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pjsrav

pjsrav BSN

Critical Care
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pjsrav has 15 years experience as a BSN and specializes in Critical Care.

pjsrav's Latest Activity

  1. pjsrav

    Northeastern CRNA DNP 2022

    Hi :) how did the GRE experience go? Did u take it at home? I must say I am a bit apprehensive. English is not my first language and high school was a while ago :) at the same time, can’t wait to be done with it. Best of luck with the CCRN
  2. Hi everyone, I am applying to the CRNA at NEU for the 2022 entry. Just preparing to sit the GRE. Anyone out there also applying?
  3. Hi everyone, I am applying to the CRNA at NEU for the 2022 entry. Just preparing to sit the GRE. Anyone out there also applying?
  4. pjsrav

    Boston College DNP CRNA 2021

    Hey everyone, did anyone had some news this week? I heard they had more than 200 applicants.
  5. pjsrav

    Boston College DNP CRNA 2021

    Hey everyone, Congrats to everyone who got an interview invitation and best of luck for the rest of us. For those who got it, could you please just let us know when did you submit your applications? Thank you
  6. pjsrav

    Boston College DNP CRNA 2021

    Hi! Does anyone applying for the CRNA - DNP received or has an idea when will they start sending interview invitations? Good luck, everyone!
  7. pjsrav

    Infection Control

    Hello everyone, I've decided to create this topic to discuss and hear your thoughts on something that's a bit odd to me. I just recently moved into the US, after three years working in a different country/hospital where the infection control policies were (understandably) quite strict and evidence based. When I first started my job here I was a bit intrigued/surprised with some practices and one that worries me the most is the use of jewellery, nail polish, watches and so on. In the meantime I had the opportunity to understand that this is a recurrent practice among other hospitals. What about being bare bellow the elbows?! So we stress the compliance with the 5 moments of hand washing (WHO) as one of the most important measures on nosocomial infection control/prevention but then we not only ruin it (with the colonisations we bring in all this articles) as we put ourselves and our loved ones at risk, taking bugs home. This is evidence based and obviously infections can kill! Please let me know your thoughts on this subject as most of you definitely have more exposure to this reality than me.
  8. Do you all know how to do this or do i have to teach you!?
  9. pjsrav

    Recruitment agency

    Hello everyone. Anyone has some feedback on Interstaff,Inc recruitment agency? Thank you
  10. pjsrav

    Intensive Care Nursing Role

    Yeah, for example on a straightforward case which the aim is to wake and extubate you start weaning sedation and you can change from a mandatory mode of ventilation to an assisted mode when the patient starts waking and taking spontaneous breaths (enough to clear CO2). If he's on a high support (on assisted mode) you want to decrese it further and obviously check the ABG's to see if he's ready to extubation. When you have a good gas on an asisted mode with minimal support and an appropriate patient obeying simple comands you tell the nurse in charge and the doctor present and if they're happy you can go on towards extubation. Even in long term patients, if you know what you're doing and you feel confident to, you can make changes (which most of the nurses at my unit do). The only times when we tend to check with the medical team prior changes is for example on a very sick patient with acute lung injury when they usually are on ECMO and on a lung protective ventilation mode.
  11. pjsrav

    Intensive Care Nursing Role

    :) Thanks Okami. It was really helpful and kind. Wish you all the best! If anyone out there wants to add something else or share their experiences please feel free.
  12. pjsrav

    Intensive Care Nursing Role

    That's just the kind of information I was looking for. Thank you so so much. We also do safety checks on the bedspace, check all the infusions and something that requires our close monitoring (like risk of bleeding points, wounds, blisters) with the nurse giving report. About the charting you said you grab some flowsheets. Do you use paper charting then? It's a standard across US? Here we have a very "handy" computer based program called ICIP (don't know if you heard about it) that every hour imports all the data from the monitor, assist devices like haemofilter, ventilator. So you just need to add the other bits. It's very usefull and saves you a lot of time.
  13. pjsrav

    Intensive Care Nursing Role

    Okami thanks for your input but let's be realistic the detailed explanation of your job description usually is very superficial. You always do more than what it's stated there. Would you be kind enough to let me know how is one of your days at the bedspace? For example I work in a Cardiothoracic and ECMO Center unit. I start my 12hrs shift with the handover. Then I like to do a patient assessment (ABCDE or head to toe) in order to have a baseline for my shift. I usually have two medical bedside ward rounds (where I get a plan for my day and I can address my concerns) and there's always a doctor around. Apart from the basic nursing care (comfort/pain management, feeding and NG/OG insertion, hygiene, positioning and pressure areas assessment, drug preparation and administration, dressings and drains) I have autonomy to manage inotropic support, to take gases, interpret them and make ventilator changes or replace electrolytes. If the patient is a straightforward case and is not bleeding the nurse would be capable to manage the patient towards extubation and physically extubate the patient. We help the medical staff with procedures like lines, trache's, decannulations, TOE's among others. This is an example about the kind of information I would like to have cause someone told me that usually there all your meds come prepared, there's someone responsible for the ventilatory changes, there's someone responsible for positioning the patient. It may sound silly but I just wanted to understand the main differences
  14. pjsrav

    Intensive Care Nursing Role

    That was not my question! I already have a license and a ICU job offer in CA. I just wanted to know how's a ICU nurses day in the USA as I never worked there.
  15. pjsrav

    Intensive Care Nursing Role

    Hey guys, I'm an ICU nurse with 10 yrs experience. I worked in Portugal and, at the moment, my currente job is in London-UK. Although the nursing role has some transversal practices/principles, my experience tells me that the way of achieving the high standards of nursing may change according to the country. I have plans to move to California until the end of this year and I'll be working in ICU. Obviously, I know that every ICU is different and each place has is own routines, protocols and policies but if someone could be kind enough to enlighten me about the generic role of a bedside nurse in the ICU in the US it woul be grand. Thanks
  16. Definitely, active bowel sounds!