calivianya BSN, RN

ICU

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All Content by calivianya

  1. calivianya

    Tuition Reimbursement How-To

    calivianya replied to FutureNurseInfo's topic in General Nursing

    Let's pretend you're going to start working for my employer so they will pay for your tuition. My employer reimburses up to $3k/year for tuition for a full-time employee. For a part-time employee,...
  2. calivianya

    Why Do Nurses Quit?

    calivianya replied to Nurse Beth's topic in General Nursing

    Off topic, but this is the problem with having CNAs in the ICU. Mine is 30 bed, also very high acuity, with zero CNAs. So, all of the nurses HAVE to help each other. Consequently, we have very good...
  3. calivianya

    What's In A Name Badge?

    calivianya replied to TruvyNurse's topic in Nursing Professionalism

    I like having my education and certifications on my badge. I don't care about my coworkers knowing, but the specialty cert in particular is occasionally helpful with family members who ask why exactly...
  4. calivianya

    Help! I've hurt my back....now what?

    calivianya replied to localgirl85's topic in General Nursing

    Several of my adult ICU coworkers went on to NICU and talked about how wonderful it is for their backs that their heaviest patient might be six pounds, if that. Are there any NICUs in your area? I...
  5. calivianya

    Why Do Nurses Quit?

    calivianya replied to Nurse Beth's topic in General Nursing

    I may be in the minority, but I think it actually helps to be thoroughly prepared for the lateral violence towards new nurses. I just posted in another thread about how I see it all the time on my...
  6. calivianya

    Sick policy vs. reality

    calivianya replied to rquinn0111's topic in General Nursing

    We can call in three times with no consequence - the third time is a coaching and counseling, which is a paper that isn't disciplinary action but lets us know that the next one will be a verbal...
  7. calivianya

    final warning

    calivianya replied to srercg6's topic in Nursing Professionalism

    Turnover in the whole hospital is pretty bad. We actually have greater than 30% of RN positions in my hospital unfilled - which gives us a whole extra layer of differentials ("high vacancy incentive")...
  8. calivianya

    final warning

    calivianya replied to srercg6's topic in Nursing Professionalism

    I've seen that happen a lot on my unit. I can name at least five people off the top of my head that I know have been forced out because they weren't liked. It's usually new grads who had the...
  9. calivianya

    How much death do you see/ have you seen on the job?

    calivianya replied to CaffeinePOQ4HPRN's topic in General Nursing

    Couldn't have said this better if I tried. I actually don't mind futile care for the just about completely brain dead post codes because I know they're not actually hurting because they're gone, and...
  10. calivianya

    How to dilute meds for IVP?

    calivianya replied to xmilkncookiesx's topic in Patient Medications

    I just use a 3 cc syringe to draw up the morphine in the first place so I can get the accurate dosing without using NS at all. I only use NS to flush after giving
  11. calivianya

    Regret becoming a nurse....

    calivianya replied to cocoa_puff's topic in General Nursing

    I don't think it gets any better. Don't get me wrong, it doesn't frustrate me as much... but it doesn't get any better. Your ability to tolerate it just changes. I, for one, think that's messed up....
  12. calivianya

    Nurses: Monthly or Weekly Planners

    calivianya replied to biobots's topic in General Nursing

    I just log into the scheduling program every so often and look at it to make sure I know what days I work. I don't usually write it down
  13. calivianya

    I feel like I made a mistake with nursing. Did anyone hate med surg but love other floors?

    calivianya replied to missSB's topic in General Nursing

    I hated my med/surg clinicals, too. I've always said I'd rather live under a bridge than work a med/surg floor. I give serious credit to nurses who do well on those floors. They have more patience...
  14. calivianya

    How much experience to work per diem/casual?

    calivianya replied to 8130's topic in General Nursing

    Wouldn't it be nice if that first part were always true. The PRN job I just quit actually paid me less than my full time job... I only kept it to keep my foot in the door of a separate hospital...
  15. calivianya

    Nursing is Just a Job - Common Myths in Nursing

    calivianya replied to The_Optimist's topic in General Nursing

    That article is awesome. Thank you for
  16. calivianya

    WILTW: 11/12 - It's Beginning to look a lot like...Pickets...

    calivianya replied to LadyFree28's topic in General Nursing

    Most of the Meetup groups around here meet on the weekends, and I work every Thursday, Friday, and Saturday nights because of my school schedule, so I have yet to find a Meetup group that will work....
  17. calivianya

    Evidence Based Weight Loss

    calivianya replied to Empire Chick's topic in General Nursing

    The thing about losing weight is you don't gain and lose fat cells (in general). The fat cells that you have gain and lose mass, until they get so large they can't hold any more fat, at which point...
  18. calivianya

    WILTW: 11/12 - It's Beginning to look a lot like...Pickets...

    calivianya replied to LadyFree28's topic in General Nursing

    I learned that I am probably about to dig myself into another hole that is not going to be a good thing, as I spent the entirety of my last shift at my second job texting one of my coworkers at my...
  19. calivianya

    Help!! ICU Nurse Needing Advice!

    calivianya replied to Ingrambl89's topic in Critical Care

    A 12-lead reading STEMI is always, always, always worth a call no matter what. You can bet your butt if that person was actually having a MI and you didn't call it, the physician would be the first...
  20. calivianya

    Help!! ICU Nurse Needing Advice!

    calivianya replied to Ingrambl89's topic in Critical Care

    I'd advise you to get the heck out of that hospital system if it's the physicians that are the problem. Not just that job - that whole hospital system. It obviously has a very crappy culture. My first...
  21. calivianya

    So where IS the nursing shortage?

    calivianya replied to milliesmom88's topic in General Nursing

    Most parts of NC have shortages. Even the major hospitals in major metropolitan areas that are desirable places to live hire new grads to specialty units in droves. New grad pay is somewhere around...
  22. calivianya

    If you're familiar with I/Os, would love your feedback.

    calivianya replied to casdl's topic in General Nursing

    Most of my people are not eating or drinking and most have a foley, so my I/Os are pretty accurate. I record all tube feeds/IV intake every hour. I record urine output q2h. How often I check other...
  23. calivianya

    I hate nursing

    calivianya replied to Neezy84's topic in General Nursing

    I have trouble believing that very many people are truly stuck. I say this as someone who only took three years to burn out. I am beyond burned out at 3.5 years in, and I am going to school for...
  24. calivianya

    Longer commute for less pay. Worth it?

    calivianya replied to UseTheForce's topic in General Nursing

    I just recently gave up my PRN job that was an hour long commute and paid me less than my full time job. The resentment of having to drive that far for less money really builds up over
  25. calivianya

    MIMS:"hydromorphone causes fatality"

    calivianya replied to Joybryant's topic in Patient Medications

    My job has a micromedex subscription. But really... do nurses really need the warning that dilaudid can cause death? I don't think a particular facility or a particular drug reference can be blamed...