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AnnieOaklyRN, BSN, RN, EMT-P 23,447 Views

Joined Oct 24, '06. AnnieOaklyRN is a RN, Paramedic. She has 'Previously ER RN, 17 years in EMS (yes, I still love it) , IV RN 8 months!' year(s) of experience and specializes in 'IV RN, (911) Paramedic'. Posts: 2,039 (32% Liked) Likes: 2,325

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  • Jul 31

    Healing Of The Nation Club is a medical cannabis patient organized collective....?

    Acronym Definition

    HOTN Hooligans of the Night (gaming website)
    HoTN Hypotension

    I'll assume we're not talking about the healers or the hooligans?

    See this is why Google can be so dangerous.

    Can't say I've ever used or seen that abbreviation before.

  • Jul 25

    I got an offer!!! Though the pay is the same as I was making when I started elsewhere as a new grad, which is kind of a bummer. But I loved the unit when I shadowed, and got on well with the peer team. I've had a great experience all around and this is a major referral center that sees just about everything so I think I am going to take it (though maybe ask if they could go up a little bit in pay lol). Plus, there's the fact that I've wanted to work NICU since I was a young teenager so I'd kick myself for passing it up!

  • Jul 20

    Ya, hospital nursing really does suck. That's why I got out. There are a lot of other nursing jobs out there. I was a school nurse for a couple of years and loved it. Don't settle for misery. You only have one life!

  • Jul 17

    Yes, you should use your credentials in a cover letter. It is a professional communication.

  • Jun 29

    Quote from Guy in Babyland

    For-profit schools have only LPN and ASN programs. They do not have BSN programs.
    There are plenty of for-profit BSN programs. There's two in the city I reside. Yes you must have an existing bachelors, but they are around.

    As for your comment about for-profits providing subpar education-- unfair generalization. Not all for-profit programs are so terrible. I went to a high quality, and respected by employers for-profit ASN program. They had the highest NCLEX pass rate in the state at the time @ 97%.
    You CAN get a quality education at a for profit school. Yes, the major downfall is how expensive they are, and regional accreditation complications. I agree.

  • Apr 13

    You will need a hazmat, decontamination unit prior to entering you car. It's similar to the procedure after leaving an Ebola patient's room. One bad microbe and your entire family will be wiped out.

  • Apr 13

    I know this post is old, but I just want to say... there's no harm in asking around - and getting to shadow a nurse is a great experience. I'm a student, and I got a chance to shadow a NICU nurse today as part of my course. I absolutely loved it. The nurse let me perform assessments on her less critical infants (didn't want to stress out the more critical ones by having them undergo a second set of assessments) and it was so interesting! It was fast-paced and definitely piqued my interest in the field (although I've always been interested in L&D). I also got to do things like check placement of a preemie's NG tube and sooth a drug baby. I know this was just a tiny little taste of what NICU nursing involves but it was enough for me to become very interested by it. I think getting to have an experience like this would really help you make your decision.

  • Mar 30

    This is a systemic problem. EDs everywhere are incredibly understaffed, both nurses and providers. It's a national issue that has reached crisis levels.

  • Mar 30

    I am the mother of a chronically ill child and am familiar with the insides of all the emergency rooms and pediatric departments in the area, so am familiar with the stress of dealing with kids and their health issues.
    The care has always been excellent. A couple of things that have helped me:
    Periodically, get outside and take a break. Seriously. Get your friend, husband, parent or someone else to sit with the child while you go get a cup of tea and sit outside or watch the fish in the lobby fish tank. Things that seemed trivial just get magnified if you never leave the bedside.
    This one sounds a little strange, but have a mental plan of what to bring to the emergency room. In my case it is a phone charger, a couple of grab-and-go snacks, and an easy to read/skim book. Some cafeterias close early, so vending machine money is a good idea.
    I learned how to politely make needs known and ask for what I want. "Excuse me, my son needs to use the bathroom, could you please bring a urinal?" Staff can get distracted, and what is obvious to you sometimes needs are not obvious to them.
    Lastly, are there other emergency rooms/hospitals in your area he could go? Is there one that is specifically a pediatric emergency department?

  • Mar 3

    We mostly entered the profession for altruistic reasons. I happened to be an Army Combat medic/EMT then became an LPN and finished an ADN program. I remembered getting chided for not having a BSN but I was never sure I'd stick it out or like the work. I actually had enough to get my BS but chose a different path after working in cardiac/surgical ICU for ~10 years. I didn't belong in the profession as a straight male in his 20s but only the transition to the civilian sector in the 1970s was weird though not in the military. I didn't get quite the respect of my colleagues with BSNs. When the heart and vascular surgeons started interrupting report to congratulate me for good work, it didn't sit well with my senior staff who'd been working since the late 50s. I decided not to renew my license in 2014. I enjoyed the many years in Oncology, and ICU but not the craziness of a medical floor. I am encouraged by the new breeds of RNs and try to escalate their enthusiasm of caring and pursuit of healing. it's such a worthwhile profession I'll always respect but I'm still not sure men fit in. Best wishes on your retirement and thanks for a lifetime of caring, protecting and giving!

  • Mar 3

    Well, I did it. I turned in my two weeks notice. I'm finally leaving the nursing profession, for good. I had planned to do this months ago, but I decided to persevere a few more months to see if my opinion of nursing changed. It has not. These last few months fully confirmed for me that nursing is not where I belong in healthcare. I applied, interviewed and shadowed in various other nursing specialties, including ICU, outpatient clinics, case management, oncology/hospice, dialysis, and even outpatient psych, and none of these were right for me. I thought my problem with nursing had more to do with my specialty (cardiac step-down) being the wrong fit for me, but now I know that I honestly do not want to be a nurse, at all.

    Like most nurses, I dislike the short staffing, high nurse to patient ratios, the demanding families with their unrealistic expectations, needy, rude, and manipulative patients, patient satisfaction surveys, the increasing demands being placed on nurses, healthcare politics and drama, and so on. I know I'm not alone on this. But I dislike the basic elements of nursing, I don't like my role in healthcare with so much responsibility and so little power.

    Surprisingly, I don't mind patient care. I have no problem cleaning up a patient, helping them to the bathroom, feeding them, or cutting a little old lady's food for her. I have no problem doing this. I also like collaborating with MDs and NPs (well, most of them), I enjoy learning from them and trying to advocate for my patients. I have been told I do very well with critical thinking and problem solving. I don't mind charting. I absolutely love my dementia patients. These are the few positives I have with nursing.

    Now on to the negatives.

    My biggest issue in nursing is resuscitating a terminally ill patient, not because it is what the patient wants (I would not have a problem with the patient's own decision), but because the family is selfish, unrealistic, and refuses to let go. I have had several instances where a patient in a persistent vegetative state, with a trach, peg tube, and no quality of life is kept full code by family, even though the patient is in that state because family insisted that "everything be done." I have had several patients who died peacefully, were DNR, but family insisted that we "do everything" and we had to. I have serious moral and ethical issues with this.

    On a smaller note, I'm a perfectionist, leaving work undone is extremely difficult for me. I dislike the routine of passing medications over and over again; how impossible getting everything done feels with 6 high acuity patient and the many issues and problems that come up; running around the entire shift with very little food and rarely my full 30 min break (considering that I've lost 10 lb since becoming a nurse, and I was underweight to begin with). Being genuinely uninterested in what I'm doing/learning as a nurse, while also feeling super stressed and overwhelmed. The lack of hard science in nursing also contributes to my lack of interest.

    I also cannot stand dealing with constant issues for 12 hrs and "customer complaints" among the thousands of other things I need to do. I honestly dislike most of my patients (however, I never let this show). I absolutely hate talking with family members. I hate small talk with patients and dealing with patient/family drama. I hate getting blamed for everything (even if I have no control over it) and feeling like a human punching bag. I hate that I feel no connection or sympathy for 99% of my patients, and that nursing has made me see the worst in people. I always feel frustrated and angry. Every minute of my shift I hate it, and then I dread going back to work on my days off. Since becoming a nurse, I feel like I haven't been able to enjoy life anymore due to how much nursing drained me. After being diagnosed with anxiety/depression about 2 month ago (I was crying every day and getting to the point where I thought dying would be a relief - thankfully that has passed and is under control now), I realized I didn't want to live my life like this anymore, and for my physical and mental well-being, leaving nursing would be the best solution.

    Since I've "officially" made the decision to leave nursing, I have felt better than I have in a long time. I feel alive again, like a weight has been lifted off my chest and I can finally breathe. I will always remember and value what nursing has taught me, but I sincerely believe that I am one of those people who is just not right for nursing. It does not mesh well with my personality, interests, and especially not my mental/physical health. I have the highest respect for nurses. Everyday, you are able to do what I cannot. I felt like a failure and a horrible nurse for a long time because of this, but I came to realize that it is best for myself (and my patients), if I find something else to do. I also realized that there is no shame that nursing is not right for me, as long as I did my best to take care of my patients, didn't let my disdain for nursing show, and continued to be a responsible and dependable employee while working as a nurse.

    I'm going to be moving on to a new career, with no patient/family interaction and way more science involved (Masters in Biomedical Engineering). I'll still be around on allnurses because, well, I love you guys!

    *Way Too Long to Read: I'm leaving nursing, it wasn't for me at all. I'll still be around. Nurses are awesome, thank you for all you do!!*

  • Feb 26

    Heh. You are not the only one to encounter this type of situation on the home front. My husband made it clear he didn't think I should pursue an education in general and nursing in particular. He had his reasons, but it didn't help things at home very much.

  • Feb 13

    Hi Annie,

    Like amnesia said, ER experience is not accepted at most schools but I believe a few do, only if you work in a Level I trauma center where you get exposure to anything and everything patient population wise. Most programs like experience gained in ICUs in large teaching hospitals. I'm currently in my first semester of a DNP-NA program. We're allowed to work for the first two semesters (about 8 months) of the program as all of the courses are online but for the remaining time (28 months) working would be very difficult as the course and clinical load are very heavy.

    Good luck!

  • Feb 13

    Cost: depends on school. Check out all-crna-schools(dot)com. Anywhere from probably $45k-140k tuition, plus living costs (or FREE! if you go the military route). Keep in mind schools will need to be DNAP by 2025, and many will be before then, so you are looking at 3 years full time school vs. a masters program which is about 28 months or so.

    Experience: I don't think that most accept ER experience. There is a list at the site I mentioned though, click CRNA schools, then Unique Programs, scroll down and they have a list of schools that supposedly accept ER. Paramedic doesn't count for the experience, they want ICU nurse experience. Vents, drips, lines, etc. You need about 2 years ICU experience minimum, there may be a few schools that accept 1 year. Adult ICU is preferred, but SOME schools do take NICU/PICU. Again, check out the site I mentioned and see the requirements of the schools you are looking into.

    Every school seems to have different requirements, but in general, your best bet is 2 years adult ICU experience! Good luck

  • Feb 6

    My school is part of a hospital system and offers a loan forgiveness program if you work for them after graduation. I graduated in Dec 2014. I'll have $10,000 forgiven in another couple of months and have about $3000 left on student loans. I paid about $3000 in cash as well.