Latest Comments by Schuur451

Schuur451 1,617 Views

Joined: Apr 8, '10; Posts: 17 (12% Liked) ; Likes: 2

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    Hello everyone,

    I'm working on a new mentoring/orientation model for our ICU/CCU. We are still in the assessment period; defining mentor, assessing what the role will entail, assembling resources...I'm hoping to begin a formal mentoring program where core staff are assigned to new nurses based on personality/clinical interest. The core nurse would be responsible for making sure that clinical competencies/skills were adequately addressed, and also be a general resource person for that new nurse. In my thinking, the mentor would also be a social support for the new nurse, and help them to "fit in" to our unit.

    What I'm wondering is how other critical care units orient and mentor their new staff.

    Do you assign one preceptor/mentor that guides the person through their first months?
    Is there a formal mentoring program in place?
    What has worked for your unit in terms of achieving rapid clinical competency and also helping new nurses (especially new grads) feel like part of the team?

    Mostly I'm just interested in what the practice is in different hospitals. We have had several of our new people express frustration that they didn't always have a "go-to" person who could answer their questions and provide guidance.

    Any information would be greatly appreciated!

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    I'll have to check out the book. I had a slow night last night (only one patient), and spent a great deal of time on Awesome site. I went through every EKG on the floor, did a few of their case studies, it was good.

    Just like with basic EKG interpretation, I think I just need to see more of these patterns before it becomes second nature.

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    How many CCU nurses out there know how to determine the electrical axis of an EKG? Do you feel like this is an important part of EKG interpretation?

    If you feel like it's a good skill to have, do you have any tips/ways of understanding it that you could pass along?

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    Great post, Poetnyouknowit, I'm glad you gave a good surgical perspective.

    And yes, one patient, who is asleep is a HUGE...let me say that again HUUUUGE!!!!! pro.

    I'm just done working my weekend, and it was a doozy...

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    OR is very narrow in scope. Unless you go advanced practice, you'll probably only be a circulator. You work closely with the docs in some ways, but you won't learn much about disease management.

    In ICU you are more indepedent, work closely with docs on a variety of patients, and learn more long-term management.You learn a lot more critical thinking (in my opinion), and learn more of what you need to move out of bedside care into a more independent role. Surgery, like OB tends to limit options if/when you get sick of it. If you want broad experience, go to a MICU or SICU. A SICU (surgical ICU) could be a good option for you if you're interested in surgery. Unless you want do surgery forever, I would not start there.

    I guess I should disclose that I work in a CCU/MICU. So I'm a little biased

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    I know there are general MSN programs out there, that don't include a specialty. Is that the question the OP was asking?

    I think that would work. One of my friends went straight to her MSN through the University of Iowa, and then later became a CRNA at another school. Obviously, the education for a CRNA vs. an NP is different, but I think that the general masters helped her avoid at least a few classes. I would think for NP it might be even more, but I could be wrong.

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    blackvans1234 likes this.

    I just try to be boring. Typically that works.

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    I've got one year left on my bachelor's degree, currently working MICU. I will have 5 years of full time experience by the time I'm done with an NP (MSN) degree.

    Question is, with that level of experience, would it be advisable to get my education in a traditional classroom rather than online?
    What experience do people have with online NP programs?

    • Did you feel well prepared for practice?
    • Did you feel well supported during your schooling?
    • Were you comfortable working full time while you were in school?

    My bachelor's is completely online, aka, no on-campus time. I feel like it's been easy to stay on top of the work (if profoundly uninteresting), so I don't think that I needed face-to-face instruction for this level. I want to make sure that I have the support I need for my Master's/NP, however.

    Any thoughts?

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    Shoot, I should really pay closer attention to the dates of the post. Good luck!

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    Check in Sioux City, St. Luke's. It's a long ways away, but if you really want a job it is decent place to start. Our ER has >50% market share, and our cardiac business is growing. Cheap cost of living as well.

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    I save the sensitive things for after we leave the room. The bedside report is just to clarify neuros assessment (such as neuros), check drips, talk to the patient/family, etc. There is no rule as to how much you say at bedside, just that the patient/family feel involved.

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    sunnycalifRN likes this.

    We use mostly propofol, occasionally versed. It's up to our physicians.

    In terms of cost, I think there is a study comparing total costs of using midazolam vs dexmedetomidine, that showed dex actually ended up costing less. I heard about it in a Society of Critical Care Medicine (SCCM) podcast. I'll include the link below for anyone interested. It's pretty dry, with lots of statistics vocabulary.

    Top of the page, #131

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    I am not 100% sure, but check out the Univesity of North Dakota. I looked into that option before getting into my current BSN program. That was a while ago, though.

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    We had to wear light purple shirts for community service day in nursing school. I was picking up trash next to a local college football team's practice. Didn't feel good. All of the guys in our class complained about it, and next year the shirt was black.

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    Those numbers are right in line with what I've been seeing in the Omaha area.