RNforLongTime

RNforLongTime

Med-Surg Nursing

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All Content by RNforLongTime

  1. Staffing issues and Regulations?? HELP!!!

    RNforLongTime posted a topic in MICU, SICU

    I am at work right now all alone with ONE pt who is a full code and on a vent via tracheostomy? I work in PA. Is this legal? Apparently the facility where I work does this ALL the time! I don't...

  2. Hey, Managers! What's up with the "weeding out" of good nurses?

    RNforLongTime replied to UM Review RN's topic in General Nursing

    Well, I was FIRED over 8 months ago for giving a pt xanax and restoril prn as ordered. I think it was because of my HIGH hourly wage and the fact that my Health insurance rate had gone WAY down!...

  3. Stethoscope: Littmann Cardiology III vs. Master Cardiology

    RNforLongTime replied to Nurse-perverse's topic in Scrubs, Uniforms, Gear

    I started out my critical care career with a Cardio III. I have since upgraged to a Master Cardio! Go for the gusto and get the Master Cardio! You won't regret

  4. LPN's in Critical Care

    RNforLongTime replied to ALCCRN's topic in CCU, Coronary, Cardiac

    I work at a small hospital. We have an LPN in our unit. She's worked in this unit for over 15 yrs and is currently doing a home-study RN program to get her RN license. She is WONDERFUL!! Much...

  5. Well, I'm finally going to do it!!

    RNforLongTime replied to rninme's topic in CCU, Coronary, Cardiac

    I used the Laura Gasparis Vonfrolio Tapes. Pass CCRN has a great CD-Rom with a lot of questions on it. The book is OK but it goes into a LOT of overwhelming detail. Know your hemodynamics! Know...

  6. Staffing rules and regulations? HELP!!!!

    RNforLongTime posted a topic in CCU, Coronary, Cardiac

    Ok, I am at work right now. I work in a small 6 bed ICU. We have ONE pt in the unit right now. And I am all by myself with one pt who is a full code and on a ventilator via tracheostomy. I don't...

  7. Staffing requirements/rules?????

    RNforLongTime posted a topic in General Nursing

    I have a concern. I am at work right now. I work in a small ICU/CCU at a small community hospital in PA. Right now I am all ALONE with ONE pt who is a full code on a ventilator? My concern is if...

  8. Staffing issues and Regulations?? HELP!!!

    RNforLongTime replied to RNforLongTime's topic in MICU, SICU

    Right now, there's nothing I can do about it. But I WILL be looking into things a bit further. And if ER calls with an admission, I AM calling the second RN in. Thankfully, this pt is stable and...

  9. Staffing requirements/rules?????

    RNforLongTime replied to RNforLongTime's topic in General Nursing

    The house supervisor is well aware that I am all alone. Apparently management gave her a hard time about last Saturday when there were two RNs in the unit with this same single pt. So, that's why...

  10. Staffing requirements/rules?????

    RNforLongTime replied to RNforLongTime's topic in General Nursing

    There is no policy/procedure for staffing requirements in this unit. This isn't the first time that they've left RN's alone in the unit with one pt on a vent. But if this keeps up, I won't be...

  11. Staffing issues and Regulations?? HELP!!!

    RNforLongTime replied to RNforLongTime's topic in MICU, SICU

    I need to know whether or not staffing an ICU with ONE nurse with a pt on a vent is legal in PA? And also where do I find this

  12. best personality traits for critical care

    RNforLongTime replied to findingmywayRN's topic in MICU, SICU

    I think that a "type B" can survive in an ICU environment as I am the same way. But you HAVE to know when you need to be assertive with doctors, patients, families. Especially with the doctors...

  13. How do you document care?

    RNforLongTime replied to RNforLongTime's topic in MICU, SICU

    Btt

  14. How do you document care?

    RNforLongTime posted a topic in MICU, SICU

    I am looking to suggest to my nurse manager a better documentation flowsheet than what we are currently using. Currently all we have is a graphic area to chart VS, I/O and then areas to write...

  15. Free Online CEUs

    RNforLongTime replied to LPN1974's topic in General Nursing

    RN.com also has free CEU's. They offer one free course per month varying from 1 to 2 contact hours per

  16. doing stuff differently

    RNforLongTime replied to cvryder's topic in MICU, SICU

    "when in Rome..do as the Romans do" I try to remember that daily as where I am currently working in the ICU, nurses are allowed to draw ABG's but are NOT allowed to pull art lines, Swans and central...

  17. How do you document care?

    RNforLongTime replied to RNforLongTime's topic in MICU, SICU

    Unfortunately, I don't see my hospital going to computerized documentation for a LONG time. Right now, everything that we do is written out by hand. EVERYTHING! Lab slips, dietary orders, nurses...

  18. HELP FOR Studying for CCRN

    RNforLongTime replied to LIZPICURN's topic in General Nursing

    Hi Liz, I recently took and passed the CCRN exam. I highly recommend Laura Gasparis Vonfrlio's CCRN materials. Get the tapes! They're expensive ($150) but sooo worth it. I also saw her in person...

  19. Any other good critical care conference

    RNforLongTime replied to tammyg652's topic in MICU, SICU

    I have heard that Trends in Philly is good. Three yrs ago, I went to a critical care conference at The Mirage in Vegas and it wasn't so good. I was expecting cutting edge critical care information...

  20. Giving baths on CCU

    RNforLongTime replied to NurseEcho's topic in CCU, Coronary, Cardiac

    In my unit, we give the ventilator pt's baths on nights. Pt's that are a&o would get bathed on days/evenings. At my last place I worked, nocs didn't have to give baths, only if they felt like

  21. CCRN advice Need

    RNforLongTime replied to tammyg652's topic in MICU, SICU

    Thank you! I used mainly Laura Gasparis Vonfrolio's CCRN review material. I bought the tapes, attended her live seminar, and bought her CCRN review book that's LOADED with review questions. I also...

  22. LPN's in CCU, a vent

    RNforLongTime replied to NYERNURSE's topic in CCU, Coronary, Cardiac

    Really? I know a lot of LPN's that are perfectly happen as an LPN. That said, the ICU that I used to work in did not utilize LPN's. In PA, LPN's are NOT allowed to give IVP meds except abx, they...

  23. CCRN advice Need

    RNforLongTime replied to tammyg652's topic in MICU, SICU

    I think a big part of success on the CCRN exam is the experience level and maybe even the type of ICU in which you work. I used to work in a 28 bed Surgical/Cardiac/Trauma ICU and we would get a...

  24. CCRN advice Need

    RNforLongTime replied to tammyg652's topic in MICU, SICU

    The Gasparis Vonfrolio CCRN review book can be found at amazon.com cheap. Check eBay for the DVD's. I highly recommend both. No, she's not paying me to say that either. Or, if you can, go see her...

  25. quick reference guide

    RNforLongTime replied to nurse1717's topic in MICU, SICU

    I like Kathy White as well. I also have a book called Quick Reference for Critical Care(or something along those lines) by Nancy Diepenbrock RN, CCRN. It's about 4o dollars and you can find it at...