carolelainern

carolelainern BSN, RN

Trauma/Neuro ICU
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carolelainern has 4 years experience as a BSN, RN and specializes in Trauma/Neuro ICU.

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  1. Delirium & neuro patients

    Yes! I cannot tell you how many times I've escalated a change, and the response is... "monitor." Ugh. I just had an 18 year old frontal TBI. He's impulsive and irritable as hell. Not a surgical candidate. 5 days of q1 neuros. Did we do them? Uh, no....
  2. Delirium & neuro patients

    Something that's been kind of on my mind lately...I work in a trauma/neuro ICU. One of the big pushes lately from the higher-ups at my hospital has been towards delirium detection and prevention. If anything, I think this has arrived to us a little l...
  3. When family fails the patient... it breaks my heart

    One of the hardest things about ICU nursing! I had one such patient who, even when the family had been talked into comfort care, did not actually want the patient medicated to be comfortable-they wanted other family members to come in and "see how he...
  4. BSN bump in pay?

    In the Minneapolis/St Paul metro area, and least in the hospitals, BSNs make about a dollar or so, maybe two, more an hour than ADNs. BSN is becoming a requirement.
  5. Do I need a new attitude, a new job, or a new career?

    Thanks for your input, everyone! By "connecting ", I mean those nurses who are able to support the emotional needs of patients and families in crisis; who are able to make a patient feel at ease, make them laugh, make them feel safe and supported, ge...
  6. I've been a nurse over 3 years. I worked in inpatient orthopedics; then a cardiovascular stepdown unit; now Trauma/Neuro ICU for the last 9 months. I feel like I'm in a nonstop identity crisis. I realize that ICU takes some getting used to, but I lea...
  7. Is this for me?

    Hello, all! I am an RN on an inpatient orthopedic unit in Minnesota. I graduated from nursing school in December 2014 and have been at my job for almost 8 months, and sometimes I really wonder if I want to leave bedside nursing. For the most part, my...
  8. MSN-Education

    I am an RN currently working on an orthopedic floor-we also take plenty of medical overflow. I graduated with my BSN 10 months ago and have been at my current job for 7 months. I knew going in that this isn't my "dream job", but I was and am very gra...