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dogmombyday

dogmombyday RN

CCRN
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dogmombyday is a RN and specializes in CCRN.

dogmombyday's Latest Activity

  1. dogmombyday

    New RN Questioning Leaving Hospital Setting

    Baby Turtle, First of all, can I just say good job on being brave enough to try out the hospital as a new nurse during this crazy time?! The first year is rough in general but add a pandemic on top of it? Oof. I do not envy you. When I was a new grad, I was in a program that sounds like it was similar to what you are currently a part of. I landed a job in the ICU of this hospital and I was so excited. I signed on for a two year contract and would have to pay $10k back if I left prior to the two year mark. Well, guess what? I left within the first year. And no one said a peep to me about paying anything back. It was explained to me by someone in HR that they couldn’t really uphold the contract, because 1 they had let others go and not made them pay and 2 I had not accepted any money from them...other than my pay checks. Basically, if they had paid it out at the start it as a bonus it would have been different but they couldn’t really enforce it otherwise. That was the best decision I’ve made career wise. The hospital itself was not run particularly well. They went through a buy out right when I started and were already going through another when I left. The director of my department, who had hired me, left. And there were just some very odd things going on there in general. Plus, I had a manager speak to me in a way that in my 30ish years of life, no one else has ever come close to. Yelling, insulting my character, etc. Now, I realize that despite what my mom thinks, I am not perfect. However, no one should speak that way to others and certainly not in a professional setting...especially because what she accused me of, another manager immediately told her was not accurate and vouched for me. But I digress. I left for a position in an ICU elsewhere. This year, I moved across the country with my family and accepted a position in a very busy unit where we take level 1 traumas and all sorts of other fun things. I say that because I was in a similar position as you are in now. I was scared to leave, both because of the money thing and also because I don’t like failing and it seemed like a failure at the time. But the day I put in my two weeks was one of the best days ever. I’m very happy in my new job now. It’s still ICU but I’ve yet to run into a unit with a culture as horrific as that first one. I have been given new opportunities to learn things I never even considered. That’s the awesome thing with nursing. If one job doesn’t fit, there are certainly others out there! Best of luck finding the right fit for you! Try not to let fear keep you from doing what is best for you!
  2. dogmombyday

    Is ICU worth the stress?

    In short, yes, it’s worth it...BUT only if it’s where you’re supposed to be. I think the only one who can answer that is you. If you’re truly happy in your job, then stay. But if you think there’s always going to be a part of you that wishes you could have/should have tried it out, then why not give it a shot? A lot of units (maybe not now with Covid) allow people to shadow a nurse there, just to see what it’s really like. I’ve been an ICU nurse for most of my career (which is only a few years at this point 😂) and I know it’s where I belong. After going through some truly “unique” (not in a good way) situations that caused a mass exodus from our unit, I made the switch to an outpatient OR nursing position. Pay was decent, no holidays or weekends. But I felt deeply unfulfilled. I was back working ICU in 7 months 🤷🏻‍♀️ Like I said, the only person who can decide what is most important to you is you. There is so much to learn in ICU and it is, at times, a very exciting place to work. It makes me feel like I’m really contributing to the world (not that any nurse doesn’t do this!) and like I’m where I’m supposed to be. But there are times when it’s incredibly frustrating and sometimes even a little boring. Best of luck, whatever you decide!
  3. dogmombyday

    What is harder- nursing school or first year working?

    Working, absolutely. I'm halfway through my first year and it is nothing like nursing school. It feels like my brain is whirring a million miles a minute most of the time. No number of lectures can make you realize the sheer amount of responsibility you have on your shoulders. That's not to say it's all bad, because it's not. It can be pretty amazing getting to see your work during nursing school pay off. And you learn so much. Honestly there are a lot of shifts where I'm more mentally exhausted than physically, because there's so much to absorb.
  4. dogmombyday

    Kicking myself

    Thank you very much, that's very kind. I know everyone makes mistakes it's just tough to make them yourself
  5. dogmombyday

    Kicking myself

    Thank you for the kind words, I have to work on the whole Not-beating-myself-up part (I'm a little type a at times í ½í¸‚)
  6. dogmombyday

    Kicking myself

    I made the surgeon aware of it, since it was my error. I saw no reason not to own up to it. He didn't seem to understand my freaking out and they were able to proceed with the procedure since it ended up being off for so long (surgery was done this evening).
  7. dogmombyday

    Kicking myself

    The orders were acknowledged on the previous shift. The patient's been with us for a while so the list of orders for him is long. Regardless, I should've caught it, but thankfully I checked back with my coworker about it an hour or so later (couldn't stop thinking about it) and she told me the surgeon couldn't get a slot til the evening so it ended up being okay. Phew!
  8. dogmombyday

    Kicking myself

    (This is basically just to vent, but I digress) I had my first ****show of a night last night and thought that I handled it very well. I mean like to the point that I didn't sit for the first half of my shift and felt like I literally just ran in place for six hours. I was all yay me! Until...I realized that I missed an order. I checked my orders at the start of the shift for this patient and didn't see anything new going on, so I went about my shift. Well, he had tube feed running and was supposed to be NPO after midnight...which I did not do. His procedure is hopefully happening today, possibly evening at last update, but the family can't be reached for consent. So while it's hardly a set in stone kinda deal, I'm feeling really frustrated with myself for missing that. I hate making mistakes, and I'm kicking myself for missing that.
  9. dogmombyday

    New Grad ICU

    Agreed. I was offered a spot in the ICU at the end of my new grad fellowship but it came with a very intense 9 week orientation...and that's after 2 months of the general new grad fellowship working on different units. I know my unit (in general) ranges from 8-12 weeks for orientation for new nurses. I think as long as the unit is willing to work with you based on your individual needs, and they aren't just trying to churn out more nurses, then it's totally doable! Ps-I love it in my ICU, I can't imagine having gone to the floor after working there. God bless medsurg nurses but that's not where my heart is.
  10. dogmombyday

    Job during nursing school=job after graduation?

    While it can sometimes be an "in", make sure it's a unit you'll want to stay on. I worked a year in behavioral health because I was told during my interview for the position that it would be a great stepping stone and that the hospital loves to hire from within. What I didn't realize was that that meant staying on the floor I worked on during school. (I'm sure not all hospitals operate that way, my manager was notorious for refusing to let people transfer out) Rather than staying on a unit I disliked at a hospital I did like, I left for a position elsewhere.
  11. dogmombyday

    Propofol Infusion syndrome?

  12. dogmombyday

    I survived my first week in ICU!

    Thanks! I learn more every day—I enjoy it more than I hoped was possible!
  13. While I'm sure this is the norm at some hospitals/clinics/offices, it's certainly not the case on my unit...but the author seems sure that this is the case everywhere, as he reduces what nurses do” to applying cardiac leads and fumbling to place IVs yup, that's all I do all day long. Apply and fumble, fumble and apply.
  14. dogmombyday

    Please don't judge me and my daughter

    As someone with an anxiety disorder and a strong family history of depression, including several family members attempting (but thankfully not completing) suicide, it saddens me that there is still such a stigma surrounding mental illness. I worked as a tech on a pediatric behavioral floor for a year during school and many of the kids were more worried about what everyone else thought of their illness than anything else. So yes, it is very true that not everyone, even nurses, are understanding of or compassionate toward people undergoing a psychiatric crisis. However, using the fact that they made your daughter wear paper scrubs or didn't approve of you bringing in food as evidence of mistreatment is sadly misinformed. There are precautions which have to be followed for the good of patients like your daughter. I can't count the times I had to explain to annoyed and angry parents why it wasn't acceptable for their children to wear their new sneakers while on our unit or why they couldn't have knives and forks in their rooms. It truly is for the safety of the patient and nothing else. Perhaps the nurse said it rudely or perhaps you were (rightly so) worried about your child and read into what she said a little too much. On a side note, as a "nurse of today", I find it ironic that in an article asking others not to judge, you make such a sweeping accusation that it's "also true that the nurse of today is not doing what the nurses of yesterday set out to do". What facts support this? I try my hardest every shift I work to offer care and kindness to my patients, many of whom are dying, and I think that is exactly what the nurses of yesterday set out to do.
  15. dogmombyday

    Dear Nursing Student

    Not at all! I was watching some nursing students on my unit and it brought back all of it in an instant lol glad it helped you some :)
  16. dogmombyday

    Dear Nursing Student

    I have the somewhat unique position of being in the no-man's land between nursing school and real world nursing: I have a whopping 3 months of nursing experience under my belt. Well, 2.5, but I can round up, okay? A few months ago, I was a note-writing, clinical-attending, nclex-studying student. Now I'm a full-fledged RN, which is sort of blowing. As such, I had a few thoughts to share with you. First, like I said, don't let others bring you down. You have enough to worry about--you're learning to be healers!--without concerning yourself with the opinions of others. There will be nurses, at clinicals and maybe even some on this site, who seem to have been born nurses...and I don't mean that it was their destiny, but that they seem unable to remember going through what you are now going through, and they definitely seem unable to relate. Go to clinical and try your hardest anyway. If someone makes you feel badly for being a student, store that away and use it as motivation when you need it. Prove them wrong. That was honestly my biggest struggle in school--what if so-and-so doesn't think I can be a nurse?! So-and-so's opinion is not the be all, end all of who will be a good nurse. Second, don't let yourself get too wrapped up in who got what grade. I managed to pull off pretty solid grades on most of my exams, but I remember getting down because I was quietly excited about my 90% while the girl next to me was telling anyone who would listen about her 98%. Try your hardest, but realize that answering every question right is not what you study for. You study so that you can care for people, which is not something everyone gets the chance to do. Third, jump in at clinical. I missed out on trying out new skills because I was terrified of doing it wrong. Clinical is a time for you to get hands-on learning. Meaning, you can't learn it if you don't get hands-on. It's scary, yes, but it's also just about the safest, most protected environment to learn it in. Your instructor will appreciate the initiative you're taking, and your patient will appreciate that you're taking the time to learn how to do things the right way. Just try it. There are few feelings that match what it's like to get your first successful IV start. (I'm pretty certain I squealed and had a smile on my face for the next hour or two). And if you don't get it the first try, ask what you could've done better or where you went wrong. That's what your instructor is there for. And if your instructor isn't around when you need an answer, try asking a nurse on that floor. Some of the best tips I received during clinical were from people other than my instructor. Finally, don't set your mind too much on what speciality you'll go into after school. Otherwise, you may run the risk of painting yourself into a corner. Or, you may just be flat out wrong. I can tell you, I swore up and down I would work in pediatrics because "adults weren't for me". Guess what? I work in the ICU and have yet to see anyone under age 25 on my floor. Guess what else? I have never felt happier or more fulfilled in my work. That being said, don't let anyone tell you that new nurses can't work in this or that specialty. There aren't set rules for most areas, and there are usually exceptions. My hospital just hired its first new grads in L&D and it's going swimmingly. If it's your dream, go for it. The worst that can happen is a no, and you can try again until you end up where you're supposed to be. Nursing school isn't for everyone, that's simply how it is. But, if it is for you, then THIS is for you. Sincerely, A shiny new nurse