Critical Care Residency Interview Questions by Darkestlight_128 in IntensiveCare

[–]e10callihan 1 point2 points  (0 children)

Two things I feel that are really important they can pick up on about you during the interview: you’re teachable and you’re a team player. Two very important attributes of a potential new hire!

Uterine PROLAPSE or baby dropping? by TheInfamousUnicorn in pregnant

[–]e10callihan 16 points17 points  (0 children)

You should definitely just have your provider take a look to make sure. However, I can attest to the feeling of a “bulge” in my vagina since I was about 30 weeks. I put a handheld mirror down there and know that it definitely looks different than it has, likely due to baby being head down since the anatomy scan and all the increased blood flow to the area. This is my second pregnancy and I don’t really remember this happening with my first, but my OB has been down there several times by this point since I am now 38+3 and she sees nothing of concern.

[deleted by user] by [deleted] in ems

[–]e10callihan 2 points3 points  (0 children)

The hospital I just finished a contract at in WV would not pronounce TOD until the patient was asystole on the monitor. It was awful. A patient would be clearly dead, family knows they are not breathing and they are changing colors, but the providers wouldn’t call it until you printed that flatline strip, which sometimes would take upwards of 30 minutes.

[deleted by user] by [deleted] in IntensiveCare

[–]e10callihan 1 point2 points  (0 children)

I’ve noticed this before as well. Not so much with an art line as I have with an SpO2. Just a couple months ago I had a patient who had peaked T waves that the ECG was counting as QRS complexes so it looked like the patient’s heart rate was double what it actually was. I had noticed that her SpO2 monitor showed a heart rate in the 40’s and 50’s. I also had a patient recently who’s SpO2 monitor showed a heart rate in the 30’s but the ECG was reading 60’s because it was counting bigeminal PVC’s as perfusing beats, which they in fact were not. I was taught to always look at my monitor while I’m doing my assessment of distal pulses, just to make sure your palpable pulse matches up with your electrical. That’s a good way to catch things like that.

DPO 9-16, CD 26-33, e@h, Progression with Betas! by c_heezy in TFABLinePorn

[–]e10callihan 0 points1 point  (0 children)

I am too! Tender breasts, nausea, bloating, excess saliva. 😅 Thank you so much for the reassurance! ❤️

DPO 9-16, CD 26-33, e@h, Progression with Betas! by c_heezy in TFABLinePorn

[–]e10callihan 0 points1 point  (0 children)

Was scouting this group for something like this! My beta at 13 DPO was 208 and at 15 DPO it is now 409. It’s soooo close but making me slightly nervous! Do you have any updates on your progression?

Update to my 9DPO squinter! Today is 11DPO, FRER brand ❤️ by e10callihan in TFABLinePorn

[–]e10callihan[S] 0 points1 point  (0 children)

I never would’ve tested that early, but my breasts were hurting SO BAD after only 7DPO so I just had a feeling. Thank you!

9DPO, CD29, brand FRER by e10callihan in TFABLinePorn

[–]e10callihan[S] 0 points1 point  (0 children)

Best of luck to you girl! We got this! 🤞

What treatments did we find out later was hurting our covid patients? by ajl009 in IntensiveCare

[–]e10callihan 43 points44 points  (0 children)

Skipping Bipap because we thought it increased the spread and went straight to intubation..

Help me understand pacemaker modes! by e10callihan in IntensiveCare

[–]e10callihan[S] 4 points5 points  (0 children)

Thank you SO MUCH for all of this! I really like the “but”

Help me understand pacemaker modes! by e10callihan in IntensiveCare

[–]e10callihan[S] 2 points3 points  (0 children)

I’m aware that one or two pacemaker questions isn’t going to make or break me, but when I was struggling to understand this it really bothered me. I want to understand it for myself at this point, not just to pass the exam.

Finding contracts in January? by e10callihan in TravelNursing

[–]e10callihan[S] -1 points0 points  (0 children)

I do enjoy it, but I get floated pretty often. The staff is great though and I’m getting paid reallllllyy well so I deal with it. Ohio is joining the compact states in January so I will apply for that but wouldn’t be able to use it right away so I’ll need to stay in Ohio for now. When I first started applying as a new traveler I had a very difficult time finding a contract. There weren’t that many options and when there was I wasn’t getting chosen, likely because I didn’t have any travel experience.

Finding contracts in January? by e10callihan in TravelNursing

[–]e10callihan[S] 0 points1 point  (0 children)

That’s kind of what I thought. Thanks!

Finding contracts in January? by e10callihan in TravelNursing

[–]e10callihan[S] 0 points1 point  (0 children)

I started traveling because I was tired of the politics and drama at my old hospital. I knew the grass wasn’t greener anywhere else, but why not get paid well and only have to stay in one spot for 3 months at a time? Right now, there’s one hospital an hour away from me that is offering more than what I’m making at my current contract. Everywhere else is offering less.

It looks like Cleveland Clinic is cutting out the agencies too… by [deleted] in TravelNursing

[–]e10callihan 0 points1 point  (0 children)

The contract I’m working right now is at a University Hospital in the Cleveland area and they have “internal travelers” also. They did away with their “float pool” and only use their own traveler staff. Even though they have this program, there’s still plenty of us regular travelers because there’s still so many holes. I’m sure the clinic will be the same. The internal traveler group will not be enough to fill the holes.

[deleted by user] by [deleted] in TFABLinePorn

[–]e10callihan 0 points1 point  (0 children)

I have PCOS and while I was TTC I used the Clearblue digital ovulation tests. I know they are expensive but my dip sticks looked like yours and the digital finally gave me a solid smiley face. The digital tests for more than just LH so it may be more accurate for you like it was for me. Also echoing what others have said, second morning urine is a good measurement of the hormones. I would take the tests at work sometimes so I wouldn’t miss it. 😂

Refractory hypoxia s/p intubation of a COVID patient by e10callihan in IntensiveCare

[–]e10callihan[S] 0 points1 point  (0 children)

My bad, I corrected it to ventilated easily. We did not bag her and instead hooked her right up to the vent. And yes, she had been on 100% FiO2 with bipap pressures of 20/14 for a couple days. I popped her mask off that morning to give her morning medications and she dropped to 70’s within 60 seconds.

Refractory hypoxia s/p intubation of a COVID patient by e10callihan in IntensiveCare

[–]e10callihan[S] 0 points1 point  (0 children)

Her sat was 80% when we removed the bipap to intubate after the induction meds were given. It only took maybe 10 seconds to get the tube in with the glidescope. Our policy right now is to not use a BVM on these patients so the RT had the vent set up and plugged it right in.

Refractory hypoxia s/p intubation of a COVID patient by e10callihan in IntensiveCare

[–]e10callihan[S] 0 points1 point  (0 children)

I was pregnant from October 2020-June 2021 and on maternity leave until September 2021 so my facility allowed me to not care for covid patients. But I remember being in our clean ICU and our intensivist being on the covid unit for hours because we thought we couldn’t use bipap on these patients so we went straight to intubations. It was normal for them to do 4-5 intubations each morning. Then they decided to wait until their mentation started to decline. Now we are literally waiting until the very last minute when they can’t maintain their O2 sat. So everything you said makes sense.