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ixchel, BSN, RN 48,829 Views

Joined Jun 3, '11. Posts: 5,160 (75% Liked) Likes: 19,841

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  • May 24

    Quote from Courtney in CA
    I ultimately chose the BSN program because (at least in my area) the BSN is harder to get into and I wanted to be challenged by a higher caliber of classmate. I looked around at the orientation for the ADN program and saw people who had to take their sciences two or three times to get their As. I didn't feel like those were my peers. I CHOSE to make my peers the students who also have a 4.0 and scored well on the TEAS.
    This is a horribly judgmental reason to choose a degree program filled with nothing but totally ignorant assumptions about people you don't know the first thing about.

  • May 22

    My little minty delight, allow me to provide some feedback. I'm able to figure out your Xs, *s, and #s, so I assure you, I am understanding properly as I type this.

    My belief here is that you are positing your success with your job hunt has a lot to do with securing the interview with your resume. I'm inclined to agree, however, now that I am seeing it, I'm seeing good things and bad things. Allow me to share my thoughts as advice for future searches, not as criticism (I assure you, this is not criticism).

    First, some background on me - I'm a 30-something who came to nursing after trying other areas first. Like many people, my younger days were bartending and retail, but then I moved on to some unusual/unique roles, and more professional roles. I won't be more specific than that because the combination of unique and professional roles will quickly identify who I am to those who know me.

    For my track record on resume and cover letter writing, I have literally NEVER been passed over for an interview. Every single time I have submitted my own letter and resume, I have sat for an interview.

    Out of every interview I have sat for, I have been offered a job every time except twice.

    The first time, I was a tiny 19 year old hot chick who looked 15 applying for a job as a corrections officer. It was the right decision.

    The second time, I applied for a nursing scholarship/residency program at a tiny hospital that doesn't have women's health or pediatrics. The interviewers sized me up and thought I wouldn't stay there after my contractual obligation because these populations weren't served there. I was actually pretty angry over this as by this time, I'd decided against both specialties. But, their HR/recruiter called AND emailed stating that you normally get a Dear John letter, but they were so impressed by me and my resume that they really struggled to make the decision to not hire me. Ironically, I've been on an adult critical care unit very happily.

    My current job, first one in healthcare, I competed against 250 applicants for four slots. Some of those applicants already worked there. Since ICU wasn't taking on a resident nurse that year, my unit was the one to get. My resume got me in the door with 24 other applicants, my interview sealed the deal.

    My point here is that I am my only resource in the format and feedback I am about to share. I hope I am legitimized by my track record.

    Now, regarding your letter. You took the time to look up the organization. You stated an example of how you embody their vision/mission. That is a wonderful way to connect yourself with the organization showing how you are already part of their team. I find it may also help to look up something they're working on, or something that has been in the news. Show some enthusiasm regarding that goal or accomplishment.

    For the letter itself, it absolutely has to be one page. It needs to be strongly worded regarding how awesome you are, but how humbled you are to receive this opportunity. NO ONE will brag about you, so you should. Not in an annoying way, of course. But don't hold back. If you've achieved something, mention it. Don't be "that guy" though. If you ONLY brag, you're going to be that guy who is unwilling to learn, adjust to change, show humility, show vulnerability, make mistakes with some grace and transparency.

    You need to close this letter as though you've already got the job, and all the interview is is an opportunity to talk about it. I think it's very strong to end with, "I look forward to meeting with you soon and discussing our future together!" It tells the reader you already see yourself as part of the organization. It says you're committed to this opportunity.

    Now, for the resume. Again, concise is good. If you need two pages, make the second page education and awards. The fact that you have a degree in nursing is obvious if you're applying for a nursing job. And, we nurses tend to be overachievers, so awards are nice to add, but not as important as the professional experiences you've had and your personal statement.

    On the work experience, list your relevant job experience. No one wants to read through the 19 restaurants you blew through in your teens and early 20s. Relevant jobs should leave little to no gaps in employment years, go back a minimum of ten years, if applicable, and every job experience should be able to be described with strong nursing buzz words. Time management, leader, delegation, organization, responsibility, prioritization, customer service, multi-tasking, high-speed environment, management, management of employees, engaging, development of interpersonal relationships, budgeting, etc. Many jobs can include these buzz words. Heck, one of my unique jobs, you'd NEVER imagine I could relate that to nursing buzz words, but I did. Gotta think outside the box. You can't by obvious about it, of course. You just need to fit some of those words in and trust me, they'll be noticed.

    So for jobs, you briefly describe your duties, and then you briefly describe the skills you gained. After all, we are all evolving as we start every new adventure.

    Now, this individual post is enormous already, so I'm going to put the end result of all of this rambling in my next comment.

  • May 21

    I am responding to the OP only, without reading any comments first.

    OP, last year I developed persistent insomnia that at its peak, ended in me going into a psychosis at the end of a shift, complete with hallucinations. Instead of taking seriously the report I'd made to my manager on two prior shifts stating that I'd been dealing with sleeplessness (and me calling out in between those two shifts), the man assumed I was actually high. I received no medical attention whatsoever. Instead, I received a drug test. My manager received the results before I did, and I was fired before proof of one controlled medication validly prescribed was requested.

    That is just the BEGINNING of how my life was ruined by a person assuming I was on drugs. That was more than a year ago, and I am still knee deep in the massive pile of crap that dealt me. All they had to do was get me a doctor.

    You do NOTHING. Absolutely not one damn thing.

  • May 19

    Freaking love you freaking loving my post! [emoji5]️

  • May 19

    I am a holistic nurse.

    My patient had a fever. I gave him ice and Tylenol.

    He has an infection. I gave him antibiotics and probiotics.

    He was in pain. I repositioned him and gave him morphine.

    When he's less ill, I'll try my best to talk him into a flu vaccine.

    He has abusive relatives and a crappy house for PT. He refuses STR and wants nothing more than to sleep in his own bed. We got a home health company that knows him already. He says he isn't being abused. We can't help him with this.

    His skin is reddened. We gave him a foley and vitamin D/zinc ointment.

    My patient has been sad and anxious. I hold his hand while we reminisce about old days gone by. Stories of my kids give him hope for tomorrow.

    I AM A HOLISTIC NURSE. I think homeopathy is junk and I believe vaccination is almost as holistic as it gets in terms of prevention protection of communities.

    I am a holistic nurse that believes in evidence-based complimentary modalities. Evidence-based only.

    And I'm beating a dead horse so I think maybe I'll bow out now. [emoji23]

  • May 19

    Quote from Steeleworks
    A number of people smarter than me thought there was a need for a specialty. Then another number of people, also smarter than me and who are the governing body of nursing standards and practice agreed that there was a need. Thus we have a specialty.

    It was said above,"When appropriate that is the standard response by any nurse."

    While that is a nice thought and hopefully that would be the way it should be, it sadly is not.

    Let me give an example from my past. Late in the night, taking blood sugars of two patients in the same room, their numbers are 45 and 43 respectively. Both feel fine and have no complaints. I assume that two numbers that close and that low is something wrong with the machine. Rather than checking the machine, I get another and repeat. The values are similar. I order stat blood draws to make sure. The numbers for both are off by only 1 or 2 again. I mix some orange juice, milk and sugar and give to each. This is a slow, medium and fast sugar that brings the sugar up fast and then holds it.

    I got wrote up twice by one of my colleague for not giving IV push which was the protocol. The doctor came in the next day and thanked me for not giving the IV push and my manager said not to worry about the write ups. I was not worried as there was an empowerment policy that I used to justify my actions. Why would I want to put the patients at risk of an IV push when there was a safer alternative available.

    Sadly, this is the norm in the hospitals where I have worked.

    Or the nurse who draws up APAP for an aphasic patient with contracted hand pain. As a manager, I asked why. She said that was all that was ordered. I reminded her it was her job to question the orders when lacking or not appropriate. At the time, there were two double blind placebo studies that showed placebos worked better for arthritis pain. The question, if this was a common complaint as she said, which it was not documented, why wasn't something done about it in terms of solving the cause.

    Calling the doc, he asked what I would recommend. Was he testing or curious, I did not know. I suggested siniment and baclofin. He thought it a good solution and it worked. Relieve the contracture and relieve the pain.

    Sadly, this is not an isolated case. Maybe this is just in one hospital but these happened in facilities 2/12 hour apart. I kept seeing this over and over. What should be and what is, the are two different things. I respectfully disagree. Most nurses are not holistic. Most follow an allopathic model of nursing.

    While a recent study found that 60% of schools are including the definition of holistic in their practice. If it always was a part of nursing practice, why is it only in 60 percent of schools.

    While there is a shift toward this, the world nurses operate in is mostly allopathic.

    And think about it, if someone breaks their leg, the doctor set it. Nurse helps. Job done. I have yet to find someone who got dietary exit teaching on how to heal in my part of the country, even in 2015.

    I would be curious what others think?
    I'm not understanding how your approach in these scenarios was "holistic" (as in, the "specialty", not its actual definition). Your responses in these situations were responses any nurse might have, except the lab drawing to confirm the low BG. Why? That delays intervention.

  • May 19

    Steele, anxiety is often a symptom of something else when inpatient. Pulmonary edema, MI, tamponade, just to name a few. Established trachs may have "that look" about them when clearing secretions, but non trach patients usually do not.

  • May 19

    Quote from cayenne06
    Exercise, nutrition (both good nutrition in general and targeted nutrition therapy), lifestyle modifications and addressing the psychosocial/spititual needs of patients are not "CAM."
    Hey, look!!!!! That's what holistic ACTUALLY means!

  • May 19

    Quote from Steeleworks
    Blood saves lives. Well, "Not according to the science," says Dr. Richard Spence, an expert on bloodless medicine and surgery. "All the high level studies show that any to the more blood you get, the greater the morbidity and mortality," he said, not to mention immunomodulation (decreased immunity) for life.
    Holy confounding variables, Batman.

    CLEARLY the problem is the blood transfusions. It obviously has NOTHING to do with the fact that the people are BLEEDING OUT.

  • May 19

    Quote from MauraRN
    Lately, I have seen a lot of marketing by Integrative Nurses, AHNCC and other organizations trying to get on board the Holistic bandwagon. I studied for, and passed all of the pre-testing for HN-BC but ended up not taking it. Something about the Nursing profession hijacking the fruits of the Holistic movement is annoying to me. Why take such awesome modalities and twist them with crazy NANDA language?
    Something about the CAM movement hijacking the word holistic is annoying to me.

    And really, while we're on the topic, when evidence backs a practice being beneficial, nursing will back it. Are you really suggesting a large portion of the medical world should leave "your" treatment modalities alone because all your hipster friends made it cool?

  • May 19

    Quote from MauraRN
    This is a snarky comment about Holistic practices. I did not miss the sarcasm "wheatgrass juice and Reiki". If getting a patient to drink less soda is all that you accomplish with that patient, you have not helped much at all. If we Holistic Nurses weren't out here making a difference and a living, the ANA and the FDA would not be so interested in us.
    There was absolutely no snark in the comment you responded to. It was a very spot on comment saying you guys keep using that word, BUT YOU DON'T KNOW WHAT IT MEANS.

  • May 15

    The letter obviously needs a header. I'm not going to even try to format it right here. I have a template that allows for including a centered tiny photo at the very top. I LOVE to use this template. It makes it stand out and is memorable. You have no idea how many times I've heard, "ohhhh you're the one with the adorable photo!!!" (It's me with my little one, both of us smiling giant smiles.) Anyway, right align your info. If your email address turns blue with a line, get rid of it! This is ugly!

    Left align the facility's info.

    Center the date.

    Left align the rest.

    Dear Hiring Manager:

    First paragraph - state some strong qualities. State that the job listing caught your eye. State a small quip about a news article, or something small you enjoyed on their site. State that you're very interested in being part of their team.

    2nd paragraph - state things about yourself that make you awesome, but be slightly humble. You are introducing yourself here. You need to tell them something incredibly unique and interesting about yourself, if you have something to share. This is where you make them want to meet you.

    Paragraph 3 - share why they are a perfect fit for you. This is usually where I throw the mission statement as it applies to me, or I'll pick my favorite value and share how I exemplify it.

    Closing - as you can see, I'm a perfect match for your organization. Yada yada yada.

    Sincerely,
    ixchel

  • May 8

    Quote from TheCommuter
    Let me guess? You expected us to be a tad bit older than thirty-something?
    I always feel like those who respond with dignity, respect and wisdom must surely be older than I am because half the people my age still act like teenagers.

  • May 7

    Quote from clamchow
    I am quite unsure of the context on a few of the responses, mostly by yhthr. The context of his/her posts seems rather difficult to follow and am I not sure of the point he/she is trying to provide.
    I'm not sure any of us understands yhthr. Whoever he/she is, this thread is a good one and I hate to see it hijacked.

    clamchow, I appreciate you starting this thread and the way you are approaching this topic. If I were to generalize, FNP offers flexibility for specialty changes (it is generalized) and it is available at pretty much any university with graduate nursing programs. In fact, my alma mater ONLY offers FNP.

    Obtaining an RN is severely lacking in thoroughness of education as well. We get it all thrown at us quickly and figure out after we graduate that our education was "baseline" only. Then hospitals get tasked with teaching us how to really be nurses.

    In my experience, the best doctors to work with are willing to hear what others have to say, and are able to discuss things respectfully. I can tell you fit that description, and I assure you the nurses you work with appreciate it.

  • May 4

    Had a young guy ambulate to the hallway to let us know he needed help ambulating to his bathroom (which was closer to his bed than the hallway).


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