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ScottMedicRN's Latest Activity

  1. All of my experience is as a paramedic, ICU RN, Transport RN at a large university with very sick patients, and soon to be Flight RN. I'm used to directing care by myself, knowing medication doses, intubating, managing vents, etc. My background looks good for ACNP. Yet, I just don't know if I want to do this stuff anymore. My passion is gone it seems and I no longer enjoy the hassle of sick patients. I'm still considering it, but what used to be glamorous to me feels like meaninglessly keeping dead people alive (no offense intended, just want to illustrate how I feel lately). I might want something completely different. After dealing with psych issues of my own, I feel like I might have more of a passion helping people in this area than I do in critical care, which feels pointless at most times. I have no psych nursing experience though. The big downside I see if I don't like being a PMHNP I don't really have much if any room to change, and I would have lost my critical care skills. I really would like to do outpatient. Some of the more severe inpatient cases probably wouldn't be something I would enjoy. It seems that med management is the primary role of PMHNP, but I really am curious how hard it would be to be trained and perform some CBT as well. After seeing how CBT changed my life from severe OCD, it's part of what is driving my passion towards mental health. Should I try to shadow a PMHNP? Would I even be considered due to my lack of psych experience? Any advice would be appreciated.
  2. I would never throw away good prescriptions. Maybe opioids to make sure they dont get stolen. Expiration dates are a myth and you never know when the zombie apocalypse is coming.
  3. I'm not a Flight RN right now, just ground CCT. I don't think fear of flying is a deal breaker though. Heck, I was afraid of flying as a passenger but now I'm working on my pilots license. Exposure sometimes can fix your fears. DO some ride alongs. Personality wise I think the ability to think and act independently mixed with the ability to know when to ask for help and how to calmly work with your partner is gold. The main reason I lost my interest to be a Flight RN right now is that the main provider in my area does some crazy schedule like 24work 24off 24 work 24off 24 work 4 off, repeat. I would rather work at McDonalds than be at work 72+ hours a week. I would consider working for one of the other companies that do the standard 48 hours/week, but that's about my max when you factor in training etc.
  4. ScottMedicRN

    Afraid I gave someone a bloodborne disease

    ah, this is how us OCD people constantly think. Just remember to stick to logic. It is not likely to be contaminated.
  5. ScottMedicRN

    Not your usual questions

    Since this post I've been collecting certs. By the end of this year I'll have everything I can think of. BLS, ACLS, PALS, NRP, PHTLS, STABLE, Paramedic, CCRN, ICS & NIMS courses. I have a job lined up for ground transport as well. I'm going to do ride along with local flight programs. My hospital also has a Flight Program, which means I could have a shot at a decent salary. I'm hoping all of this will up my chances. I'll have more questions for you all as I get more ICU time in. Being in EMS for a long time, I do fear that I could experience burn out like I eventually did with EMS, but I feel like pre-hospital is my passion. I want to pursue it. Honestly, my biggest concern is being able to find a rural service. I want to live in the country, even if it means relocating to a totally different region. I'm not a city person, haha. I guess I'll have a lot of research to do in that regard.
  6. ScottMedicRN

    Not your usual questions

    How does rotating bases work? Do they just tell you that you have to drive far to work and you have to just suck it up and do it? I'd imagine rural actually gets MORE unwarranted transports due to extended driving times alone, but rural living is something I want in life. I get that HEMS gets abused a lot, I'm just curious HOW bad it really is. A guy I know worked for Johns Hopkins and made it sound like they were flying walking/talking people regularly. They also did 0% scene transfers. He eventually lost it and quit on the spot. Just wondering if that's an exaggeration. I've done transport before and I know it's about the money, I just would hope to have a decent amount of interesting critical care cases here and there. Just want to hear what it's really like. It seems 50/50 love/hate on this message board.
  7. ScottMedicRN

    Not your usual questions

    I'm not here to ask how to become a flight nurse. I've read into that a lot already. Just a few specific questions that pertain to my future goals. 1) Is it possible to get a job in a rural area instead of a city? I really want to move to a more rural area one day. 2) How do you find companies that do a decent amount of scene calls? I miss my days of being a paramedic and even a few scene calls here and there would be nice. 3) How common are the totally unnecessary transports? I know it's part of the business, but some of you here, as well as someone I know that worked for a large hospital based company, made it sound like it was complete bull crap all the time. I know everyone has different experiences, so I'm curious what you all think about this part. 4) Is experience at a tertiary care center good enough, or is Level I trauma center experience really necessary? Thanks!
  8. ScottMedicRN

    Unsure And Need Advice

    Chris, could I have your contact information?
  9. ScottMedicRN

    Unsure And Need Advice

    I appreciate the idea, but California is not for me. Also, I feel like my skills won't be going growing at my current hospital. I need higher acuity.
  10. ScottMedicRN

    Unsure And Need Advice

    Thanks for the replies. I've heavily researched travel including talking to tax professionals. Its just weird that I had a change of heart just as I planned to start applying. Though I have some worries about not having enough experience since my hospital has become a glorified step down unit lately, I still feel like I would probably be okay. The other side is that I crave interesting critical patients, and I feel like travel nursing will not give me that often. I may not be able to handle being floated to tele or med surg often. It sucks that sometimes in life opening one door means closing another. I doubt I'd do travel nursing after getting higher acuity experience when I'd be more likely to pursue flight nursing after that. I may just see where the wind takes me. Either way I feel like I am not going to be learning much more at my current hospital and have to decide what's next very soon.
  11. ScottMedicRN

    Day vs Night Personalities

    I don't work with mid shifters often.
  12. ScottMedicRN

    Day vs Night Personalities

    Has anyone else noticed that day shift personalities tend to be very strict type A, and night shift usually is much more relaxed? At my hospital the day shift is constantly writing people up, gossiping about eachother, and very dramatic when emergencies happen. It's like their first code every time. Night shift is very laid back, loyal to eachother, and relaxed during serious emergencies. Don't take this the wrong way day shifters, as I mean no disrespect or over generalization, because there are exceptions. Just something I noticed when switching and wondering if it's just my hospital and I'm legitimately afraid to apply for a day shift position for my next job.
  13. ScottMedicRN

    Hating Nursing Currently

    I didn't have this experience but I have previous medical experience and started nursing in the ICU, with lower ratios. So it wasn't terrible. However, I have floated to med-surg floors and felt that way. It's just brutal and unsafe for patients to have ratios like that. 1:7 with no tech, I feel like patients are going to have to wait after calling for something, because we can't be in 7 places at once, and have to prioritize. I hate to have a bad attitude, but the hospitals are to blame for call bell wait times, not me. I do not like this type of work and I genuinely don't know how people do it.
  14. ScottMedicRN

    Have I hurt my chances for traveling?

    I don't think the ICU is that stressful compared to the ER. I tried to cross train for the ER and quit after 2 days. But to me, managing some of the downright stupid complaints of ER patients, and having several of them in and out, is way more stressful and depressing than having 2 critical patients. We may be different in that way.
  15. ScottMedicRN

    CCRN study materials

    Pretty much the only thing I used to pass was the Pass CCRN online practice questions. You WILL feel like an idiot at first, but as you read the rationales you will learn more and more. On the actual CCRN test, I felt like I didn't know a lot of answers, but my studying gave me the ability to think them through and pick the answer that was mot likely right. If you can grasp the concepts and then use logic even when you aren't sure of the answer, you should pass. The only strict information questions I saw were toxicology. There were some substances I really didn't know the effects of when overdosed on, but I guessed right.
  16. ScottMedicRN

    Unsure And Need Advice

    I spent a whole year wanting to do travel nursing and doing extensive research. Now, as I'm ready to contact the recruiter I was referred to, I'm getting cold feet. Here's my background: RN ADN, CCRN, over 1 year ICU exp at a pretty small hospital, $30/hr, 7+ yr exp as a Paramedic. Some concerns about my length of experience as far as if I will be able to get a contract, but I'd find that out on my own. As far as acuity, my hospital has been boring lately, and most of the really critical patients are assigned based on favoritism. Still, despite feeling like a step down unit lately, I don't feel like I'd have problems managing drips on a sick patient, as I've done it before. I know how to use Swans. I don't have experience with CVVH, IABP, ECMO, open heart, etc, but I hear that most travel nurses aren't put in those situations anyway. I'd probably be at a smaller ICU anyway, as I hate big cities. Also, I work night shift so there are some things I may not have experience in based on that alone. Other concerns based on horror stories I've heard. Contract cancellations. Just how rare are they? I know it happens, but if it happened enough it would make a big dent in income, possibly making it not worth the switch of jobs. Is it common that the travel RN floats first, or in a rotation list? When it's my turn at work, I don't complain, but I don't think I could handle being on a med surg floor regularly. I've heard people on here getting all sorts of vague complaints about them from staff, one even apparently got a complaint for "looking tired" and another had a more serious complaint to the board of nursing by someone who was allegedly out to get them. Still, I've never met a travel nurse at my hospital that had much bad to say. I'm hesitating between traveling or trying to find a job at a more intense ICU and eventually working towards being a Flight RN years later. I've always wanted to do that as I like critical patients, and in theory I would be happier with that job. But I feel like I'll probably never travel if I don't do it now while I'm young and single. Also, travel nursing was my plan to "scope out" potential areas to buy a house one day when I move out West, all while bulking up on the money to do so. Maybe I'm worrying too much. Any advice?

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