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HiddencatBSN BSN

Peds ED
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HiddencatBSN has 10 years experience as a BSN and specializes in Peds ED.

HiddencatBSN's Latest Activity

  1. HiddencatBSN

    NCLEX After 5 years

    When I applied for licensure by endorsement in my current they wanted my diploma, license, the state required child abuse/infection control and background checks. When I took the NCLEX wasn’t looked at. Regardless I think after 5 years a refresher course is not a bad idea- I think that gap makes the chances of passing the NCLEX low even if you’re allowed to take it.
  2. HiddencatBSN

    Social Skills Should Be a Bigger Focus in Nursing School

    That was covered in my leadership seminar along with delegation skills.
  3. HiddencatBSN

    Dress Code - Hair dye

    It’s been a mix but hospitals that had issues with fun hair colors and/or tattoos had it clearly spelled out. I imagine regional culture will be a factor tho. My current hospital has no issues with either (as long as there’s no profanity/racist imagery im tats).
  4. HiddencatBSN

    Interpreting New Director Behavior/Personality

    Agreed. “Team player” is code for martyrs who don’t complain. Her behavior alone would be a dealbreaker for me, as would losing shift diff and holiday pay but still having to work holidays. Together....I’d kiss those coworkers goodbye and find another job.
  5. HiddencatBSN

    Nurses on Match.Com

    I agree to transition to phone or in person quickly- I had some long term texting situations and when we met up in person there simply wasn’t the same Chemistry that there was by text. My COVID dates have been meeting up outside somewhere to walk and chat while wearing masks. We can see each other in person, see how our vibe is, and decide if we want to keep meeting up or talk about joining COVID bubbles or realize that it’s just not going to work.
  6. HiddencatBSN

    Vocera! Can you talk to...?

    My current and last job use vocera. It can be super annoying when vocera repeatedly misunderstands what you’re trying to say but overall it makes things much easier. Especially when we have boarders in the ED and have to talk to the inpatient team. My first job had nothing and having to track staff down was a huge pain especially when it was just a quick question. I’ve also used phones (your assignment was linked to a specific number so if someone was looking for the nurse for bed 6 they just called that number) but they weren’t hands-free which is a big benefit of vocera. If my hands are busy but I can talk I can verbally accept the call.
  7. HiddencatBSN

    Nurses on Match.Com

    You can talk to people you match with before meeting for an in person date. Matching isn’t a binding contract to go out with someone.
  8. HiddencatBSN

    Is it wise to work from home?

    It doesn’t make sense for a staff nurse. If you had a job that could be done virtually or a role that requires 24/7 responsibility it might make sense but charting time is time that should be paid.
  9. HiddencatBSN

    Preparation for pediatric nursing certification?

    It was a 2 day class when I took it and I did some minimal review before taking the exam. I’d been a peds nurse for 4 years by then so most of it was just refreshing the less common things. The PNCB should have a test blueprint and a free practice test online. And I imagine nurse builders offers a virtual version of the class as well. IDK how much it costs but if the hospital offered the regular one they might offer a virtual one although my hospital has been doing in person classes again with lower enrollment so the class can be socially distanced.
  10. HiddencatBSN

    New nurse, on call/called off my scheduled shifts, Q's?

    Very common. In the ED that’s happened to be once because our census can shift quickly and the unit generally likes to hold on to staff to be able to handle potential shifts but when I worked med surg it was common especially during the Summer. We rotated who was called out and honestly it was nice to sometimes have an extra day off. Much better than having to be floated to NICU. Twice in a month doesn’t sound excessive either. I agree to see if there are opportunities to cross train or float and see what the policy is on who gets called out.
  11. HiddencatBSN

    EMTALA question

    Do what, allow siblings or refuse treatment to families without anyone to care for siblings?
  12. HiddencatBSN

    EMTALA question

    Would refusing to treat a pediatric patient because the parent brought a non-patient sibling constitute an EMTALA violation? We have a very strict visitor policy in place but we allow siblings in the ED with the patient and caregiver when there are no childcare options for the family, but I've heard other EDs are not allowing this. I tried to see if there was any specific guidance on this and haven't been able to find anything.
  13. HiddencatBSN

    Nurses make me sick

    I think there are a few things going on: workers in general are disempowered and disrespected, yet it is our labor that creates wealth. Profit? That is the surplus value of our labor. Wages have stagnated and not kept up with inflation and while nursing is in general decently compensated, we work in conditions that take a massive mental and physical toll on us. Add in a pandemic where we are working short on PPE and under even more staffing strain because of the high patient volume that is overwhelming healthcare systems and I think demands for respect, safety, compensation is reasonable. Yes, we are employed while others have been hit really hard by shut downs and layoffs, but from an economic interests standpoint we have more in common with the folks on unemployment and low paying jobs than with the wealthy who are seeing massive increases in wealth during this time. And when hospitals and governments try to mollify us by calling us heroes and angels or whatever, rather than working to address our safety and health, it makes me and a lot of us angry. I don’t consider myself a hero and I definitely don’t want to be a martyr. But I think nurses who cling do that narrative are doing so out of a need to have SOMETHING in terms of respect. I think sharing with a wider audience of other nurses is therapeutic. I follow a few humor accounts on instagram and it’s cathartic to laugh at the same frustrations others have. I think it’s OK to be seen as human, as people who exist beyond caretaking, to see that we try to bring joy in to work during a really, really hard time. I think some of the stuff is in poor taste but that’s social media culture. I’m more ashamed of nurses who can’t address their personal biases in meaningful ways to provide compassionate care to patients. Nurses who mock pronouns or who get territorial about giving out food when a huge portion of our patient population is food insecure. Who dismiss patients because of their history, like homeless IV drug users can’t also get sick. We have evidence based studies showing health outcome disparities due to racism and then a complete disconnect with why a BIPOC patient might be “challenging” or distrustful of care. I became a nurse from a history of social justice activism: I want to make a difference in people’s lives and do so in a way where I can see that difference. And I wanted to be able to have a secure and comfortable life. Doing it “for the money” doesn’t need to be on opposition to doing it for the benefit to society especially in such a highly stratified system. I’m furious that a country with so much wealth chose not to ameliorate the costs of doing what we needed to do to contain the pandemic.
  14. HiddencatBSN

    I don't know if I should call out or not r/t snow storm

    Most places I’ve worked will give out pretty strict discipline for calling out due to an anticipated weather event. Plan ahead and make contingency plans. Go in early or plan to sleep over. Or get a good all weather vehicle. In the end you do need to consider your safety but when you can plan ahead to avoid driving in unsafe conditions you should.
  15. HiddencatBSN

    How much experience does your manager/assistant manager have?

    My current manager has 5 years of nursing experience. He's fantastic, a big advocate for our unit. Our assistant manager kinda suuuuuuucks and IDK. I think minimal RN experience but several years as an LPN. She's clearly in management to be in management. Our manager seems more invested in supporting the unit. I think motivations and leadership ability matter more than years on the ground. What's their motivation? To be in charge or to give the unit the resources it needs to work well? I've worked with some very experienced nurses who I don't think would make good managers. *I* certainly have zero interest in that role. One of my favorite charge nurses is fairly new but has good leadership skills and handles the unit really well. 2.5 years seems slim but I don't think my manager had much more experience when he started as the ANM.
  16. HiddencatBSN

    How to get days off to go back to school?

    The hospital I work at doesn't make those accommodations on a contract level but individual managers try to accommodate school requests. When a lot of nurses are in school and when they have seniority to you, it's challenging. 2 specific days off a week is a big ask. Are there other options for those classes? Online, hours outside your work schedule, etc?