Kssrn404

I worked so hard for my BSN. My dad, and my best friend, had just died from heart disease at 50 years old. My mom and I didn't have the money for my school and my dad's company did not give him his retirement. Still, we didn't qualify for grants or o...

i am in ICU/CVR and studying for the CCRN this year hoping to take it when I have enough hours logged in. I think that's the best way to go.

"Trach and PEG" over and over again. Why would a surgeon schedule an open heart surgery for a pt in ESRD, Malignant HTN, low EF requiring IABP post op (which the pt never comes off of) and COPD??!!!!! They will spend weeks in ICU then on to LTAC if ...

and somehow when these "clients" who don't care about their health for the last 30+ years and completely abuse their bodie suddenly want to know why we can't make them well and are the ones most likely to sue.

The old stereotype of a female entering into the nursing profession just to snag a cute wealthy doctor has long loomed over us. You would think by 2016 we would have come a lot farther, but to my surprise things haven't changed all that much. Below ...

well, not sure why the photo is so large. Sorry guys

I looked for a grad "internship " program and went into critical care right out of school. We were in the classroom for 4 months and had to pass all of our exams. Then we were in an empty unit with "hands on" from r another months. When we finally go...

Absolutely right. There are receptors in the pain control section of the brain called "mu" receptors. Using dilauded as a first line takes up and binds to these receptor sites and tolerance builds. That's why so many addictionologists use bupenorphin...

We too have a camera in our Med room. We also are required to draw up the marcotic in the Med room before going to the bedside. We have a finger print system. When doing a bedside procedure and sedation is required you sometimes have to draw up the ...

ABSOLUTELY!!! When you're assisting a trach or PEG insertion at the bedside there's no time to "dilute" Versed or Narcuron or morphine. I may dilute in a 10 ml syringe depending on how much the physician gives with each dose. IVP is all we do with th...

yep and tamponade too. We have to "crack" the chest back open and the surgeon digs out all of the clots around the heart while I'm prepping them for emergency surgery. Beating heart exposed and all. Sometimes you just have to deal with it.

i am an ICU nurse also work in CVR. I too feel administration does not help nor understand us in any way. HCAPS are breaking us for sure. We do everything possible to ensure our patients are well cared for and still receive low scores for petty thing...

AMEN!!!!! Do it together. While I(being new to ICU) am not as fast as the other nurses on the unit , always strive to leave the room restocked, clean and clean patient, there are times where a mess can happen at shift change. Such an example is diar...

i have hypothyroid also and I bathe when I come home I work days. My skin would fall off is I showered twice a day.

I had a tamponade as a new grad. It was terrifying to say the least. But I was able to stay focused and order stat labs, CXR and page the surgeon. We cracked the pts chest at the bedside and the liver looking clots were removed and the patient was ru...

I like your post. It's pretty simple to me. Critical thinking is the "WHY" behind the task. Know why your doing what you do and also "creative latitude" would fall under this category.

The anesthesiologist should have explained to you exactly what it was you were getting in your IV instead of just pushing a drug and saying "it's supposed to do that". I recently had a bladder implant placed under general anesthesia. As I was wheele...

This reply is so helpful to me. I work in ICU/CVR. I can't believe that one family sued all the way up the line, nurse 1st, because they said maw maw 88, who was brought back to life but needed permenant dialysis after cardiac arrest (because they sa...

You know it's gonna b a hot mess when you get report on your fresh heart CABG who already has an implantable defibrillator goes into VFib and the defibrillator shocks her 12 times. Yes, 12 before you can even finish receiving report. Just pull up a ...

i am in MS and we are a very overweight, unhealthy and high morbidity state. The nursing profession itself is NOT helping us live a healthy lifestyle for sure.

i am in the Deep South and I've not ever personally heard a health care professional acting or speaking this way. I'm not saying it doesn't happened just never encountered it. Sorry you have had to endure this nonsense. I work with a lot of African ...

This is such great information! Congrats on passing the exam!!! I have heard that Barron's is the best. Going to purchase it for sure. I just started back in the cardiovascular recovery unit after being off a long time. I started with the AACN Essen...

I just started back to nursing after a long break raising my three kids. I am returning to the cardiac recovery unit. Often I will float to ICU. Don't be afraid to ask questions and keep a note pad handy to write down points to remember and study on ...

Even though I get that its policy. I feel bad for you getting flagged by the pharmacy. You were just trying to do what was best for your pt. by not constantly waking them up. We are allowed to scan the bed label instead of the armband if we choose to...

i love this!!! I'm working 6 straight 12 hr shifts then 8 off. I don't have good shoes. I'm about to buy some Danskos Pro XP's about $150. That is a splurge for me lol!