CCU BSN RN

CCU BSN RN

CICU, Telemetry

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All Content by CCU BSN RN

  1. My fave RN v. PT: My old job had all sorts of restrictions where PT didn't have to get a patient OOB: INR>3.5, PLT count below 100, H/H below 8/24. I get that it's to CYA if you drop them, but then...
  2. Dosage Calc Question

    he doctor orders 500mL at 20 gtt per min. The drop factor is 15. How long will the IV infuse? If the infusion started at 6am, when will it finish? You have 2 numbers in gtt and 1 number in mL. Let's...
  3. Lvn to rn? A good path?

    Where do you live? Do they hire LVNs in your facility? How much do they earn? What will you make as a CNA? For example, if you make $14 as a CNA and $17 as a LVN, and you work full time, that's $29k...
  4. transfer from OR to ER?

    When you come out of OR nursing, you'll basically be a new grad again. You won't have learned prioritization, triage, med passing, etc. You will learn, but you're right, you won't have the same...
  5. Help with A&P situation

    Did you go see the professor and clarify the answer they wanted? You can always tell them that you had this down a different way in your notes, and that you couldn't find it stated that way in the...
  6. As a rule, all PO meds can be given together. There's usually a huge note in the MAR or the order itself if they can't. Looking up PO compatability would definitely drive me crazy, and FAST. Unless...
  7. Nursing and weight gain :(

    I like to meal prep for my shifts, and then refuse to eat any food brought in at work. Easier said than done, but I tell myself if I'm not hungry for what I packed, I'm not hungry, plain and simple....
  8. still at it.

    It's so easy to fall in love with overtime and the bump in your paycheck. I worked 5 12 hour shifts a week for 3 months and saved my entire down-payment for a new house. It's truly amazing. Until you...
  9. In addition to the above 1. Physicians who deny/refuse to acknowledge when a patient is declining until they actually crump/code/require intubation, etc. Often interns/residents who are too scared to...
  10. CRNA Question

    I'm currently getting my ICU experience and getting my ducks in a row for application to CRNA school. Some food for thought: 1. You're assuming that you're going to get hired into an ICU right out of...
  11. RN NCLEX 3rd Attempt...HELP!!!!

    Find an in-person tutor, or at the very least an in-person review course. You need specific feedback about your performance. Is there a certain subject area that you have trouble understanding, do you...
  12. You're fired

    If you're using your boss, co-workers, and patients as your social interaction, and telling them too much about yourself, doing too much for them...That's what FRIENDS are for. You need FRIENDS. If...
  13. So what's going to happen to health care now?

    1. Donald Trump says that we all have the right to affordable, quality healthcare, and he has a plan, a great plan. For one, I'm super curious about this 'great plan' and I can't wait to see what it...
  14. well, if you're already working you'll find out on Payday. Should be coming up. Keep us posted! Now I'm curious how much you're
  15. Objective/Subjective Data

    Subjective is not always a patient stated thing. You can make subjective observations. Patient appears more diaphoretic than previous assessment, patient with increased non-verbal pain indicators...
  16. Objective/Subjective Data

    Objective data is something that can be measured. 'I have a fever' is subjective. 'My temperature is 104.3' is objective. Patient has oily hair, but can you measure how oily it is? Is there a test...
  17. I think they sound like a lot of things in nursing. Really vague, qualitative, and difficult to measure. The only concrete info is 'start a nationwide campaign to make nurses be healthier' and 'get...
  18. med question

    When the bag is empty, there is some air in the line but not enough to get into veins. It is a closed system, the bags don't have enough air in them to get into veins. If you don't clamp the tubing...
  19. You'll find out when you sign your contract. Honestly it doesn't really matter. They offered you an RN job. They are the only ones who have done so. You have bills and student loans. You need a few...
  20. "Near miss"

    Legally, no. It could be a requirement of your institution if it's policy there. We had a way to report near misses but it wasn't required or policed. I would report something egregious or something I...
  21. Making the jump from medsurg to critical care

    Don't act like you know everything. Don't be too confident. Don't second-guess your preceptors unless you're a really tactful person and can pull it off without seeming witchy. DO ask lots of...
  22. What's their rhythm? HR in the 50's with a high degree AVB is different than sinus brady. What is their baseline HR? If they're in complete heart block and their HR normally runs in the 80's-90's, the...
  23. Should I stay or should I go?

    If you can easily find a job near home, live at home, pay off student loan debt and save money and get a few years of experience, you will be way more marketable if you try to leave the state at that...
  24. oral sedation protocol

    I just searched and you can get oral versed. I like Versed or Valium because of relatively short half lives and decent amnesia. It sounds like the types of procedures you're doing need more anxiolysis...
  25. Scenario: - A patient is admitted for Congestive Heart Failure. - The patient is identified as requiring fluid balance tracking. - The patient is either ambulant or non-ambulant. - They use any of...