Kastiara

Kastiara ASN, RN

Critical Care

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All Content by Kastiara

  1. I work as a charge nurse in an ICU. I am having a problem with a nurse sleeping while on duty. I'm not talking about sleeping while on her 30 minute, unpaid break but rather, sleeping for hours at a...
  2. 7pm Friday to 7am
  3. Thanks for all the replies and suggestions. Just a quick update. I had plans to call the house supervisor if/when I found her sleeping again but, for the past two weeks, she hasn't slept while on...
  4. Reading charts

    It's going to depend on how Epic is set up at your facility, but I do the following: 1. Orders tab to review the patient's current orders. 2. I read over the doctor's notes to see what the...
  5. Working Weekends: How often? Seniority based?

    We have to pick up 6 weekend shift in a 6 week period regardless of how long you have worked here. We self schedule, so people pick and chose what weekend they want to work. Some will work one weekend...
  6. Sick but negative

    I'm in kind of the same boat; sick but had a negative test. However, my facility isn't pushing for me to come back. They told me to take as much time as I need to recover. I'm sorry your facility...
  7. What is it like in your hospital right now?

    Gloves and gowns are one time use only. N95s are used for up to 12 hours of continuous use then we get another one. Face shields are wiped down with Sani-Cloth in between uses. Compared to some...
  8. What is it like in your hospital right now?

    I'm in GA. My unit has a couple r/o Covid patients and several confirmed Covid. The patient's that are confirmed aren't doing very well. All of them are on ventilators and pressure support and we'll...
  9. Do you ever or have you ever put in orders without actually getting an order from the doctor? The other nurses on my unit do it all the time. Lab orders, restraints, modifying medication orders, and...
  10. Putting in orders without an order.

    The titration parameters are in the order. The order will read something like: titrate by 1 mcg every 5 minutes to keep the MAP greater than 65. If we go up or down by more or less than the order...
  11. Putting in orders without an order.

    No, not standing orders. My unit doesn't really have many standing orders. They'll put in labs (not routine morning labs) if they think something is off. They'll modify the titration orders on...
  12. Lowest bicarb on abg

    pH 6.5; bicarb 2.5. The patient was discharged home 3 day
  13. Drawing labs from CVCs

    I work in a medical-surgical ICU so lots of CVCs. I was taught that, when pulling labs, you have to stop all drips or fluids running. Doesn't matter if it's pressors or sedation running, you always...
  14. Weeding Out.

    It's funny OP because I am also in GA and did not feel weeded out during my prerequisites. Yeah, it was difficult, but A&P is a difficult class, as is Microbiology. They both require a lot of...
  15. I am in my third week of nursing school. We just started drug calculations this week. I'm doing a practice problem in my book that has me stumped. Either the book has a typo or I am missing some...
  16. Help with Drug Calculation

    Yeah, I wasn't adding the 10mL of cipro into the calculation.
  17. HESI A2 Entrance Exam Questions

    The testing center at my school provided everyone with a basic calculator for the test. It didn't do anything special besides addition, subtraction, multiplication, and division. It did have the...
  18. Grades are in! How did you do?

    Congrats on the A. I took A&P II and micro this semester and got an A in both. I actually made a 100 on the micro final, which blew my mind as I had to guess on quite a few of the
  19. To old for nursing school?

    I'm 30 years old and just got accepted into my nursing program. I'll be 32 years old when I graduate. I don't feel too old to start a new career. If you really want this, then go for it and ignore the...
  20. What to study for the HESI Entrance exam?

    I can't remember anything specific, I took the test back in July. Most HESI study guides give a conversion chart, I memorized them. Examples would be converting kilograms to pounds or ounces to...
  21. What to study for the HESI Entrance exam?

    The HESI was easier that what I expected it to be. I made an overall score of 93 on it and only started studying about 2 days before taking the test. I would recommend going over every body system and...
  22. Hesi A2

    I took it after completing A&P 1 and made a 92 on that section. I read ahead in my A&P book to get a general idea of the other body systems not covered in A&P 1 and also rented HESI...
  23. New Nursing Students Spring 2016

    I start in January in southern GA. The 11th cannot come fast enough for
  24. Getting motivated...

    I have my final in Microbiology tomorrow and should be studying but just can't find the motivation. I think I'm just burned out on the prerequisites at this point and am so ready for my nursing...
  25. What classes did you take with A&P?

    Yeah, I agree that they complement each other. My most recent micro test covered host defenses which had already been covered in A&P 2 when we went over the lymphatic system several weeks ago. I...