yournurse

I hear they have a psychiatrist on the panel... IDK how accurate that is though

Hm. I started in Med/surg. Very task oriented. Move to ICU. You’ll grow. 1 or 2 patients. Get out now if you can. No need for more experience. If there are openings in the ICU. Take it, you’ll never feel ready. Just trust it.

During a residency program- they usually evaluate your progress every week. Make a note of the things that happened , date and time. If you had talked to a charge nurse about your assignment , note that. And what they’ve said verbatim and who it was. Make a journal. Notebook is an app I use to document things that happen in my nursing career. It’s great. but a sitter ... making RN money? Hmm?

I always have the mindset of patients being sick and not being themselves, that includes their family members. I forgive them but be firm. you shouldn’t remind them of anything. Just tell them that it’s inappropriate. in regards to coworkers, I remind myself that it doesn’t matter what other people say about me. I know myself and I deserve to be there. I am working for my patients and no one else. my coworkers are not paying for my bills. If you have that mindset, you’ll be happy forever. Heh. Hope that helps.

Everyone deals with stress differently. The news of the old nurse about to get fired is not your news to deliver, why worry about it? I certainly wouldn’t put a lot of time thinking about it.

It depends on your facility protocols. We have a lot of nursing driven policies such as removing foleys, doing repeat blood work, EKGs, giving atropine/épi/defibrillating during critical situations, doing ABGs and others. When nurses enter orders, doctors always have to co-sign. I also work in the ICU, I feel like nurses have more autonomy there. More importantly, Is it an order that will expedite patients’ care to prevent a problem? Is it an order that will potentially harm the patient? You have to always know that your priority is your patients’ safety.

Hgb 3, jehova’s witness. I think sometimes we over transfuse. Our hospital questions transfusion orders if hgb is >7.

JUST Do it. Healthcare is going towards advanced degrees. We have a shortage. If I were in your situation, I wouldn’t ask questions. I would do it, do the 2 yr contract wherever they place you. Suck it up for 2 yrs.

I’m not sure if this is of any help but I work in the ICU, we get 2:1 or 1:1 depending on acuity. We transport everywhere except transferring pts to another facility , we have critical transport from a separate company for that and our patients are either vented and on pressors. transporting pts to MRI, CT, NM or any other place, we have a transporter, RT and an RN. On the unit, we have 2 resources and a charge , and we have nursing assistants.

Hi Maria, I had the same experience when I started the ICU or any nursing floor for that matter. One thing that I can tell you is to welcome these experiences because that is how you’re going to be able to know how to react to situations like these in your life. I hate to tell you think this but this is just the beginning, you’ll learn how to be a better person. I did the same thing you did, I read, took the CCRN as soon as I was able to because some nurses would always put me down. You have to not take these things personally and realize that although it is wrong for them to treat you this way, there must be something going really bad in their lives to treat others this way. I’ve realized that people put people down to make themselves feel better. I coped with it by knowing that I deserve to be in that ICU. Also, I wish I got extension for my orientation, welcome that extension. Don’t ever feel like that is a bad thing. Be open to it because you always learn something new everyday. I hope this helps, 5 months is a long time. Kill it.

In my facility, we have standing orders to replace electrolytes and to do an EKG for abnormal rhythm. after I’ve replaced magnesium and K, if MAP is <65 or SBP <90, or symptomatic and an EKG.

Hm. I work in the ICU and I barely ask for help from CNA/techs. They’re very underpaid for the things they do. They do a lot physically. That will drain anyone. I get why sometimes they’re frustrated. I don’t take any of the things they say personally. Just remind yourself that you are doing what you are supposed to do and it doesn’t matter what other people say about you (to put you down). I feel like people talk bad about other people because they have really low self esteem and they’re miserable. they want to put other people down to make themselves feel better or make other people miserable. If they give you constructive criticism, listen. Just go to work, do it well, and no drama. Do you. Hope that helps.

I will have to make a Facebook page. Thank you!

Has anyone heard anything else from the school after admission letter, fafsa? Do we just send transcripts before the end of May?

I have both advanced courses in patho, pharm, research and have 2 other certifications in addition to CCRN. I think they carry a lot of weight and you’d have a better chance of getting interviewed. I believe most schools are based on a point system. Not sure if you know what I mean, the more points you have, the better your chances (if you have more certs, good recommendations (all positive and 5 when they rate you) , and everything else look good. I think you have a really good chance. CEUs though I’m not sure ?