DesertSky, BSN, RN 2,355 Views
Joined Feb 21, '12 - from 'Missing the desert...'.
DesertSky is a Critical Care RN.
Posts: 76 (38% Liked)
I'm very curious to know where this is occurring. I have never heard of or flown a patient straight from a scene to an ICU. Does this ICU implement the American College of Surgeons trauma process? If so, what level are they? Is this a new process hospitals in your area are trying? That must cause some serious chaos with all the staff that is required.
It's not very relevant to ICU practice…
…I'm assuming you are already ACLS certified because that is usually a basic requirement, so if you're looking for additional development you'd be much better off working toward your CCRN.
I understand taking TNCC if you are a trauma ICU, but TNCC is starting to fall away. My system encourages ATCN instead, but we can get either one
Usually when i get patients back from OR, the PACU/OR nurses tell me a bunch of info that i don't actually care about. Like i don't care that they got one dose of ancef before the surgery, seriously i don't. I do care about who did the surgery, who's on their case, have they given any PRNs, what are their activity orders....etc. But every floor is different and want to know different things
"What lies behind us and what lies before us are tiny matters compared to what lies within us as long as we have the courage to follow our dreams".
So don't discredit yourself until you've actually tried. You got through your pre-requisites already didn't you? Have the courage to follow through and the universe somehow aligns itself to the path you've set in motion.
At my hospital, nurses are split into 2 teams as well. The initial "A" team arrives at the hospital prior to the hurricane and is expected to stay at the hospital until the storm passes and members from the second "B" team can safely make it into the hospital and relieve them.
Team A is paid double time for each 12 hour shift worked and regular pay for the 12 hours they are "off duty" but still required to be at the hospital. Team B gets no special incentive/pay, but are not required to spend the night or stay at the hospital.
Your hospital sounds like they are being very cheap and inconsiderate about compensation regarding activation of its personnel. I hope you and your family made it safely through the storm.
Any advice about how to transition into the OR would be great!
I just want you to make sure it's the right decision for you and that there are job prospects upon graduation. Much like I've heard about nursing, research the job market near you. You may be surprised that you can get a job without an MBA - or there may not be jobs available even if you have your MBA. Be cautious.
I do want to say that I loved my MBA program and really did learn a lot. I just wish the job market was better.
Everything is sexualized. Our society is messed up.
WOW. Still a student and asking for the highest paid, lowest stress job. Perhaps you should obtain your licensure and work in a few areas while you figure that out.
I highly recommend the AACN review course available for purchase on their website. I know it prepared me to pass the CCRN exam!!
What makes someone ready this is YOU. YOU are ready to go for it. You have taken it on yourself prepare for this.
Trauma and cardiovascular ICU patients are not comparable. Choose where you want to go. You've got this.
Best of luck, let us know how it's going.
That helps a lot but work ethic is just as important. It doesn't matter how much experience a nurse has if he/she is lazy
-Crash cart parked outside your patient's room
-You have one patient. Everyone else has 3.
-You can smell the stool as soon as you get off the elevator
-You pass one of your most obnoxious frequent flyer's wife walking out in the parking lot. Without her husband.
It varies but surely can't hurt to have experience and professional contacts in the specialty you will be pursuing. Personally I think it shows poor planning to have no experience or professional contacts in the specialty where you want to work as a NP. In my situation I have heard of opportunities and gotten offers due to my connections in this specialty which came directly from my RN experience. At one interview the executive director told me the medical director "drooled" when he saw my resume because I had years of inpatient psych experience.
"It is your responsibility to take your breaks and to take care of yourself. "
A fellow nurse giving me another responsibility! I already have responsibilities coming out of my ying -yang.
The ability to get a break.. depends entirely on the individual unit. I have worked on units where I got 3 breaks in 8 hours. I also worked in a float pool, and I was pulled every 4 hours to a different unit.. a break was NOT going to happen.
Please enter the real world.
First and foremost, you did a great job. A first day post-op with TWO interventions and difficulty with weaning SHOULD have been a 1:1. Doubt that could have changed the outcome, though. I am not a cardiovascular surgeon ( I was a cardiovascular nurse for 3 years) but I am thinking one or both of his grafts blew. Nothing YOU could do would prevent his death.
Not all surgical patients survive. For ME , researching the mortality rates on various procedures would reassure ME that I did all that I could.
Let the emotions fade until reason can take over. Then, I am confident.. you will get back on the horse.
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