calivianya BSN, RN

ICU

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All Content by calivianya

  1. calivianya

    blood transfusion and first 15 minutes

    Not really sure why antibiotics would matter - patients can be allergic to anything. I had a patient who was allergic to Benadryl once. I always wondered if there was something else to give her...
  2. Well, everyone has opinions... but three of the doctors I've been to for my insomnia have suggested I try meditation and melatonin supplements. One of them even suggested I try valerian root. It seems...
  3. calivianya

    blood transfusion and first 15 minutes

    We do stay in the room and assess/check vitals after the first 10 minutes, but we start it at 120/hr so if a reaction is going to happen, it's going to show up fast. After the first 10 minutes we do...
  4. calivianya

    How do you get co-nurses to customize their monitors?

    We have the Phillips monitors. We do have a policy to change out electrodes q24h - I have no idea if day shift does it, so I usually do just in case. I usually shave my male patients' chests just to...
  5. calivianya

    too much experience - vent

    That's so true. I worked inpatient rehab as a CNA, hospital-based because the patients were still acutely ill, and there were a ton of nurses on my floor who wanted to change specialties and get into...
  6. calivianya

    Will I get a job?

    The market is tough for RNs, but it's even worse for other allied health professions. You're more likely to get a job as a RN than as a PT, odds
  7. calivianya

    Proning ARDs patients

    We don't have any RotoProne beds - they sure sound nice. It just takes a bunch of people to prone a patient for
  8. calivianya

    How do you get co-nurses to customize their monitors?

    I usually do because changing the parameters does nothing for our monitors. I tried that for a long time before finally just turning the alarm off. I can set the alarm all the way down to 0 and only...
  9. If they are unwilling to change, you could always try to find a job somewhere that you can self-schedule. We self-schedule in six week blocks, so there is no requesting vacation - we just schedule...
  10. Yep, no unions. I was not lucky enough to get hired there, but a lot of the people I graduated nursing school with were - and they only have positive things to
  11. calivianya

    **POLL** New 1st Year RN Salary

    1) Georgia 2) $20/hr 3) 1 year of CNA experience, hired as new grad 4)
  12. calivianya

    Grades vs Teaching?

    I believe that grade inflation is a real problem, but I also don't believe classes should be unnecessarily hard. My nursing school had a ton of students make mostly As, and it had a fantastic...
  13. I had to move 400 miles to a very low income, somewhat rural area to find a job as a RN new graduate with my BSN. If you are not prepared to uproot your entire family and do the same, I honestly would...
  14. calivianya

    Becoming discouraged about becoming a nurse?

    I would recommend shadowing several different nurses in different areas as opposed to just working as a CNA to decide if you really want to be a nurse. I worked as a CNA before graduating nursing...
  15. calivianya

    Are you good at charting in "real time?"

    I will update the vitals, hourly urine outputs, and document any call I made to anyone including physicians/pharmacy/lab and their responses as close to real time as possible, but that's it. I will do...
  16. calivianya

    DNR status and therapeutic hypothermia

    I think it really depends on what type of DNR we're talking about. There are lots of variations of DNR - I have had a lot of patients lately who have wanted everything done except compressions, up to...
  17. calivianya

    Propofol

    I always try to keep my patients between 0 and -2 if I can, but I find a ton of my patients are either a -3 or they are a +2. It's like the continuum from -2 to 1 does not exist. What's the trick in...
  18. calivianya

    New grad position Neuro ICU or CVICU

    I don't think nursing is a calling but I believe that neuro nursing is! Go with the CVICU unless you really think the best thing in the world is asking people to lift up their arms and hold them for...
  19. calivianya

    RN License Endorsement= Confusion!

    Thanks for the clarification. I guess I am going to be doing some calling around if I do decide to
  20. calivianya

    How do you get co-nurses to customize their monitors?

    I always turn the respiratory (as in the rate) alarms off on my patient during the very first assessment of the night, and usually go around to my neighbors if their apnea alarms go off and ask if...
  21. calivianya

    RN License Endorsement= Confusion!

    Okay, so we CAN get the fingerprints done at a police station? This was confusing me greatly - the links on the FL BON website are all weird mobile outside companies and things like that. I originally...
  22. calivianya

    What do Nurses think about CNA's

    I wish we actually had them. I worked as a CNA for a year and hated it - I looked forward to having someone else to help me with the bathing and turning when I got to be a nurse, but we don't have...
  23. The MDs I work with here are the same way. I miss the facility where I did my clinicals - they had progressive discipline programs that could end in the MDs losing the privilege to practice at that...
  24. Just curious. I graduated last May and have been working as a RN since July, and what I am seeing at my current job is shocking and horrifying to me. The way my clinicals worked at my school is that...
  25. calivianya

    How much is too much?

    It's so funny that people in here say that some patients don't want to know much! 90% of my patients, or family if the patient can't talk, grill me about my personal life at some point. I think the...