Content That jensfbay Likes

jensfbay 4,718 Views

Joined: Oct 19, '06; Posts: 79 (4% Liked) ; Likes: 5
RN ICU Trauma from US
10 year(s) of experience in Trauma ICU

Sorted By Last Like Given (Max 500)
  • Mar 8

    My advice before you give up would be to not give up. Some people just aren't good at them and that is ok. But You will learn that you will have good runs and bad runs. Maybe you'll sink 2 or 3 in a row, and then miss 2 or 3. It's just how it goes, sometimes. My advice. Warm packs, if the patient is mobile enough, have them hang the arm off the edge of the bed, low, for a few minutes, this allows blood to pool to the extremity thus "puffing" up the veins. Tourniquette a couple fist squeezes, if they can. Look and feel, don't feel with a glove because you wont feel anything. A big one, I tell all my students, don't stick them if you don't feel or see anything, that would just be silly. Constantly mess with your own hands and arms, not actually sticking, but feel where your veins are, see what makes them puff out and what makes them hide, chances are your patients will be similar if not the same. Also, chances are where you have a big vein, your patient will have one in that GENERAL area too. Lastly, if you don't see or feel anything, there is no shame in calling the vascular access specialists, if you have them, and having them use the ultrasound machine to find a nice deep big vein.

    As far as the poke, find your spot, try not to go anywhere it is bifurcating or if you are so blessed to be able to feel valves, obviously avoid those. Stabilize the vein, hold a finger or a mental spot of exactly where that sucker is if it isn't visible. Another good trick keep the corner of your skin cleansing pad right at the point you want to insert, this way you won't lose your spot. Have everything prepared, stabilize the site with one hand, and insert the needle at a moderate angle, the angle depends on how superficial the vein is, and this I can't really describe in words, you kind of just get a feel for it. If there is no flash back right away feel free to maybe advance a very little bit, or pull back a very little bit and slightly reposition and re-advance, be patient, do this until you get blood. Don't give up after the first 30 seconds. Sometimes it takes some finesse and a whole lot of praying . Don't give up, keep practicing. The only way to get good at them is to do them, and try.

  • Feb 23

    I am a PNP who went to work right out of school in a Developmental Peds clinic. About 4-5 yrs in, I came to the conclusion that using DSM dx and psychotropic med prescribing (particularly off label in children) was not training I was provided in my PNP program. In the unfortunate event of an irreversible reaction to an atypical for example, I would have difficulty in attesting to a formal educational program that prepared me to Rx these meds. Therefore I continued to work and it took me a solid 3 yrs to finish the Post Masters. This was due to the large number of clinical hs
    required in the Preceptorship portion.

    Although it took me a while to get through, it was the best thing I ever did and would
    do again in a heartbeat. Also your potential job opportunities double being dually
    certified. I've been in the same job for 14 yrs and can see no compelling reason where a doctorate degree would be useful to me.

    I hope the information I provided was helpful. By the way, I have no prior psychiatric nursing background. I hated Psych in RN school (maturity).Luckily i was able to get mostly ALL my Preceptorship hrs (365) in an adult psch ER so that I could really experience it.i've found that one can plan all you wish, but there is NO substitute for maturity in getting a feel for where you should put your energies educationally.

    Good Luck! Chris

  • Feb 23

    Ultimately you need to decide what area you are most passionate about. I am in a PMHNP program. Marketability is, in part, due to your location. Are you able to relocate after graduation? Do you feel drawn to FNP vs PMHNP? Have you considered getting your MSN as FNP then adding a post grad cert in pysch? Or, vice-versa? You mentioned enjoying the clinical side of nursing...ask yourself which aspect do you enjoy? I think you can create exactly what you want. This is a great place to brainstorm.

  • Nov 21 '17

    I graduated WGU in Dec 2015 1 week before having a baby. I took a year off to be with him, and today received an acceptance letter from UTA for FNP starting in February. It is absolutely possible.

  • Sep 15 '17

    Quote from ThePrincessBride
    Hey GreenTea,

    Thanks for your insight. Were you ever worried about being labeled a "job hopper"? A lot of the baby boomers I've talked to are all about company loyalty, staying for the same job years and years, but now? These same nurses I hear complain about benefits being slashed, seniority being devalued and retirement being uncertain. How were you able to work that many jobs (in nursing, I'm guess?) without the stigma of hopping around? Did you ever feel as though you were a "jack of all trades, but a master of none"? Did you ever find your "dreeeaaammm job"? Did you find going to grad school hard with children?

    Sorry I am asking you so many questions, but I value your wisdom and life experience as I am getting started in this wonderful world of nursing.
    I never asked anybody whether I was "stigmatized" or not, and frankly didn't care. If someone asked, I gave truthful answers as to why I left a previous job - I moved, my husband's job moved us, my department was closed, I got a better offer from another company, I needed to have a job with benefits for my children, I opened my own business ... all true.

    I felt as if I mastered just about everything I did, because I'm a quick study with a retentive mind and I lovelovelove learning new things and find it easier to integrate them into my head because I have so many other things in there to relate them to. My dream job is more or less now, and even that is a combination of activities; I have my own company, and do consulting work, writing, and editing in addition to a few other things.

    I started grad school with a 6-week-old at the breast. Breastfeeding made it easier, since I could carry her along for the first three or four months, i.e., through most of the first quarter. After that I only took one course at a time through winter and spring, and then took the summer off. By then she got to be around 12 months, so she went to daycare and I went full time. Most of my student loan went to daycare and gas. I was blessed with a happy, social, healthy child, so had few worries there.

  • Sep 15 '17

    I think a lot has to do with personality and I can use my sister and I as examples.

    My my sister defines perfectionism, and introversion. She is not warm nor persuasive, as she's lacks that inherent or learned ability to meet people where they're at. She's driven, razor sharp and focused. She's been drawn and has excelled in PACU and as a CRNA. She best deals with people who are asleep and wanting/needing someone who knows their ***.

    I'm nearly 100% extroverted. I love people. Especially the elderly. I was always lousy at mingling at cocktail parties but I can sit and share stories all day long with the seniors. I'm also a paperwork nerd. When I was in nursing school and working as an Extern, my hospital asked if I wanted to be cross trained in yeah sure. I loved it, it was like playing school. When I was a SAHM, I was always looking for something to get involved in and fix, like I would have loved being a life coach type of thing if I were qualified for it. Unlike my sister, I am not a machine, I do best in spurts. Oh and as a kid, I didn't know a stranger and easily made myself at home anywhere (mom should have reined me in a little.) I have been a career home health nurse case manager since 1988 and I swear I was born to do it.

    We both have been very satisfied in our work, I don't think either one of us has called it a job, it's what we do, what we love to do.

    I dont know if that makes sense or just sounds like gibberish but hope it helps.

  • Aug 31 '17

    I am 59 years old and am about one year from getting my FNP, and about 2 years from my DNP. Age should never be an issue for doing what you want to do...

  • Aug 31 '17

    Quote from jensfbay
    Thank you for this. I am a 40 year old RN with 15 years of bedside experience. I also have two young children, 3&5. I got accepted to a DPN Fnp program here I Washington but decided to defer due my inability to find adequate childcare. I'm hoping to go fall 2018 and I'm afraid that my studies will prevent me
    From being a good mother. I'm scared for not being able to be there for them in the future. Thanks for the encouragement.
    I'm in Washington too (outside Seattle). Speaking as a mom who worked and got her masters when her kids were little, I understand the fear of not being there for them but your time in the DNP program will be short and you can make it work. Completing the DNP program will increase your ability to take care of them and their futures.

  • Aug 31 '17

    Sure, why not? I became an APRN at 48

  • Aug 29 '17

    The University of Rochester School of Nursing offers advanced pathophysiology online (as well as in class). I took it online as a non matriculated student before applying for admission to the NP program there. We had to do 3 case studies, a weekly study guide (done as a group of 3-4 students), and weekly exams. There was also a private facebook group where we had to post and reply to others about clinical things which related to what we were learning. The course was awesome, and the professor was exceptional.

  • Aug 29 '17

    Before I applied to anesthesia school, I took advanced patho and pharm with Liberty University online. The classes are 8 weeks long I believe. Pretty good courses too.

  • Aug 26 '17

    Often, these on-line discussions are populated by people who simply, for whatever reason, need to vent. Therefore, it seems that opinions here tend to shift toward the negative.

    I will tell you that I make approximately $39.00/hr. not including shift or weekend differentials. I take home about $2,000-2,500 bi-weekly (depending on overtime, call-offs, etc.). I have worked as a staff R.N. in several different states (TX, GA, MN, CA, to name a few) and as a traveler. I can tell you that, while I haven't always made as much as I would like, I have never failed to make a more than comfortable wage -- even as a new graduate.
    I have a lot of sympathy for those who make a poor wage as a nurse. I believe their stories because, when I was traveling, I met them. Usually, nurses who make very low salaries (<20.00/hr.) live in rural, Southern areas with very few health care employers. Frequently, they have only one hospital for the region. Employers in these areas do not hesitate to take advantage of their positon, and nurses there are chronically under-payed and under-appreciated.
    Whether by choice or circumstance, the nurses who tolerate these conditions cannot re-locate. They are, or at least, they feel stuck.
    But, let me shine a little light on this situation for you. If you are mobile/willing to re-locate or live near a large metropolitan area, you will be payed a comfortable wage with excellent benefits.

  • Aug 25 '17

    I am going to work prn when I can throughout my DNP program. If that becomes too much then I will not work at all. The faculty at Loyola axtually recommends that the students do not work during the 3 year program.

  • Aug 25 '17

    I agree with the above poster that your child will be less likely to remember you being in school when she is so young. however if you were to wait til she is older, you'd be likely to miss more of her life such as school activities etc. You may be the one that feels like you missed out on moments of when she was a baby because that time flies. If you can get over your own guilt, I think you will be fine and your child wont be affected at all. I am going into my second semester of full time FNP program. I have an 8 year old and a 5 year old. I work part-time however I do have a very supportive husband that is our primary bread winner and my mom also lives with us which is a big help! I went to nursing school after I had both my kids. My daughter was a baby and my son was 3. Nursing school was more time consuming to me than NP school. Then again maybe I will feel differently once I start clinicals. Good luck. I definately say get school out of the way as quick as you can so you can reap the benefits sooner and move on with your life!

  • Aug 25 '17

    First off congrats on your little girl! Listen, I am in awe that you are a single mom and working a full time night job AND choosing to go back to school. I have a 2 year old and a 6 month old. I quit my job last year to go back to school b/c I knew I couldn't handle all of it. I even decided to go to school part-time. You are blowing me out of the water! My opinion is that you should do part-time school. In my program, part-time only extends my graduation one year...what's a year, really? It will go by fast and maybe you can save some sanity. I hope you have a good support system, it's so hard to balance all of it!! Good luck!!!