Latest Comments by Sour Lemon

Sour Lemon, RN 18,740 Views

Joined: Jul 25, '16; Posts: 2,489 (77% Liked) ; Likes: 11,435

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  • 0

    Quote from thatswhatshesaid
    I'll be graduating from a BSN program at the end of 2018 and have started lightly looking into new grad programs I may be interested in applying to. Currently, I am most interested in working in an ICU (preferably cardiac/cardio-thoracic) but will certainly look into other options as well.

    Looking at most new grad programs in my area, to get a position in an ICU you need either previous critical care experience, or to have had your senior practicum in a critical care area. I hope to do my practicum in an ICU but I cannot guarantee that because spots are decided based on grades. I do receive good grades, so I am optimistic, but so do many of my classmates so I am certainly not guaranteed to get into the ICU.

    I am wondering if experience working as a PCT in a cath lab will count as critical care experience when applying to new grad positions that have it as a requirement. I have worked in this area for a couple of years now, and our lab does a wide variety of procedures on patients with varying levels of acuity - from outpatient to active MI's + many generally high risk cases. We have codes as well as other emergent situations arise frequently where I jump in and help out.

    Incase I do not get my practicum in a critical care area I would like to know that I still have a chance to get into an ICU when applying to new grad positions. Thanks for reading!
    It might help with networking, but it wouldn't count as nursing experience.

  • 4

    Quote from heron
    And what scares me is that so many are advocating thought control. What part of "1984" did we not understand? The idea of sicccing law enforcement on someone for what they're thinking makes my blood run cold.
    This is actually worse, because we really have no idea what the patient is thinking ...we just think they might be thinking something. There are times when I'm flipping channels, get distracted, and look up thinking, "What the heck is this?" ...or I'm watching a video on youtube and the next one auto-starts ...or I'm just watching something interesting that doesn't reflect my personal ideals at all. TV is not particularly meaningful to me and may not be to a lot of other people. It's just a time-waster, and I imagine there's a lot of time to waste when you're sitting around in a hospital.

  • 5

    Quote from Elaine M
    What I meant was the next nurse taking care of that child, what if they're Jewish? You think they'd want to know about this situation?

    What scares me is so many people are blowing this off. What part of "see something say something" do people not understand? Let the cops, FBI, CPS etc figure it out. Bombings are prevented by people being concerned and making the effort to tell the authorities.
    Do I think they'd want to know about what someone was watching on TV? No. I can't imagine any reasonable person would care ...and how would the patient know their nurse's religion anyway?
    I don't interpret "see something say something" as "report people if you think they're watching an offensive video". I just can't make sense of that in my mind- at all.

  • 7

    Quote from Julius Seizure
    But....bedside report involves an oncoming AND offgoing shift.

    So....which one gets the pizza?
    Your shift can have the pizza. I am much more interested in the pony ride.

  • 0

    Quote from Elaine M
    But what if the next nurse in that room is Jewish? I also watch things that I don't agree with, but not in front of kids and certainly not in a public place like a hospital.
    I don't see what difference that would make. The nurse in the next room should consider that maybe I'm Jewish, too.

  • 2
    Orion81RN and Beatlefan like this.

    Quote from TheNightShift
    Hello all,

    I'm hoping to get some feedback on what I'm guessing is a fairly common problem. I work on a large Med-Surg unit in an inner city hospital. By and large, our teamwork is good. However, we often have difficulty with communication between nurses and CNAs. Tasks are left undone, nurses percieve CNAs as dodging work, CNAs see nurses as dumping everything on them. Combined with a climate of decreased resources and staffing cuts, the underlying communication problems put increased strain on the team and puts patients at risk.

    I'm involved with Shared Leadership on my unit and I'm in the midst of putting together a task force (made up of nurses and CNAs from all shifts) to work on improving our communication. As I get this project started, I'm looking for feedback. Is this something you have struggled with on your unit? What strategies have you used to improve matters? What things worked and what fell flat?

    Thanks for your input!
    It works best when there's a VERY clear hierarchy.
    When "teamwork" is stressed too much, each member of the team feels entitled to do things (or avoid doing things) as they see fit. CNAs should be working out issues directly with their supervising RNs. RNs should be working out issues directly with their charge nurses. Etc.

  • 1
    JKL33 likes this.

    Quote from hppygr8ful
    How is it that 100 Glipizide 10mg tablets runs around $40.00 but if I buy it off the veterinary website it only costs $14.00. Same drug, Same Manufacturer, Same dose and I don't need a prescription to buy it.
    Plenty of people are willing to dump their pet on the side of the road and get a new one if the existing pet's medication costs "too much". That probably has at least something to do with it.

  • 3
    poppycat, KelRN215, and NightNerd like this.

    Quote from klove390
    I'm in my last semester of my ADN program and I'm looking for some advice on whether I should apply for day shift or night shift for med/surg. I've heard from a few nurses that night shift is great for new grads because the pace is somewhat slower (although still busy) and you have more time to focus on patient care. I struggle with anxiety so even though I know night shift comes with stress as well, not having a ton of day staff (management, doctors, OR, lab, housekeeping, etc) running around like crazy is appealing to me.

    Some potentially important info - I live in a rural area and the few hospitals I'll be applying to are smaller, but the commute will be anywhere from 1-1 1/2 hours so that's something to take into consideration. I'll also still be in school working on my online RN-BSN.

    Any advice/input is greatly appreciated!
    I'm a night person, so nights it is for me. I feel physically ill when I'm up early in the morning. There are less "people" around at night, but that means there are also less resources. The doc isn't going to stop by at 3AM, so you've got to know when to call and what to say.
    And keep in mind, as a new graduate you may not have the option to choose. Apply for everything and see what actual offers you get before you agonize over making a "choice".

  • 0

    I would stick with RN and look for a competitive entry program. My circumstances were actually reversed from your own. The LVN program I planned to complete had a long waiting list, so I was able to complete all prerequisites and get into the RN program faster. I think it would be difficult to be a new graduate LVN and go to RN school. A lot of people become static and stay LVNs for years, despite having different original plans. If you're planning to go to RN school at any point, you'll need the prerequisites anyway carry on with that.

  • 4
    Elaine M, psu_213, chare, and 1 other like this.

    I really want to see the actual video now.

  • 24

    Bedside report is one of those things that sounds great and makes a lot of sense if you're not the one doing it.

  • 9
    kakamegamama, stassi, psu_213, and 6 others like this.

    1) Abuse is a rare thing for me, but occasionally I do get a difficult patient. It's never emotional though, because I never care that much.

    2)Pay- I feel fairly compensated for my work, but of course I'd love to make more- who wouldn't? I see everyone's job as important, though. The guys picking tomatoes should probably be millionaires, because what good are antibiotics if there's no food to eat?

    3)My manager is a little nutty, but I don't see her much and can't say I'm too bothered.

    4)Our staffing is often excellent. Occasionally we have a poorly staffed shift, but it's not a regular thing.

    5)I'm on the fence about 12 hour shifts. They have their up side and their down side.

    6) We have plenty of support on nights most of the time (see #4).

    7) This is why I don't work day shift. And since I'm a night person, I'm not giving much up for the privilege.

    8) I'm on the fence here, too. I'm OK with doing all I can to help, but if I really felt my life or familiy's life was in danger, I'd care for myself and them first.

    9) I get lots of breaks.

    10) We have a good "core" staff as well as a short-term, revolving staff. I'm never working with all new people.

    I'm on my third nursing job and feel like I have it really good. My first job was an absolute nightmare and my second was better, but still chaotic ...but there are good bedside positions out there, apparently! Part of me never wants to leave and part of me wonders if my fourth job might be even better.
    I hope you will find a good place, too.

  • 2
    DextersDisciple and brownbook like this.

    That's not something I'd be proud to put on a resume. It comes across as rather "quackish".

  • 5
    Cowboyardee, Davey Do, Crush, and 2 others like this.

    I'm fine with being judgemental, I just want a lot of information before I pronounce my verdict.

  • 1
    iopmoris likes this.

    You liked the doctor you shadowed and you like the nurses you work with now. The questions you anticipate your family asking are legitimate ones, especially if you have parental support and the academic capability to become an MD. So, what's the rest of the story?