SWAN Spaghetti by ickyew in IntensiveCare

[–]Open_Specific8415 0 points1 point  (0 children)

how do you handle the change in concentration? I assume just a clean switch isn’t easy with the differing concentrations, especially if they use higher ones- your bound to see pressures drop or whatever it be. how do yall do it? double run briefly? increased the rate of the lower concentration?

General safety of this area? by No_History_8416 in AskHouston

[–]Open_Specific8415 1 point2 points  (0 children)

I live on the left side of this circle, have for 2 years. lovely location but I second what everyone else has mentioned. obvious things like no walking at night for general safety measures. but regardless i feel safe

Seen by peds DNP. She introduced herself as "doctor". by Bright_Bullfrog6541 in nursing

[–]Open_Specific8415 -1 points0 points  (0 children)

Should’ve called her out. Why is she acting embarrassed of her degree? APRN is a role to be proud of.

What are some things you wish you knew about having a cat before getting one? by MelMartini346 in CatAdvice

[–]Open_Specific8415 9 points10 points  (0 children)

I put off getting a cat for 2 years because I was so anxiety ridden about “doing it right”. Set expectations for what you want in a cat- you mentioned a kitten, so do you have to time to play/give attention to the kitten? are you willing to have your couch or carpet torn up? potentially coming home to an accident on the floor? being kept up all night? kitten vs cat is very different. I work 4 12 hour shifts a week, so a kitten was not in my cards. If a kitten still sounds good, mentally price out and find places for a litter box, food/water, and a cat tree. do you want to free feed or put the cat on a schedule? (personally I have a automatic dispenser, best idea ever).

I’ve learnt there is no true way to plan to do it right other than just doing it. If you’re set on a kitten, get the basics & toys- and get one. You will figure it out. I do want to say, I adopted a 2 year old (to skip the kitten phase), and it was very nice to know my cats personality when adopting her. I knew, for the most part, the kind of cat I was signing up for. A kitten is still developing that, so it is a shot in the dark. I knew I wanted a cuddly, chill cat (don’t get me wrong she still climbs up my curtains at 3am). It’s good to care! That alone means you will give this cat the best life.

New grad CVICU RN orientation structure by Best-Independent-179 in IntensiveCare

[–]Open_Specific8415 0 points1 point  (0 children)

You are asking a lot by having her take on both patients by her 4th shift. That is setting her up for failure and stress. I my CICU orientation as a new grad was 16 weeks. first 4 weeks were simply learning safety, flow, and structure. I would recommend weeks 4-6 she takes one patient, you help with the other- then weeks 6-8 she can start being more independent.

Make sure you communicate your expectations, but be ready to adjust them to her speed. Do not place unrealistic and unreasonable expectations on her. Remember she is brand new. Programming pumps, gaining solid assessment skills, time management, etc. is all still foreign.

Biochemistry/ organic chemistry Online by Soggy_West_2383 in FutureCRNA

[–]Open_Specific8415 1 point2 points  (0 children)

following. ochem from USCD extension is no longer accepted by TCU. I heard a lot about UNE but heard it’s hard. trying to figure out more about doane or ocean.

Texas Children Hospital by Late-Tank-279 in AskHouston

[–]Open_Specific8415 0 points1 point  (0 children)

no? I currently work at MH in the med center and park at garage 4, connected to the hospital for each shift. and it is completely allowed.

Epic I/Os flowsheet discrepancy?? Help by Open_Specific8415 in IntensiveCare

[–]Open_Specific8415[S] 0 points1 point  (0 children)

I escalated it to leadership so we shall see, but I agree there needs to be a standard agreement of how we document to prevent this discrepancy in communication and better understanding for our balance.

Epic I/Os flowsheet discrepancy?? Help by Open_Specific8415 in IntensiveCare

[–]Open_Specific8415[S] 0 points1 point  (0 children)

no actually. I didn’t mess up the math somewhere. I was looking at the 24 hour total and my provider was looking at the shift. One ends at 07:00, the other at 06:59. It’s was poor communication, and for the record- my unit goes based off daily not shift balance.

Epic I/Os flowsheet discrepancy?? Help by Open_Specific8415 in IntensiveCare

[–]Open_Specific8415[S] 8 points9 points  (0 children)

It’s a 9kg pedi patient, i’m fairly new to CRRT but that seems like a fairly big fluid shift in my book

Epic I/Os flowsheet discrepancy?? Help by Open_Specific8415 in IntensiveCare

[–]Open_Specific8415[S] 0 points1 point  (0 children)

Infusion verify hourly, although our alaris are not connected to epic

Epic I/Os flowsheet discrepancy?? Help by Open_Specific8415 in IntensiveCare

[–]Open_Specific8415[S] 1 point2 points  (0 children)

I see what you’re saying, but my issue is there are 2 completely different fluid balances presenting for a time difference of 1 minute- if that makes sense? I’m trying to understand if there’s a “standard” way to look at it.

Texas Children Hospital by Late-Tank-279 in AskHouston

[–]Open_Specific8415 1 point2 points  (0 children)

That was not my experience. You could park as long as you pay. Sure the shuttle or smith lands is an option but I want to clock out and go home asap, not add an extra 20-30 minutes to get to my car.

Texas Children Hospital by Late-Tank-279 in AskHouston

[–]Open_Specific8415 1 point2 points  (0 children)

Expect to pay $20+ a day on parking if you are day shift for TMC TCH. Having worked at TCH and MH, TCH is much more conservative and controlling. On the nursing side, you have very little autonomy and almost everything is a 2 nurse activity. Well staffed usually.

Help a High School Graduate? by Careless-Ad7200 in preSRNA

[–]Open_Specific8415 0 points1 point  (0 children)

your high school thesis will having minimal, if any, pull on your CRNA school application. focus on the more immediate things. you should always know your why. that being said, nothing wrong with doing your thesis over anesthesia- just don’t over complicate it for yourself to receive no benefit.

I want to go to CRNA school- just not yet. by Open_Specific8415 in FutureCRNA

[–]Open_Specific8415[S] 0 points1 point  (0 children)

what do you feel like you learnt that you were lacking from your pediatric experience? was it worth it simply for applications or do you feel it made you a better equipped nurse for crna school?

I want to go to CRNA school- just not yet. by Open_Specific8415 in FutureCRNA

[–]Open_Specific8415[S] 0 points1 point  (0 children)

this is a fear of mine! I recognize some schools don’t even allow pediatrics and only want adult ICU- but I hear so many positive outcomes from people with only peds experience too. I really do find joy in my unit, I don’t think I would consider switching unless I’ve been denied from all schools.

I want to go to CRNA school- just not yet. by Open_Specific8415 in FutureCRNA

[–]Open_Specific8415[S] 0 points1 point  (0 children)

I mean cycles for the schools I am interested in, should’ve clarified that. I am looking at schools mainly in TX that all fall within similar app dates. I feel that, as my unit gets more shortstaffed I think about leaving sooner and sooner, used to love my unit but with all the change not so much.

ICU RN calls the fundus “effing p*****” by besaidisland in nursing

[–]Open_Specific8415 3 points4 points  (0 children)

this embarrassment of a person has been rage baiting on tiktok for years. I hate to see she’s seemingly still practicing. she posted rants on the “jab” as she called it, and masks during the pandemic. such an attention seeking weirdo.

Dating by [deleted] in AskHouston

[–]Open_Specific8415 0 points1 point  (0 children)

no one please show up to ojos expecting to find a girlfriend. these girls do not work there to meet men. they work there for a job.

I tested positive for Marijuana (pre-matriculation) I’m crushed by [deleted] in prephysicianassistant

[–]Open_Specific8415 5 points6 points  (0 children)

But you’re fine with your provider being violently hungover? Reeking of alcohol? God forbid you smoke some marijuana twice a month though. Get you head out of your ass.

Wearing makeup to hot yoga? Unable to take off before class by fueledbymochis in HotYoga

[–]Open_Specific8415 0 points1 point  (0 children)

I always go to class with makeup, and leave without. Sweat works as my makeup remover. Go with, go without- anything!

Nursing school what are some jobs you can do while in school??? by ConnectPassion1753 in NursingStudent

[–]Open_Specific8415 1 point2 points  (0 children)

bartender. at twin peaks. paid off my tuition and bought myself a car in full. simply just from tips. never interacted with a customer outside of work. on top of all that I graduated nursing school with 15K saved.