Latest Comments by PacoUSA

Latest Comments by PacoUSA

PacoUSA, BSN, RN 30,870 Views

Joined Mar 25, '09. Posts: 3,493 (33% Liked) Likes: 3,317

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    Please disregard, I found my answer through other channels. Administrator, you may please close thread, thanks!

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    Quote from PacoUSA
    I'm lucky to work where I work, where EVERY single CNA on my unit (day, eve, and night) is plain AWESOME! Not one of them is lazy, and they work well with us nurses. And there are a good mix of men and women CNA's on my floor. We treat them with respect and they don't huff and puff when we ask them to help out. Everyone knows their scope, and no one thinks they are above the other. When I did clinical there as as student, they even treated me awesomely. Now as an employed nurse, I embrace their value. Without them, my job would be much more intense.

    So, not so unfortunately, I have never met a bad CNA.
    I recently noticed this post I made in August 2012 and was like WHAAAAT? I was clearly in a honeymoon phase here, and I must unequivocably retract these words from my mouth.

    It is now April 2016. YES, I HAVE met several bad CNAs, including at the job above where I no longer work. Let's start off with the one that made up vital signs on my patients and entered them into the patient records and I proved it by asking each patient individually whether their vital signs had been taken within the last hour and they all said no. Then there is the CNA that consistently hid in the supply room texting her boyfriend when she should have been rounding. Then there is the other CNA or two that would push a Dynamap into the room while you are with a patient and say "as long as you are in there..." These all became apparent during the years I was there. At another hospital where I worked a contract, there was one CNA who agreed to help me change a 300# female bedfast patient and her bed linen after she had spilled coffee on herself. I ended up finishing the job by myself and right after I saw the CNA sitting at the nurses station browsing the internet!

    I would like to add that 95% of the CNAs I have worked with so far have been wonderful and I could not do my job without them. But 4 years later, I realize that my judgment was clouded back then as a new grad and now I know better. I was so naive! LOL!

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    If you work in the Johns Hopkins ED, please send me a PM. I have a question. Thanks!!

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    Fiddlesticks27 likes this.

    Quote from gonzo1
    med surg x 1 year, ER x 8 years and now 4 years in ICU. At my last job we had 2 nurses that were 70 and working in ICU. They rocked it. I'm wondering if you think ICU is too much for "old" people or what?
    I want to be you when I grow up .... in my 40s BTW

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    Wanted to post an update to this thread. Since writing my last post I successfully completed the two online courses for this certificate program. I will soon begin the process of seeking a mentor for my preceptorship, the last requirement for the certificate which is 60 hours in an ER. I am hoping to arrange this at the ER at my next assignment (I am a travel nurse and work currently in telemetry/stepdown).

    The courses are taught by an experienced nurse in San Diego. They consist of pre-recorded lectures (with Powerpoints) posted on Blackboard from a previous live version of the course. Each course has five or 6 lengthy lectures covering a variety of topics and conditions that can be encountered in an ER. Although some of the information will seem repetitive from what you may have learned in nursing school, the lecturer injects anecdotes and tips from her vast experience which many will find good learning. Along with the lectures are 5 assignments in each course which must be submitted to the lecturer for grading (she is good with getting your assignments back quickly, graded and with comments). The assignments consist of case studies, multiple choice exams or short essay answers. They are not immensely difficult but by the same token they do require some thought to complete. Along with the lessons and assignments is a discussion board, which to be honest was not used much at all to interact with other students during the course, except to introduce ourselves at the beginning. Outside of that, I felt like I was pretty much on my own with the learning with no interaction with other students. That is probably the one disappointing part of the whole experience. The lecturer however was very responsive to questions during the course.

    The courses are offered every quarter so it is possible to start the course sequence during any of the four per year. The preceptorship from my understanding does not need to start with a quarter, it can start anytime as it is arranged separately from coursework. You are also required to complete the requirements of the certificate within 5 years of filing your intention to pursue the certificate.

    I have yet to start the actual process of finding my preceptor. I have been sent the paperwork required and will have to likely wait until I am on site to speak to ER staff in person at my next hospital. If I were in San Diego, I would likely have had an easier time finding a preceptor as I am sure many have completed their preceptorships at the UCSD Medical Center. I however am on the East Coast and not sure the program has enough ties outside of California to assist me with locating one.

    This certificate is not something that is required or guarantees to get a job in the ER of course. I decided to embark on it on my own just to have as something on my resume so that my future employers can see that I am serious about transitioning to the ER as an experienced nurse. I also learned many things along the way, so in that respect it was worth the time, money and effort I put into it. The coursework also offers a generous amount of CE credit, so that was also a plus towards the RN licenses I have that require them.

    I will update further on my progress as things get rolling, especially with regards to how my preceptorship goes and whether or not the certificate was a plus to have on my resume in landing my first permanent ER job.

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    technofreak, ICUman, and Vernie08 like this.

    LTC is not for me. It is not where my nursing skills are best utilized. Although I must say, there are people out there for whom LTC comes easier and for that I respect them. I would rather be in a non-nursing job than LTC. It is where I would be happier.

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    Carriecath likes this.

    Quote from jeanbeth
    ... I just took a 2-hour training course in serving food because our LTC facility is changing to a "household" model where everyone pitches in to give the residents a more home-like environment. Next up is a training session on "throwing in load of laundry when you have time." ... Two of six nurses on my unit have already given notice.
    I would have walked out the door straight off. No notice. No way.

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    rnccf2007 likes this.

    I worked at a hospital once where a medical resident (a RESIDENT!) visiting a patient at bedside put my patient on a bedpan at her request. She came to the nurse's station (where I was busy charting) to tell me that she did that. This was the first time a doctor had ever done anything like this in my experience, so I was a bit shocked. She shrugged it off as it not being a big deal, but just wanted to let me know so that I was aware when the patient was done. That doctor earned my highest respect from that day on. She was quite awesome in all respects. Oh how I hated the day she left for another rotation

    But I have also had frustrations with these moments you describe, where personnel take MORE time to find a nurse to perform a menial task that could have been done quicker doing it themselves. And case managers who now think they are above floor RN status and dont need to touch patients anymore, I really resent this. What is wrong with doing a blood pressure yourself? Arent you still a licensed RN?

    BTW, there are some days when patients take me to the point where I start thinking about becoming a flight attendant, because it is exactly how I sometimes feel. But just when I am convinced that I should go that route, another patient experience reminds me that nursing is truly where I am meant to be.

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    Quote from Lev <3
    Sounds good. If you don't have NIH stroke scale certification (free online) get that too. It will most likely be required.
    I forgot about that. Already have NIHSS due to my having worked neuro stepdown. Thanks!

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    I regret not becoming a nurse sooner in life (2nd career nurse here). I love this profession, it is where I was meant to be.

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    Hello,

    I am currently a travel nurse in telemetry (have worked both stepdown and med-surg units thanks to some floating) and have been doing this for almost 2 years. I left a perm job on a med/tele unit after just over 2 years to start travel nursing. While I have enjoyed my travel experiences immensely, my desire to transition to the ED is more important right now. So later this year I will look to transition back to staff nursing to learn this new specialty. Will I continue traveling after I get ED experience? Right now I am saying that I will not, but you never know what the future holds. I just know right now that 4 years tele is enough for me and I want a change.

    Anyway, cutting to the chase. In preparation for my transition to an ED staff job, I would like to be as prepared as possible to be a competitive candidate for an ED job coming in without ED experience. I currently am BLS and ACLS certified and in a couple of weeks will earn my PALS certification. I am also in the process of completing an Emergency Department Nursing certificate through UC San Diego (finished online courses, just need to complete the preceptorship. This is something I did on my own to demonstrate on paper my commitment to join the specialty). I am on the fence as to whether complete TNCC now or wait until I am on the job, same goes for NRP. CEN of course is out of the question until I am at least a year or two ED experienced. My travel nursing experiences have been in some of the top hospitals in the country (I am hoping my preceptorship will be in my next assignment), basically because I wanted to learn from the best, so I am hoping this also helps give me an edge.

    Anything else I should be considering, is my current plan ok? More than likely I will be seeking an ED job in my hometown of NYC which I know is already competitive.

    Thanks in advance!

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    Stanford Hospital in Palo Alto, California. I loved it there, and it was hard to leave. If I did not have strong ties to the east coast I would have definitely gone perm there!

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    Go to California, I believe it is the BEST place to start out as a traveler. Caution, it might spoil you for every other place out there lol. But seriously, do it and you wont regret it.

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    bebbercorn likes this.

    I used to work @ a hospital in NY on a travel assignment where the ER would fax SBAR to the unit and that was it. The patient would come up in about an hour. No phone calls, no phone tag, nothing. The SBARs were pretty concise enough that you rarely had to call ER with questions. And the MD's notes already in the computer so you already had a full picture of the patient when they came up. I LOVED it! Maybe it is because I am not much of a phone person anyway ....

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    ICUman likes this.

    Quote from jb595
    Hi. My contract ends in July and I plan on doing the same thing. I am originally from New York and I want to move back. I haven't completed my research, but I am trying to find out what would be the most beneficial financially: Travel Nursing in NY or just applying directly to a hospital. Let me know what you find out. Any info would be great. I've been working on Medical Step down for 3 yrs, acls and bls.
    I worked as a traveler @ NYP Columbia and was offered a perm position while there by the manager of my home unit. I declined because it was my first travel assignment and I wanted to continue traveling for a while and also work in California (which I have since done and loved it). No regrets, but this is definitely the way in to hospitals like NYP that have HR departments (oh excuse me, they call it 'talent acquisition' there lol) that are ridiculously gated and screen off applicants. Get on a unit as a traveler and have the manager see how you perform. If the manager likes you, hint at your interest in staying on permanently and he/she will recommend you for transition. Avoid HR in the application process when you can!


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