Latest Comments by eCCU - page 4

eCCU, APRN, NP 6,314 Views

Joined: Aug 31, '10; Posts: 222 (36% Liked) ; Likes: 174

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    Quote from lateblumer304
    You are right, pghnursedjg, most PA's, have the same level of study as a BSN - unless the PA continues on to get their Master-level PA degree.(don't know what it's called.) The difference between a nurse and a PA is that PA's learn more technical things like suturing, ordering tests, interpreting tests, etc.

    Furthermore, a nurse who is a part-time NP student is gaining experience every workday, which is just as valuable as a more "intensive" curriculum. I would stay far away from a new-grad PA who has no prior hospital experience. I think that an NP - especially a DNP is by far more equipped than a PA(especially Bachelor's degree PA)... don't tell the PA's that. :-) I'm not bias at all ... :-)
    I will correct that point. Anyone can attend P.A school if they have a bachelor degree. Had a friend who was a history major that applied and got in.... Needless to say ended up quitting. .. the 12 lead ECGs were too much.....
    To apply to any MSN program you must have a BSN and experience. ...

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    Quote from Okami
    Open visitation is a great concept, on paper.

    I remember a few months ago a critically ill patient coded in the ICU and the night nurses had continually asked the wife to step out of the room as they tried to prevent the patient from arresting and while the code was in progress the wife was in the back of the room washing her underwear and asking the physicians to quiet down.
    Oh lord...I remember one time in the CVICU we were in the middle of a code and a family member came over from the next room asking if the dad next door can have a glass of water!!! Chest open and everything!! will never forget the CV surgeons words screaming... "get the hell out of here! Can't you see we are busy? " ugh the nerve...

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    For lack of better I have to say I have seen these tactics used by management to get rid of experienced staff or staff under pension system that will cost more money to bring in newbies that are cheaper....budget...budget...on the other hand as a former educator I consider myself a failure when my students fail to succeed, so perhaps this educator doesn't need to be one. I am curious what type of nursing leadership does your facility boast to have? If it's transformational then its a failure big time by being punitive. If it's a teaching facility thats even worse! With such a high failure rate I think a challenge should be considered...I mean if your bosses are not concerned that the education competency needs a boost...maybe its not a facility worth working for....just my 3cents :-)

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    Quote from ktliz
    Great thread. Just this week I had a patient in torsades requiring compressions and defibrillation. Following the code, we started a milrinone drip with a loading dose. Apparently his heart did not like that loading dose because he went into a rhythm that had me ready to jump on his chest, until I looked down at the patient and he was looking at me quizzically. Once I composed myself, I realized it wasn't even vtach, just an aberrant tachyarrythmia.
    I like to get 12 lead especially if they are still chatting with me! Why? I have had vtach on the monitor but upon 12 lead it was WPW or SVT on very rare occasions in my career I have seen brugada and once in my lifetime occasion as my electrophysiologist said arrhythmogenic right ventricular dysplasia! Now that was totally cool!

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    ICURN3020 likes this.

    Patient educator for diabetes patients admitted in the hospital might be of interest to you :-) doesn't require an MSN like the Nurse Educator in most places but it doesn't hurt to have one eventually.

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    ICUman likes this.

    Quote from catlunde
    Boards of nursing have nothing to do with 1:1 policiesa seems wrong. How about the patients. If I knew I was a1:1 and my nurse was responsible for charge and something happened or didn't yeah I'm complaining! THink about the patients where are they ain any assignment scenerio in 2014!
    Actually it does depend on your Board of Nursing and how far they go to protecting pt safety. ...

    Safe Harbor (SHPR), which may be initiated by a LVN, RN or APN prior to accepting an assignment or engaging in requested conduct that the nurse believes would place patients at risk of harm, thus potentially causing the nurse to violate his/her duty to the patient(s). Invoking safe harbor in accordance with rule 217.20 protects the nurse from licensure action by the BON as well as from retaliatory action by the employer.

    So yes it depends on your state board. Once invoked the CNO must be notified in my facility. Very rare because in my experience when a nurse invoked it they found a nurse really quick than call the CNO!

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    TigerRN2013 right depends on the facility policy as well as your Board of Nursing rules and regulations.
    My facility charge doesn't take on any patients and yes that decision did not come easy! 1:1 automatic for all train wrecks.

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    jadelpn, tokmom, and LadyFree28 like this.

    Quote from nichefinder
    Hello all... It's been little over 3 months since I started this medsurg job... very busy floor with 6 max load, no phlebotomy team, very slow system, horrendous meditech charting, very ghetto clientele, your regular run-around-crazy-head-cut-off MS floor...

    I was going to soldier on 3 more months so I can internal transfer, but last night's shift sealed the deal for me. After finding out I had 2 fresh admissions beginning of my shift, then running around for 5-6 hrs straight working around the crappy, slow system, having to deal with all the non-compliant, demanding, complaining, ghetto pts, smiling at them even when I wanted to strangle them, and finally when the pt pulled out the IV, my sanity snapped, cartwheeled, double back flipped and my nose started bleeding with a migraine.....

    After I started this job, my bp would skyrocket sometimes to 170/94 when my baseline used to be 120-130/80s. I would suffer from insomnia, not even getting 3 hrs sleep between shifts, dragging my feet to work, hating my life because I hate my job, and demanding, complaining pts just slowly chew me inside out while I have to calmly smile and explain to them because stupid healthcare industry turned RNs into damn hotel servants.

    My father has HTN, grandma died of hemorrhagic stroke, and when that nose started bleeding, I immediately thought "I have got to get out of here." I am most likely present my 2 weeks notice early this week; I have no job lined yet, but for the health and sanity, I feel like I must quit. Good grief, I didn't hate nursing school this bad! I am willing to take pay cut to go to somewhere I can work with little more relaxation; fixing my resume and starting to look today at OR, cath, GI, day surg, endo, etc. "Nursing" Webster Dictionary definition: saving others while trying not to take your own. Amen to that. I am done, I want to live.
    I empathize with you and hope you get a spot that works for you. On the other hand remember nursing is a stressful career it doesn't matter where you go. I have worked on each end from the low income community hospitals to the fab old money hospitals where they come in as unknown and there is a 1200 sq foot room with Egyptian cotton blah blah blah! and fire their doctors based on "I don't like his/her attitude" you think this is stressful, wait until you take care of their kids and their daddy is the who is who richest man that sends the attorney to look into his sons complaints! venting here Nurse...they just donated the new building suck it up cupcake! Lol the demands are endless. ....and the top management couldn't care about you with this one!

    My point is.....the "the grass is not always greener on the other side, its just covered with manure (s#&*)" hence the green color....#wink#
    Take care of your health first then re evaluate your approach, find someone that doesn't get worked up over irate and demanding pts and learn from them.
    Personally. ..I learned that early great for your sanity and you end up being their best nurse ever! Wink#

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    Oh lord have mercy! Lol

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    Glad to be of some help and wishing you the best in finding a good position :-)

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    Quote from klone

    I was referring only to the pathogenic properties of the polish, not what it does to your nails. no astrophysicist, but doesn't the destruction of your natural defense properties with chemicals make you more prone to carrying the so called pathogens around exposing them to immuno compromised patients?

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    Quote from klone

    Have they, though? I could not find any articles specifically about gel polish. The reason for changing polish frequently is because of chipping. If the polish isn't chipped, it doesn't harbor any more pathogens than unpolished nails, per the research I was able to find.

    If you can find research specific to gel polish, I'd love to see it.
    Refer to the article shellac is a mixture of gel+ nail polish. No aeration to your nails for 2 wks cannot possibly be any good. Not to mention the 20 minutes spent soaking on acetone!!!

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    cshaw18, kestrad3, and stephdRN like this.

    Sorry terrible communication skills for a management position. Don't let the first person diminish your worth. Check out the facilities that are hiring diploma nurses in your area. Keep in mind that the high acuity areas are now BSN only. Hang in there and when you get that position I would recommend joining an online diploma-BSN program. Best wishes.
    Ps...I agree with above post emphasize on the RN.

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    Quote from hoerla
    i did rotations at mayo recently and they're still on a hiring freeze. i will apply but i don't think my chances of landing a job there are that great. there are other critical care residencies in state (St Cloud, Regions, ect) but i imagine that they are also competitive, so i just wanna be aware of others out of state.

    thank you for the suggested places everyone! this is very helpful

    and please no "there is no nursing shortage!!!" comments. i know people are trying to be helpful and open my eyes to the "reality" but that is not encouraging for me. will i take a position in LTC in the middle of nowhere if I can't find anything else? of course! until i have exhausted all of my other options i am applying to every single ICU position in the US that will consider a new grad.
    Hope this helps...