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marissa81579's Latest Activity

  1. marissa81579

    $$$$ to be made!!

    She should not be stealing things from whereever she works and selling them on Ebay. That is so wrong.
  2. marissa81579

    Is anyone using the BIS in the ICU? Like it?

    Where I worked, we used it on patients who were (pharmacologically) paralyzed. I think it is one tool that should be used in conjunction with the entire assessment. I would fear a new nurse would rely on it too much.
  3. marissa81579

    What's a REAL salary range for RNs just out of school?

    Like others said, it really depends on where you live, whether it's an urban or rural hospital, etc. Unless you love it, it is not worth the money. Based on my experiences and those of friends, here is an idea of the starting hourly wages in some areas: Boston - 23-26/hour NYC - 26-30/hour San Fran. - 28-33/hour Chicago - 21-23/hour Los Angeles - 24-26/hour Nashville - 18-21/hour
  4. marissa81579

    Help! Probation Information Needed

    First of all, why do you capitalize all your words? That is really annoying. Second of all, I think there is more to the story than you are letting on. Thirdly, this is not the place to get legal advice. No one here is a lawyer. I would contact the Board or an independent lawyer to get some advice. The fact that you capitalize all your words and make run on sentences makes it really difficult to understand the information you are trying to convey. Only capitalize first words of the sentence and proper nouns as a general rule.
  5. marissa81579


    Dear TennRN: Are you near Nashville? It is a huge medical town - there must be work there for you. Lots of attorneys also. You can also try networking through Nashville Health Care Council. There is a lot of medical - related work in Nashville, lots of healthcare attorneys there, so there is work to be had, you just have to really aggressive in networking.
  6. OK, I have not been clear here. Basically, liberal arts majors have it easier - less time constraints, no rote memorization of things, no clinicals. But one advantage I notice they have is that they have learned how to think. I don't think my particular nursing program taught that. So even though I think liberal arts majors have it easier in most respects, their programs better prepared them to think like lawyers. That is all.
  7. Nursing is not hard; it is a lot of work - busy work. I am in law school now. I find people do not respect the fact that I am a nurse. The most common question asked is "why not medical school?" Even though in reality, most of my law school classmates came from majors in undergrad that are incredibly easy. It's frustrating. At any rate, nursing school DID NOT adequately prepare me for grad school. Having the license is valuable to capitalize on, but I really wish I had just majored in some easy liberal arts major because nursing does not teach you to think in college, only to memorize. I do not have the intellectual advantages many of my classmates had, who pissed away 4 years of undergrad in some liberal arts major. Believe it or not.
  8. marissa81579

    What's Your Best Nursing Ghost Story?

    Wow! So many amazing stories. I have to share one. I heard this firsthand, from nurses and residents who were there the night it happened. I was working in a SICU. Several years prior in that SICU, there was a patient admitted who had been stabbed and was extremely critical. A resident who was at the hospital that night must have heard about it and came up to check it out or help out, whatever. The room where the patient was located was right next to a stairwell. The resident was making his way up the stairwell when he saw a very evil, menacing apparition of a human head chasing his way up the stairs. He made it into the SICU, but was pale as a ghost himself! The nurses who saw him passed it off as one resident who worked too, too many hours! In fact, as the resident was getting up those stairs to go to the SICU, the stab victim died. Turns out the stabbing victim was a gangleader, a big time criminal. Therefore, his murder made the news. The next morning, the resident was looking at the Boston Herald and lo and behold, a picture of the stab victim was there - it was the SAME face that had menacingly chased him up the stairs. He was totally, totally freaked out and when we asked him about the story years later, you could tell it still spooked him! the room in which the stab victim died was haunted. I don't know if that is because of that event or another, but people reported feeling someone breathing closely behind their neck, but no one would be there. Stuff like that. I, personally, was hardly surprised to find out that the stairwell had been haunted at one point, because I always had the most foreboding, eerie feeling going up that stairwell...like evil. Well after hearing that story, it is safe to say I took the other stairs after that! Having worked in critical care for a while, I can't say I have definitely had any haunted experiences myself. But I do find it amazing that there are certain rooms, for whatever reason, that seem to have bad luck - one admission after another dying, many unexpected or at least earlier than expected. There is definitely a strong psychic energy in ICUs, hospices, NHs, anywhere people die frequently. I think even more so in places where people die of traumas/accidents. Freaky stuff.
  9. marissa81579

    From RN BSN to Law School - How does one prepare?

    Have you taken the LSAT yet? That is practically ALL that matters for admission to law school. Your GPA matters, but LSAT matters more. So study and prepare for it at least a few months in advance. Read a lot also - because you have to read, read, read in law school like nothing else. Totally different mindset from medicine/nursing. The schoolwork is different and the analytical skill set is different. It is an adjustment, so be prepared for it.
  10. marissa81579

    Certified Legal Assistant v. Legal Nurse Consultant

    I am confused. Paralegals and consultants are two totally different paths!! Why compare them? Personally, I would rather be a consultant, but that's just me.
  11. marissa81579

    RN and law student NEED ADVICE!!

    Hi. I am a second year law student and RN. I have several years experience in critical care and med/surg. I would like to make money while I am in school. Is it possible for me to pick up some hours here and there consulting for law firms? Do I need to actually be certified as a LNC, because I already know more than what they teach in that course - I am halfway finished law school. Do I need to do anything besides aggressively network and market myself in the city I live in? I spent 3 months last summer in a legal internship where I basically did a lot of what a LNC does - I did it for medmal cases, social security appeals and nursing home cases. Please help me! Thanks!
  12. marissa81579

    From RN BSN to Law School - How does one prepare?

    hi, I am a nurse and currently a law student. Legal writing is very distinctive. It is important for you to have excellent grammar skills. Other than that, you take legal writing courses in your first year of law school. That is where they will teach you how to write like a lawyer. Don't take any other writing courses in the meantime if you don't have to.
  13. marissa81579

    to sedate or not to sedate...

    Interesting dialogue since I have not been here. I can't respond to everyone's post in regards to mine, since most of my arguments were either devil's advocate stuff or highly theoretical. The point is, there are things RNs do not know, that CRNAs/anesthesia people do know. Period. These cases of no sedation are rare, and I have faith there are good reasons for these to occur occasionally. As for the hospital that never does it, I am not even sure I believe the original poster, because I can't see how it would even be feasible to intubate people without sedation, especially big strong young men!! That's all I am going to say. The vast majority of you missed the point of most of my posts, so I don't feel the need to respond literally, since that was not the point of my other posts.
  14. marissa81579

    new orientee in the icu

    The more posts I read here, the more I wonder about the quality of so many hospitals out there. Frankly, there is no way a med surg nurse can be ready to work on her own in the ICU after 5 days. The learning curve between an ICU and a med surg takes a lot more to learn than 5 days of training. From the sounds of it, you had a fairly typical ICU patient in your hands today and you could not handle it yet. You should demand more training or do not stay - you're license will be on the line.
  15. marissa81579

    to sedate or not to sedate...

    I also do not know why this has spun off into a pain management issue. Pain meds are not indicated for intubation. If people here have experiences where their patients have remembered being intubated, that is in the minority as I have never known a patient to remember any of it. We usually need to sedate patients because it would be next to impossible to do the procedure if a patient is writhing around. I don't know what else to say. We use pento or succ, propofol bolus followed by a propofol drip (in most cases). Not PAIN meds! I do not think it is proper to think of this as pain management issue. More like an anxiety management issue as being intubated is strange feeling and who wants to be awake for it? I have been intubated before and it is not painful. I tihnk if most intubations were painful, people later extubated would complain of it but usually they just complain of horseness, not horrific throat pain. Don't lose sight of what this is an issue of. And to whoever "disagreed" with me, that's really great but like i said I was playing devil's advocate. I don't know if the body of research is large or small, or if these docs are just playing maverick here. I don't know. Of course if a patient was in some ridiculous discomfort I tell the docs I need to give them opiates or benzos or whatever else depending. I think it is a problem of nurses because many are doormats who do not speak up. But I am not one of them. However, I am not just going to dismiss these docs practice as "barbaric" until I see studies contraindicating it. Sometimes 1 or 2 studies is not enough, but every medical procedure/drug etc starts off with only 1 or 2 studies.
  16. marissa81579

    New RN off orientation...should she be alone?

    How did someone like this get off of orientation? She never even NT suctioned someone on orientation? I can't underscore how important it is to NT suction. I can't tell you how many times I have prevented someone from reintubation thanks to good NT suctioning! That is crazy. Whoever oriented her should never have signed her off. I could handle the occasional lateness (it happens) - I am never late for work (more than 2-3 minutes) and I hate when people get pissed off at people 5 or 10 minutes late since honestly, who cares? Tardiness is not a problem compared to the bigger problem of this nurse not being able to do her job. It would be negligent not to report her. She is not safe and should not be in critical care.