rn409

There are a few of us who talk outside of classes and help each other. I think everyone has done that- breaking off and kind of finding their people. And then I'm on the Bands app where some of us have a sort of chatroom to bounce ideas off of each other if we want to or give out some helpful hints. Good luck! I think you'll find all of the instructors super helpful! I feel like I've learned a great deal as well.

Hi there- seriously the only issue I’ve had (just got done with my first semester) is that the instructions are not as specific as I would like them. You should know that they are very, very accommodating and take into account when they need to work on something (for instance, if everyone scores poorly on a quiz- they adjust and will make sure they make it right- it’s a work in progress). I’m working full time and going through the program, it’s doable but obviously you need to be prepared to devote time to it to do well. Time management is key. The professors are so,so helpful.

I worked in a coronary ICU for 6 years before applying. I obtained the CCRN certification as well. My GPA wasn't great, but I did work extremely hard on my essay (etc.), had very good references, and have done some mission work (with intentions of doing more after graduating). I start next week, and everything (for the most part) has been very good. They seem to make every effort to help you succeed so far.

You just have to work through it- you can do it. So far, everything has been excellent. Everyone is very prompt, polite, and helpful. I spoke with a student that graduates next semester and she had good things to say. I think, like any other good program, there are certain expectations that you have to meet but not unattainable.

I passed the CCRN first attempt- I studied hard for a month. I used Barron’s study guide, did not go to a review course, and studied for several hours a day. I made notes on everything.

I just got done with that! I’m starting this fall too!

I was accepted to the FNP program! Even though it’s a different track after the core programs, I’m happy to see a post from someone else that’s going to Baylor. I’m completely terrified as well. Just noticed you started in May (it’s early!) - I would love to hear about how it’s going!

Regarding your ICU experience (because I’m guessing you’re a CRNA now? Idk.) since I cannot speak to your experience or thoughts since then: You know what makes the best THE BEST? Self awareness- the ability to look past your ego, see your flaws. I can see that there’s no changing your mind about this whole “ceiling” theory. Your lack of learning further is ON YOU. What you are saying is in no way true. But hey, I’m done trying to give another perspective thinking you might be able to see that trajectory. I’m just a dumb ICU nurse who only learns new things because I wasn’t smart enough to get them in the first place. I truly hope no patient ever suffers due to your ego. And I hope, whatever you are doing now, that you see the endless knowledge to gain in that area (since ICU didn’t). From someone who has been practicing about 6 years (and more who have practiced longer, saying the very same things).

Haha... Trust me, I wasn’t taking the family element away from ER. Never was saying they’re not there. Obviously I know they’re there, I have to call for them when the patient (the ER nurse sends them to our waiting room) gets settled. I hope your patients are not waiting a whole 12 hour shift and the next day. My point was that once the patient is with us, there’s little chance of them going away. So it’s 12 hours, and however many days you’re back. Some of our patients are there a week or months. I think we can agree that’s worth mentioning when you’re talking differences between the two.

Haha... dude, you’re just smarter than me then. I haven’t even seen the ceiling. The (good) nurses I work with do not follow protocols blindly, and protocols can’t be followed when clinical judgement tells you the pt is responding in a negative way to it. And recognizing THAT is a key element of being a good ICU nurse (in my obviously VERY humble opinion). I have never heard of anyone not coming to ICU strictly due to their CRNA goals- but, I have seen people not come because (after shadowing, etc) they just were not ready for it. They decided not to come or they were deemed dangerous even after a trial period. I have to ask- what area do you work in? How long have you been there?

It must be a matter of perspective- I don’t find it a drag. I learn at least one new thing EVERY. DAY. I do work in a unit that serves as a “catch all” and we have hypothermia treatments, balloon pumps, blah blah. So it isn’t like we get the same thing every day. If the learning stops, that’s on you for not inquiring about more (in my opinion) I will never believe anyone who says they know every single thing about every part of the process. Policies and evidence based care change are ever changing. I think you’re being just a touch defensive though- no one is saying anesthesia doesn’t require common sense and quick thinking. Just cause you make it through CRNA school (or any school for that matter- medical school/nursing school/law school) does not inherently make you a good provider who thinks with common sense and on their feet. As you said, there’s bad in every profession. I’m sure anesthesia is a very demanding job. I think the point also was that you were wrong in saying ALL the best ICU nurses go to CRNA school. Side note- That pod cast was amazing. And terribly scary.

It’s in the list of requirements online. 3.0

I would say SOME of the best continue on to other things, too ?.

On ICU: I still have no idea what I’m walking into each day, but it’s much more consistent than the ER and not as MANY changes. You never know what patients (except the legit sick ones) will move out, die (it can be completely unexpected, obviously), and maybe end up requiring dialysis (either moving to another room for a water room, or to another unit for a water room), or another piece of equipment requiring a different unit. And unexpectedly working short (which may not seem like a big deal, but that’s for another day). I think it’s hard to see that from the ER side, because we probably look like we are sitting a lot when someone brings a patient up or something. Very different dynamic, and we are expected to try and keep the environment looking “calm” IMO (to ease the patients who are present- they can sense the tension). The other factor truly impacting ICUs differently than other areas is the near constant presence of families. Sure, they’re there in other areas- but having worked floor too- the majority are way crazier in the unit because of the circumstances (there are some great ones, too). As opposed to the ER, they’re there that whole 12 hour shift- and when you get there the next day too. Just keep that in mind, I wish someone had warned me what level of patience it takes. There’s a lot more to be said, but those are a few points. Obviously this is all just my opinion, and not my whole opinion. And let me add- I have so much respect for all areas. I don’t believe one to be greater or more difficult than another. We all have our challenges and benefits. Whatever area you’re in- I appreciate you.