calivianya BSN, RN

ICU

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All Content by calivianya

  1. calivianya

    Levophed concentration and hospital policy.

    calivianya posted a topic in Critical Care

    Just curious about what your facilities say about the concentration of Levophed and what type of line you need to run it through. I work two ICU jobs right now - one full time, one PRN, and they both...
  2. calivianya

    Nurses Who Harm Patients

    calivianya replied to madwife2002's topic in General Nursing

    I have never seen anyone kill a patient maliciously, but I have seen a lot of people die because of careless errors. Those also get covered up very readily - no hospital wants to get sued so...
  3. calivianya

    Graduating LPN ~ Who's hiring/paying?

    calivianya replied to PatientPassion's topic in North Carolina Nursing

    Check any of the Novant facilities - I work at one (but not in Charlotte) and we use team nursing and hire LPNs. I'm betting other Novant hospitals do the same
  4. calivianya

    Value of acceptance to a nondoctorate crna program

    calivianya replied to Blueskies149's topic in Student Registered Nurse Anesthetist

    That's what the OP is doing right now - research. I'm sure several years ago ADN vs. BSN didn't matter either, but now you can't get hired at some hospitals as a RN without a BSN. I am wondering if...
  5. calivianya

    Can job termination occur if nurses do not get the flu shot and refuse to wear a mask

    calivianya replied to helen2346's topic in Disaster Preparation

    You get fired with my employer if you don't get the flu shot and you don't have a medical reason why you shouldn't. Our deadline is mid-November, and if you're lucky they might just suspend you...
  6. calivianya

    Ethical Dilemma- Denying Care

    calivianya replied to alyssajenise.m's topic in Disaster Preparation

    We did make an oath to care for all, but I don't remember reading that we made an oath to die if necessary. I don't remember being taught in nursing school that my life was totally worthless and I...
  7. calivianya

    Most drips at once

    calivianya replied to delphine22's topic in MICU, SICU

    I had one once that was running fent, versed, nimbex, insulin, levo, vaso, neo, milrinone, TPN, and IVF once. That was a busy
  8. calivianya

    Incompatible drips

    calivianya replied to cablefree's topic in MICU, SICU

    It's not a worry with a regular central line, since they do terminate at different places. However, I have wondered this myself when we're talking about PICCs, where the lumens all open in exactly the...
  9. calivianya

    No briefs?! Is this an ICU thing?

    calivianya replied to paramedic-RN's topic in Critical Care

    A brief on somebody holds the feces/urine against the skin. I can't imagine how they would wick away moisture, really, if you think about it. If a patient is totally immobile and laying on his back,...
  10. calivianya

    Do "PTO" systems seem like a scam to you?

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

    I hate the way my current hospital does PTO. I have never seen anything so stupid in my life. There is a vacation planner, and you can only get PTO when you want it (as far as vacations go) if you put...
  11. calivianya

    Your PROPOFOL stories wanted

    calivianya replied to RNNCcicu98's topic in CCU, Coronary, Cardiac

    I had someone take three days to wake up after the propofol was turned off once. She was over 600lbs. Propofol may have a very short half life, but it really is no joke in these super-obese patients,...
  12. calivianya

    Why Critical Care?

    calivianya replied to most & big red's topic in Critical Care

    I like knowing my patients, and I work well under stressful conditions. I am also pretty good at showing compassion but emotionally detaching myself from the situation, which is a great combo for...
  13. calivianya

    Do you have (or are you) a bully queen of the ICU?

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

    We had one of those at my last job - and you got the description down to a T. I think the appearance stuff was relevant. I have noticed an attitude difference in the thin, pretty bully queens and the...
  14. calivianya

    Appropriate reaction to rude behavior?

    calivianya replied to Allie.Adobz's topic in Patient, Colleague Relations

    I have actually found the people I have encountered in healthcare to be overall less rude than when I worked different customer service jobs. Occasionally I get yelled at, occasionally someone is...
  15. calivianya

    "the 3rd degree" with report and other rude behavior

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

    It could just be the culture of your particular unit. Not all units are created equal... some have teamwork and some don't, some are nice during report and some aren't. It could also be the individual...
  16. calivianya

    Identifying and differentiating smells

    calivianya replied to Martial's topic in General Nursing

    Liver failure poop! I have been looking for a comparison for that for a while,
  17. calivianya

    Just when you think it's time to leave nursing for good...

    calivianya replied to chelli73's topic in General Nursing

    I have no idea how this works, but one of my fellow nursing students in school did home health CNA care for two disabled kids whose father had been a PT, quit his job, and now gets paid to take care...
  18. calivianya

    ICU pay differential?

    calivianya replied to Mr. Murse's topic in Critical Care

    Never seen an ICU differential myself, but I heard the hospital I used to work at had one two years ago (before I started). It was $5/hr... that's a lot of money. I could have used
  19. calivianya

    What's the highest blood pressure you ever recorded?

    calivianya replied to Andythepiano's topic in General Nursing

    That's hard to do - in perfect circumstances, an art line and an automatic cuff are pretty close. I've seen them correlate very well in the 250s systolic before, with a brand-new, freshly zeroed art...
  20. calivianya

    Ebola: Why Respiratory Protection MUST Be Worn

    calivianya replied to MissyWrite's topic in Disaster Preparation

    If this is true, then Ebola is airborne. Airborne is generally defined as a particle size less than 5 microns and the article is talking about a particle size of 3 microns here... So. Am I...
  21. calivianya

    Ebola: Why Respiratory Protection MUST Be Worn

    calivianya replied to MissyWrite's topic in Disaster Preparation

    We have evidence that Ebola can hang around in the air for a while... I was just re-reading The Hot Zone a few days back and it's pretty clear there was proof of aerosolized transmission before that...
  22. calivianya

    Nursing and the Ebola Virus

    calivianya replied to 0.adamantite's topic in Disaster Preparation

    I think it's because they have more risk of exposure if they are taking off their PPE more often. Did you watch the video? That PPE is ridiculous - pretty much impenetrable. It's like a space suit....
  23. calivianya

    Ebola - do you have the right to walk away?

    calivianya replied to rnnina19's topic in Disaster Preparation

    Well, your logic would certainly cut costs tremendously. If one can't ask someone else to do for them what they themselves are unwilling to do for another, we should be asking patients in the ER if...
  24. calivianya

    Toward a Level 4 Protocol for Ebola

    calivianya replied to Nathan Frazier's topic in Disaster Preparation

    Nurses are disposable, administration doesn't care. My hospital just got named as an Ebola treatment center in my state. I saw it on the news that they are building an isolation unit *inside of MY...
  25. calivianya

    Second ebola nurse "okay'd" to fly

    calivianya replied to babyNP.'s topic in Disaster Preparation

    Really? So, the incubation for the flu is less than a week... so you should be on quarantine for a week after you take care of a flu patient? How about a C. diff patient? Those both kill a lot more...