calivianya BSN, RN

ICU

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All Content by calivianya

  1. calivianya

    removing heparin from ports

    calivianya replied to Mr. Murse's topic in Patient Medications

    The flushes we use with our PICCs/triple lumens are only 1ml, and it seems like such an inconsequential dose of heparin. I have personally never thought to remove it. I believe we use the 100u/1ml...
  2. calivianya

    Nursing salary and buying a home?

    calivianya replied to applesbananas's topic in General Nursing

    I got pre-approved up to $170k on just my own personal salary as a new grad RN making $20/hr, but my credit score is just a hair under 800 and I have no student loans. A $500k house is a little...
  3. calivianya

    "Dear Nurses: Please Forgive Me" : A Response

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

    I agree with the OP in this thread. I also agree with Esme that we need to show compassion for family members and not be condescending. I would never say a dying patient didn't belong in ICU to the...
  4. calivianya

    Stupid mistakes

    calivianya replied to New picu's topic in Patient Safety Issues

    I don't work with peds and I never have before, so I have a lot of sympathy! If the MD tells me to grab a certain amount of something, I usually just grab it. I'm not used to having to double-check...
  5. calivianya

    Patient with Dementia's Right to Refusal

    calivianya replied to oblivionenigma's topic in Patient Safety Issues

    I really, really, really hate taking care of dementia patients for this reason. They are my least favorite patient population by a mile. My facility (hospital) allows dementia patients to refuse...
  6. calivianya

    Highs and Lows ICU style

    calivianya replied to FarminRN's topic in Critical Care

    Lows: Watching physicians obviously do things just to avoid being sued that aren't practical and don't help anybody. There's a confused end-stage Alzheimer's patient who decided not to grip someone's...
  7. calivianya

    Holiday Pay-- Anyone else heard of this??

    calivianya replied to NurseQT's topic in General Nursing

    I've only worked three places, but the policy has been exactly the same as OP is describing at all three places. You are only paid time and a half on the hours that you work on the holidays...
  8. calivianya

    Who is eyeing the job boards, frustrated with your job?

    calivianya replied to Emergent's topic in General Nursing

    That is a hilarious comparison! Most of my coworkers are looking elsewhere - we just had a ton of staff leave. I had a new job offer so I put in my notice, but then I decided that job wasn't for me...
  9. calivianya

    advice needed, safety concerns

    calivianya replied to ICURN2424's topic in MICU, SICU

    Scary, scary, scary! I agree with writing these people up when you catch them in things. Anyone who'd give a BP med to somebody on pressors is just dangerous. It either means they don't know what...
  10. calivianya

    ICU nurse offered job in PCU - should I take it?

    calivianya replied to 3fins's topic in MICU, SICU

    I wouldn't, but that's just me. I moved 400 miles just to get an ICU job out of school, so I am obviously passionate about where I work. So - are you passionate enough about ICU to deal with the...
  11. calivianya

    afraid of failing nursing!

    calivianya replied to AspiringRN27's topic in Pre-Nursing Students

    I disagree with people who say that failing is an acceptable risk! If you think you may be unable to balance work and school, I wouldn't recommend going to nursing school. it is perfectly reasonable...
  12. calivianya

    Advice please: Withdrawal of feeding tube

    calivianya replied to Clubsingr28's topic in General Nursing

    If she passed her swallow eval, does it matter that the family d/ced tube feedings? The way we do swallow evals (hospital, not LTC) is that when they pass them, they get to eat. If she is capable of...
  13. calivianya

    Items a new nurse needs 1st day of work!!!

    calivianya replied to Kellz321's topic in First Year After Licensure

    I always have: a pen, stethoscope, penlight, carpuject holder, hemostats, scissors, and tape (which you can loot your first day). That's it, and your scrub pockets should be big enough to hold those...
  14. calivianya

    How to develop ICU critical thinking skills and move away from being "task" focused

    calivianya replied to midnitej's topic in MICU, SICU

    Ruby Vee said basically what I was going to say - you need to ask why about absolutely everything you are doing and giving, and why the physicians write the orders that they do, and get your coworkers...
  15. calivianya

    ccrn exam

    calivianya replied to bahiarn's topic in Critical Care

    I am taking it soon, too - haven't set my date yet, but I am thinking I will take it sometime next month. I can't offer any advice, but good luck! I am
  16. calivianya

    Best way to explain why I quit my new job after one month

    calivianya replied to kath7880's topic in First Year After Licensure

    I would say, "family medical illness requiring a full-time caretaker." It sounds like that's sort of what happened with your husband, so it's not entirely a lie. Most places understand why you would...
  17. calivianya

    Share Your Funniest Patient Stories...

    calivianya replied to Trvln Nurse's topic in Nursing Humor

    Nobody has been terrified yet... the people with dementia just start talking to the bed alarm like it's totally normal for weird voices to come out of nowhere. LOL. I wish I could process things like...
  18. calivianya

    Most challenging nursing department

    calivianya replied to rose89's topic in General Nursing

    Inpatient rehab, by far! The one I worked in as a CNA was in a hospital, and we had three patient populations: brain injuries, who were just as likely to hit you, grope you, or scream at you (The 27...
  19. calivianya

    How to tame a provider!

    calivianya replied to Brian's topic in Nurses Rock

    Honestly, I don't usually notice when they get out of sorts because I worked customer service for so long. I am used to being screamed at over a stale bag of Twizzlers - when somebody is brusque with...
  20. calivianya

    Bedside rounding in-front of patients

    calivianya replied to Nurse-84's topic in Patient, Colleague Relations

    I hate it. Management expects us to say everything at the bedside... and I do mean everything. One shift we were discussing a patient's overdose at bedside, and he actually became violent and started...
  21. calivianya

    Vanco: give or wait for vanco trough?

    calivianya replied to rn.5245's topic in Patient Medications

    I love the way most of the physicians here write vanc orders. After the first couple of doses are given, they just have daily vanc levels and an order: give 1g vancomycin IV if vanc level Sounds like...
  22. calivianya

    CNA a requirement for RN program in NC?

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

    That's ridiculous. You need a license, yes, but you shouldn't need hours. I went to nursing school up there and CNA hours were definitely not a requirement for my
  23. calivianya

    How well do you deal with vomit

    calivianya replied to Infofreak411's topic in General Nursing

    The nasal swabs for flu are great - when people actually use them, which isn't that often where I work. As far as norovirus goes, there is no handy swab, so just wash your hands, wash your hands, wash...
  24. calivianya

    Thanks, guys.

    calivianya replied to englishgeek's topic in General Nursing

    Well, some days I feel like a stormtrooper. I really wish I had the armor at least. It would come in really handy with those DT'ing patients who can try to kill you and projectile vomit on you...
  25. calivianya

    Do you find your previous degree was of any help in nursing

    calivianya replied to Infofreak411's topic in General Nursing

    I don't think my previous bachelor's in psych even got me glanced at. There are a lot of crazies in the hospital, though, and plenty of people who normally aren't crazy who decide to be crazy while...