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| No. 10 |
Sep 29, 2009, 06:32 PM
Re: Old nurse looking to get into the ICU, any tips? Originally Posted by WindwardOahuRN Personally I don't give a flying crap whether the nurse I'm working with is male or female. What I have seen, though, is chips on the shoulders of some male nurses who feel they are discriminated against because of gender when, in actuality, there are other reasons why they are not particularly favored by other staff members, cockiness (no pun intended) being among the top factors. The person crying about "gender discrimination" is often using that as a smokescreen, IME. Hard to admit that the reason we really don't like working with you is because (eeeek) we REALLY DON'T LIKE WORKING WITH YOU. For whatever reason. And that reason is very unlikely to be related to your gender, based on (many more) years of evidence-based practice observations. Some guys are just used to being the boss. It was the way they were raised, I guess---Mom deferred to Dad, sons took precedence over daughters. So when they enter what is still essentially a female-dominated profession (full of really STRONG females) they get knocked off kilter a bit it and pull the gender card to as rationalization when things don't go their way. It's easier than trying to figure out what's really going wrong.
Yep, we're all on the same team. But as with any other team, some are better players than others and it has nothing to do with the "equipment," LOL.
BTW, just my opinion here, but your applause for the derogatory statement made in a previous post regarding females is kinda lame.
That remark is in the same category as any generalization made about any group---females, males, older nurses, younger nurses, ethnic groups, races. In my book it falls under the heading of "STUPID." 
Just my opinion, of course. YMMV. 
Thanks for your opinion.
My statements come not from my victim cries but from multiple mouths of multiple women who objectively speak to my circumstances. I never have played the gender card when raising issues to my superiors.
Generalizations are usually full of inaccuracies. Personal experience, well that's a bit more authentic. Some of both men and women are able to be objective about gender rolls and ICU capacities. Some aren't. I've encountered more of the latter.
The opposition I've encountered has motivated me to engage in independent studies and subsequent acquisition of my CCRN. So I try to use the "nay-sayers" to improve my capacities and tools of my personal practice which leads to safer and improved quality of care for ICU patients. That's what we all really want....right?
| | Advertisement Sponsored Links | | | | No. 11 |
Sep 29, 2009, 07:09 PM
Re: Old nurse looking to get into the ICU, any tips? I've been a nurse since the OP was in pre-school. 36 isn't old by any stretch of the imagination, and the idea that you wouldn't be able to keep up with "the young whippersnappers" is ridiculous! If you want to work in the ICU -- even if it IS because you've romanticized the idea from watching too many hospital shows -- go for it.
You certainly have the basics down pat with your LTC experience. You already know how to do an assessment -- you'll learn more assessment skills of course, including lots of technology. But you know the basics. You know how to talk to patients and families, how to call a doctor and perhaps when to. I suspect you already have a better feel for when a patient "looks bad" than some of those young whippersnappers who went straight into ICU and don't know how to make an assessment without the cool technological toys.
After working in LTC, you've developed a work ethic that many of the brand new RNs haven't yet managed to figure out. Partying all night before your college classes is one thing; partying all night before a twelve hour shift in the ICU is quite another. Skipping classes because you're hung over is one thing, but call in sick to work and you're letting down not just your boss but your colleagues as well. (I'm not talking about the legitimately ill, but about those whose partying make them attendance nightmares at work.)
Yes, the ICU is hard work. You may run for 12 hours straight, lifting bariatric patients, pushing beds, holding folks over on their sides while you change a dressing on a wound big enough to stick your whole head into. It's difficult emotionally as you watch families keep a "loved one" alive, torturing them for months in an effort to keep the social security checks coming, or as you watch a young father with everything to live for dying. It's difficult intellectually as you try to figure out what's wrong with a patient who seemed fine an hour ago and is now tanking. It's difficult to be assertive when you're new and a physician is in your face screaming about how he wants this or that and you know it isn't possible to give him what he wants.
But if you want to try it, go for it. You've got a solid background in the basics, you can easily build on that background. | | No. 12 |
Sep 29, 2009, 07:51 PM
Re: Old nurse looking to get into the ICU, any tips?
Just for the record, I don't watch television so I couldn't tell you anything about those shows. I have seen the J&J commercial, though, and it made me want to vomit.
I appreciate all the input. I've seen so many people die in so many ways at the nursing home I can almost sense death. Maybe that would be helpful in the ICU?
My husband was in the ICU after an acute illness and when I would go visit I would marvel at the machines and the high tech equipment (my husband's nurse was this really cute guy, couldn't help but notice that, lol <-----dirty old woman)...anyway, there was so much going on, though some of the nurses looked really stressed out.
I just applied for a position in the cardiac cath lab at a hospital. No, not ICU but I figure maybe I can get my foot in the door and become familiar with the surroundings at least. I've gotten so spoiled at the nursing home I feel guilty taking a check. I need to go back out in the real world. It will be a big scary change but I'm ready to take the bull by the horns.
| | No. 13 |
Sep 29, 2009, 08:13 PM
Re: Old nurse looking to get into the ICU, any tips? Originally Posted by Ruby Vee Skipping classes because you're hung over is one thing, but call in sick to work and you're letting down not just your boss but your colleagues as well.
Yes, the ICU is hard work. You may run for 12 hours straight, lifting bariatric patients, pushing beds, holding folks over on their sides while you change a dressing on a wound big enough to stick your whole head into. It's difficult emotionally as you watch families keep a "loved one" alive, torturing them for months in an effort to keep the social security checks coming, or as you watch a young father with everything to live for dying. It's difficult intellectually as you try to figure out what's wrong with a patient who seemed fine an hour ago and is now tanking. It's difficult to be assertive when you're new and a physician is in your face screaming about how he wants this or that and you know it isn't possible to give him what he wants.
But if you want to try it, go for it. You've got a solid background in the basics, you can easily build on that background.
Man, I hate "those families." I had a end stage HIV pt who had been estranged from his family for decades for his homosexual life style. His partner of many years was at bedside in the day and his "family" at night. The man was incapacitated and on the vent. One day the "family" brought a notary to witness the pt "sign" a check so the family could cash it. I didn't see which "family" member took the hand of the pt to "sign" the check since it was on days and I work nights.
Crap like that ****** me off.
| | No. 14 |
Sep 29, 2009, 09:01 PM
Re: Old nurse looking to get into the ICU, any tips?
Just wanted to let you know that Im a new grad that is 40 yrs old and was hired into the ICU with NO prior experience other than my clinicals from nursing school. My unit has hired several new grads. Our manager likes that we are fresh. She says that way she can teach us her way. Yes..ICU is tough and there is lots to learn but it can be done! We also have 8 hr shifts. After my 6 week orientation I will go to 12 hr nights. Also I was given ACLS by the hospital so I wouldnt worried about doing that ahead of time. I was alos placed in critical care classes for two weeks put on by my unit educator. They will prepare you.
You should go for it if thats what your heart is telling you to do!! I always say you dont know if you dont try and wants the worst that could happen?? Good Luck!!
| | No. 17 |
Oct 04, 2009, 09:09 PM
Re: Old nurse looking to get into the ICU, any tips? Originally Posted by TootsieRN Well, I've always wanted to work in a big hospital, but I spent my 20's and early 30's having and raising children. I'm 36 now, and I figure if I'm going to ever make a change I'd better grab it now, as time is running out fast.
I got a hospital job offer last year (renal transplant floor) but I couldn't take it because of family obligations. I'm getting old, I can't compete with these young 23 yr. old whippersnappers. Recruiters won't want me when they can have a spritely young thing who isn't saddled with a bunch of other responsibilities.
Indiana State has a critical care course and they advertise it as "a course to prepare a nurse to work in intensive care." I don't know if there would be any use in me taking it, though.
I've got a cushy job in management at a nursing home, but I don't really feel like it's taking me anywhere. I'm starting to feel trapped and owned by this job, and I can't stand that (though I do a lot of blood draws and port-a-cath flushes and I'm the one people go to when there is a problem with putting in a catheter or dealing with a PEG tube.) Still, I'm in such a tame position. My big project right now is revising and updating the policy and procedure manual, which I enjoy, but it isn't what I want to be doing 5 yrs. from now.
I would be doing a lot of hands on in an ICU, with a lot of excitement and I'm impressed with the level of knowledge it takes to work in critical care. Hospitals (I'm talking big city hospitals) are such exciting places buzzing with activity and full of smart (for the most part) people. I'd love to be a part of that activity. And, of course, I fantasize about applying for CRNA school in a few years (I was pretty good at math and science) but I realize that is more than likely a fantasy that will never come to fruition, but I've learned you have to have 3 things in life to keep going: hope, dreams and a future.
Anyhow, rambling aside, I would just like a change from my boring life. I have always wanted to work in a hospital, but due to family constraints I worked where it was most suitable for my family.
I just retired in July at age 75 after 54 years in nursing and 40 some years in critical care. If you feel old at 36, then you have something coming to you when you're my age!
When I was pushing 60 years old, I needed a career change as well. I had worked in adult ICU for most of my career and my body couldn't keep up with the physical demands. I loved critical care nursing too much to retire...so I started doing PICU and NICU contingent while phasing myself out the adult ICU. I was able to stay in nursing another 15 years or so before my knee finally said "ok old gal, its time to stop". I had knee replacement surgery in late August and now am walking with a cane. I'm 75 and walk with a CANE....now that's old. BTW..I would still be working contingent if I didn't have this surgery, but now it would be next to impossible to work there. How would I travel off unit with my patients with my CANE? How would I run for the drug box with my CANE? How could I stop from hitting the 20 something new RN repeatedly in the head with my CANE until no medical professional can help her when she tells me that I shouldn't wear my cap anymore because they are degrading to women?
You may want to do the same thing...no...not have knee surgery and hit annoying young RNs with your cane ....but stay on part time at the nursing home while finding a contingent position in an ICU.(If you do MICU I suggest you take up yoga...its hard on the body). Here we would give you OJT and a full orientation. You say you are good at math and science, so I'm guessing you are a good problem solver. If you are bright and willing to learn new things....then it shouldn't be a problem. If you don't like it...you still have your foot in the door in LTC.
Best to you,
Mrs H
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