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LUCBSN's Latest Activity


    When to call Rapid Response Team?

    Yeah, I agree with most of you about the pain management - I had never heard of calling RR for that issue either which was why I was a bit confused. I'll definitely look into my own hospital's policies regarding this. Thank you all for your input and examples!!
  2. Hello all, Let me start off by saying I'm a new grad, just started working in a Progressive Care Unit (step-down ICU) almost 2 months now. My unit is connected to the ICU (we have the same managers covering both units and nurses often get floated between the two). I frequently hear codes and rapid response calls on the overhead and I have a few questions.. My preceptor was telling me how sometimes if a patient is in severe pain and the RN cannot get in touch with their attending to get pain meds ordered, you can call a rapid and get that physician/resident/whoever shows up to administer a one-time dose of pain meds. I was under the impression that you'd only call rapid response for things like: concerning changes in BP/HR/R/O2 sat, changes in mental status, new chest pain, etc. So now my first question is - What are appropriate times to call a rapid response? Or is it just different per hospital policy? My second inquiry - I understand the rapid team is usually made up of respiratory therapists, PAs, residents, intensivists, critical care nurses, etc. Am I expected to respond to rapid calls if I am free? I'm ACLS/PALS certified and have been encouraged by my preceptors and managers to answer code blues if I can. I'm also just curious because I hear overhead announcements of rapid response and code teams needed on other floors. Are critical care nurses expected to leave their patients and run to these calls throughout the hospital? Sorry if these are dumb questions.. I'm just a newbie to all this. Thanks!
  3. Okay, thank you very much! I think I'll take your advice - it did make me pretty uncomfortable when they asked but I'm kind of a people pleaser and it's hard for me to say no. I understand this isn't my specialty and I'll let them know looking into home health would be better :)
  4. Hello all, I'm a new grad and I've been working at a step-down ICU. I'm really enjoying it so far and I feel like I'm learning a lot and being challenged every day! It's 12h shifts, 3 days a week so I find myself with a lot of down time. I spend my off days reviewing and studying, and I've also taken some babysitting gigs on the side. Someone reached out to me to see if I could help care for their 5 m/o with down syndrome. I work with adults and my OB/Peds knowledge is pretty rusty. I have 2 years of experience working at a special needs home caring for patients with DS, autism, cerebral palsy, and other developmental/physical disabilities. But those patients were mostly fully grown so my experience with DS is probably not even applicable (the youngest I've cared for probably being 8 y/o). I've babysat infants before but none that had significant medical histories. I don't want to treat this like a regular babysitting job - feed, dress, cuddle, etc. I want to really utilize my nursing background to help this family and be aware of concerning assessments while I'm with this child. He just came home from having heart surgery this past December. Just wondering if the OB/NICU community has any advice? Things I should expect or watch for? Things I should read up on?
  5. I interviewed for an IMCU position 3 days ago. I've been on a few interviews now, and this one stood out to me a lot because I really felt like I connected with the nurse managers. It felt very comfortable talking and when they toured me around the unit, I fell in love. At the end, one of them gave me their personal card and told me to call/email if I had anymore questions. She said I'd hear from them again in about two weeks. I've never been offered personal contact info from an interviewer so I kind of want to take advantage of this opportunity. I want to be proactive and try to participate in this process well. As of now, I don't really have any questions to contact her about.. I asked a lot of questions while I was there and everything pretty much was explained. But I want to show I'm still very interested. So what do you guys think I should do? What is appropriate etiquette in this situation? Also, I can't tell if following up would be considered an impressive "driven" action or if it would just be annoying them because they have so many other things to worry about.. Did she just give me her contact info as a courtesy?

    How would you answer this?

    Thank you for the feedback :) I'll take all this into account.

    How would you answer this?

    I'd also just like to point out that I thought maybe he was looking for a conflict-with-coworkers type scenario as the challenge.. but I had already answered a question regarding that earlier in the interview so I didn't want my answer to relate to that :)

    How would you answer this?

    I'm a new grad RN and have only been on a handful of interviews, so bear with me... So I had an interview yesterday and it went very swimmingly. Didn't feel like an interview at all, just felt like an easy going conversation. But there was one question that I kind of had trouble with and it's been haunting me all night how I pretty much tried to flail through it... The manager asked - What are some challenges nurses face and can you give an example from experience? Being a new grad, I could only come up with examples from my clinical rotations or my CNA job. When I answered, I talked about my experiences during my psych/behavioral health clinical where I worked on an adolescent unit. I encountered a lot of patients 6-17 years old dealing with drugs, gangs, DCSF foster system issues, etc. I talked about how a challenge nurses face is that within our scope of practice, there was only so much we could do with these patients. We could listen to them, give them advice/education and administer the prescribed drugs during their stay but ultimately I felt like their problems wouldn't go away unless the root of their issues were resolved and nurses aren't exactly equipped to completely fix them (ex. we can't exactly follow a patient and ensure they're done with gangs or adopt a patient from the foster system so they can get out...). I said how there are sometimes legal and ethical issues that limit our care. I think maybe I was overthinking the question because the manager kind of looked at me weird and said "That was a really valid and great answer but can you give me another example?" So I thought for a moment and decided maybe he was looking for a more general floor nurse type example since I was interviewing for a med-surge floor and not a psych floor. So I tried again. My second answer was how one day at my SICU clinical, my preceptor and I were kind of torn between 3 really demanding and critical patients. I said how a nursing challenge I have seen often is simply the issue of time management and how I wish we could do so much more for patients during our time together but it's just not possible since we have to try our best to equally distribute our attention. He looked at me again like that wasn't really what he was looking for.. At that point, I felt like I was just rambling and overthinking everything. He even tried to restate the question but he had a hard time doing so. So as a newbie, can I ask how you more experienced nurses would have answered his question? What was he looking for?

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