Kareegasee

This is killing me. Why has there been so much discussion lately with new nurses and their emotional traumas over insulin? It's really not that complicated. If they are low, don't give the correction-dose or standing dose. Always give the carb covera...

It sounds to me like you feel responsible for the deterioration because his blood sugar happened to drop when you gave the lunchtime insulin for food he didn't eat. I think what really happened here is you had a patient who was developing sepsis, whi...

Hey guys, I'm currently working toward becoming a flight RN and have recently completed my EMT-B program. I'm looking into mostly local programs to get my paramedic license, but I've recently heard about the RN to Medic program that Creighton Univer...

This response shows the kind of behavior that people are referring to when they say that nurses eat their young. I would be embarrassed to act this way. Why don't you show some support for your fellow nurses and try to remember where you came from.

This makes me feel sick FOR you. Nobody should be feeling so much devastation and fear after a critical event like this. As nurses, we have a lot of responsibility, but the kicker is that we are also human! Humans make mistakes. Any gap in understand...

I always knew critical care was where I wanted to be, but I wasn't able to get a position until a year into my career. I started in med-surg and took it as an opportunity to learn as much as I could!

I say go for the CVICU position. It sounds amazing. Your manager has no business saying all of those things to you, and they probably are incredibly exaggerated to begin with. You will learn so much there, and 1 year from now you will be looking back...

Since when do we have the luxury of allowing patient's body parts make us uncomfortable? For crying out loud, the girl was asking for medical care, not a wax job.

Wow, I didn't know that was an option. I might look into it!

How does "staff's feelings" have anything to do with the necessary flow in and out of the ICU? Also, it's really not that difficult. My ICU requires them out asap, or ideally within 30 minutes. This is what you do: settle the new ED patient. Take 2 m...

This is totally something that I would have said too, if I didn't already know that PICC line use was reserved for RNs. Sometimes people's sincere desire to inquire becomes misinterpreted, either because questions may make the other feel threatened, ...

I hope you enjoy it, though I personally would have gone with the neuro ICU position, especially if your plans are to pursue an NP education. I've worked both types of positions, and I have learned that the ICU is hands down the best environment for ...

Fluids can run faster through a large-bore IV with no cap on it than any size lumen in a central line (other than an introducer). A central line isn't required right away, it's just a perk that makes things easier. ED nurses have actual stuff to worr...

I understand that there is a lot of evidence to support this, but to be completely honest, I think its pretty inconsiderate to shove all of those smells in one place unless you can be sure that everybody in the area is okay with it. I work with a cou...

I think you can make it but you definitely need a system, like Ruby says. I think a good way of staying on top of your priorities is constantly cycling your mind around them. Picture a clock with each issue in the place of a number. The clock can ha...

No, she got that position after just 2 years of regular floor nursing. If you can find a nursing position that doesn't require much physically, you may be able to move into a management position shortly after. Its a small amount of time compared to t...

I don't understand this at all. I've never had it happen. I would change the bag for sure though, since blood tubing according to most policies needs to be changed within 4 hours. Plus it's sloppy and the families will start analyzing everything you ...

My mom is a nurse manager at a smallish medical office and makes $40/hr. Is that enough?

"Don't ask yourself what the world needs. Ask yourself what makes you come alive, and go do that, because what the world needs is people who have come alive. -Howard Thurman

I can't speak from an ED standpoint, which I know is what you asked for, but ICU can offer several specialties that may interest you? Obviously, 12 hours spent almost exclusively with 1-2 patients in the ICU is longer than any direct interaction that...

Stop it, do you really think he hasn't considered his own physical ability? He said he can still work, not that he's incapable of moving. At this point, it sounds like he's looked into travel positions much more than you. The only difference between ...

Just to be clear, never perform compressions on a person who is not breathing but has a pulse, unless you are unable to ventilate them manually. Proper ventilation for an apneic adult includes use of a BVM (ideally with 100% O2) once every 5-6 secon...

In a utopian world, no- we should probably not be talking about those things at work. But in the real world, we all have our human moments. Forgive others for theirs, and hope you'll be forgiven when the time comes that you find you "slipped" and sai...

I work in a Level 1 Trauma and Surgical ICU that frequently hires new grads. I think there is something to be said about the importance of the interview process... I can say honestly that our manager has done a fantastic job selecting "the good ones"...

I think starting in the ED would be great! There is such a wealth and variety of knowledge that you would learn that just isn't part of the daily routine on a med-surg floor. You would gain confidence and expertise in assessing and caring for new STE...