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Burn and Surgical/Trauma ICU
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HappyCCRN1 is a BSN and specializes in Burn and Surgical/Trauma ICU.

HappyCCRN1's Latest Activity

  1. HappyCCRN1

    Running the pump dry

    Agree with the above. If you are giving an antibiotic or electrolyte replacement, etc., they need the whole bag. Use a secondary in this situation. I see infusing those medications with a primary set instead of a secondary as a nursing sin—it drives me crazy.
  2. HappyCCRN1

    I can’t stop crying over a bad death

    First, I’m very sorry for your experience and feelings of inadequacy. We have all been there. Through this, you will be a better provider and a better person. I am curious, though, if there was any diagnostic imaging ordered? And if her other vitals beside spO2 were stable and within her baseline? SOB, desat to 80’s, anxiety (above baseline of being needy), and I immediately want a CXR (which would not show a PE, but other things could then be ruled out), and an ABG. Nothing on CXR? Start heparin and get a stat CT chest. No one ever expects a patient to get a PE, but there are more things that can be done to catch it and prevent it from being fatal. Yes, her sats came back up, but with supplemental oxygen now. She sounded wet, so lasix seems appropriate given her CHF, but still with her symptoms, more should have been ordered and done to figure out the exact cause of these things. This is not your fault. But you can use this tragedy to learn and be better. You are truly compassionate and that will take you far. Don’t lose that.
  3. Seriously, no opinion or thought goes through my head if I even notice what kind of shoes some random man is wearing.
  4. HappyCCRN1

    Nurse vs respiratory

    Just some advice for future situations would be to close the loop on communication. If something is not clear to you (in this case, the RT dances around giving you a yes or no answer), be more direct in your questioning (without being accusatory) to get that answer. Maybe follow it up with suggesting that you would be happy to administer the treatment or say that you are concerned they receive it on time as they’ve had shortness of breath. It would be good practice to end your conversations with other clinicians by summarizing what is going to be done and when. Seems like the issue here was mainly miscommunication.
  5. HappyCCRN1

    Scab nursing?

    Proactive, perhaps, but then how are they able negotiate? It’s called a negotiation for that reason—both sides won’t get exactly what they want. If they don’t have nurses available to them to work, they lose their negotiating chip and the union does get exactly what they want. And without scabs, they would get it every single time. And what’s the issue with that? It can lead to abuse of that power. It’s not a noble purpose they serve, but an economical one.
  6. HappyCCRN1

    Scab nursing?

    I agree with all of these points. I am just offering a different perspective. Without scabs, the hospital can’t negotiate and the union gets what they want. I don’t at all believe they are asking for trivial things. However, I see potential for abuse from that side of the table in a world without nurses willing to walk across the line. That is all.
  7. HappyCCRN1

    Scab nursing?

    Without “scab” nurses, what would happen? Hospitals lose their negotiating power with the nursing unions. Unions could then become overly demanding and have the upper hand in every negotiating situation. Not saying that it’s not a bad thing (for nurses, anyway), but potential is there for it to snowball and become abused. Seems like scabs offer somewhat of a balance.
  8. HappyCCRN1

    Transferring ICUs for better experience?

    You’re not getting the experience that you need and want and you’ve come to this realization at less than a year. The feelings of guilt about leaving are completely understandable, but this is your career and your future. I’m not sure what your options are as far as hospitals in your area, but if CRNA is your goal, I would start looking now. It seems like you’ve done the research you need to know where you should apply: high acuity ICU’s. Most programs like surgical, med-surg, or CV ICU. I worked in a huge burn ICU and gained incredible experience there. But I learned so much more when I transferred over to surgical/trauma ICU because of the case variety. I feel that really rounded out my resume when I was submitting applications. My one regret was not having CV experience, but it didn’t come up as an issue for me. Good luck!
  9. HappyCCRN1

    Why is BSN required for CRNA?

    In my experience of researching programs to apply to and submitting applications, I have seen more than just a few schools that allow non-nursing bachelor degrees. In fact, there are many great, and even top programs that allow this. Off the top of my head, VCU and Georgetown immediately come to mind. I imagine it partly depends on the program director and what they believe will make the most successful students. Additionally, CRNA programs will only be offering DNP versus MSN degrees within the next few years. So, this could also contribute to their wanting BSN-prepared students--even if the degree itself is easy to obtain. Are you willing to move for CRNA school? If so, I would recommend widening your search. If you do have a bachelor's degree in another science related field and CRNA is your goal, getting your BSN will make you all the more competitive in the application process--especially if you are trying to get into those top programs that you desire. As others have mentioned, a lot of hospitals are requiring their new hires to either have a BSN or obtain one within a certain time frame. I've worked in busy ICU's in magnet and teaching hospitals with RN's that did not have their BSN, so it is definitely possible to obtain that experience you will need for CRNA school. However, it could be another hurdle you encounter in your journey. Also, I completely understand wanting to vent your frustrations about something you believe is an unfair process! Totally support it. I'm sure if you re-read some of your language, you can clearly see how it comes across a wee antagonizing, which in turn takes away from you receiving the answers or support you seek, and diminishes the productivity or usefulness of this forum. Best of luck to you.
  10. HappyCCRN1

    Johns Hopkins DNP CRNA 2020

    I was told that once official acceptance emails are sent out next week (I believe it will be Wednesday the 18th), that you only have 2 days to accept and then submit the deposit. Just a guess, but I imagine there being a quick turnaround in notifying those at the top of the waitlist if/when people decline. Not sure if that helps anyone, I just figured the more information out there, the better.
  11. HappyCCRN1

    Johns Hopkins DNP CRNA 2020

    Received a call about acceptance! Apparently they will send out official emails next week. Good luck everyone and happy holidays!
  12. HappyCCRN1

    How are my chances?

    The first battle will be getting an interview. I think it's great that you understand where your weakness is and that you are doing things to improve upon that by enrolling in a class. I'd say keep doing that--take as many classes as you reasonably can (and make A's). Great job taking the GRE--even if a school you're applying to does not require it, submit it anyway, it's a good score and will show you're trying everything you can to make up for your GPA. You're in a neuro ICU--I believe they have a specialty cert available? If so, get it. Are you involved in committees or volunteer? These things will help. Not sure if you were exactly asking for all of that advice, but if this is what you want to do, you need to set your application apart from the others (everyone else is trying to do the same). Different schools have different requirements and all of the stats you provided are good and are probably good enough to get an interview somewhere if you cast your net very wide. Maybe the name of your nursing school will help, but do not rely on that--it really depends on the particular program you're applying to. You might be competing with people who went to tiny no-name nursing schools but with >3.5 GPA's. Once you do get an interview, no doubt they will ask you about those C's and string of B's, so be prepared to explain.
  13. HappyCCRN1

    Georgetown University CRNA DNP 2020

    I’m in!! Check your accounts!
  14. HappyCCRN1

    Johns Hopkins DNP CRNA 2020

    Thats awesome! Impressive, one interview after another for you! Yes, any information regarding their process would be greatly appreciated. Good luck!
  15. HappyCCRN1

    Johns Hopkins DNP CRNA 2020

    Wow, so soon with the invites! Congrats, you guys. I have the same question! My hope is that they send invitations out as they're reviewing applications.
  16. HappyCCRN1

    Johns Hopkins DNP CRNA 2020

    Thanks for starting this thread! Skirting in right before the deadline, I will be submitting this application today! I did not like using nursingcas for this one. I can definitely see the benefits of it, however, it just wasn’t useful to me for my situation. Looking forward to another waiting game here.

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