MD education here. There's a reason I plan on applying to MD school, not NP school, this year - and the quality of the education is a big part of it. I...
  15. calivianya

    Nurses pulling rank on assignments

    calivianya replied to remotefuse's topic in General Nursing

    I agree! That's why I try not to... but the person who oriented me to charge said, "Always triple them first!" And most charges will automatically triple them first. I think that's a good way to get...
  16. calivianya

    Nurses pulling rank on assignments

    calivianya replied to remotefuse's topic in General Nursing

    We have all kinds of rules for who can take what patients in my unit. Here's what I take into consideration when I'm making assignments: 1. Float pool nurses can't have CRRTs. 2. Travelers also can't...
  17. calivianya

    Calcium Chloride vs Calcium Gluconate

    calivianya replied to Manurse715's topic in CCU, Coronary, Cardiac

    Ours only takes into account the albumin level to get a corrected calcium level, and we replace based on that. We replace anything under a corrected calcium of 8.5, and we use calcium gluconate. Tiers...
  18. calivianya

    Making 100k salary/ income as a nurse?

    calivianya replied to workingot's topic in Nursing Career

    I had coworkers crack the 100k mark last year. I probably would have cracked it myself if I wasn't going to school full time. I worked 5-6 12s a week all summer long, and picked up overtime in the...
  19. calivianya

    WILTW 1/22: Cozy Up To Gas Exchange

    calivianya replied to LadyFree28's topic in General Nursing

    I love everything you write, but you already know that. I feel the same way about dobutamine. Had a guy with an EF of 10% the other day - he looked okay (and by that, I mean he wasn't quite as gray...
  20. calivianya

    WILTW 1/22: Cozy Up To Gas Exchange

    calivianya replied to LadyFree28's topic in General Nursing

    Just... That's terrible. Your whole post is terrible. What a hellhole; you need to get out of there. Best wishes to OC! Hope you start feeling better, and get the baby out of there sooner rather than...
  21. calivianya

    Feeling Forced to Stay Late?

    calivianya replied to Kooky Korky's topic in General Nursing

    The report's not for some unknown nurse - it's for your supervisor. Your supervisor would be accepting responsibility for the patients' care. Yes, it's inconvenient for them because they would...
  22. calivianya

    A Day In The Life Of An OB Charge Nurse

    calivianya replied to JanineKelbach's topic in Ob/Gyn

    Lots of people can be charge... but successfully refusing charge usually requires a bit of seniority. The 15 and 20 year nurses saying "hell no, I'm not going to be charge today" are much more likely...
  23. calivianya

    What Do You Love About Nursing?

    calivianya replied to Allison007's topic in General Nursing

    I didn't think nursing school was very difficult. I worked the entire time (some years full time, but had to drop down to part time my last semester because of schedule conflicts) and I still...
  24. calivianya

    A Day In The Life Of An OB Charge Nurse

    calivianya replied to JanineKelbach's topic in Ob/Gyn

    There's a couple of things I see that I wish was true at my job: free charge (sometimes) and a differential! I do charge a lot these days and I am used to a full assignment (sometimes beyond full,...
  25. calivianya

    How Many Letters Do We Need?

    calivianya replied to showbizrn's topic in General Nursing

    I think it's fun, too - hence, why I could be taking just the pre-reqs for my next great educational challenge but chose to round it out with a whole bunch of other stuff to pick up a third bachelor's...