chasing daylight

As a recent new grad, I was told to always wear a suit, and it worked for me! I got the position that I wanted, and I bought my suit at target for about $50. :)

i am from cleveland and talked to many nurses at the cleveland clinic who hated their jobs there...of course there are many nurses that would hate their job anywhere, but that is something to consider. i relocated to columbus to osu medical center and was accepted to the critical care nursing internship program, which is a longer orientation/classroom experience where they pretty much pay you to reteach you a lot of the things you learned in your very short critical care clinical. it has been wonderful for me; i would not have been ready to be a new grad in critical care without it i dont think. the extra support is really helpful. check it out if you are intersted in ohio, or pm me for more info.

In my experience, ICU orders were written on the patient, and an ICU float nurse was sent down to take care of the patient. This was a problem at a hospital that I worked at last summer, where one day in particular there were 5 ICU overflow patients overnight in the ER. Add in the monitoring, A-lines. vents, etc, and it is impossible for an ER nurse to take care of one of these patients and all of the ER patients they would have also.

i recently watched a bronchoscopy with stent removal and new bifurcated stent placement in the OR, and the patient had to be extubated for the procedure. A "jet ventillator" was used, and I do not know a lot about it, but basically it was a long thin tube that could be inserted and "jets" of O2 were delivered to the patient, causing sats to increase rapidly. The docs were able to continue with the procedure for several minutes before the sats dropped and the ventillation was needed again. I believe that this is something used in infants in some cases? But like I said, I dont know much about it, this was the first time I had ever seen it used, dont know if they use it everywhere and for everything.