CCU BSN RN

CCU BSN RN

CICU, Telemetry

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All Content by CCU BSN RN

  1. BBB VS vtach?

    If you're asking this question, I assume you want easy, fast answers for when you're in an acute clinical situation. As such, these are generalizations, not hard and fast rules: 1. If there's no...
  2. Force to change unit in the middle of shift

    Yes, they can do it mid-shift. The only way you have a way out of it is refusing to take patients you're not trained to. Like if a med/surg nurse got floated to the ICU and was expected to take ICU...
  3. Profanity in the workplace

    When my patient is about to code, my other patient is on multiple vasoactives that need titrating, and the code beeper goes off for the floors I'm supposed to be covering...It's F-bomb city. But it's...
  4. First code blue, hard not to blame myself.

    This sounds entirely like an ED nurse didn't want to place a second IV to give CT Contrast Dye while blood was infusing, so they elected to send the patient to the floor without the CT being done. I'd...
  5. Veteran Nurses : advise please

    Look things up, ask questions or write them down if you don't have time or anyone to ask when they come up. Just keep looking things up and getting experience. In that setting it will take a good...
  6. Help me learn!

    This depends a lot on your specific unit, what types of patients you get, what types of drips are allowed in stepdown in your hospital, what types of lines will your patients have ? Will you have...
  7. Holiday Bonus

    all FT hospital employees got $300 this year; I think mine was about $194 after taxes. I thought it was interesting to give the same bonus to a housekeeper earning $30k a year as a nurse making $90k....
  8. Both hospitals I've worked at have had us sign papers on hire saying we won't ever speak to the press about our jobs/speak as an employee of the hospital without consulting the hospital's PR...
  9. "My pain is about an eight and a half"

    I describe just about everything at work on a 0-10 scale. e.g. 'I'm going to be 6.3/10 cranky if you give me that admission', 'I'm 9.8/10 uncomfortable right now' I'm on the autism spectrum, my brain...
  10. Any chance the people interviewing you know about your CRNA plans? My manager has absolutely turned away qualified candidates because she knows they're trying to fast track to CRNA (e.g. she'll be...
  11. CERNER

    Using Cerner now, have used Epic and something else, maybe CareLink? early in the career. EPIC was absolute bliss. Minimal time spent charting and clicking boxes, maximal time spent providing patient...
  12. New grad. start

    IMCU is what I'd aim for. Typically gives you a good mix of experience with a little breathing room (acuity wise) to ask questions, take your time, learn, find out what your strengths are and where...
  13. They'll ask you about your strengths and weaknesses and want examples of instances where you've displayed said characteristics. They'll ask why you're leaving your current care area and why you want...
  14. Hospital house supervisor info

    Seems plausible, average RN pay in CT/MA is high 70's-mid 80k/year. Idk where you're coming from, geographically, but you might want to give some thought to cost of living. I'm barely making ends meet...
  15. new staffing laws in mass? CA nurses

    Does anyone have a link to the exact wording/actual bill/law being passed? Our nurse manager couldn't find it, and has hoped we'd forget that we asked for it, because this week we're back to scare...
  16. Did I cause this rapid response?

    It's a bit unclear from your post how much you were in touch with your preceptor from 11a-4p, and/or how much/little time she's spending with you/in your patient rooms. If you're a new nurse with 3...
  17. Stepdown / IMU

    Our levels of care that I'm aware of : Critical Care: q1h or more frequent interventions. Ratio 1:1 or 1:2 depending on acuity. Stepdown/PCU: Vitals q2h, labs q2h prn, q2h neuros if needed. Can take...
  18. Preparing to Apply to ICU

    If you are itching to get off your current unit and into the ICU after a mere 6-7 months after your first nursing job, it makes you look like a prospective CRNA hopeful. In manager speak: I can hire...
  19. ICU/SDU floor ratios?

    I'm from a bigger city level 1 trauma center and we're attached to our step down area. Our ratios are 1:1 or 1:2 in ICU depending on patient acuity and 1:3 in step down. In about two years I've had to...
  20. Writing doctors orders without an actual doctors order

    Ask your charge nurse or a more experienced nurse to put in the orders for you or call the doc yourself until/unless you feel comfortable. We always have a provider in house, on the floor for our...
  21. Tele strips in ICU

    q12h and any arrhythmias/rhythm changes, although my colleagues generally suck at printing any strips but their scheduled once per shift. Sucks when the cardiologist or EP doc comes in and wants to...
  22. ED to ICU

    I wonder about your geographic area and the acuity of your hospital. I think that would make or break an ICU experience. A busy level 1 trauma center in a major city...going to be a lot more exciting...
  23. diuresing from chest tube

    I mean, it's good in that it's better to have up to 2400mL of volume in chest tube output than in the mediastinal space... And technically it's volume that's leaving the body, so if you're looking at...
  24. LPNs in CT...

    Okay, so I'm qualified to answer your question, I'm just super confused by your post for some reason. 1. What are you currently doing in the hospital for $20/h? I got the impression you were working...
  25. Can't get a job

    Ditto the multiple posters who have asked what types of jobs you applied for. If you really want strangers on the internet to tell you why you're unemployable, we need just a SMIDGE more information...