Content That ThePrincessBride Likes - page 34

ThePrincessBride, BSN, RN 52,356 Views

Joined: Jun 13, '10; Posts: 2,228 (62% Liked) ; Likes: 6,370
Specialty: 3 year(s) of experience in Med-Surg, NICU

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  • Nov 3 '16

    Quote from Fiona59
    Power of Attorney only covers legal and money stuff.

    legal Guardian controls health.

    two different legal documents.

    how are you supposed to keep them awake? Takzer?
    (In the US, there is such a thing as a durable power of attorney for healthcare, and it's much more common than actual guardianship.)

  • Nov 3 '16

    No one ever better try to stop me from taking a nap!

  • Oct 27 '16

    I agree with PP to consider NICU. You get your baby fix and there are definitely action-packed days to be had.

  • Oct 25 '16

    Quote from AAC.271
    Posts like these make our profession look poor as we strive for independent practice.. Please do not post this as many physicians and possibly politicians read our forums and it is important that we show them that we are indeed competent and ready to take on the challenges of primary care

    So admins, please delete this thread.

    Ask your supervising physician for help. That is what they are there fore.
    What is this, the Soviet Union?

  • Oct 22 '16

    Meh, I'm sure the Wal Mart shopping cart is way dirtier than my scrubs.

  • Oct 21 '16

    If you are close to starting a family right now, would you be up for starting a family then waiting until the kids are in school to apply to NNP program? I am in an adult gero NP program... just had our first child this summer and hoping for two more before I graduate. Not going to sugar coat it--sometimes it really sucks. I was discharged from the hospital at 0830, had to run to school to give a presentation at 0900, then go back to the hospital to pick up the kiddo. I know others who have started their families during the program, so it's doable. But I also know a lot of women who waited until the kids were older and more independent, which seems like a smart option.

    I just would be hesitant to wait to start a family. You really don't know what could happen and you may need to have time to get pregnant. GL!

  • Oct 21 '16

    Quote from ThePrincessBride
    It is something I am passionate about and find fulfilling.
    This, to me, is enough of a reason to stick with a job. And with some experience and seniority built up -- depending on the unit -- you should be able to get off some of those nights and holidays.

    Quote from ThePrincessBride
    I also worry about the experience I am getting. I currently have nine months of experience in a level 3 with more than half being off orientation. I have yet to take care of vented baby by myself, give vasopressors or successfully get an IV in (though I have a few attempts).
    If you haven't yet, this is the time to advocate for yourself to your charge nurses and manager. Explain that you want to grow and improve, and ask if there's anything they think you need to do before you start taking on more acute patients. Sometimes there's reservations they may have that haven't been communicated to you. Sometimes charge nurses only ever view certain people as competent to take on "sickies," and they need a push to realize you want to get in the game.[/quote]

    Quote from ThePrincessBride
    I look at the people going directly into np school without experience and am baffled. Maybe they are smarter than me, but I am terrified. NNPs practically run the unit and if the most senior nurse can't do something, it falls back on the NNP. I want to do right by these babies and be proficient.
    You're right, and I think those people are wrong. I don't think it's that they're smarter than you, I think it's a case of them not knowing what they don't know. Especially for NNPs, you need to have a solid foundation of bedside knowledge before you even start to think about taking on an advanced practice role.

    Quote from ThePrincessBride
    At the same time, I want babies of my own. I am 25. The program is almost three years. If I start next year, I will finish at 28/29. If I wait another year, it will be 29/30. I want two kids with the option of a third and feel the clock ticking.
    This is a decision about priorities only you can make. When I was younger, I thought I'd be married with kids by 30. Well, I'll be 31 in a couple months, and I've only just got married, with no kids on the horizon for at least a couple years. I haven't gone back to school, but I am living and working in a foreign country, with more world travel under my belt than some people get in a lifetime. God willing, I'll still get my couple kids too - I'm certainly not an unusual demographic to be my age and childless so far. 25 is younger than you might feel it is right now.[/quote]

  • Oct 21 '16

    I have yet to take care of vented baby by myself, give vasopressors or successfully get an IV in (though I have a few attempts).
    Now is not the time to be taking on an advanced practice role. Also, what kind of unit are you in where you've been off of orientation for that long without a vented kid or even a little dribble of dopamine or something? Are they few and far between? Perhaps a different unit where that kind of thing is common would be helpful to experience before you're taking on the role of managing the care for those patients?

  • Oct 21 '16

    You love your job and you're well on your way to becoming proficient. Having a job you can easily pull off and enjoy while raising a family is pretty ideal.

    Unless you already have the future father of your children, choose to have kids with someone who can provide the health insurance and then work perdiem. A friend of mine made a very high wage working perdiem in the NICU choosing her own schedule while her fire fighter husband received outstanding benefits from his employer. She had the best of both worlds, great career and a flex schedule for her family.

  • Oct 21 '16

    Whew! You've got a lot of variables in your decision.

    First, let me say that bedside experience is the best thing you can have before entering NP school. I've worked with some of those NPs who have never spent time at the bedside and it is difficult. So many of them feel that their education puts them on a social strata above the mere bedside nurse and don't bother to listen to assessments, gut feelings or the voice of experience. A good NP will gather information wherever she can, including from the bedside nurse who has been with the patient for 46 hours this week.

    NICU is a specialized area, and I'm not sure how easy it is to transfer out of that specialty as an NP. Can you do an extra practicum in seven years when you cannot STAND another underweight baby, shiney parent or needle stick on a neonate? If you decide you like the. Critical care aspect but not the babies, how hard is it to switch to an adult ICU? L & D? A clinic position? Some people are happy as clams for 40 years; others have to move around every few years. Which are you?

    School can be done while pregnant, although it seems like a helluva lot of work. A close friend went to NP school over four years and delivered three healthy children during that time. Of course she had a husband with a high 6 figure income and a nanny or two. But it can be done with family support and the support of the ladies at church.

    I'm afraid my personal stories may not be that helpful. I hated hated HATED nursing, and went to school to be an MBA. I worked full time, went to school full time and made lots of contacts and had some attractive job offers. As graduation neared, I had an epiphany -- I really didn't want to give up the ICU. School was more fun that anything else I could have done with the time or they money at that time, so I don't regret getting the MBA. But I can see where, with today's cost of tuition, if you finished a degree, incurring mountains of debt it would be damned awful to then find out you hate the job for which this degree has prepared you. Or in the words of my fecund friend, "I could have saved myself the time, aggravation and the debt and been just as happy staying here in the ICU.

    The only story I have that could help you is this one: I wanted babies. I waited because I was young and my marriage was shaky. Then I got uterine cancer at 25 and the baby option was gone. Have your family, if that's what you want, and work the other stuff around that.

    Hope this helps.

  • Oct 17 '16

    NICU is far, far from quiet and peaceful. Maybe at moments it's quiet, but it's also caring for the sickest and most fragile patients you could possibly encounter. It's calculating and titrating micro-doses of medications to maintain blood pressure and heart rate, achieve fluid balance without fluid overload, managing specialized ventilators, and constant observation and assessment to detect life-threatening complications like ventricular hemorrhage and necrotizing enterocolitis. Please don't think NICU is all quiet and peaceful, feeding little babies until they get big enough to go home.

    Shookclays, it's fine to have an idea of where you would like to work when you enter school. But keep in mind that the NICU will be a minute part of your nursing education. In fact, most nursing programs only do a one day shadow in the NICU, if any time is spent there at all. And after graduation, NICU positions are highly coveted. Few will hire nurses with no previous experience. It's possible, but depending on your location, it's very possible you may not be able to enter the NICU right after graduation. Your focus during school should be getting a well rounded education, learning how to think, assess, and act like a nurse so that you can pass the NCLEX exam and become licensed. By all means, take advantage of opportunities to network and get a feel for what nursing is like in the NICU, if your school offers them, but also leave yourself open to other areas and opportunities as well. Then, after graduation, if you still feel NICU is where you want to be, search for jobs in that field, with the understanding that you may need to accept a position in another speciality in order to get the experience required for employment in the NICU.

  • Oct 17 '16

    Quote from Shookclays
    Certainly why I dislike adults. They annoy the hell out of me and i will NEVER care for them as a RN. I would rather remain unemployed until I find a NICU job. ������
    Never say never...the ratio of adult nursing jobs to NICU positions is like 1000:1. The number of adult patients needing care far outnumbers the fragile neonates.

    NICU is a highly coveted specialty, and many new nurses with the all-or-nothing mindset end up becoming undesirable old-new grads who have been out of work a year or two.

    Once a new nurse crosses into old-new grad territory, managers begin to covertly toss their resumes into file number 13 (a.k.a. the circular wastebasket) in favor of more recent grads.

  • Oct 17 '16

    I think you have tunnel vision on n this and should be open to other specialties. NICU is very hard to get into initially for a new grad.

    I thought I wanted pediatric oncology. I still would if I wouldn't have to deal with their families. Once I thought about that, no way.

    I like me some trauma.

  • Oct 17 '16

    Quote from Cat365
    Nope. Except that I did not want babies in any way shape or form. Little people are strange.

    They are like a species all of their own. They hide sickness and can turn bad quickly. Then they die on you. Nope no babies for me.

    Should have seen seen me in my childbearing clinical.
    Who you calling strange???

  • Oct 7 '16

    Quote from PsychGuy
    Because nursing has failed to ever produce comprehensive "advanced practice." Neonatology is a subspec of pediatrics so why nursing doesn't follow this ideology is beyond me.
    It isn't just nursing. Why are there neonatologists and pediatricians then?