Fox_RuN 2,845 Views
Joined Aug 31, '10.
Posts: 32 (50% Liked)
Camp nursing is not year-round employment, just so you know. And many camps (church camps in particular) rely on a weekly-changing parade of volunteers, not a full-time RN.
I am sure it is not want you want to hear, however, I STRONGLY recommend that you do at least one year of pediatric nursing in a major hospital center. Children are definitely not miniature adults and their needs are very different. How you cope with a child's medical and/or emotional situation is significantly different than anything you would have learned in school or on an adult unit. Children need to feel your confidence. Don't short-change yourself or the children. Get the training you need before attempting camp nursing.
Has anyone had experience with the website greatcampjobs.com? Are they legit? The description of the camps in their system sound promising... I'm just always skeptical of things that seem too pretty on-line or things that seem too good to be true. Thanks
So, I just got my transfer request accepted to go to CVICU from med/surg -oncology, which is all I know. I am a fast learner and very dedicated....just wondering if the seasoned professionals have any recommendations to prepare myself for this transition! Taking ACLS next week and they will be sending me to the CCU classes along with additional CV classes. I didn't know if there was anything else I should brush up on, like meds, procedures, etc?? I just want to set myself up for success....thanks!!
Wait - so you're not an ICU nurse? But you were hired as a float RN for an ICU? How? Do you have an orientation? I hope you do. How else would you know how to manage the MI, arrests, drips, invasive monitoring, swans, IABPs, etc. This just sounds strange (read: a bad idea) to me. The float nurses at my hospital had to have at least a year or two of ICU experience.
I've been stuck with a (clean, thank goodness) needle before, after a patient got combative with me.
Always keep a step ahead of your patient, get help holding down limbs if necessary, especially if you have to do IVs or butterfly blood draws where you can get stuck a bit easier if they decide to spaz out on you
All depends on the area you're working in too...psych, ER and ICU I'd say have the highest risk...
More common though are flushing those feeding tubes..it's like being shot...only with stomach/intestinal contents...always get a good grip, especially if you have a suspicion it may be clogged (and if it doesn't flush, check your tube clamps!) All of the above learned the hard way
We're bringing my daughters' bunny rabbits this summer, but they do have an Animal Care program and an available hutch. I've seen dogs at camps. You just have to ask around!
Also, are there any winter camps out there? I remember going a camp in winter with my 5th grade class, but that was a special session...
To Campnurse1....Maybe this really is EXACTLY what I need. I need a nursing job with autonomy that lets me be my quiet, introspective self. Just playing my guitar, reading, fishing. A job that keeps my nursing skills sharp, but lets me enjoy the woods I so desperately crave right now...
Which camps will let you bring pets? Dogs? I'm having a tough time doing some google searches on it
A background on me:
-Moving from S.E. Michigan metro working at large, academic (adult) CVICU to tiny Ontonagon in Michigan's upper peninsula (Ontonagon is about 180 miles from Duluth, MN). Have a total of 3 years nursing experience out of school. I'm originally from northern Michigan and want to get away from the city. I miss being in the woods.
- Have my Advanced Wilderness Life Support Certification and am a member of the American Holistic Nurses Association and am wanting to leave the hospital environment and preferably take care of some baseline healthy people in beautiful outdoor settings (I've decided hospital nursing isn't quite for me, although working at CVICU has shown me I can keep my cool when the world is literally crashing down around me and touch anything as long as I have gloves on oop:)
-Embarassingly, I am much, much better at giving last aid than first aid, even though I'm comfortable handling multiple, complex extracorporeal devices such as centrimags, impella, CRRT, IABP, various LVADs, lumbar drains/ICP monitoring and titrating multiple drips.
-I'm pretty good at wound care though, I do have to say.
-I have no peds experience, only intermediate cardiac/telemetry experience before CVICU.
- On my tombstone, I hope it will read "She worked herself to the bone...no, seriously." In other words, I'm not afraid of hard work. I get teased at work because my patients are always clean, generally stablized, expired gtts changed and back-ups ordered for the next shift and the lines/dressings/tubes/tube feeding supplies are organized, untangled, labelled and dated. If I'm sitting too long, I become suspicious and say, "Damn it, there must be something else I can organize or label!"
-I unfortunately tend to be an introvert (I'm the weirdo who prefers organizing lines in her sedated/intubated patient's room rather than sitting idly on Pinterest chatting). I'm friendly, professional, and a forceful patient advocate when needed.. However I'm really just an awkward only child who likes to be involved in her work versus idly socializing. I'm not a big one for small talk and especially gossip. Another reason I want to leave the hospital.
-Also, the ICU environment is physically and emotionally draining. I'm 25, physically fit, however only weigh 54kg. I'm tired of wrestling confused, 140kg men and my back coming out the losing end . I'd like to be in a place where the majority of physical demands come in the form of hiking, rather than lifting/wrestling. I think I'd like to retire from the WWF as "fun" as being "The Sedater" is.
-Okay..... so as a hopeful camp nurse, I plan on reading "The Basics of Camp Nursing" and I have sections picked out to peruse in my Wilderness Medicine textbook by Paul Auerbach. What other resources should I look at? What general recommendations/tips do you have?
-What camps do you all have to recommend in the Michigan, Wisonsin, Minnesota area? Are there other camps in other states you'd recommend that pay for license transfer and travel expenses as well as food/lodging? I'm not going to have another job other than maybe some flu clinics, so length of stay/time of year of camp isn't as important, however I'd prefer assignments 4 weeks or less. Which camps have a great support system/resources?
-Also, not required, but STRONGLY desired; which camps will let you bring your dog, if any? I haven't adopted one yet, but would like to bring future dog with me (well-trained of course) if at all possible. Although partner could watch him/her while I'm gone temporarily, he's not really a dog person/trainer in the way I am.
Thanks so much you all!
Obviously you and the people who liked your post have never been stalked by a patient before have you? Until you've had strange calls on your cellphone and creepy friend requests on facebook, you should probably not be speaking about this with any authority.
The examples you give... nurses deal out very painful and unpleasant treatments sometimes. Police deal with much unpleasantness, but to be blunt, they get to carry a gun to protect themselves.
Teachers, secretaries, social workers don't poke people and insert things into peoples' orifices on a daily basis. Paramedics poke people, but sometimes they aren't even conscious and they don't care for those patients for as long as nurses do.
I'm not in psychiatry either; intensive care, rather.
I started out of nursing school on a cardiac telemetry step-down in a big teaching hospital. I worked there for a year and a half before transferring to their CVICU. There we get frequent transfers in massive cardiogenic shock and cardiac assist devices from outside hospitals via survival flight.
You are one step away! Sounds like you'll be in good shape.
The other thing I forgot to add is that you will want to make sure you work with peds at some point. Our ER has two separate ERs, with one just for peds. Not sure if yours is like that or if you will get all of them in which case it'll be easier for you and you'll have to spend less time getting your peds experience.
I had looked extensively into flight nursing at one point, but ultimately decided that it probably wasn't for me. Never completely closed it off as they are all awesome, insanely intelligent rockstars, but just some of the cases they have to transport...I am not a squeamish person but would have difficulty transporting an infant with their face blown off by gunshots...
I loved reading the other posts (neuro, pediatric, general nursing). I thought that we in the ICUs/CCUs could come up with a good list too.... I'll start it off with what I can think of off the top of my head... (I'm in CVICU for nights so mine might have that flavor to it...)
-Your heart transplant comes back bleeding, with an open chest and 4 chest tubes and your first thought is, "it's just a flesh wound!"
-Your ECG leads come off, giving the illusion of asystole. When your co-workers get to the room, you wink and say, "gotcha!"
-You have a sixth sense of when your post-op patient is going to wake up and reach for the ETT
-At least 50 times a night you say, "you're in the hospital- you just had heart surgery"
-Say it with me, "it's like breathing through a straw!"
-Before you even get to your room for report, you pick up some macrobore tubing, a liter of lactated ringers, normal saline and blood tubing on the way
-You alphabetize your drips
-You have figured out a way to arrange a Swan-Ganz catheter to look downright pretty
-You have seriously considered giving yourself an IV coffee bolus before
-Your first introduction to a patient was your hand in their groin holding pressure and you asking, "Sooo... how're you doing today?"
-For cheap entertainment, you bring your co-workers down to gawp at the completely apneic ECMO patient up in the chair
-You and your co-workers have considered recording an album, entitling it "Ventilators, VADs and Moans - Sirenic Sounds of the ICU"
Keep it going!
I have nothing but respect for floor nurses- I've never had more than 4 patients at a time, ever. One of my best friends is med-surg/tele nurse in a semi-rural hospital (or as she jokes, "we are the garbage dump for the rest of the hospital"); she'll be in charge with 6 patients.
I started out as a cardiac telemetry nurse with high acuity patients in a huge university hospital and have been working in their CVICU where we get the sickest of the sick since then. Full disclosure; I have never worked as a nurse anywhere without tele monitors except the clinic I volunteer in (when those people complain loudly, outwardly I'm all sympathetic like, "It must be rough to have a sprained ankle!"...in me head I'm like, "Y'all can walk and talk, autoregulate your hemodynamics and BREATHE on your own, you're doing juuuuust fine so take a number!") To be fair though, it's all a matter of perspective; I hope they never have to come to my unit and can continue to complain happily and healthily. Just do it away from me
How do you guys manage without tele?!
ANYWAY, I have been on the receiving end on the ICU snobbery as a new nurse from the neighboring CICU nurses who would literally sigh when I brought someone over (it wasn't just me either..), EVEN though with time, I had managed to make my transfer reports very thorough for them.....and they would STILL ask irrelevant questions (I say this now with hindsight too...they didn't need some of the info they asked for in order to provide post-arrest care). But, I think that was fairly isolated to that particular ICU and a core group of individuals.
We also had dual unit nurses who spent half their time on my unit and half in CICU. I used to get miffed when they would hardly ever seem to listen to my report. Now, having worked in a cardiac-focused ICU, I can understand why they did that. My patients were all fairly stable with AICDs/pacemakers; they were fine, no pressors, no swans, no assist devices...they are FINE....go home and sleep little tele nurse....even the sickie chronics on that floor were usually never quite ICU caliber. We all used to get excited when we had a patient on dopamine at 1 ...
And nowadays when I receive people, I do my very best to be thorough, but gentle, especially as many of the nurses on the floor are newer, and I've been there, not that long ago myself. I've always wanted a chance to grill the survival flight nurses but they don't give a report until at bedside and usually don't stay longer than 10 minutes unless someone is REALLY crashing as they roll them in.
I think many times, depending on the ICU, if they have intensivists and team with NPs/PAs, at least at my facility, they are grilling us about the details we learned from report, and many times they are not very gentle about it themselves. I think a lot of the snobbery is really displacement originating from the docs and advanced practitioners. It's not right, but there you have it.
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