Macbs4, BSN 2,759 Views
Joined Sep 13, '09.
Posts: 40 (35% Liked)
You could try to apply directly at Epic, located in Verona, WI. I know they hire mostly "kids" right out of college but have also hired seasoned nurses if they are willing to relocate to WI. The "Epic kids" are not clinical. Some of the scenarios written for the training materials are a joke. For instance, one created a surgical history for an OB patient-epididymectomy. Really?? SHE had a testicle removed? This is the type of thing Epic really needs to work on.
Are you currently working in a med surg floor that uses an electronic medical record? Are you or have you participated as a super user? Or have you been involved in so called user groups/nursing informatics groups (different hospitals call it differently) where floor nurses voice their opinions as to what would make the EMR better? If so, the best to way to get a job in the field, is to get involved in these activities, and then use that experience and apply for informatics jobs.
However, given that you already have IT experience, I would actually concentrate on creating a resume that bridges both fields together (IT and nursing). That would be my next step. Create the resume, post it on different sites, and see what comes out of it. You can easily get jobs as a trainer, but recruiters need to know you exist. But really, given your past experience, I myself wouldn't waste the money on a master's degree unless eventually you want to go the management route.
Years back, I had IT experience, I had nursing experience, and what I did was have a professional create a resume that presented both experiences, and that's how I ended up getting a job in the field.
Cardiac ICU with 2.5yrs experience out of nursing school: I do a head to toe every patient every shift. I look at med drips, every line in and out. Check my piggyback infusion make sure bag is before pump. I've gotten better at clumping all my questions together in a casual convo: Introduction, check ID band/patient's orientation. pain, cough, swallow well, belly tenderness. Then I listen: Heart, lungs (A/P all the time), belly. Then I palpate, belly, pulses. Then I test strength. Draw labs if needed. This process takes me about 10 minutes each patient.
I often time wonder the same things that you do when I see nurses sitting around talking for the first 20 minutes after getting report but being the first ones done and sitting around talking.
I feel like I am always doing something. I rarely sit for more than 15minutes each hour it seems. I see my fellow nurses reading books, playing internet games, gossiping, studying, etc. I'm like wow, I never have time to do those things. Wondering what am I doing wrong. Is it my assignment? Do I spend too much time with my patients? Am I doing things that I really don't have to do?
I have seen nurses that come in and before they look at their patient do all of their computer charting. I asked one person how, he said if there are any changes he go back in later and change it but he wants to get all his computer work out of the way.
It's nice to have these kinds of nurses available because they are always available to help others i suppose. If a code happened they are ready to go. I feel I'm so busy during my shift I rarely have time to help so when I do help (because I don't want to seem like a team player) I fall behind in my work.
My supervisors have praised me on my thoughrough charting. I've also had patients tell me that I am very thoughrough to the point where one patient asked me if I had to do all that I was during my assessment. He said, "You are the only nurse here that did all of this". I told him we have to chart and I don't want to lie and say lungs clear, skin is fine, no air leaks in chest tube, Alert and oriented, etc when I don't have a clue. I can't lie like that so I am forced to check because I am legally bound by my assessment. He said, "OK, well I'm not trying to give you a hard time, guess you gotta do your job".
I am still trying to figure out ways to shorten my shift but still do what is required of me. Sometimes i want to sit down and do nothing for an hour.
I am spit at, hit at, degraded by family to the point that it is beyond verbally abusive, sometimes we call security.
I risk my license many night, short, having to mentor a staff complement of new nurses, asking me thousands of questions while I have both the sickest patients, no secretary, the phone ringing off the hook and no one answering it but me, along with all the questions.
I am told allow family to camp out in an ICU and give them recliners and serve them beverages, while my meds are well over an hour late,,,,, and my critical drips are beeping dry while a family demands I reposition their "loved one" for the hundreth time... and I have patient satisfaction scores to balance with my patient that will die that has no family to complain about them....
I've had crap slung at me, patients face painting in their own crap... usually the same ones as I'm given 30 minutes to move someone out to get a crashing one in, and have to leave the crap slinger/painter "as is" to admit a 100 yr old DNR placed on vasopressors with a living will that specifically states not to do this... ALL because the patient can no longer speak for themselves and a weak spinned doc allows it.
Now, put that all in, triple that assignment put me in charge with two new nurses who I'm trying to save from killing thier patients.....
ANYONE, anyone.... think that is worth the $$$$$$$... have my job and bring it on!!!!!!!!
I work this hell because I am an expert at what I do and I love it... because I won't leave... I will either loose my sanity or my nursing license... I'm a betting woman and the sanity is going. So any noobs out there out for the $$$... I say bring them on.... they don't last 6 months in my world and they leave.
This is critical care today... it's not about skill or knowledge, give drinks, smile... put your tray in the up right position before we land... we're high in the sky.
Management is nuts, these scores WILL kill people as the need to please will come before critical thinking... and I promise this... we are going to turn into a third world country with statistics of people dying as we are trying to get NUMBERS up... as this is what the government will reimburse!!!!!!!
Years from now, you'll all believe me, and it will be too late. These last medicaid/medicare changes will lead to patient demise. for now, everyone will just think I'm nuts.
So newbies want to enter this profession for the $$$... LMAO... bring them on in droves... I'll just smile and wave... it's not what they think it is.... and I'm OK with that... 16 years in, been there done that ... burned the T-shirt anyone in for the $$ will be out.
Just don't worry about them, those people, they will all be gone. No amount of money keeps people like me here. No hospital can pay that amount I'm owed for what I do. The money grabbers always leave... trust me
CMS, Centers for Medicare and Medicaid Services, require the 30 minute before and after restriction.
ISMP recently did a poll of nurses about compliance.
CMS 30-minute rule for drug administration needs revision
Less than half of respondents were compliant. This article also contains a well written comment by a nurse explaining why the 30 minutes is nutso.
Hopefully, these results will trigger some realistic changes.
I can see your turmoil. Its hard to be there for someone in a situation you have never ecperienced before. But that is what we all do at some point.
Just be there for your friend, and offer an ear as needed. Dont make suggestions, dont fuel the fire, dont berate any one thing or another. In a similar situation, my friend's husb left for her neighbor(moved around the block) and then moved back. I was neutral to it then, im neutral now. No blame, no finger pointing. Sure, internally I took sides. Externally, I let it ride. Its not my marriage and I dont know what happens behind closed doors. You may at some point find yourself defending #1 against accusations, true or not. You need to say to the gossips: No Answer, and grow up.
Be there, make suggestions for self improvement, (individual counseling etc.) but dont by any means trash talk. It only builds up anger and resentment. Good luck, and learn from this mistake of others, to try and avoid it yourself!
Why are nurses so catty? Because nurses are mostly women and women are just catty.
The difference is the added general ed courses to make up a bachelor's degree (more credits) and the added types of courses to make up a BSN, typically leadership/management and community health nursing.
learning to perform nursing procedures correctly and safely is imperative for nursing students. practice, persistence, and keen attention to detail are key. in learning to competently perform procedures, practice does indeed make perfect. for visual learners, watching videos can be very helpful prior to practicing the procedure. the following are some excellent free instructional resources i have come across on the web:
nursing online video lessons
meant for nursing assistant training, but an excellent resource for nursing students also.
assorted nursing procedure videos
from saddleback.edu - great find!
hacc nursing 103
videos on bandaging, bedmaking, nursing skills, physical assessment, positioning, iv therapy, medication administration, ng tubes
hacc nursing 205
ng tubes, wound packing
nursing videos from university of manitoba
instructional video clips for nursing students by a nursing instructor
nursing procedure videos from the us army:
nursing fundamentals – i videos
nursing fundamentals – ii videos
nursing care of the surgical patient videos
im, subq, and intradermal injections
scrub, gown, and glove procedures
obstetric and newborn care
obstetric and newborn care - ii
clinical skills videos
clinical skills videos for medical students. of interest to nurses will be the venipuncture, urethral catheterization and ng tube insertion videos, but there are others as well that are done by physicians that might interest you. there are also videos of physical exam techniques. the videos can be downloaded to palm pdas.
colostomy/ ostomy care:
hollister instructional video modules – excellent resource!
living with an ostomy video
preparing the patient for colostomy care – a lesson well-learned
hydrogels, hydrocolloids, foams
wound vac video
wound vac change
caring for pressure ulcers pt 1of 4
caring for pressure ulcers pt 2 of 4
caring for pressure ulcers pt 3 of 4
caring for pressure ulcers pt 4 of 4
the following are an assortment of free materials on the internet i have compiled over the years. these excellent materials will be of great assistance to you in nursing school, as you learn to perform accurate head-to-toe assessments. enjoy!
the auscultation assistant
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