calivianya BSN, RN

ICU

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All Content by calivianya

  1. calivianya

    NP or Physician for men?

    In general, yes - doctors work longer and for less freedom. Definitely during training, especially. Four years of undergrad (need a bachelor's to get accepted to med school), four years of med school,...
  2. calivianya

    This is not what I thought it was

    Haven't seen you in forever - hope you're doing
  3. calivianya

    Furosemide med error

    You almost always have to give the Lasix "late" in this case - in general, the provider has no idea what time you're going to be finishing up the blood and just throws the order in, assuming you'll...
  4. calivianya

    This is not what I thought it was

    Haven't been here in forever - glad to see you landed a job! Sorry it sucks, though. Can't really advise about the knee pain beyond what everyone else has been saying (Danskos and Sockwells are my...
  5. calivianya

    Leaving my comfy throne to go into LTC, comfort vs skills

    +1 I'm personally of the opinion that the best job is the one you're good at, that's comfortable, that you get paid the most money for. I'll move so a higher paying job is more convenient before I...
  6. calivianya

    Your FAVORITE job

    My current job, for sure. With a few exceptions - the clique people - my coworkers are great. Our intensivists are really great, too. Good coworkers, good doctors, high acuity... love my MICU. Just...
  7. calivianya

    How to deal with a bully patient?

    Since I was the first on who mentioned dumping on the travelers - to be fair, when I am charge, I end up spending half the night in everyone else's patients' rooms. In the case of the very difficult...
  8. calivianya

    Did I harm the patient??

    I've placed an IO in a code situation before... but that's totally different, because it's last ditch, and the patient is pretty much already dead anyway (hence the code) so it's less pressure. What I...
  9. calivianya

    Did I harm the patient??

    I agree that 99% of meds are given IV... but when I'm giving IMs to a patient, I'm giving a lot of them. I'm usually giving IMs to the totally out of control violent delirium/psychotic patients... so...
  10. calivianya

    How to deal with a bully patient?

    Rationale was none of the rest of us could stand him. He was with us for over a month and we just couldn't do it
  11. calivianya

    Running into former patients

    Then I don't think you were inappropriate. I probably would have handled it the same way you did. In general, I don't drink with my patients - but I can think of one or two I would have made an...
  12. calivianya

    How to deal with a bully patient?

    We had a detoxing meth patient who just got out of jail for assault with strangulation and kidnapping. Demons and swastikas everywhere on his body, and outright violent with us. After he returned to...
  13. Give it some time. I won't use the NETY phrase because everyone here hates it so much... but it wasn't until I hit about the 1 year mark at my current job that my coworkers became tolerable. Mine are...
  14. calivianya

    "I Narcanned Your Honor Student"

    I think my attitude here is just a product of the type of environment I was in during high school. The parents who had the "honor student" bumpers on their cars were typically the same people who paid...
  15. calivianya

    "I Narcanned Your Honor Student"

    I think it's hilarious. A dear friend of mine was a C student at my private high school, kept bouncing in and out of academic probation because she'd get occasional Ds... then she transferred out to a...
  16. calivianya

    If you could redo it....would you choose nursing?

    A plague to the profession? All of the people I've precepted say they like working with me because I'm enthusiastic and a perpetual learner. I stay on top of the latest journals in my specialty area...
  17. I agree with NC being on the list of places feeling the shortage the most. For those complaining about not being able to find jobs as new grads... come here! 90% of the hires on my unit this year have...
  18. calivianya

    If you could redo it....would you choose nursing?

    Currently in the process of applying to MD programs so I'm glad you put that there. xD I don't regret being a nurse, though. It allowed me to get my foundation before going on to do other things. I...
  19. calivianya

    Experienced RN's cannot get new jobs!

    Have you thought about moving? Plenty of areas of the country where they'd love to have nurses with experience, even older ones. We can't get any experienced nurses to apply here. We hired more than...
  20. calivianya

    ED or ICU

    How about messy to the point it's nonfunctional? xD I can keep an organized work space, but not an organized house. I keep telling my fiance that we seriously need to invest in a housekeeper because...
  21. calivianya

    Chewed out from family

    This is reason one of ten million why I work night shift. More often than not, I can convince people to leave, because "He's sedated and the ventilator is breathing for him now; he'll need you to get...
  22. calivianya

    Frustrating... ED is Not Critical Care

    Our ED nurses are absolutely critical care nurses. My unit (MICU) stays full all the time. It's daily that there are vents on pressors being boarded down in the ED... and a single ED nurse might be...
  23. calivianya

    Futile ressusitation

    Most CPR is futile. I'd say 90%, at least, of people that get their pulses back either code again within a couple of days and we can't get them back, get withdrawn on and die, or spend the rest of...
  24. calivianya

    Renew ACLS?

    I would definitely renew it. If you struggle with rhythms, use this: SkillStat ECG Simulator It's how I learned my rhythms. They have a study option and then a game option where you see the rhythm...
  25. calivianya

    Compensation for BSN?

    One place I almost worked offered a $0.75/hr differential for a BSN. These unicorns do still exist. From what I understood from people I knew who worked there, it did not change their base pay - it...