Latest Comments by GeeBeeRN

GeeBeeRN 1,012 Views

Joined Aug 28, '04. Posts: 16 (0% Liked)

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    I was just curious what a 24-hour Observation Unit is and what types of patients would go there? I've been looking to move into another area and my background is only in General Surgery/Orthopedic nursing so this new unit at my hospital has me curious. Thanks in advance!

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    I'm glad I found this post as I too am contemplating which route to take. I hope this question doesn't sound dumb but is there a high demand for NPs? Also, my sister-in-law told me that her friend couldn't find a position as a Nurse Practioner so she is back to working on the floor as a staff nurse. She also said that the jobs her friend found weren't paying her much more if not the same as what she got paid as a staff nurse. This made me feel a little discouraged as I will be spending a fortune to go back to school and will be making a complete makeover on my life w/ my husband and new baby boy. Anyway, my concern lies more with if there are many job opportunities for NPs. I just want to know that after the many years of schooling, I want to know that there will be opportunities for work once I graduate. (I looked at my current employer's job board and there's usually only 1 or 2 postings for Nurse Practitioners vs gazillions for staff nurses).
    Thanks in advance for any input and comments.

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    Wow! Thank you so much, everyone. I sincerely appreciate the comments and advice.

    For now I think I will stay on my floor and stay on nights. I have just begun to tell my coworkers (I'm not showing yet but hubby and I were just waiting til after we told our families on Christmas to tell everyone else the news). I will definetely "listen" to my body and be aware of my limitations. I will also gladly accept the help of my coworkers. I'm lucky because my coworkers and I have really good teamwork as it is. I think I was just worrying about it too much.

    Thanks again everyone!

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    Hi All-
    I rarely post but I've had something on my mind. I'm a Med/Surg nurse (working primarily in General Surgery & Orthopedics) and I'm pregnant w/ my first baby (only 7 weeks along and not yet showing...coworkers don't know this info yet) Anyway...I'm worried about working on the floor when my tummy gets bigger. Not only that but I'm afraid of what kind of stress it'll put on me and the baby. I work night shift and for as long as I've worked here (4 years) I haven't had any pregnant coworkers on night shift so I don't have anyone to ask about my situation. I had one coworker who got pregnant but moved over to days when she got a little bigger. (I never got to see her and ask why she transitioned to days). Well, forgive me for rambling...but I'm thinking it might be better for me to move into something less physically stressful like telephone triage or even post-partum. Or am I just being a worry wart? I'm just afraid of all the physical stuff when I get bigger and the stress of working in Med/Surg overall (physical and mental). Especially w/ Ortho....the load is heavy.
    For any of the nurses who've been pregnant or are pregnant and work in Med-Surg (night shift or day shift)...I'd appreciate any advice.
    Thanks in advance.

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    These are the shoes I was talking about...They're ridiculously expensive...They're called "Z Coil Shoes". I think I'll stick to my Danskos. (I agree...Nike Shox are great!)

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    I black Dansko clogs but I've been looking all over for a particular pair that I saw someone wearing at my hospital. I saw them on a nurse passing by and thought that they looked neat and comfy. They're open in the back w/ a raised heel (looks like a spring as a heel). They're supposed to provide really good back support. I can't find them anywhere? Does anyone know what I'm talking about??

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    Hi~
    I too would like to inquire about working in Canada as well. I'm looking specifically to work in Toronto. I was looking into Mount Sinai. Can anyone give me any feedback or tips about this hospital? I'm thinking of doing it through a nursing travel company but I'm not sure if they can contract work for outside of the U.S. I currently work in San Diego, CA. Are there other teaching hospitals in Ontario that anyone can recommend?
    I'm curious to know what the differences between the U.S healthcare system vs Canada's Healthcare System. Also, does Ontario have any laws about nurse to patient ratios or does that depend on each hosptial? Sorry for the silly questions.
    Thanks in advance.

    *edited to ask if anyone knows the website to get info to apply for my RN license in Ontario* thanks

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    Okay..I guess I'm just being chicken. I start orientation next week so we'll see how it goes.

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    Guess what? I found out on Thursday that I got the ER position. I'm excited yet nervous to leave my "comfort zone". I also completed my ACLS training this past weekend and I must say how overwhelmed I feel (already). If I wasn't so rushed to get my ACLS (ER training starts on 7/18 and I had to get my ACLS before then) I would've taken my time to refresh my memory of EKG and maybe take a pre-ACLS class first (It takes me a while to grasp this kind of stuff). Instead, I walked away from a "Low-Stress" ACLS certification class feeling dumber than ever. Not really knowing for sure that I understood what was covered. I mean, how much of this will I have to know? I'm probably going to forget this by the time my training starts in a week. I'm hoping that I'll understand this more and more when we start the ER training and on-the-job training.
    I feel nervous about this change. I'm on the verge of telling my Ortho/Surgical manager that I don't want to transfer anymore (just kidding...well...sorta) Someone tell me that this is normal and that I'll be okay.

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    Hi carachel2! That's some great advice. I agree with barefootlady..this is an wonderful & resourceful site!

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    I hope this doesn't sound stupid but I'm curious to know how staffing in the ER works. Does a nurse get assigned to a slot/room and gets whomever comes into those slots/rooms? All I know is Med/Surg nursing where we're assigned to patients based on acuity (or closeness of rooms). Thanks in advance.

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    Hi All!

    This is a good one to post. Just like srknurse, I'm thinking of making the switch to ER nursing (my current background is in Ortho/Surgical nursing). I'm afraid of the change but I think it's time to challenge myself. Just wanted to say "good luck" to srknurse with her decision to switch and to everyone else to keep the advice coming!

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    Wow! I seriously shouldn't complain. When I first started as an RN, I worked on an Ortho/Trauma floor and had a 1:8 ratio which was HEAVY. Then in January of 2004, California mandated a 1:6 ratio. The hospital I work at now (still in Ortho but mixed w/ General Surgery) sticks to giving us 1:5 on all shifts except of course if someone calls in sick or if we're just really short staffed. But only once or twice have I had 6 patients at this hospital since the ratio went into effect. We do primary nursing w/ a 1:5 ratio and a "Unit Assistant" who takes vitals and helps out within the unit. One of our travelers was saying that she interviewed w/ a hospital in NY and their ortho floor had a 1:9 ratio. Yikes. Gosh...I'm not sure what part of the country everyone is from but I guess I should consider myself lucky to be maxed out at 5 patients.

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    Hi kharpe!
    Thanks for replying to my post!
    I really enjoyed the program at San Diego State University (SDSU). The application process at SDSU is different than the other nursing programs in San Diego in that there is no waiting list. Acceptance into the program at SDSU is based on a Point System. For example: volunteer hours gets you extra points, having a grade of B in Anatomy gets you 3 points...an A in Anatomy gets you 5 points, leadership skills gets you extra points (I was active in High School in sports and the student body and this helped me gain more points). You get the picture.
    I applied to the program in the Fall of '97 so some things may have changed since then. Back then, the program only accepted 50 students (those with the highest points). My last semester of nursing school, the program changed and started accepting 90 students as a way to help the nursing shortage.
    Here's the link to the SDSU Nursing Program website: http://www-rohan.sdsu.edu/dept/chhs/nursing/
    I'd be glad to help you in any other way! Good Luck!

    GeeBee

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    In California, there was a new law that passed as of January 1st about ratios. On Med/Surg, an RN can have no more than 6 patients (day or night shift). In one hospital I work at, we phase-out the nurse assistants and shifted to primary care. The nurse assistant are now utilized as "runners" or "unit assistants" where they take vitals, stock, run labs and other non-patient care duties.
    At another hospital I work at, we average 4-5 patients each (night shift). Day shift RNs can get up to 6 but only if they are partnered with a nurse assistant. In January '05, Caifornia's Med/Surg ratio will be 5:1. This particular hospital that I work for has chosen to implement the 5:1 ratio ahead of time which I think has worked well for us. Only once or twice have I had 6 patients since the new 6:1 ratios kicked in but that was because someone called in sick and we were really short.
    In my opinion, the 5:1 ratio really really makes a difference but overall, it truly depends on the acuity of your patients. I had 4 patients one night and I was non-stop running around. Sure, it was only 4 patients but it was a heavy load. Just had to throw that in.


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