nurse2033 19,392 Views
Joined Jun 6, '07.
Posts: 1,974 (47% Liked)
Fake it til you make it.
Think of it as "acting." When you go into your patient's room (or wherever ...) "act" like a calm professional nurse. Play the role - think of yourself as "on stage, in front of an audience."
Soon, it will become 2nd nature to you -- and you WILL be the calm professional nurse you appear to be.
It is different for military because you are on a huge plane, not a helo or private. You take care of patients that are not critical, there's a separate critical care team (CCAT) who comes on board during the transfer. A military flight nurse ensures the plane is set up to care for all patients. You take care of the non-critical and assist the CCAT team. Th CCAT team are not flyers like FN's because they are solely caring for the patient before during and after transport. I am prior service and have fellow FN friends. Only one year of acute care required and they will send you to training that equals 6 mos sporadically or consecutively, depending on timing. Anyone who works in a plane is considered a flyer, all flyers have to go through survival school where you are trained to be in a capture situation if you were to survive a plane crash. Water survival is included. My spouse went through it. Pretty cool. So yes, the military FN is much different than civilian.
Why not address the HTN with a true HTN med instead? If you hit the max of Propofol, something else should have been used. Sure up to 100/mcg/kg/min short term is probably not harmful with that high a pressure, but there are other meds out there to deal with it. Add Versed and Fentanyl for the agitation and then a little hydralazine or labetolol for the HTN.
What was used for sedation for RSI?
Was the reason for the AMS found?
We do not give patient's narcotics unless they have a driver, or are being admitted. Zero. We are strict about this, because the way we look at it, even if they are homeless, if they walk into the street and get hit by a car, they can claim we caused it by giving him meds and not making sure he was with a responsible party.
Not sure about the P&P, as I have not actually read it, but we are very strict about it. A cab ride isn't sufficient. Most of our frequent flyers know this and bring a ride with them.
It generally takes longer to do CRNA via the military, however it can be done nearly free***(for a service commitment). There is a competitive program where they send you to school full-time for free and you still collect your normal salary: AFIT.
You would apply for a commission as a critical care nurse. You would have to do 2-4 years at your first base and then apply for the DNP/CRNA program (which entails 6 years of added service commitment I think).
Search the other threads on Government/military nursing to learn more. It's been rehashed hundreds of times.
There is a program where you can go back to school after at 2 years at your 1st base: AFIT. They offer a DNP/CRNA program. You could be an ICU nurse for 2-4 years, and then go back to school on the AF's dime and still collect your full RN salary. It is very competitive.
Tuition assistance, which is $4500/yr of basically free money, is something everybody gets. The only MSNs you can really do part time in the military are informatics, leadership/management, or education in my opinion. All the other ones (CNS, NP, CRNA, CNM) require clinical rotations.
As a SANE, you may work regular shifts at your place of employment just like any other floor nurse. For instance, a SANE could work the regular three 12 hour shifts per week in their ER, but then be on call on their time off as a SANE. Some places with multiple SANE certified RNs may rotate call so that one SANE isn't overstressed, but that depends on the location/number of SANEs.
We are expected to chart something at least once per hour. Obviously changes of conditions, medications administration, etc. but what about those soft threes and fours who are just chilling and watching tv, or those patients when you're just waiting for a bed, etc? What do you chart when really nothing notable is happening?
I'm becoming less and less therapeutic over the years myself. I tend to address it head on, as in, "we have rounded on you frequently but have still not managed to reduce your need to utilize your call light often this shift. Are you lonely or worried? Can we call a family member or friend for you to visit with? Is there a favorite television or music channel you prefer to help you pass the time? Please remember that we are here to meet your medical needs and want you to have a successful hospital stay with also feeling well cared for but we are not able to stay at your bedside consistently when you are medically stable."
First of all you are going to need to speak with a healthcare recruiter from each service to find the right fit for you. Do not speak to the local enlisted recruiter they will try to get you to enlist. If you do end up talking with one and they want you to take a placement test they are trying to recruit you. You can find the contact information for healthcare recruiters by going to their recruiting websites and look under officers/medical. Once you contact them it will take some time for them to get back to you.
What's thepay like for military nursing?
-Compared to civilian pay itdepends on where you live. In the military you receive base pay, BAH(housing) based on where you are station and BAS (food). BSH & BAS isnot taxed. You also do not have to pay for your or your families medicalinsurance or copays. Here is what a O-1, 2ndLT would be making at Fort Bragg area.
Base pay $3034
BAH with dependents $1248
BAH without dependents $1122
This would give you a monthly pay of $,4409 to $4,535 or $52,908-$54,420 per year.
I cant seem to find any info on this. It would be nice to understand the limitsof ones future budget when deciding on a job. -This is the official pay chart from DFAS (military pay) Military Pay Charts To find out what BAH would be they have a BAHcalculator.
What's it like being a male nurse in the military- no different than anywhere else.
Are we still greatly out numbered, and does it really matter?-NO & NO
How will being an active duty military nurse affect my wife and kids- Depending on what service you join, specialty and where you arestationed can affect how often you are PCS'd(moved). In my last 7 yearsof service I moved 3 times. There is the chance you can stay at thesame base for 2 tours depending on what units are there.
Will it help pay for my grad level education?- Yes, but you must apply for it. There is no guarantee. This would be your job during your time in school. They pay for book & tuition.
Would I be able to spend time deployed in an active war zone or near combat?- Yes, right now the deployment schedule is low, but it can change atanytime.
Should I do ROTC while getting my BSN- That depends on what service you want to join, your family life etc. Nursing school has lots of demands as does ROTC.
Yup. Been there, done that.... Worked as a 911 medic for years, loved working as a paramedic, teaching paramedic initial education and critical care courses, but still went to nursing school for all the reasons other people have listed.
I had no idea going in how much I would hate bedside nursing, but I do value the concentrated critical care time it has given me, and the opportunity to really discuss patient issues and physiology with the docs.
For a while I worked as both an RN and street medic; working as both simultaneously is not the issue-it's getting the initial education and certification for both simultaneously that is tricky. This is due to the time commitment involved, and almost zero transfer-ability of educational credentials from one side to the other unless you do a specific bridge program.
Currently, I work as an ICU RN and flight RN who sits in both seats, so I maintain both credentials. I only work in the ICU to keep myself sharp for flight, I have no love for ICU nursing. I'm happy with where I am, but it was a long road to get here. When I get too creaky for flight my exit strategy is to quit the ICU and go work in hospice so I can stop torturing old people or go back to EMS education full time.
So is there any actual advice is this post? I'm not sure, but what I would definitely stress is this: to start you are going to have to pick one or the other field to focus on. Medic to nurse is the more typical "progression" as you move from a poorly respected field with limited long term career options to a well respected field with better pay and more long-term options.
As a practicing RN first it is very difficult to go "backwards" to become a medic because the pay cut is real. Although there are RN to medic bridge programs, they seem to be geared towards RNs who already work in a flight/transport environment and are just looking for the initials too add to their resume. None of the nurses I personally know who have gone that route have actually chosen to work as "just a medic" for a while.
Paramedic for 16 years then became an RN. I still keep my paramedic, but do not work as one anywhere. I make more and work fewer hours as a nurse.
I think I enjoyed being a paramedic more in many aspects, but was burned out and tired of 24 hour shifts on the ambulance and low pay in the ER as a tech. I have known a few nurses that did EMS and Hospital, but most stopped doing EMS after a few years and went to just hospital nurse. Most went into air transport since most require the RN's to also be Paramedics with experience. I do have one old coworker from EMS that still does both (EMS is his full time job, Hospital ER is his part time job) for 20 years now.
Did i really do something that terrible?
Who the **** do you think I am?
What the **** is that?
When the **** is this pt arriving?
Where the **** is my pen?
Why the **** did they do that?
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