MedicRU

Comparing SARS-CoV-2 natural immunity to vaccine induced immunity: rei-nfections versus breakthrough infections (Study led by Tal Patalon and Sivan Gazit at KSM, Israel): Study Text

This is not only possible, but is very probable. Case in point: Few years ago I applied for and got hired into ICU at a large hospital in Southeast. While undergoing 9-panel pre-hire drug check I was flagged for barbiturates. At the time my cat was diagnosed with idiopathic seisures for which a veterinarian prescribed Phenobarb PO. I handled and crushed tablets for my cat with bare hands for several weeks, which resulted in continuous skin absorption and accumulation over time. Imagine my disbelief at the time of drug testing..I had to bring my cat's prescription to employee office to prove this. Some drug classes you just need gloves or double gloves for. Usually it says on the package about how to handle, but in your case it's a given.

I don't think finding a clinical work will be an issue in the next few weeks. Hospitals that have been picky will no longer have the luxury to NOT have more RN's in the impending onslaught of covid-19 patients. Healthcare system is becoming overwhelmed. My suggestion is to keep sending resumes and applying to all ER/ICU/PCU units at local hospitals. That is of course if you really wish to jump into this. Good luck!

As previous posters aptly stated, there is no sugar coating it. Nursing is not for everyone. Some people enter nursing for all the wrong reasons. There are few eminently qualified nurses, there are a lot of task runners and fewer critical thinkers. Most importantly, assess your physical health and be realistic about the needed mental and physical stamina to get through nursing school, then to enter clinical field and to stay there for a while. If you decide to give it a go, enroll in ADN/ASN program - shorter duration, straight path to RN license and an opportunity to get foothold in a hospital. Once you get into a hospital, that hospital would help you with paying for your RN-to-BSN, which would shave off significant cost of your continuous education. Lastly, and probably most importantly, ask yourself: Would I enjoy caring for those that are sick? As a nurse, you would be patient's advocate and a last line of defense. Good luck!

Interesting topic, however I'd never touch a road kill unless I was starving and needed to roast that carcass over fire. In Florida we leave road kill to vultures that vultures are actually protected species. Besides it's too hot and road kill won't last even an hour in a hot weather. Killing a vulture with ill intent carries a risk of persecution at a felony level. That is for a good reason. Vultures are the nature's most effective clean-up morticians and they work well to make sure there are no decomposing carcasses laying around. In South Florida one can hunt alligators and iguanas, and I am sure most would prefer them fresh, not putrid.

If you paint me "ignorant in my opinion", at least attempt to provide the basis for your statement to counter argue why you think there's a misconception on the part of nursing community. Until then, a condescending statement like this would only reinforce a sense of distrust many RN's might hold towards CRNA's (I will not speak for all, but just for my own person in this particular context).

The billing model seems to be the key word these days.. No disrespect to CRNA's, but they are NOT MD's! CRNA's are ICU nurses on steroids, they do not have the many years of rigorous and enduring training of MD's and should not claim they are as capable as the latter. CRNA's are very well trained, but they are on a nurse track, not on physician track. As a former ICU nurse I dealt with all kinds of anesthesia drips, and am very familiar with things that can go wrong, however that does not instill me with realization of being even remotely near a very specialized Anesthesiology MD's, whom I hold an utmost respect for. I have also observed some ICU nurses being careless with Pent drips, Benzo's drips and Propofol drips, etc., and I would not want a CRNA to administer anesthesia to me based on my belief that CRNA's are just that - ICU nurses with anesthesia training along with false sense of confidence. I'd worry about my HR and my own airway even in my sedated state, not knowing if there's an MD nearby :))) I am of opinion we need CRNA's to operate strictly in the presence of Anesthesiology MD's and certainly, absolutely not autonomously.

It seems as though what is being done is a band aid approach. The problem is much deeper than just scheduling. To me the biggest issue is that nurses are EXPECTED to do more than ever before. Many of the tasks that were routinely performed by doctors are now supposed to be done by RN's. I left ICU because I was tired of scrambling to catch up to more and more demands every effing day, all the while watching MD residents sitting at computer stations and having a good time. Not one would get up and d/c a chest tube or a PICC line - why bother, let nurses carry on the load of everything along with ensuing responsibility. Not to mention wild census rides, administration BS and other crap that invariably sucks the life out of a nurse. Similarly, NP's are expected to run most things on the unit where as MD's would not even bother come to an ICU unit unless a patient is crashing and even MD's would be standing around issuing orders and not doing much. Mid-levels folks and RN's are filling in every hole in the torn healthcare fabric. There is not a single reason why I would leave my home based UR/UM position to go back to hell of hospital shenanigans. That being said, the whole system needs overhaul, and joggling with schedules alone will just not cut it.

You're welcome and I hope you do get a job. ICU is a tough specialty but is very rewarding one, the one that really makes you think before you do. Just to add to the above said: If you really want to impress your unit manager, read about things like PRIS (propofol induced syndrome), difference between osmotic diuretic such as Mannitol vs 3% Hypertonic saline and when one is given over the other; Or, tell them when you would think Dilaudid drip would be better than Fentanyl drip; Or Precedex vs Propofol vs Versed for sedation; One of the most important aspects is HAI's (hospital acquired infections), be sure to mention that you know what leads to it (vents, catheters, wound vac, chest tubes), as well as some that are more dangerous than others, i.e. Candida Albicans, Candida Auris. Also, Sepsis treatment protocols have changed recently and nurses need to know why multi-liter fluid resuscitation and prolonged vasopressor drips are no longer the recommended approach. Hope this helps!

As a former Trauma ICU nurse, I'd like to give you some pointers that might be helpful: - You will likely be asked about why you want to enter Critical Care, why did you decide to go to ICU and not the PACU first, as OR is not directly the path to ICU. - You will be asked how you'd prioritize critical care patients. There are usually 2 : 1 ratio. - You will be asked if you enjoy close team work. ICU is like a submarine, close space, constant vigilance and almost always all hands on deck. You will not only manage your patients, but also manage someone else's patients on downtime and in between. - You will be asked what it would take to make it in ICU and why they should choose you, i.e. critical thinking, willingness to do more under stress, etc. - You will be asked about your long-term goals. ICU's need young, healthy and quick doers, and ICU's don't like people coming and going. - Know your critical care basics when it comes to Vents, A-lines, central lines, arrhythmias, vasopressors, CCRT, ECMO (if applicable), etc. - Be willing to be flexible in reference to schedule. - Tell them you like watching monitors not miss any patients suddenly going south. If offered a job, you'd need to have this book: "Essentials of Critical Care Nursing" by Susan N. Burns (Third edition and later). Good luck and welcome to the hell world of ICU (no pun intended)! You'll either love it or leave it.

No need to re-state the above said but, because healthcare has morphed into corporate money making machine, is it any wonder? Hospitals are run like publicly traded corporations and their main focus is revenue and profit, not lives. In this grand scheme of profiteering, nurses are viewed as miserable grunts that are entirely expendable. And as long as there is a steady supply from nursing schools, which continue to feed nonsense and fantasy to naive and unadulterated students, this cycle of downward spiral will continue.

Don't let the circumstances sway you from your path. You are and will be a great ED nurse if that's where your heart is. Think of it as their loss and not yours. As one door closes another pne opens. I worked as a Trauma PCU/ICU nurse and can tell from my experience that Ortho is not a an easy floor. Sounds like these Ortho monkey just did not want to train you. Well, they have to then face high attrition rates. I mean who wants to lift a 300-pound patient in skeletal traction?