CCU BSN RN

CCU BSN RN

CICU, Telemetry

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All Content by CCU BSN RN

  1. Adjusting to Sleep schedule for Night Shifts

    Work your days in a row. Sleep in as late as you can the first day of your stretch, like 12pm if you can do it. Then stay up, work, come home, sleep, and go back. After the last shift, I stay up until...
  2. "Fixin' to die"

    I do wish that when an RN is interviewed by a news outlet, he/she would attempt to speak in a polished and professional manner. Don't use slang. Don't give God all the credit. That boy lived because...
  3. What % of women don't know basics of female anatomy?

    Agree. If it takes 2 nurses, floodlights, and some serious labial retraction to get a foley in, then we can all stop pretending it's easy to find every female's urethra. Or maybe America just has an...
  4. Required to stay at hospital with no pay

    We called it a Code D, for 'Disaster', and yes they can mandate you to stay if a natural disaster has created an unsafe staffing situation. Legally they cannot 'hold you against your will' but they...
  5. Making it in the ICU

    1. Ask a lot of questions but make sure you don't seem rude or anything. Literally no question is too dumb 2. Offer to help with/do/observe anything interesting. If a patient is getting a bedside line...
  6. How do you get into the ICU?

    A lot of hospitals have some amount of classroom or virtual courses to take. If I have to take ECCO a third time I will gouge out my eyeballs with a rusty fork. Took it once for my intermediate care...
  7. Financial stability while in an accelerated nursing program

    You need plans A-Z for this one if you're serious, but also if you want legitimate financial advice, we need more facts. What's your credit score? What's your debt to income ratio? How much money do...
  8. Winter footwear suggestions

    I've found them as good as any other boots for traction on ice. Nothing special but not
  9. Please help clarify

    Yes albuterol can increase heart rate. This RT is 1 of 2 things: 1. Being a know-it-all and kind of a jerk, or 2. Has given this patient multiple treatments in the past, and knows they don't usually...
  10. Did you work while in school?

    I worked 8-16 hours a week tutoring and lifeguarding. I was 18-21 in school and went to a traditional 4 year liberal arts school for my BSN. This was manageable. I think you're going to have a hard...
  11. Visible haematuria post catheter question

    1. Most recent set of Coags? Did he stop Warfarin but start Xarelto or Elaquis or something instead? 2. probably trauma from insertion since it cleared up within a few hours. 3. UTI is definitely...
  12. Still feeling slow and incompetent

    How long have you been in your current job? Is it a new hospital system for you? (i.e. do you know the doctors, general phone numbers, policies, or are you having to learn a new set of those from...
  13. Pregnant. Looking for advice!

    Definitely try to take your boards before the baby comes AT ALL COSTS. Baby brain and sleep deprivation will impair your performance. Wait until after you're recovered to get a job. You do not...
  14. Winter footwear suggestions

    1. Don't wear UGGS at work. There is literally no way to clean those. I hope you're saying you wear them for your commute and change into something else before providing patient care. 2. My current...
  15. chest tube and cvad

    1. 2 pairs of Kelley clamps and vaseline gauze should be at the bedside of every patient with a CT because: Vaseline gauze in case tube is accidentally dislodged, you can slap that on the site real...
  16. Census-related cancellations?

    We used the binder method as above. Charge updates it when they cancel/float you, and you verify that they did it on your next shift. It's still something of a pain to look through the dates since you...
  17. Follow up thoughts. Yeah I would've liked Amio for cardioversion as opposed to electrical because it would probably have a more sustained effect. Agree that 4L of IVF was probably the single action...
  18. Neo is an alpha 1 agonist, increases PA pressures and worsens RV function. Hence why it's not indicated for this patient. Levo is the pressor of choice in these instances because as an alpha 1 and 2...
  19. Tips for cleaning up loose, watery diarrhea?

    flexi
  20. Treating Respiratory Failure With Ativan/Lorazapam

    Sounds like the treatment did the trick. Avoided an intubation. Intubation is a great tool to have in your orificenal when you need it, but the complications of mechanical ventilation are abundant and...
  21. Stuff I have Daily: Stethoscope Pens/Sharpies/Markers Ibuprofen, Zofran, Nicotine gum, Dental floss (most anywhere you work will have toothbrushes, but how many of you supply floss?), eyedrops, a few...
  22. SRNA Switching Schools

    Have you explored the thought of deferring from the program you were accepted to? This would allow you to keep your spot for next year/semester while deciding where you want to be geographically/hear...
  23. I have worked 5 12 hour shifts back to back, and by the end I was mentally fried, overtired, irritable, and barely safe to practice. Perhaps working shorter shifts or in a lower acuity would allow me...
  24. Scope of practice

    Also ditto Rose Queen, we have a VAD coordinator and team who manage VAD patients specifically. My main issue with phasing out perfusionists would be management of ECMO more than anything else....
  25. Scope of practice

    1. Perfusionist* They're critical members of our team, we should probably get their title correct. 2. What state are you in? State laws regarding RN v. Perfusionist scope of practice varies WIDELY,...