Latest Comments by mamatara

mamatara 2,525 Views

Joined Jan 15, '07 - from 'Kernersville, NC, US'. mamatara is a RN. She has '4' year(s) of experience and specializes in 'Cardiac ICU/Stepdown'. Posts: 15 (20% Liked) Likes: 4

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    anotherone likes this.

    Whether it annoys me or not depends on who says it and how it is meant. I work 12 hr nights and no matter what I do I never look good by morning. Some nights I mean to go to the bathroom and touch up my makeup, but then I am so excited that I finally got a chance to pee that I forget! If it is that nurse who has been sitting on her behind looking bored while I am running around 1 really sick pt and another one who is confused and plays in her poop, then yes I might be annoyed. Most of the time it is a patient trying to find a way to connect or be concerned. If it a sweet older pt fretting that they are too bothersome I usually avoid telling them I'm tired. With most patients I joke that it is my 4 kids not them that make me tired especially my two teenagers. I look young for my age so this statement usually totally changes the subject. Now if it is that patient/family member tha is so concerned about their stool softner/apple juice/adjusting HOB (hello I showed you how to do it yourself!) during an obvious Code/emergency next room down, it is more a backwards way of stating "Don't be so tired you don't meet my needs" (however petty and demanding they are) . You know that family that stops people who are running in & out of the code patient's room to ask when they can get a glass of water I usually say something very sweetly like "I found you that snack/juice etc you wanted , I'm so sorry it took so long. I was stuck in an emergency but I came as soon as I was done. I didn't want you to think I had forgotten about you. Give me 1 second to catch my breath and I will go get you that cup of ice" The truth, said in a nice tone of voice . After that most of the time they are usually a little more respectful. I am usually very patient and cordial with my patients so this works very well.
    Love that response someone posted of joking for them to scoot over so you could take a nap!!

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    I specifically am not calling this music therapy because it is not. This will be used as a nursing intervention. The information I am hoping someone has is the nuts and bolts of how they implemented it. I don't want to reinvent the wheel if it has already been done. I am specifically looking at non-live music as I want to implement this for all nurses/ all shifts to have available. We have a big push for no restraints, already use sitters, aromatherapy to help decrease the need and I feel this would be a good adjuct intervention. Right now I am focused on our intubated patients but also forsee using it in our confused too. So does anybody has any experience using recorded music with individual patients? I have found lots of research studies but no "how to" in real life. Thanks

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    inthecosmos likes this.

    When I was in school (graduated 2008) we were told that Baptist and Novant had an agreement that kept their basic pay rate similar. Whether that is true or not I'm not sure, but there wasn't much difference in my classmates that went to either one. Moving to Raliegh or Charlotte you may make more but cost of living and traffic may eat it some of that up. Cone Health shiff diff is $4/hr with avg of 36 hr/wk (3-12 hr). I have no idea where someone came up with 31 hrs/wk for any of the hospitals! Premium pay for weekends is essentially work Sat & Sun and 1 more 12 hr shift during the 2 week pay period and get paid for 40 hrs/wk. Now you can only take 8 weekend days off per year or you can lose your weekend position. During high census times we usually have the ability to work overtime also. BTW I took anything a nurse recruitor told me with a grain of salt depending on what they were trying to accomplish.

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    Cone Health is definitely shifting to BSN but I think they have taken a small amount of ADN. I'll have to ask the new nurses on our floor what they are. Unfortunately many of the new grad positions are filled earlier on. When I was hired 4 years ago I had my job by Febuary before I graduated in May. The hospital in Kernersville is owned by Novant Health who also owns Forsyth. Unfortunately the ADN market is getting smaller so you may not have as easy of a time getting into critical care. You might try starting in a SDU/TCU. Kernersville Hospital only has a very small ICU so I can't imagine they would hire a new grad for it. It is a nice looking hospital, but I think anything really critical would get shipped out to surronding hospitals (they are able to feed into all of them,but I assume a majority go to Forsyth)

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    We do have cable , educational videos and 1 station that has beach sounds but I am looking at something a little more specific, research based. Going by research, I am looking at non-lyrical music at 60 to 80 beats/min in a variety of sounds to meet different cultural prefences. I already have tons of music but need to figure out the nuts and bolts. Anyone use headphones/ speakers and not the TV?

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    I had to keep my BLS current while in nursing school (also an ADN program) per school rules. I would definitely go ahead and get that certification now but I would hold off on ACLS. I work on a Cardiac ICU & stepdown unit and participated in many codes before I even took ACLS. If I had taken before then I'm not sure I really would have understood it as well. My director didn't even send us until we had been there 6 months. You really wouldn't have a frame of reference to apply your ACLS to unless you have been exposed to plenty of codes during school. (I never had even close during clinicals) I would make sure whatever health system you work for has a system in place specifically to support new grads. The health system I work for never had new grad positions even posted, only the ones for experienced nurses. You had to go through Human Resources to see what was available for new grads.

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    I have run many a dogs out of the room that were bothering my dementia patients. Other people would argue that they didn't see them, you're at the hospital, etc only leading to increased anxiety because those darn dogs were still bothering them! I will reorient my pt that just get somewhat confused and can be reoriented and I also treat my psych patients differently. I have a daughter who has schizophrenia and I find the most important thing over anything else with her is assuring her that she is safe. Also how I deal with my psych patients depends where in the continuim of rationality they are. One thing I always like to tell new nurses that I learned through my personal experience is you cannot rationalize with irrationality. I read a really interesting article the other week. If I am ever in a nursing home please put me here:
    http://www.nytimes.com/2011/01/01/he...&smid=fb-share

    Please let me eat chocolate!

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    Are you still looking for answers or is your paper way past done?

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    I'm INFP and have tested that way multiple times since I was a teenager (am now 38). The only difference is I am way less Introverted on the scale now vs back then. I'm a RN at a Cardiac ICU & Stepdown unit (14 beds ICU/14 beds SDU). I love it, but I do hope to get my NP someday.

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    First of all, Congratulations! I am assuming this objective statement is for a resume. I find objective statements unnecessary and really just BS for the most part. (I am by no means saying you don't mean yours 100%) When I used to hire (in a different field before I was a nurse) I never even read the objective statement because I already expected those things from the people who were applying- it was a given. I always hated writing my own resume!

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    I work at a 28 bed Cardiac ICU and stepdown unit (14 beds ICU, 14 SDU) and am in the process of putting together a presentation to start using music as a nonpharmological intervention at work. I have already found plenty of research to support it and my director is on board with the idea. What I am looking for is anyone who is using it already and the logistics of how they do it on their unit. There is plenty of information/research about the benefits but not on the nuts and bolts of implementing it. Any info is appreciated- what equipment are you using (CD, Mp3, headphones, speakers etc), what problems did you run into, how did you facilitate multi patient use of equipment, etc? Thanks in advance.

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    I work in a Cardiac ICU and Stepdown unit in NC (14 beds ICU, 14 beds stepdown). We use the CPOT and PAINAD pain scales. CPOT is for our intubated/sedated patients and PAINAD is for those with cognitive impairment (usually patients with dementia). Most of our pain med orders are either by ranges of mild, moderate, severe or in case of sedation protocol by RASS sedation score.

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    I graduated 3 years ago from Forsyth Tech and did like the program. It was difficult to get into (I had mostly A's and some B's)but we were the last class to not use TEAS testing for admission. One thing to be aware of is that Forsyth Tech right now is not NLN or CCNE accredited. Will that matter a majority of the time-NO. But in certain circumstances it will. I wanted to go Army reserves with my ADN, which army is the only branch that takes ADN, but could not due to the lack of nat'l certification.
    Good Luck!

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    At both hospitals I do clinicals at it's once MRSA always MRSA! If you have ever tested positive for MRSA in the past you will ALWAYS be on contact isolation forever and ever amen.
    Tara

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    Don't be discouraged. Is it hard? Yes! But it is doable. I am in my 2nd semester of an ADN program. I have 4 daughters, ages 4,7,12,13- the oldest is mentally ill. I also work 15 to 20 hrs/week. Is this an ideal situation? Definitly not, but it is life. There are plenty of peole out there with no obligations, no kids, with someone else paying the bills going to nursing school, and not making it. I think there is something to be said for having to just do it and desiring it beyond belief. This is my hearts desire and I am finding a way to make it work. I am blessed to have a great husband also which I have found puts me at an advantage over some of my friends whose husbands are not very supportive. Find a study group and the way you study best. You can do this without killing yourself:spin: ! I have missed things going on at my kids schools, but I have still spent plenty of time with them! According to my 12 yr old I spend too much time being nosey into her life still (but hey that would be true no matter what!)
    Tara



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