RNexplorer

This wasn't emergent... Patient's ABG was almost normal... Patient was holding Spo2 at 95% on non-rebreather... Patient's RR was normal. So you usually give them etomidate first, not roc? I don't understand why the order was for roc first?

I interviewed today with a MICU and SICU manager at a teaching facility. It seemed to go pretty good, but the style of the interview was much different than I expected. I was asked a few basic questions about why I chose nursing as a career and what...

To the OP, I totally understand how you're feeling right now. It can be very stressful to have to juggle so many competing demands. I get it! So, this is what I tell myself: You're only ONE person, not FIVE. What is your PRIORITY right now? BREAT...

I think it makes the most sense to write the order in the same units as the medication is dispensed in. This will lead to the least amount of error. If read correctly, .025 mg is 25 mcg and .050 mg is 50 mcg. Therefore, the amount to give would be...

I know that a good ICU nurse needs to think quickly on her feet. Sometimes, especially if I've gone 10 or more hours without a break, I have caught myself making decisions that were not the best... I had a situation with a patient taking a turn f...

Ah, thanks Sallyrnrrt. Really appreciate your kindness and understanding of the newbie ICU nurse :)

Thanks for everyone's kind words and support. I ended up getting an offer and am so excited to finally start working in the nursing field I want to be in! It's great to be in a teaching facility as well :):)

This may or may not be helpful to you, but I think it's important to pay attention to my breathing. If my breathing is not good, it is harder to stay calm in the situation. I try to take a deep breath and focus on my priorities. Another thing that...

Dah Doh, Thanks for your explanation and I do apologize for misreading you the first time. I have been a member here for many years and recently changed my name, but the system may still regard me as a student... Anyhow, my apologies for completely...

Yes, thanks for correcting me. I'm sorry for taking this the wrong way! I think I'm just on edge after the interview.

Okay, I'm so sorry My bad... I think I'm just really wound up about the whole thing and took that completely wrong.

Wow, do you look for ways to crush people? Does it make you feel better about yourself? Seriously, thanks for the slap! I am not a new grad by the way, don't make so many assumptions.

Thanks again for all these helpful comments. I really appreciate the advice as I am finding myself doing a lot of blood draws from central lines and this is new for me!!

I've never seen this before. Copious amounts of purulent drainage everywhere... in the neck folds... macerating the skin... How do you dress/treat? Any tips for helping the patient cope? I'm having a problem securing a good dressing in that area b...

I know this is going to sound stupid.. but I have a really bad cut on the edge of my right index finger. How do I promote asepsis with patients and avoid contaminating my wound? I've been putting several bandaids on it, but they do become loose over...

Thank you so much for your response bb007rn! I know this must sound really stupid to more experienced nurses out there, so I appreciate it. I will definitely learn from this and keep striving for better.

I second this! Thanks for the helpful explanation! :)

I just got a PRN position in an ICU (smaller hospital, approximately 250 beds or so). I am thrilled because critical care nursing is where I want to be! However, I am very concerned about the lack of orientation. At first, I was told to come in 2 ...

How much orientation does an RN generally need when working in a LTAC ICU? After doing some more research, I realize this facility is LTAC... Advice needed!! I just want to do what's best for my patients and also for my career. I really think thi...

I've done ACLS 3 times and I can interpret ECGs. I've had some experience with ventilators and trachs. I know my vasopressor drugs, sedatives and paralytics... I'm comfortable with insulin drips. But I think you are right. There's still so much ...

I do have one buddy shift... Who knows? Maybe it's not a real ICU? If I don't feel comfortable in the environment, I'll definitely speak up. I don't want to put patient's lives at risk, that's for sure!

I know this is an old conversation, but why do you care so much about something so trivial? It sounds to me like you got an honest response. What more do you want?

Hi, I've been working on this medsurg floor for about two weeks, and it's been awhile since I've had surgery patients. I'm also a relatively new RN (13 months). I'm feeling very guilty, and I need some advice from more experienced RNs. I'm concerne...

I'm a fairly new grad with one year of RN experience. I currently hold a full time temporary position in Alberta. I have worked really hard to find a new job as I want to advance my career. My current position is providing learning opportunities, ...

I would also concur that with one year's experience, I am not a new grad... Hiring managers, however, seem to prefer applicants with years and years of experience... Even if one year is better than no experience, they have plenty of applicants with...