I have done my share, as i said. Working horrible holiday schedules as a "future trade" wasn't why I did it. I did it because it was expected, and I was fine with that. As you all have said, I knew...
Here is what i think.... It DOES TOO matter if you have kids. I have been doing this 20 years. When I first got my RN i was only 20 and obviously had no children. I was low man on the totem poll...
i think most level 1 trauma centers have a '"trauma team" who respond whenever a trauma arrives to the ER ( at least our big inner city hospitals do), and that they acutally come from the trauma icu...
dorimar replied to tennessee rn's topic in MICU, SICU
Kudos to PJMOMMY. Your dedication is honorable. When safety is involved, it IS all about the nurse. Patient advocacy should not mean potential harm to the nurse. Don't mis-understand me. I don't...
dorimar replied to NrsBtrfly2005's topic in MICU, SICU
It depends on the patient's history, age, and fluid status prior to the transfusion. On someone young with no heart history, the lasix should not be necessary with just 2 units. Also fresh post-ops...
Ok... first off, my opinion was asked for , and I gave it honestly, and i don't think insultingly. I did NOT say all new grads going directly into ICU were unsafe. I said it is better to have basic...
dorimar replied to tennessee rn's topic in MICU, SICU
In response to Gizelda's post: If you will note,I said family members, not neighbors or dog walkers, and i specifically mentioned mother, son, husband. I am not saying it is ok not to follow the...
i have to add, IVPUSH, that the only reason you know so many new grads who went directly into ICU is because of the nursing shortatge. That does NOT make it ideal (newschool or
IVPUSH, I see nothing wrong with "OLD SCHOOL". It is very diffiuclt to train a nurse that is learning how to make a bed and do basic drug calculations, how to run CRRT or what exactly the hemodynamics...
We are much more liberal wlith the morphine... 2-10 mg Q1-2 H prn.Some of our docs use fentanyl IV. Also, we use propofol while tubed. I've seen poor results with precedex causing hypotension &...
dorimar replied to tennessee rn's topic in MICU, SICU
I am truly shocked at what you all are saying about what patients do and would want. I am the first to admit that it is easeir NOT to have to deal with families when you are trying to figure out what...
where I work, we are applying for mangent status. So...... all of a sudden we are offered a dollar more an hour for our CCRN. No extra money for BSN or MSN. ACLS has always been a requirement for...
The phones work great because it is immediate contact. We can start advising in rout or even call resp therapist or ICU charge in rout if truly sounds bad. Also, as I said, some calls don't even...
My hospital has been doing the Rapid response team for just over a year now with extremely postivie results. We actually have documeted decreased length of stay. Very diffiuclt to document any...
nutrix, If it makes you feel any better, my orientation as a new grad was eerily similar to what you are going through. I felt responsible for things i wasn't ready for, and I knew it wasn't enough...
The "never heard of it comment" would concern me as well. What was the big deal? Sometimes nurses make it harder on themselves by being defensive and fighting faimiles. Gees. If you don't know...