Greenclip

Greenclip

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All Content by Greenclip

  1. Do RN's insert EJ's at your hospital

    At our hospital, RNs can place peripherals only in the BLEs. Having said that, it is a very large teaching hospital with no shortage of MDs, NPs, PAs, etc. In ICU we only place 18g or 20g. If someone...
  2. Help w bicarbonate buffering system

    This situation applies to long-term compensated respiratory acidosis. The compensation equation is never going to tip back to the left (CO2 and H2O) because the person is not blowing off their...
  3. LOC: Sedated vs comatose vs unconscious

    We have an option to choose "sedated". My problem is with obtunded. We don't have stuporous as an option. At my facility you are not supposed to choose obtunded unless the patient is almost...
  4. Baby RN's running ICU?!!

    Ruby Vee, I have been told that by many, many BSN grads, especially those who graduated 20+ years ago. They said that the "diploma girls" ran rings around them for quite some time. We have an...
  5. No briefs?! Is this an ICU thing?

    No briefs at all...we take them off as soon as they come up to ICU. We use the big blue disposable pads for patients on specialty beds, and blue washable pads for others. We can also put a condom cath...
  6. Does your ICU have CNA's?

    I work MICU/SICU of a large (1000+ beds) teaching hospital with multiple ICUs. No ICU has more than 16 beds. All routinely have one CNA attached to each. They help with turns (we have a turn team,...
  7. ICU RN Report- How does your unit do it?

    I like report to be quick and dirty. Just tell me why they came to the hospital, what is keeping them in ICU, and what the plan is ("get to stepdown tomorrow as soon as..."). Tell me important things...
  8. Step down units: what's your ratio?

    It's 1:3. We also have intermediate care units which are 1:4. Usually patients go from ICU to stepdown or to intermediate depending on their acuity, then to the floor. We have separate units for...
  9. eICU

    They are great. Need q5 min vitals? Done, while you carry out all your other tasks. Need a second verification on a med, and you're in an isolation room? Done. Code? The eICU doc can start running the...
  10. Goldfarb school of nursing wait list

    bellabop 13, I still hold my ground. Professors aren't different from the accelerated BSN vs the Upper Division. Hang on, I know you're going to say they are--but if you ask, you will find out that...
  11. In my hospital the nurses scrub and circulate. Depending on the case we would have at least 2 and up to 4 nurses in the room. It's a large academic hospital so the nurses never assist with anesthesia....
  12. I think that is a very good offer. It's more than you would make where I am, in another state but in a major city of 2.5 million, and there would be no signing
  13. Mandated colors

    Navy for nurses in our hospital. In the UK navy has been the nursing standard for a long time. OR and L&D staff (anyone who wears hospital-issued scrubs) have a lighter shade of blue. Or green. I...
  14. Also--LaClaire wasn't a nurse. Wonder where her supervisor was, and if s/he was also
  15. Writing multiple times?

    To the OP--I may be wrong, but I believe each state board of nursing can regulate how many times a student is allowed to attempt NCLEX. I agree that attempts should be limited to 3. Personally I...
  16. One thing I like to say in interviews, as far as where I'd like to be in 3-5 years, is that I want to be the team member that someone can turn to if they have questions or need help. That lets them...
  17. How many of you both circulate AND scrub?

    In our very large, level 1 trauma center the OR nurse is 50% scrub, 50% circulator. There are some STs but as they leave, they are replaced with RNs for the reasons wkc54
  18. I just graduated 8/17 and I've applied to over 20 jobs since early July. No offers and I graduated with honors. I think it depends a lot on what part of the country you live in. Students who graduated...
  19. Barnes Jewish Upper Level vs. UMSL Accelerated BSN

    UMSL or SLU will be harder to get into than Barnes Jewish because they are selective programs. You meet their minimum requirements and then they make offers to the best students. At Goldfarb (Barnes...
  20. Goldfarb school of nursing wait list

    Junkmurse, I came to this conclusion through "lived experience." There are a number of reasons why I would recommend the other schools. First and foremost, they are real colleges. They have extensive...
  21. Goldfarb school of nursing wait list

    Hi Hannah, I am a Goldfarb student. About to graduate next week! I hate to say that those waiting list numbers do not look good. There will be a lot of movement, but don't count on starting before...