I love the ICU. I did my senior year practicum at a neurotrauma ICU at a Level 1 hospital and I learned SO much. I knew that's what I wanted to do.
So right before I graduate nursing school
I apply to area hospitals with Critical Care/ICU internships for new grads.
Combine my semi-low (3.45) GPA and the highly competitive and saturated market of new graduate nurses (DFW area) and that = no dice.
Now I've been a nurse for a year and I'm stuck; I'm not a new grad so I can't apply for new grad internships and because of that I have to apply to ICU positions as a experienced nurse. And every ICU position I've run across requires previous experience in the ICU.
But I've learned from a friend in their ICU unit had an online program to complete. They're using the American Academy of Critical Care Nursing (AACN) program called Essentials of Critical Care Orientation (ECCO) which the hospital is paying for them to take.
So long story short, I thought if they can take this program what's stopping me from taking it.
I looked it up and it's $300.
If I pay for the program and complete it, would that increase my chances of getting hired for an ICU job?
Last edit by Brian S. on Oct 20, '17
Oct 6, '17
@Greenclip: I had an interview with an ICU manager and he actually tested my knowledge. He gave a pt's S&S, VS, and a little bit of his medical history. I had to describe what I'd assess, what I would recommend, and what medications the patient would be on and why.
And I had five minutes to solve it.
I solved it, the patient had a broken leg and difficulty breathing, his O2 sat was in the 80's, and his VS were off the charts. High BP and HR, the broken leg, the CT scan showed blood clot in his lung - pulmonary embolism. You would give him a cardizem drip to help lower his heart rate and a heparin drip to help break up the clot while cranking up the pt's oxygen.
I told the hiring manager all of it and he told me I was right. But instead of 5 minutes it took me 7. He ended the interview then and there.
I've been unemployed for 7 months. It's completely destroyed my confidence, self esteem and self worth. And on top of that I have Asperger's/high functioning autism which only makes it worse. Bully for me for not boning up on critical care nclex questions and read my copy of Critical Care Made Easy and I may have actually stood a fighting chance.
And CRNA school is literally just a pipe dream of mine; I planning on staying at the ICU for at least three years. Candidate profiles for CRNA/DNAP schools
in Texas show they had 4-5 years of ICU and only then were they expected. I will probably never be a CRNA.
Last edit by AesthesiaSeeker on Oct 6, '17
: Reason: Said the same thing twice by accident
Oct 6, '17
Quote from CardiacDork
I didn't know heparin broke up clots. I may be wrong but I don't think that's the mechanism of action.
The clinical scenario you are describing sounds like a fat embolus, I believe they're common after orthopedic surgery.
It is a shame but neurotypical people will have a hard time understanding you. They'll perceive your ways as rude, awkward, and unacceptable. Even people in the medical field.
I really doubt he didn't hire you because it took you 7 minutes as opposed to 5. I think you should te assess that. If he mentioned anything he may have been kidding.
This is really a tough situation but I hope the best for you. You shouldn't be discriminated for the way your brain is wired but unfortunately nursing and medicine are careers highly based on social interactions, language, and communication.
I thought the same thing as well regarding mechanism of action-wise which is why it was on the tip of my tongue but I didn't want to say it.
I came into the interview and spoke with the night manager who I'd actually be working with. He was very polite and told me he was eager to hire me. He asked how I got into nursing and I told him I went to Louisiana State for pre-med, ended up being unhappy and then transferred to an accelerated nursing program that had just opened up in Dallas and got my BSN 18 months later. The night manager was actually really curious about how pre-med compared to nursing; I told him things don't make sense at first but they all, while being different, make up the entirety of every body process. Every cell is going to behave relatively the same way, components are always going to enter the cell through specific channels. Chemistry is all about the cell's energy making process and what the body does with enzymes; neurotransmitters are almost entirely based off of enzyme-binding receptors. Opioids will attach themselves to the same neurotransmitters and, with the invention of naloxone, any Narcan that enters a person's system will detach the opioid molecule and 'compete' for placement, this is called a co-enzyme inhibitor.
Genetics is 100% about DNA replication, looking at chromosomes for conditions such as Down Syndrome, Superman Syndrome, Fragile X syndrome and more than I've forgotten in the four years that has passed. In fact the entire process of aging is 100% due to the process of DNA replication. Each chromosome has a region of protection at each end called telomeres and (theoretically) as we age/our DNA replicates the telomeres break down, disappear and our chromosomes lose that protection which can alter our DNA during replication.
The night manager was really interested in me, and then came the day manager. He was very arrogant, I was supposed to interview with him and he was 30 minutes late and walked in and said "Oh that's right, this was supposed to happen at 1. Oh well, I'm here now so fill me in on the boring stuff".
I mentioned the 5 minutes because (I've never had this happen to me before) he pulled out a stopwatch from his pocket and watched it as I tried to figure out the clinical case.
Last edit by AesthesiaSeeker on Oct 7, '17
: Reason: Information in this post is likely not 100% correct. I ended my pre-med track in 2013 and this is just what I can remember.