Latest Comments by DesertSky

DesertSky, BSN, RN 3,511 Views

Joined Feb 21, '12 - from 'Missing the desert...'. DesertSky is a Critical Care RN. Posts: 93 (40% Liked) Likes: 85

Sorted By Last Comment (Max 500)
  • 0

    Hi all!

    I'm sure it probably varies by organization, but I was wondering if some of the OR nurses could share the average amount of call time they take?

    I was also wondering if a 4-6 month orientation is adequate to prepare a nurse for the OR? I have experience in critical care, but the OR would be new for me. I have spent a good amount of time in the OR, specifically the CVOR, managing ballon pumps on cardiac patients during surgery and I have enjoyed spending time in the OR and gaining a better understanding of the role of an OR nurse.

    Thanks!

    DesertSky

  • 0

    I would love to hear from any members you have attended or are attending Maryville University's NP program.

    1) Were you please with the quality of the education?
    2) Were professors helpful and accessible?
    3) Ease of finding a job after graduation?
    4) General feelings on the reputation of the school with colleagues and employers?

    Thanks so much!

  • 0

    Hey all,

    I'm about to start FNP school in September, but I have a few concerns including:
    - fear that the NP market will be oversaturated
    - a desire to move more towards an informatics/business side of healthcare
    - feeling burned out on the patient care side of nursing - will being a NP fix this or should I focus on informatics?

    I was wondering if getting a Masters in Healthcare Informatics with a concentration in project management would be an answer? Has anyone gone this route and had an experience or wisdom they could share?

    From research I know there is a growing demand for executives in health informatics, however my concern would be how easy it will be to make the jump from nursing to health informatics after earning a masters in the field?

    Thanks in advance

  • 2
    Proverbs16:24 and shelw067 like this.

    Quote from shelw067
    Hi everyone,

    Long time lurker on this site. Finally decided to make an account because I need some advice..

    I've been a nurse for 2 years, been on night shift a little over a year. Within the last few months I have began having major health issues such as fatigue, anxiety, depression, tachycardia, dizziness, you name it. I barely sleep anymore--I get on average 3 or 4 hours a day, and I barely have an appetite. It is concerning to me because prior to this I have never had any health issues. I have been to the doctor several times and accrued many many doctors bills. I've had lab work done at every visit and everything came back normal. My doctor recommended that I get off night shift and try to get my body back to normal functioning because of course, nights aren't for everyone. At first I blew it off thinking I would improve over time, but it has been about 6 months. Some days I feel ok, but most of the time I feel like complete crap.

    At this point, I'm actually considering going to day shift. The only thing I didn't like about days is getting up so early, but it beats not having a life on top of feeling like death on a daily basis.

    There is no opportunity for day shift in my current position so I would have to find a new job all together. I have been hesitant because I love the job I have now--I get along with all of my colleagues, and of course the other pros to night shift (more laid back, higher pay). I know that if I go to another hospital/day shift the pay won't be as great, and I might not get along with colleagues as well as I do now. However, I feel like I need to make the change to improve my health. I dread coming to work now. I just want a normal life again.

    Is there anyone that had health issues due to night shift? If so, what did you do? To those who haven't what would you recommend?
    I could have written this post word for word about a year ago. I was in an ICU I loved and had great coworkers, but night shift was causing severe health issues for me after 2 years. It was a tough decision, but I left my job and found an ICU dayshift position. I cannot describe how much better I felt within a few weeks! It was amazing and life changing!

    I still miss my old colleagues and organization, but you can't put a price on your health. Good luck

  • 0


    Awesome Pixie! Thank you so much for the resources. I really appreciate it.

  • 0

    Hi all,

    I'm an experienced ICU nurse with my CCRN, TNCC, PALS, and ACLS and I will be cross training to the ED in the next few weeks.

    I was hoping to get your advice on the best reference or textbook for essential ED information, especially items like ESI, triage, and things I may not have experience in coming from critical care. Also, any other pearls of wisdom would be appreciated!

    Thanks in advance for your help and advice!

    DesertSky

  • 1
    Sour Lemon likes this.

    Quote from Sour Lemon
    I work per diem and float among a few units. I feel I am treated very fairly. I've also worked on units where unfamiliar nurses were given slightly heavier assignments ...not to dump on them, but to leave regular staff more available to help with the things only they knew how to do.
    It seems like agency nurses probably get the worst assignments, if anyone does. They may or may not ever return, and people tend to feel little sense of comradery with them. I've gotten to know many of the nurses on the units I float to regularly and feel like an integrated part of the team.
    I'm glad to hear you enjoy working as a float nurse! I assumed float RN's would hopefully be treated better than agency nurses as you can expect to see hospital float RN's routinely especially if the unit is routinely short staffed, but I appreciate you sharing your experience with assignments.

  • 1
    Rocknurse likes this.

    Quote from Rocknurse
    We have a critical care float pool in my hospital that we utilize a lot, and I really like the float nurses...they're awesome. I considered it but the one thing I really couldn't stand is that they seem to have to change units every four hours. I don't know about you but when I take over a patient I like to know exactly what's going on, do a full assessment, change dressings, bathe them and make sure everything is followed up. Usually I feel like I'm getting caught up after about 8 or 9 hours in a shift and if I had to do that 3 times a shift I'd lose my mind. There's just way too much going on, and way too much to get to grips with in 4 hours just to change assignments and units again. Nope...give me my two patients and let me fly for 12 hours. I know we get admissions and post ops but still....I would just hate having to give or receive report up to 5 times a day. No thanks. I think they're abused to some extent, and they never get the really interesting acute patients which I really enjoy taking care of.
    Thanks for sharing. I can totally see how float pool nurses don't routinely get the sickest and highest acuity patients. It is part of my concern about taking the position. I enjoy the challenge of a high acuity patient and would find myself frustrated and bored if the only patients I got were the "stable" ICU patients who routinely get downgraded or moved out to the floor the next day.

    I will clarify in the interview about how often I can expect to get new assignments over the course of a 12 hour shift. Thanks for the great advice!

  • 0

    Quote from Been there,done that
    I have floated, both as agency and as a staff member. I got stuck with the more difficult assignments, only as agency. As Rocknurse said, being pulled during your shift is VERY difficult. Find out if you would be jacked around like that.
    Best of luck with your decision.
    Good advice- I will clarify if I can expect to be pulled during shifts, or if my daily assignments will be to the specific ICU unit for the full shift. I appreciate the advice!

  • 0

    I was recently offered a FT critical care float pool position. I am an experienced critical care nurse with ICU experience in cardiac, med/surg, and trauma ICU's. I have some experience with neuro from working trauma, but it's not my favorite.

    I would float between all the ICU's (med/surg, cardiac, trauma, and neuro) based on need. It would require 3 12 hour shifts similar to a FT ICU position. The pay is very generous and I think I would enjoy the variety of floating between the ICU's instead of staying in a specific unit.

    However, I have a few concerns. For those who have done float pool work, are you often stuck the the less desirable patients such as all of the isolation/cdiff, difficult family members, detoxing, confused, etc. patients? Or does it seem like most units treat you fairly and welcome the help?

    I would appreciate any personal experience or advice you can share!

    Thanks!

  • 1
    WKShadowRN likes this.

    Quote from Riburn3
    I'm an FNP (and also will have my AGACNP later this year) and really just went with the FNP because it was offered at the public university in my area, and offers more diversity in terms of job prospects. My background is adults and I currently work cardiology and internal medicine, so I'm not exactly using all of my degree, but I like knowing that if I wanted to go work in ER, an urgent care, or go work in a family primary practice, I would be able to. A pipe dream job later on in life is to work for the department of state overseas as one of their embassy providers, and you also need your FNP for that.

    Overall though I kind of doubt I will ever use the full scope of my FNP, but I do like know I have more options. Also, even though I never worked in peds and likely won't, it was by far my favorite rotation in school, and probably where I learned the most.

    In terms of jobs, I think most jobs for NP's are geared towards adults, at least in my area, so I don't think you'll have too much trouble.
    Thank your for your response! Your current job in internal med and cardiology would be the kind of position I would love to do.

    You do raise a good point about your FNP opening the door for urgent care, ER, and other opportunities. I am glad to hear you enjoyed your peds rotation because it's actually one of the reasons I was shying away from FNP as my professional experience has all been with adults.

  • 0

    I am a nurse with a critical care background. I am not interested in becoming an Acute Care NP as I would prefer to treat patients in the primary care setting vs. the acute care setting.

    I am torn between FNP vs. Adult/Gero Primary Care NP. In my career, I have only ever treated patients aged 14 and up, so I'm not crazy about treating children. Though I feel pulled towards the Adult/Gero Primary Care NP role, I have heard it is much easier to find jobs if you have your FNP as you are not limited in ages you can treat.

    I would love to hear from both AGPNP's and FNP's regarding their experience in the matter. Was it easier to find work in one role vs the other? Any advice for someone trying to decide between the two?

    Thanks in advance!

  • 0

    Quote from Meriwhen
    IMO, the more important one to disclose it on was the application. Your resume is, as a PP put it, your sales brochure or pitch to get their attention. The application is more detailed and when submitting, you will have to attest (via checkbox, radio button, or just plain hitting Submit) that everything on it is complete and accurate to the best of your knowledge. To have omitted that job on your application would have done you more harm than good, especially if it came up on a background check.

    That being said, be prepared to field any questions in case you do get an interview and they ask you about that short-term job.
    Thanks for the advice! I definitely disclosed it on the application so I'm good.

  • 0

    Quote from Flatline
    What is often confusing is that a resume is a piece of marketing material that you develop to communicate the qualities and experience that you wish to communicate. It is not a comprehensive application or work history. It is not only desirable to leave off short-term or unrelated work history but can even be seen as unprofessional or irritating by the person reviewing the resume.

    Resume=your sales brochure
    Thank you Flatline. I totally agree which is why I left the short term job off my resume.

    However, I also understand each new employer does a comprehensive background check and I did not in any way want it to seem as if I was concealing a part of my work history which is my I list it on all applications. Will this be sufficient so when an employer does a full background check it does not seem as if I was attempting to conceal a form job?

  • 1
    Wolf at the Door likes this.

    Hi all,

    I have a question. I am a nurse with about 3 years of critical care experience. I have my BSN, CCRN, TNCC, PALS, ACLS, and BLS. During this time, I had one job where I was only employed for 6 weeks. I left quickly as I realized the unit was chronically understaffed and the ratios were unsafe. Due to the short time of employment, I do not list the position on my resume, however when I was recently filing out a job application I was sure to list the position in the employment history of the application. Is this an appropriate way to verify I did work there without highlighting it on my resume?

    Thank you in advance!


close