EllaBella1

EllaBella1 BSN

ICU

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All Content by EllaBella1

  1. Florida New Grad pay rate

    EllaBella1 replied to mmjsc's topic in Florida Nursing

    Most new grad pay rates aren't negotiable. The hospitals usually have set rates for new grads depending on whether you're a BSN grad or ADN grad. I very very highly doubt they would have negotiated...

  2. Giving insulin late patient request

    EllaBella1 replied to daniela095's topic in General Nursing

    I would have just charted that the patient refused earlier and agreed later. Covers you either way. I wouldn't have adjusted the times for the next insulin

  3. Nursing vs nurse Residency Program

    EllaBella1 replied to ButterflyRN90's topic in General Nursing

    Nurse residency programs are often a year long and involve both classroom classes and time on your floor. For us we also had an extended orientation (3 months) with a preceptor before starting on our...

  4. Blood specimen from iv sites.

    EllaBella1 replied to omotee's topic in General Nursing

    Our hospital recently switched from a 96 hour IV site policy to an "as long as it's working" policy. They said it's new evidence based practice that they don't need to be swapped out. The exception...

  5. How long is enough time to stay in the ICU?

    EllaBella1 replied to Nurse3242's topic in Critical Care

    I stayed in my first ICU for 2.5 years and had multiple job offers when I was ready to move on. You'll totally be marketable at this

  6. In the ICU, do you get a tech?

    EllaBella1 replied to Blondekristi's topic in Critical Care

    My last ICU we were often tripled with no tech or any other support staff. It was terrible and patient care truly suffered. My new ICU we always have a tech regardless of census. They assist with...

  7. Charge Sheet

    EllaBella1 replied to Wayne47's topic in General Nursing

    My hospital does that. We use Cerner and the things we're supposed to charge for trigger a task on the task list. So like for glucose checks it triggers at whatever times/frequencies they are ordered....

  8. When did being pregnant become a disability?

    EllaBella1 replied to guest940422's topic in General Nursing

    My pregnant brain works just fine, thanks. Yours however clearly has some issues that need to be worked out. Please tell me, how exactly is it that you know that the girl who asked for assistance...

  9. When did being pregnant become a disability?

    EllaBella1 replied to guest940422's topic in General Nursing

    I'm pregnant with my first now and am on a lifting/pushing/pulling restriction due to a (thankfully resolving) subchorionic hematoma. I discussed it with my manager and she agreed that we could...

  10. Gloves? Is this acceptable?

    EllaBella1 replied to medsurgRNCali's topic in General Nursing

    I always glove any time I enter a patient's room with the intention of touching anything, PO meds included. This is both for my sake as well as my patient's sake. If I was a patient I wouldn't want a...

  11. Two different blood pressure readings?

    EllaBella1 replied to 8Lovenursing8's topic in General Nursing

    If you have parameters to hold meds based on BP, and one of the BPs was under the parameters, I would hold. You could always recheck both arms in an hour and give the med then if it

  12. Use of Ultrasound Guidance for PIVs

    EllaBella1 replied to bgxyrnf's topic in General Nursing

    I place ~90% of my PIVs by ultrasound. I'll admit, I suck at peripheral IVs when I'm just doing a blind stick. Unless the patient has like bodybuilder-esque bulging pipes for veins, ultrasound it is....

  13. Critical question, please advise ASAP

    EllaBella1 replied to bossfrog's topic in General Nursing

    I disagree. I think the OP is completely correct. She is being asked to delegate tasks to people who aren't properly trained or qualified. I think that is pretty negligent if she does so willingly....

  14. Requesting to be laid off?

    EllaBella1 replied to nurseypants328's topic in General Nursing

    They will not lay you off if they ask unless they are truly an upstanding amazing company to work for. What is more likely is they will agree to this, "lay you off", you file for unemployment, and...

  15. Explaining Low GPA

    EllaBella1 replied to jr1991's topic in Pre-Nursing Students

    Just keep applying. Does your community college offer an associates RN program? Perhaps that would be a better move for you. Or are you close to being able to finish an associates in science or...

  16. Do you trust the organ donation process (after recovery of 'brain dead' boy)?

    EllaBella1 replied to Emergent's topic in General Nursing

    After reading some of these replies it's so apparent to me that many nurses have not had any contact with the organ donation process. As a Neuro ICU nurse I can tell you that this kid was likely...

  17. Do RN led Rapid Response Teams Have Too Autonomy?

    EllaBella1 replied to Sweets's topic in General Nursing

    Our RRT also operates under a set of MAC-approved protocol order sets. I honestly think that having to call the doctor to approve the orders defeats the purpose of having a rapid response team in a...

  18. Pre-op thinks I sent them a mess

    EllaBella1 replied to Elaken's topic in Medical-Surgical

    The biggest fault I see in this scenario is the behavior of the doctor who felt that the patient needed ICU level care but didn't want to put in the work to get the patient there. That provider should...

  19. HIPAA Violation?

    EllaBella1 replied to Medic_Murse's topic in HIPAA Challenges

    It's not a HIPAA violation. Not entirely sure why you would need to verify their license

  20. PEG Tube Residual

    EllaBella1 replied to pikachu715's topic in General Nursing

    I agree that it's a stupid policy, and that the family sounds like they know what they're doing here. But it's also not wise to deliberately go against hospital policy, especially when there is an...

  21. Did they ask for your GPA, yes or no?

    EllaBella1 replied to Bunsbuns's topic in Job Search, Interview, Resume

    I wasn't asked for my acceptance into my nurse residency program. But after we were accepted into the program and rotated through a few units we had to interview for the ones that we wanted to be...

  22. PEG Tube Residual

    EllaBella1 replied to pikachu715's topic in General Nursing

    If the family is adamant that it's returned I would do what the supervisor says and call the hospitalist. Otherwise I would explain to the family that both hospital policy and orders state that it is...

  23. Preceptee medication error

    EllaBella1 replied to Emmers4's topic in General Nursing

    I also feel that 8 months of experience is not enough time to be precepting a new grad. I completely respect your decision to do it, and I do understand where you're coming from in being honored that...

  24. Moving to Florida

    EllaBella1 replied to Kpartusch's topic in Florida Nursing

    You will probably have to get a single state Florida license first since you don't have residency yet. I did that while I was still living in NY and had it in hand when I moved down here. You can't...

  25. Lines-Please help

    EllaBella1 replied to raspberry1's topic in General Nursing

    ^^What he said. But to add: A PICC is a type of central line, but what is more commonly referred to as a central line is slightly different. A central line, usually internal jugular, subclavian, or...