ErraticThinkerRN

ErraticThinkerRN

Critical Care, Trauma, CCU/MICU/SICU

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All Content by ErraticThinkerRN

  1. American RN moving to Australia

    I'm hoping some of our Aussie nurses can help me out on this one. I am finishing up my PhD in Nursing later this year, and I will be moving to Sydney mid 2017 to live with my partner. I've been a nurse for ten years in critical care and trauma, with ...
  2. American RN moving to Australia

    I'm hoping some of our Aussie nurses can help me out on this one. I am finishing up my PhD in Nursing later this year, and I will be moving to Sydney mid 2017 to live with my partner. I've been a nurse for ten years in critical care and trauma, with ...
  3. Truthfully, I'm still waiting for a counter argument that doesn't imply that i'm anti-nurse, or not experienced enough to understand, or in some way am demeaning and personal because I'm making points that aren't exactly popular among nurses, or poin...
  4. No, but in the United States it is, and any meaningful change towards something better in the near future is highly unlikely. Also, let's not pretend that other countries deliver healthcare without being cost conscious. Any time there are finite reso...
  5. Yes. Run along now.
  6. I like how quickly this turned into being for or against nursing. Such a typical reaction. So isn't touting 19 years of experience as a justification for not being able to back up a claim. That aside. I'll say again that the reason nursing gets stom...
  7. RRT vs ICU transfer

    I think a 24-48 ICU stay is called for, and agree with the posting above saying that the dopamine is kind of just a bandaid. He'll definitely need more of a work up, and more intense monitoring in the meantime in case the dopamine needs to be titrate...
  8. citation to support this claim, please. hospitals that are non-profit status can use their profits for capital improvements to get tax breaks. Claiming that "a large part of the health care budgeting crisis" can be attributed to this is spurious at b...
  9. Hepatitis B Vaccine Safe?

    Get the vaccine. Every employer that I have had has not only required documentation of having been vaccinated, but did blood work to make sure that I had the antibodies and was immune. Plus, with everything you'll be exposed to as a nurse, you'll wan...
  10. Nurses smoking weed?

    So, the question is really of overdose vs adverse drug effect then. Two different concepts. An overdose implies a toxic state affecting actual organ function. Most drugs have a LD50 scoring (median lethal dose) and many researchers have tried to find...
  11. Nurses smoking weed?

    Some of the studies being cited here actually makes me nervous about the amount of misinformation nurses could be giving their patients. I'm all for caution, but a few cross sectional studies, even if well designed, don't justify the definitive causa...
  12. American RN moving to Australia

    Thanks for your input! Some of my friends there in public health circles have suggested I try working with NSW Health, so it's nice to hear that it's an option.
  13. I'm Done With Nursing.

    With your varied and extensive experience, have you thought about clinical consulting or even global health? I'm in a similar boat, though in critical care where the stressful part isn't necessarily the job, but the politics and personalities of deal...
  14. Books for new ICU Nurse

    For day to day stuff, I really liked critical care made incredibly easy. It helped a lot with understanding the basics and is a really easy read for learning waveforms and blood gas interpretation and whatnot. For the more nitty gritty stuff, I still...
  15. Why do nurses.....

    I was taught that it depends on the situation and that it's your highest degree earned. So BSN MSN DNP is rather redundant and looks a bit silly. DNP would suffice. I only use my CCRN-CMC-CSC when writing from the perspective of my critical care role...
  16. You make a really important distinction here in what's technically reimbursed vs floor stock since nursing budgets are usually built into room rates in some fashion. What's crazy is that some hospitals take inventory and floor stock to more extremes ...
  17. I didn't bother addressing your mentioning of nurses pulling meds that end up not being administered because it was irrelevant to the greater point. Nurses will at times pull an extra medication anticipating it being needed. Whether its needed or not...
  18. Where do you think the money comes from for supplies and staff? That's right, a budget. It's tough to justify much to management when a unit is over budget constantly, with costs eating away at the bottom line. Ideally, yeah, it should be about prope...
  19. I'm in academia as a PhD candidate but I'm also a bedside ICU nurse so I don't see the article as anything far removed from realities of nursing care delivery, and will very candidly say that part of the reason Nursing doesn't get ahead is because we...
  20. Psychiatric History - Can I still become a nurse?

    Given that most of the commentary shows an egregious level of ignorance towards modern perceptions of mental health, I will recommend that you ignore the negative comments in this thread. They seem to be based on cultural attitudes and biases towards...
  21. Type B in a Type A world

    I dealt with the same types in my ICU orientation, and the best advice that I could give is to play the game and be your own best resource by referencing books like the ICU book, critical care made incredibly simple, etc. ICU nursing is definitely ab...
  22. "Your job is to make me happy"

    I've had a lot more patients saying something to that effect lately. My standard line is "I'm a nurse, not a concierge."
  23. CRRT and mobility

    Usually patients on CRRT are hemodynamically unstable. That's one of the clinical indications for CRRT. The AACN has put out several pieces, including a few protocols, for determining exclusion criteria for early mobility as well as for determining s...
  24. Nurses smoking weed?

    There's a lot of legal ambiguity in states where marijuana is legal or legal-ish since it is illegal at the federal level, but licensure for nurses is handled at the state level by state agencies. It presents a jurisdictional issue, and a series of t...