calivianya BSN, RN

ICU

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All Content by calivianya

  1. I'm looking forward to the time and a half! I get time and a half the night before Thanksgiving AND Thanksgiving night! It's like getting a whole extra shift on my paycheck for free.
  2. calivianya

    Nursing to Med School

    Maybe I'm in the minority, but I think it's a great idea to be a nurse before becoming a doctor. Everyone who's saying to just go to med school obviously doesn't care about money or really likes...
  3. The unit I did my preceptorship on in nursing school was like this. My preceptor had an average of six nursing students with her full time per year - two each semester in six week blocks, including...
  4. calivianya

    Insulin Error

    There's no way you could lose your job for that. I would not give insulin to a patient who is NPO unless the patient is getting TPN or a fluid with dextrose. It is against a lot of facilities'...
  5. calivianya

    What do you do to relax?

    I definitely watch The Walking Dead and American Horror Story! Best shows ever. :) I watch a lot of horror shows and horror movies to relax. There is nothing better than a really good ghost story. I...
  6. calivianya

    New grads shouldn't work in ICU?

    I get tired of all this stuff about new grads not doing well in ICU. I think you have to have the personality for ICU to do well, period, and it doesn't matter if you're a new grad or you have 20...
  7. calivianya

    Verbal Orders

    There are a lot of lazy physicians at my work who will give verbal orders when they are standing right next to a computer because they don't really want to be bothered. It's extremely tiresome. I...
  8. calivianya

    Best Experience to get into an ICU

    I know at my hospital they'd take stepdown nurses for ICU well before ED nurses - the ED nurses in my facility have a horrible reputation in the ICU. Also, stepdown is considered part of critical care...
  9. When I worked on inpatient rehab, there were 2 LPNs there. I'm pretty sure we were the only unit in the hospital who had LPNs left. They were great - very friendly and great workers. Both were going...
  10. calivianya

    Question about blood transfusions and H/H

    It sounds like a hemolytic transfusion reaction, if everyone's sure she's not just bleeding excessively from somewhere and that the transfusion is actually at fault. That's all I can think
  11. calivianya

    Top 10 Reasons We Get Fired! - Social Media

    Don't forget - it doesn't have to be anything that clear cut. A good rule of thumb is to never friend patients or patient family members. At the last place I worked, one person got fired for posting...
  12. And of course the hospitals use the programs to trap new graduates and force them to stay. I had to sign a two-year (hours based) $12,000 contract for being hired onto my new grad program. I don't...
  13. calivianya

    lpn jobs, what does it mean to work in "rehab"

    I used to work inpatient rehab, and my floor would only take patients that had a goal of being discharged to home after the stay was over. Some of them ended up going to LTC anyway because they didn't...
  14. There were no parameters written for the meds. It's like pulling teeth to get physicians to write parameters down here unless it's a pressor, and sometimes you have to pull parameters out of them even...
  15. I had a great preceptor as a new grad, with a couple of small exceptions. One time I was getting ready to give a patient her morning BP meds and my preceptor freaked out on me about me being an unsafe...
  16. calivianya

    how far are you willing to commute for a job?

    I am willing to drive farther for a PRN position than a full time job, personally. I live five minutes away from my full-time job but I just applied for a second job that's about two hours away. It...
  17. calivianya

    New Grad Journeying to the Big World of ICU Nursing

    You will do great! I started in a MICU and I love it. I'm four months in, and while I don't know everything, I sure do know a heck of a lot more than when I started. You will get it and you will love...
  18. calivianya

    Job Fair Hints

    I wish I'd seen this post before I went to a job fair last May. I feel like a lot of people just don't know what to expect at job fairs. The truth of the matter, for me, was that I'd been to several...
  19. calivianya

    I never expected....

    One time when I was in school, I had the cutest little old lady who needed to go to the restroom. She was absolutely tiny - I'm pretty sure her hair was bigger around than her waist. I transferred her...
  20. calivianya

    Multiple Narcotic Administration

    If multiple narcotics are ordered PRN, it is perfectly acceptable to give them relatively close together, assuming they are okay to receive more based on your assessment of the patient. You said they...
  21. calivianya

    Saw a nurse yelling at a patient in ICU

    I'm going to have to defend OP a little bit here. I have no idea where she saw the "yelling" in question, but she sure could have been shadowing at my workplace. There is a huge difference between...
  22. calivianya

    8hr vs. 12hr work days

    I would hate eight hour shifts. I am trying to get a second job because I cannot support myself on one job, and I'm wondering how you'd have any time off at all if you had to work five days a week at...
  23. I guess you must have just missed the hiring wave or something. I remember in either the May or June edition of the NC BON magazine; NHRMC was offering a $10,000 sign on bonus for experienced nurses....
  24. calivianya

    Seriously guys, relocate.

    I didn't know where the hot spots were either. Wikipedia was my friend - they usually have lists of every hospital in a state, which includes all of the rural community hospitals. You can just go down...
  25. calivianya

    Respiratory Therapists Inserting PICC Lines

    I don't know about that - have you worked in Georgia? On topic, I am a little surprised to hear of RTs doing PICCs. They do ABGs and arterial line placement here, so I guess they do have a leg to...