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NurseTrishBSN RN

Charge Nurse, Unit Educator, MSN Student

Cardiac Nurse. Podcast Host. Mom. Wife. Nerd.

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  1. So you’ve landed your first nursing job? Congratulations!! Guess what, learning doesn’t end here! If you were lucky enough to get into a good residency program that is awesome but who do you think is responsible for your orientation and that you get everything you need? It is still YOU. Nursing is all about advocacy. The first person you learn to advocate for is going to be yourself. You will have to speak up when it is uncomfortable and ask for help when you don’t want to. It can literally be a life or death situation. Learn now how to advocate now for the easier stuff and you will be successful down the road and have experience when it comes to the more challenging situations. ADVOCATE FOR YOURSELF Take the time out for your breaks. IT'S THE LAW. I have worked in different situations where the busiest and easily burnt out nurses never took breaks. Do you think that makes you a hero? NO. You will be replaced with another nurse as quickly as you leave so TAKE YOUR BREAKS (This is for bathroom and water as well). No excuses that you are “too busy”. News flash: Nursing is 24/7. Repeat that to yourself slowly. Nobody can do ALL the things ALL the time. So stop trying. Get the most important stuff done and learn to delegate and ask for help. Nursing is a team effort and learning to utilize your resources will go a long way. Ask for Orientation Experiences Didn’t get to try as many IVs as you wanted? Ask your charge nurse to give you some extra opportunity. Don’t understand a certain procedure or test? Ask to go down with a patient to observe and see what it’s all about. You have to ask for yourself and speak up when you don’t understand something. These are just the things you KNOW you don't understand. Sometimes you don't know what you DON’T KNOW. Seek Education Opportunities Ask your unit educator, manager, preceptor, residency organizer about education opportunities your hospital offers. A lot of times there will be Grand Rounds, Workshops, and Conferences that you can go to for free CEs. Use them wisely! Find Your Go-To Resources Who is the one nurse you can ask questions and know they will point you in the right direction>? Seek them out and also understand it doesn't’ have to be a nurse! Are you on a pulmonary floor that has a lot of trachs or pulmonary patients you don’t quite understand? Find that Respiratory Therapist who likes to teach and show you the things! And learn!! Do the same thing for other disciplines. Most people enjoy teaching! There is a lot you can learn from them! Don't’ forget your Nurse Practitioners, PAs, and Physicians who enjoy teaching as well. Get them in a not so busy setting and you will be shocked at how much they enjoy explaining things. Ask Your Manager to set up an In-service Is there something you want to learn more about? Ask your manager or educator if an in-service is possible. Most of the time different departments will have a short in-service when something is changing with a process, or staff is having difficulty. This allows for more hands-on practice and opportunity to ask questions in a slower setting. Read a lot of Articles, Publications, and Case Studies Ask a coworker if they have any subscriptions, maybe they would bring them in to share with you. Become a member of organizations related to the type of nursing you are learning. Study new diagnoses and look up treatments which you aren’t familiar Know Your Learning Style Personality Test Learning Style Quiz You may already have an idea about your personality and learning style but these assessments help you to understand further what may help you more in relating to others and how to learn new concepts. I thought I was a tactical & writing learner but I found out I’m actually multi-modal and need different formats to fully learn and understand a concept. Know your Hospital Websites for Policies, Procedures, and Medications Policy STAT- Know your policies and WHY. (I’m a why person, it helps me remember more). Usually, the WHY for policies is for safety. Understand policies are meant to be used as a strongly suggested guide but might not be the best for all patients in all circumstances. Lippincott- Procedures and supplies needed as well as nursing implications. Medication Lookup---- Know what you are giving your patients and WHY. If you don’t know, look it up beforehand. Don’t wait for your preceptor to tell you. Use a drug book or your hospitals’ online resources.
  2. NurseTrishBSN

    So You Want to be a Nurse?

    Why do you want to become a nurse? Is it the promise of job security? Potential income and flexibility? Someone who influenced you in some way or took care of you or a loved one? What is your story to wanting to become a nurse? For me, my dad was a nurse. Growing up in the 90s in South Florida was interesting in itself, but I witnessed my dad making a second career change from construction to nursing over a couple of years. It was a dramatic switch to say the least. I remember him starting out as a medic and working weekend shifts at the city station and my mom would take us to go visit him when they had some downtime. He even would strap us in the immobilizer and flip us around for fun. When Shands got their new helicopter we got a chance to fly in it. I'll never go in another one again if I can help it but it was a fun experience. I think the pilot was enjoying my pre-teen angst while I was grasping dramatically to the oh crap handles. When I came back from the military my dad encouraged me to get my CNA license. I worked my first healthcare job in a large inpatient Alzheimer's Care Facility and it was there I learned what it was like to be there for someone else. Even if they didn't know who you are. I worked as a CNA in a few different places and got the opportunity to train as a monitor tech. This is where I found my love for cardiac. The rhythms were like a puzzle to me. Like electric sudoku of sorts. I enjoyed figuring them out and within a short period of time nurses were asking me what I thought about their patients' rhythms. Once I transferred to an ICU this is where my real passion for nursing began. They loved to teach! Anything they could pull me aside and show me they were more than happy to. I learned more in a year on that unit than I did the previous 8 years at the other facilities. It helped I was also working the night shift so I was probably able to observe than if I had been working days. All of this set the stage for me to finally agree to go to nursing school. By the time I graduated nursing school my dad was completing his FNP. Although I'm not sure if I will go back for advanced practice nursing I am forever grateful to those who influenced me to become a nurse in the first place. They knew me better than I knew myself.
  3. New Episode up on the Podcast! How to deal with Supervisors, Preceptors, and Getting Help.

    www.thehonestnurse.com/013 

  4. NurseTrishBSN

    CMC and/or CSC?

    You first need a PCCN or CCRN prior to obtaining either one of these certifications. That can be a little costly so it's something else to consider.
  5. NurseTrishBSN

    New nurse in cath lab

    Don’t be afraid to ask questions! And don’t be surprised by the weird personalities in the cath lab. It’s also interesting that you will be working with medics side by side so that makes for a different environment. Good luck!
  6. NurseTrishBSN

    New grad on cardiac floor just cannot relax after today

    Usually at my facility the cath lab will notify the charge nurse if a patient is not coming back so they can make plans for another patient. As far as the meds there should have been orders or you call and ask the cath lab or provider. Very few instances have I seen to hold meds for a cath.
  7. NurseTrishBSN

    New Nurse Tips for Struggling Nurse

    Hi, have you been able to see some improvement? How are you doing now that a little time has passed?
  8. NurseTrishBSN

    Cardiac Step Down: 6 week orientation for new grad

    Cardiac unit educator here. Our new grads go through a nurse residency program of 16 weeks. It varies based on the size of the hospital and acuity of the patients. Our nurses take a max of 4 patients. This hospital is growing pretty quickly with a current capacity for 260 patients. Hope this helps!
  9. NurseTrishBSN

    CNA to RN

    I was a CNA before ever thinking of becoming an RN. Would I recommend do it prior to nursing school? Probably if you can get a position with the facility you would like to work in as a new grad. It won’t make things faster while in school but will give you a better appreciation for the hospital culture.
  10. NurseTrishBSN

    Flushing potentially infected PICC line

    If the PICC line is infected, why is it still in?
  11. NurseTrishBSN

    New grad podcasts

    Hi! I actually have a podcast that is for the nursing student, new grad, early nurse etc that you may find interesting. It’s called The Honest Nurse and you can find it anywhere you listen to podcasts. It’s also on www.thehonestnurse.com Have a great day! Nurse Trish
  12. NurseTrishBSN

    Holiday Bonus

    We get bi-annual bonuses based off our press ganey scores. Maybe about $200 each or so. Everywhere else I've worked we never got a bonus.
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