nurse2033 19,089 Views
Joined Jun 6, '07.
Posts: 1,950 (46% Liked)
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?
Passing the NCLEX does not automatically mean someone is safe, just that they have met the minimum competency to practice. I can see a few scenarios
1. Person graduates from a good nursing school, had family issues, or personal issues, hadn't prepared for the NCLEX and decided to wait until a better point in life. A few years later, life is better and now passes after preparing.
2. A person graduates from nursing school and is struggling with the NCLEX, doesn't have a game plan, just retakes and hopes for the best, repeatedly doing so but not making any changes or thinks about the why.
3. A person graduates from nursing school and immediately signs up to take the NCLEX, doesn't prepare or prepare sufficiently and fails. Becomes demoralized and waits a year or so to retake, and then retakes an passes.
In all three of these scenarios there is a gap in years from graduation to NCLEX passing. The all reached that minimum competency to practice. The unsafe practice would come into play during orientation and if they failed to prove they could practice safely.
Passing the NCLEX is the first milestone post graduating from nursing school and gives that person the license to practice.
1. 2 pairs of Kelley clamps and vaseline gauze should be at the bedside of every patient with a CT because: Vaseline gauze in case tube is accidentally dislodged, you can slap that on the site real quick, hopefully before they get a huge pneumo. The clamps are useful for a variety of reasons but the emergency that necessitates them being AT the bedside is if your CT became disconnected from the pleurevac/atrium, if there is a hole in the tubing of the chest tube, etc. You would need to clamp off the tube immediately while you work to remedy the cause. There are 2 clamps because you should always double-clamp in case one clamp fails.
2. When using clamping to evaluate for the location of an air leak, you have several options for where to clamp. Basically when you have an air leak, the question is- is the leak coming from the patient (i.e. pneumothorax, hole in lung itself, etc.) or is it coming from the system (issue with the atrium/pleurevac, tubing, dressing). I start this assessment by making sure that the chest tube dressing is occlusive and airtight. Then I examine the tubing for any holes, etc. The junction between the tube itself and the tubing is a weak point, I end up taping over this a lot. Essentially if you think the leak is somewhere in the tubing you would check by clamping the tube close to the patient with one kelley, and then clamp the other one distal by about a foot, see if you still have a leak, if not the leak is in between the clamps so search there, if the leak is still present move the clamp down the tubing and try again until you narrow down the area where the leak is, then go from there. Tape over the hole or replace the tubing/atrium. If the dressing and system are intact, the leak is coming from the patient and actually has clinical significance.
3. We wear masks when changing PICC dressings. It's less important than for a central line, IMO. While a PICC is a central line, it is very long. Bacteria entering at the site would need to travel a long way to reach the heart. A Cordis on the other hand is what? 4 or 6 inches long, tops, and terminates essentially in someone's heart. You should do it for both, prevent CLABSI.
You don't need a mask to change a peripheral IV dressing because it's in a small, distal vessel. Peripheral IVs are changed routinely every few days, so they're generally not in place long enough for the line itself to become colonized/infected. Your immune system should knock out any skin bacteria that enter through the site before it becomes an issue.
I can't believe it's gotten to where this is even a question. It's sad you have to wonder if it's OK to demand not to be hurt.
Change the word "patient" to "domestic partner." Is a woman who says "don't put your hands on me" escalating the situation? Is she then partially culpable when he hits her -- after all, she escalated the situation.
Of course not.
Well since I work in Psych I get threatened all the time by aggressive patients - I usually respond with
don't make it necessary to put hands on you.
I'm a Vet. I was a Airborne Sapper and later worked Intel before I separated. I've had several careers since and only recently finished nursing school. Nursing school was probably one of the toughest things I've done in introspection. It wasn't the hands on or the academics that were the most challenging though.
Dealing with all of the crying, pissing, and moaning was one of the toughest things. Drama abounds and it doesn't end after graduation. Don't get me wrong, there are plenty of tough nurses out there who hate the drama, refuse to be catty, and are willing to leave their personal problems at the door, you’re just not going to meet many of them in school.
As a Vet you'll already know the importance of keeping you uniform and nurse bag squared away, time management, and following orders. Respect and professional courtesy should be second nature by now and go along way with instructors and clinical sites. However, your biggest advantage is probably going to be, knowing the Suck.
There is plenty of New Suck to be enjoyed like cramming for 3 tests on the 3 different subjects the same day. Old Suck is still around too, like getting shafted by some Blue Falcons during clinical when they pull a disappearing act and you have 5 Geries to bath and dress before 0700. Regardless, you probably had to deal with more stress and Chinese fire drills then most. I just sit back and laughed most of the time because I knew how much worst things could be. Remember, you can go home every night, sleep in your own bed, and drink all the beer you want, and not get shot at.
Whatever you, keep your hands to yourself and don’t date a fellow student. The Rumor Mill will run you over and you’ll be in the Director’s office defending yourself against allegations, sometimes real, other times imaginary. Also, don’t be afraid to drop a word to the teaching staff if someone tries to put you in a compromising position or to just clarify things if people are throwing you under the bus. Better to have a chair when the music stops, then to have the door hit you on an unplanned exit.
I recommend keeping your head down and flying under the radar the first few semesters to get a handle on your new area of operation. Help other students when you can because that’s just professionalism and sets the standard. Don’t be afraid to jump into to some hands on, like pressure dressings or CPR drills because these are things you should know pretty well. On the flip side, don’t try to take the lead; it puts a serious target on your back for friendly fire. Sooner or later, other students will recognize your competence and commit to the nursing. This goes long way towards building rapport which you’re going to need in order to get things done. It’s the whole no 'I' in team mantra and it’s the only way you’ll make it through.
Best of luck and Godspeed.
Yes, I chose to get into a female dominated profession (6% male) and a extremely dominated specialty-NICU (1% male) because of the paycheck and not because I care about my patients.
One way or the other.....they WILL stop chomping on that ETT.
HIPAA? Not likely. Against school or facility policy? Probably. A threat to your school's continued presence for clinical experiences at that facility? Yep.
At this point, all you can do is wait. It would also be wise to be prepared to admit you made a mistake, you've learned from it, and it won't happen again. With an action plan to make sure.
Arguably all gen ed classes are "worthless" I suppose, but a four year degree is meant to make you a more "well rounded" person.
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