Latest Comments by Wildcatkt

Wildcatkt, BSN 1,561 Views

Joined: Sep 19, '12; Posts: 22 (36% Liked) ; Likes: 9
Trauma ICU nurse
Specialty: 1 year(s) of experience in ICU, trauma

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    I can also speak to this personally; I worked in trauma ICU as a new grad, and I thought I loved it at first, until the stress started physically weighing on me. I wasn't sleeping or eating, and I was so stressed thinking about going to work that I would get physically sick. ICU is a scary environment, and even after a year when I felt that "click"
    and felt for comfortable and confident, I still hated the environment (I'm a people person, and everyone there was vented/sedated, lots of death, crying families, etc . )
    After 1.5 years, I moved to maternal/child where I do postpartum, NICU, peds, etc, (everything but L&D really because I hate it lol) and I have never looked back!
    ICU definitely taught me a lot of skills and critical thinking that I find very useful in my work now, but I don't think I would ever go back.
    I would suggest doing what you said and waiting out a year, but you can't force it if it's not where your heart is good luck in your decision!

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    habi14 likes this.

    Similarly, I had debated between becoming an RN and a PA, so I applied to UC Berkeley and a few CSUs and was accepted to all. After a job shadow, I decided nursing was definitely the right move for me, so I went to CSU Chico and got my nursing degree; I've been an RN for 1.5 years now and I've never looked back I've always been proud for getting into UCB, but a degree from a prestigious college does not necessarily a happy career make!
    Also, in regards to pay, Pediatricians are some of the lowest paid MDs out there, and the student loan debt is massive. If being a pediatrician is your heart's desire, then forget about the money and go for it, but if being a pediatric RN is what you TRULY want, I say go for it! Sac State does have a good nursing program, and you get to do clinicals at specialized Childten's hospitals (such as Shriner's), which will be great experience for your dream of being a pediatric nurse! Good luck in whichever path you choose

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    Also, I work at the large regional facility in northern Nevada, and from what I've been told, the other hospital is private/for-profit and their mag patients stay in L&D. I think it might have something to do with them being part of the Calofirnia nurse's Union, but I'm not too sure

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    Our Mag patients come up to PP as soon as the pressures are stable (systolic <160), which is usually within a few hours of delivery. Our protocol is hourly vitals (not including temp), hourly I&Os (catheter must be left in), hourly LOC/"sedation scale" rating, and check DTRs + clonus q2h. We do couplet care, and we usually won't give someone more than 4 couplets if you have one pt on mag (we try to stick to 3 couplets, but sometimes staffing doesn't allow for it). We try to split up the work by doing all odd hour vitals, and our CNAs do the even hours, although we still check on them at least every hour because only the RN can assess LOC. We usually have PRN IV Labetalol ordered if pressures begin to rise again, and they stay down in L&D if there is any active seizing occurring. I hope this helped =)

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    Sorry to hear about your troubles, I had a similar experience I graduated from a BSN program in May and i turned my paperwork in before I graduated in April, and didn't get my ATT until late August :-/ they "lost" my transcripts, so I paid to order 3 new pairs (2 juniorcolleges and the university) and DROVE them because I didn't trust them with my paperwork for in the mail anymore. When I got there, they did some looking around and FOUND my originals, so $50 down the drain. They continued to play lost and found with various parts of my application, as it turns out they had everything they needed from the start, but kept separating/misplacing things. Calling is nearly impossible, I found driving to the office in Sacramento was where I got real information. So frustrating, I had two seperate new grad program offers that had to retract because I didn't have my license in time. They need to get their act together :-/ I am working in Reno now, the Nevada BRN took one week to get my temporary license and would have gotten my permanent in 2 weeks, if the California BRN didn't take 2 months just to send an endorsement paper confirming that I have a license in CA. I wish I would have known this is where I would end up, I would have started in Nevada in the first place! Glad it all got figured out in the end though

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    I am working as a new grad at Renown, I have only been here a few weeks so I can tell you what I know so far! Renown hires new grads in all units (I started in trauma ICU) except ER unless it's a rare occasion. Pay is okay, I am from the SF Bay area so it seems low to me but you can definitely live comfortably on the money. New grads start at $28-$31.15/hour (differential for night shift, and almost all new grads are hired on nights).

    As far as rent, i pay $795/month for a very nice one bedroom in a good part of town, you could probably find one for cheaper for less quality or if you got a two bedroom and a roommate. Cost of living I would say is low, but again I am from CA so everything seems low to me lol. I love it here, you have all seasons and it is so close to Tahoe, which is great if you like the outdoors!

    New grad orientation consists of combination of classes and preceptorship time, ranging from 8 weeks for med/surg/ortho/neuro, 10 weeks for tele, and 12 weeks for ICU.

    Hope this helped, good luck with your job hunt!

  • 0

    Hi Kim,

    I am an RN in Reno, and there are two main hospitals here, Renown Regional Medical Center and St. Mary's. I am currently working in the Trauma ICU at Renown, and I love it here! I am not sure where you looked up the hospital size, but I know Renown has 2 campuses and over 800 certified beds (I think just over 600 at the main hospital). There are also 3 ICUs on the main campus (an 18 bed med/surg ICU, a 28 bed Trauma ICU, and a 30-something bed Cardiac ICU) and I think one at the South Meadows Campus. It is also the only Level II Trauma hospital in northern Nevada.

    I can't tell you much about Cardiac ICU, but it is in the Tahoe tower which is pretty new and everything there is nice and recently renovated! Pt. rooms are HUGE there. My friends that work on that unit love it. The pay is lower than CA, but that can be said for any other state other than CA, lol. Plus the cost of living is lower here and there are no state income taxes

    I hope this helped a bit, good luck with your search!

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    JamesC18 likes this.

    Hello!

    I am a new grad RN and I will be starting in a level 2 trauma ICU at the end of next month. I will have a 12 week orientation period with a combination of hospital days with a preceptor and classes, but I am wondering if anyone can give me any advice on how I can prepare myself before I begin, since I have about a month? For instance, any books that would be helpful related to trauma/critical care, common medications that I should familiarize myself with, etc.
    I am also interested in hearing from someone who works on a trauma unit, and what you think of it...my preceptorship experience was on a med/surg ICU, so I am not sure how different this unit will be!

    Thank you in advance!

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    A&Ox6 likes this.

    I have actually been wanting to ask the same thing! I have accepted a job in Reno, and I really want to move in with my boyfriend in South Lake Tahoe. The commute would be around an hour, but that's without snow. I don't know if it will be worth it once it stars snowing, I am thinking of getting a small one bedroom closer to work, especially since I will be working 12 hour night shifts :-/

  • 0

    Hello!

    I am a new grad RN and I will be starting in a level 2 trauma ICU at the end of next month. I will have a 12 week orientation period with a combination of hospital days with a preceptor and classes, but I am wondering if anyone can give me any advice on how I can prepare myself before I begin, since I have about a month? For instance, any books that would be helpful related to trauma/critical care, common medications that I should familiarize myself with, etc.
    I am also interested in hearing from someone who works on a trauma unit, and what you think of it...my preceptorship experience was on a med/surg ICU, so I am not sure how different this unit will be!

    Thank you in advance!

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    kah_0123 likes this.

    I received an email response yesterday after I asked about which units already hired/are hiring for which start dates/and if interviews were completed and this was the response I received from the nurse residency program recruiter:

    "The only thing I can tell is that managers are starting to request applicants for the October 26 Cohort. Interviews are taking place now through early October."

    I received this yesterday on 8/14/15, so there may still be hope

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    I had a friend hired into Internal Medicine. Does anyone know what units are hiring now and which ones are hiring in October?

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    kah_0123 likes this.

    Hey guys! I know someone that just got called for an interview in L&D, but don't know anyone who has been called for any other units yet!

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    And @Jennybewbs It should be doable to take other courses during first semester, and a lot of my classmates are taking some in spring (our 3rd semester) because it is supposed to be the easiest semester! But if you could split them between 1st and 3rd I think that would be a good idea

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    WinterSoldier likes this.

    Congrats to all of you who got in!! Looking forward to possibly meeting you guys! You should all come to the fundraiser event that the CNSA holds at The Bear at the beginning of every semester, it's a good way to meet people from other semesters! )


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