CrazyGoonRN 10,672 Views
Joined Aug 14, '09.
Posts: 430 (30% Liked)
I was an LPN who transitioned to an RN. During school I found that I was drawn to critical care. However, when I graduated I was too intimidated by it to attempt to start out as a new RN in critical care so I applied to med surg jobs instead. What I really wanted was to get some hospital experience since this was never an option for me as an LPN. After 1 year on a neuro/ortho floor I transferred to critical care and now I can't picture myself doing anything else.
What were you most interested in during school?
Our vaso is mixed by the pharmacy in 50 ml bags. It is never titrated and runs at 0.04 units which is 2.4 ml/hr (I think?). I have never heard of the 18 hour rule.
My first reaction is no, new grads shouid not be hired in the ICU. However, if the new grad has an adequate length of orientation and a good preceptor then I think it is fine. However, I know that my hospital is hiring anyone and every one they can find in the ICU's because of short staffing. This means a large number of new grads on night shift in the ICU. It is not safe because the more experienced nurses do not have time to answer questions all night long and take care of their own critically ill patients. I only have 1 year of ICU experience and I still have a lot to learn and I am helping the new grads. It is frustrating. Management is shortening the length of oriention to get nurses on their own quicker. It is very unsafe. I'm not sure how long the orientaion for new grads has been cut to, but I know experienced nurses with no ICU experience used to get 8 weeks and are now getting only 5 weeks.
I wonder if this is happening at other hospitals?
It depends on how long you are committed to go to school and your money and living situation. However, you will have many more opportunities as an RN.
I went through a full time LPN program that lasted 1 year. It was intense because everything is compressed. It was 5 days a week. It was hard for many students in the class to continue working at their other jobs once we were about 6 months into the program. It was tough because we would go over information and often be tested on it a few days later. It also required an 80 or above. Below an 80 was considered failing.
I later went through a LPN-BSN program. Compared to the LPN program, in the BSN program we dug deeper into every subject and had more time to learn it. I learned a tremendous amount of information in my BSN program that was never mentioned in the LPN program. Going through a Associates or Bachelor's degree program is a big committment that lasts several years. Also, if I want to go on to grad school I can go anytime with my BSN.
I am glad that I became an LPN then later an RN. However, I always wanted to work in a hospital with really sick patients. That is something I could never do as an LPN.
What do you want to do as a nurse?
As an LPN your opportunities are limited and the pay is less.
As an RN your opportunites are endless and the pay is better.
I've never worked there but I know a couple of nurses who used to work there. They do not recommend it. They say it pays well but they felt their license was on the line.
The job offered is ortho/joint and spine. Its not ortho/neuro. Will this matter?
Happens all the time. I'm an ICU nurse at a large hospital and I came from a neuro/ortho floor. There is going to be a high learning curve no matter what background you come from. I honestly don't think the ICU manager will care which background you came from.
My LPN experience was factored in and I received a higher starting hourly wage but I was still treated like every other new grad. However, my LPN background was in LTC. If I had acute care experience I don't know if it would have been different.
Best places to work are in Nashville. The top ones in Nashville are Tristar Centennial, Vanderbilt, St Thomas West, and St Thomas Midtown. I do not recommend the hospital in Clarksville or in Hopkinsville, KY.
TN has a lower cost of living than many other parts of the country. New grads start at around $20/hr. Tristar Centennial is probably the highest paying and Vanderbilt is the lowest. Vanderbilt is a magnet facility and the only level 1 trama in the area. They don't have to pay much because of their reputation. A nurse in Nashville with 3 years experience might make around $25/hr base pay. It really just depends.
I believe the correct way to write it is "BSN, RN"
I have heard of that ratio at long term acute care facilities but never in an icu
I worked LTC/SNF for 3 years. When I started in med/Surg there were a lot of new things to learn, but I was no where as busy as I was at the LTC/SNF.
I can't understand why the physician had not looked at the chest tubes and noticed that the dressings needed to be changed. Everywhere I have worked the physician will look at the site when he/she makes rounds. Sounds like everyone involved from nursing, physician, bed management etc should be educated. Bed management should have never sent the patient to an ortho floor. I recently moved from an ortho/neuro floor to the MSICU and before the move I was clueless on the proper care of a chest tube. If it was bed managemets best option to send that pt there then priority should have been to move that pt to the proper floor when a bed became available. I also don't understand why the nursing staff did not advocate for themselves and let it be known to management that this pt needed to be transferred to the appropriate floor. Also, the nursing staff should have called the resp floor and asked for guidance in proper care of the chest tube/dressings. When I worked ortho/neuro other floors would sometimes call us when they had questions about things they do not see very often and we did.
Wonder Wink Flex is my absolute favorite!'
Littmann Cardiology III
I had a pt's daughter call late at night. She repeatedly dropped her phone and I listened to her shooing her dog away while she searched for the phone. She rambled on and on about how her mom loves it when people joke with her, therefore I as her nurse should "flick her in the nose" and joke around with her when speaking with her.
It was the strangest conversation I've ever had with a family member.
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