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Burn and Surgical/Trauma ICU

Content by HappyCCRN1

  1. HappyCCRN1

    Shadowing Experience

    I asked a CRNA that was dropping off a post-op patient in our SICU how I could go about shadowing her or another CRNA since I was interested in applying to schools. We exchanged numbers and I followed up with her. She set it all up and was extremely helpful and enthusiastic about me coming in. I’m not sure how it’s done elsewhere- I feel like I lucked out!
  2. HappyCCRN1

    Certification and Work Benefits?

    I’ve worked at 3 different hospitals that offered a $1000 bonus for one certification. Decided to do my CCRN at the hospital that did this AND even paid for me to take the review class. They actually paid for the 2 day review course, gave me “educational PTO” for the 8 hours each day (since I was taking off work that week) as well as 3 hours to actually sit and take the exam, and then the $1000 bonus came a few weeks later. My unit was 87% certified and Beacon Gold. These benefits were available to every inpatient unit in the hospital. Our upper management took a lot of pride in our cert numbers and I think that positive attitude trickles down. I feel for those that aren’t recognized more for certification.
  3. HappyCCRN1

    Giving a life-altering diagnosis

    I must admit that I cringed reading this. I have never heard of giving a patient their diagnosis to be in the RN scope of practice. Lab results, sure. But even the results of a test like that where you understand it's most likely a confirmed diagnosis, I would communicate with caution. The physician needs to be the one speaking about this with them first, preferably with you right there to swoop in with your story and words of comfort after he exits. I'm truly sorry for your personal experiences with such a physician lacking that compassion with you. I'm happy to know you turned that negative experience into positive ones through your career. I am sorry for this patient's situation and I can relate with you in those feelings of sadness and contemplation at the end of a shift. I am relieved to learn the patient and her mother responded positively to you. Personally, I could not imagine receiving a diagnosis from a nurse. Even if it was one that nurse shared with me. Every person's situation is unique and I would have too many questions I would want answered by the physician first. I'm not sure if there is a specific practice act regarding non-advanced clinicians communicating a diagnosis. If it is common practice where you work, just exercise with extreme caution. Actually, I would stop. This will definitely make me do some digging.
  4. HappyCCRN1

    Critical Care Eliticism?

    I’m dying. This comment by this username is the best thing I have seen on this site yet. It’s going to be a great week. Thank you.
  5. Completely agree. This kind of report would typically take 30-45 minutes on 2 ICU patients. I think a condensed version would be more feasible for 5-6 med/surg patients. Some sort of consistency in report and accountability of the off going nurse goes a long way. Too bad the theory of “nursing is a 24/7 job” is used as an excuse to not follow up or check on things and that this attitude wins out over setting your peers (and patients!) up for success. I don’t believe it should be the expectation that you look your patients up before you start your shift unless you can clock in and get paid for that time. If nurses feel this is absolutely necessary and the only way to be successful on their unit, I believe an alternative solution needs to be offered by management.
  6. So not agency then, but maybe you could go full time at another facility and stay prn where you’re at now (considering you’d keep the tuition benefit). I wish I had a better solution to offer. It sounds like the tuition benefit is great and something you don’t want to lose. Solely for that reason, I would hesitate on quitting just yet and continue searching within your company, maybe email HR to get the ball rolling a bit.
  7. If your priority is getting a job with your parent company, I personally would not leave just yet. Ask yourself what would happen if you give your notice, quit, and then there are no availabilities on a unit you prefer or with hours you prefer? You’d lose that benefit of your BSN cost being offset. I was miserable in a job working night shift with a little over an hour commute that I had to do by bus, 2 trains, and a shuttle. I quit with nothing backed up. But I also had 5 years of experience and was in a financially sound situation to be able to do that. My priority was happiness and overall well-being, too. I found work immediately. With your 3 years of experience, you should be fairly marketable to find another job quickly. Although if you did quit with nothing backed up and you lose your paid BSN benefit, this might cause more stress to your life. Could you do some research into other companies and facilities in your area to see if they would offer this same benefit to you? What about dropping down to part time or per diem with your current employer—would that benefit still be available to you? If so, you could stay on but work less hours there and then work elsewhere with an agency? Best of luck to you!
  8. HappyCCRN1

    Restraint Free Facility?!

    Have you asked management this? Your concern for safety is valid. Is this something only happening on the floors? If so, there must be an alternative solution that they can offer. I can’t imagine not having restraints available on my vented patients in the ICU. I feel bad for the staff and patients and their families in this situation. Maybe I only know one way and that’s why I can’t picture a positive outcome. I would be voicing my concerns on a daily basis—in person and through emails—and asking for recommended solutions. Truthfully, I’m curious what the response and overall outcome will be. I hope you’ll return to update us.
  9. 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.
  10. HappyCCRN1

    A rant and a question re: CRNA master’s program

    No, there are no online master’s CRNA programs. The timing of this with your circumstances just suck. I’m sorry it’s not working out the way you envisioned. I can imagine the frustration of this. Your feelings are understandable and your wanting to vent/rant is understandable. Finding people to join in your woes can be therapeutic. As you can tell already though, most of us are for this change. If you’re posting a rant on a public forum and didn’t expect someone to oppose your view and comment, then I would be truly shocked. If you wanted a more engaging, supportive, and productive conversation, you would have worded your original post differently. I hope you find what you’re looking for.
  11. HappyCCRN1

    5 Year Plan?

    This was a question for one of my application essays. If you’re involved in committees or leadership roles now, do you enjoy them, and is that something you’d want to do as a CRNA? If so, speak to that. Have you done research before or find particular areas of anesthesia intriguing that you would want to do research in? If so, talk about that. Where do you want to work? Rural areas of the country or in academic medical centers (and why?). And exactly like the above posts were saying—are you interested in involvement with state associations, politics, etc. I believe they want to know if you’ve given more thought than just “work as a CRNA” after you graduate. They want leaders in their program and those that think ahead to the future. They want to know what you’re impact and contribution will be to this profession. At least that’s what I interpreted and wrote about.
  12. 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.
  13. Seriously, no opinion or thought goes through my head if I even notice what kind of shoes some random man is wearing.
  14. HappyCCRN1

    Scab nursing?

  15. HappyCCRN1

    ABSN vs TBSN matter to CRNA schools?

    Literally does not matter. Not for CRNA school, not for future jobs. Do what’s best for your time and finances.
  16. HappyCCRN1

    All Transcripts When Applying?

    Read into what their requirements are and reach out to the program coordinator for clarification if needed. But yes, I had to submit every single one.
  17. HappyCCRN1

    Feeling forced to be the house supervisor

    What a stressful situation to have to think about every time you go into work! I'm so sorry. If it does happen, I would say something like... "I feel very uncomfortable with this situation. This is a huge patient safety issue. I cannot take report until someone else comes in to fulfill the supervisor role." Then escalate, escalate, escalate. I have worked in several different ICU's and myself and colleagues have refused to take an assignment before because of the unsafe acuity and staffing ratios. It forced our charge nurse to take an assignment and our manager to take over the charge nurse role. Yes, it sucked and I hated doing it, but it was not my fault that there was inadequate staffing. And you accept responsiblity by taking an assignment and taking report. If something terrible happens because of the unsafe assignment you were given, your license is potentially on the line. You just never know. I am always willing to lose a job over losing my license. I am so glad you are searching elsewhere.
  18. HappyCCRN1

    advice for post grad pursuing ABSN

    I graduated with a BS in Biology, decided I wanted to go back to school for nursing, and puttered around a little deciding which program (and length of programs) would be best for my circumstances. I was out of school after my first degree for a year before starting my 13 month ABSN. If I had the opportunity to immediately start the ABSN upon graduation, I absolutely would have done so. I would have done it then, and with a little bit of hindsight, my answer is the same. I did not work during the program. I knew that I would want to eventually go on for a DNP and that grades were very important, so that was my priority. There were some people that worked a little bit from home, but very occasionally. Also, I enjoyed nursing school! I loved learning nerdy nurse things. So I feel like the break that I had would not have been necessary. Obviously, it's difficult to make that assumption since I did in fact have it. The program was definitely fast-paced, but my first degree was at a very small, cheap school, so it did not take much out of me, and is another reason I feel I could have immediately started the nursing program. Both of my degrees were at small, low-tier schools. But I made decent grades, went on to work at several large hospitals that provided a plethora of learning opportunities and growth, and now six years later I am accepted into a couple of really great CRNA programs! I came to regret not going to a more well-known university for either degree, but for personal reasons only. I was fortunate that it did not have an impact on getting the jobs I wanted. And now I have the opportunity to earn a graduate degree from a prestigious school. If I did not have that, then perhaps I would feel differently and instead encourage you to hold out for your number one choice. Decide what things are most important to you. If you feel like you could benefit from a break--emotionally, mentally, financially...then do so. For me, financially, I knew that with the money I would make as a nurse, I would be able to pay off any debt incurred from loans quicker versus working a job and saving up before starting the program. Again, just me. Everyone is obviously different and has different priorities. Figure out what benefits you would gain in holding out for your first choice school versus starting in this other program right away and vice versa. Good luck!
  19. HappyCCRN1

    Realistic Goal?

    As those state above, definitely retake the undergrad science courses that pulled your GPA down. And get A’s in them. Graduate courses would be great to make yourself more competitive down the line, but your first step really should be focused on the undergrad classes. That will get you up to an acceptable baseline GPA when you start applying. Next, get experience and get certified in the speciality you go into. Soak up every opportunity for learning on your unit. You need to get those sick patients. Once you’re there for a year, get involved with committees and research on your unit. Making the consideration that you have a good personal statement and resume, these are all stats that should get you to an interview. And from there, everyone is seriously on an even field and will have similar stats as you. So it’s all about trying to make yourself stand out in a sea of applicants that are just as qualified.
  20. HappyCCRN1

    Johns Hopkins DNP CRNA 2020

    Received the email yesterday and have graciously declined as I've accepted elsewhere. Best of luck to those accepting and those on the waitlist!!!
  21. HappyCCRN1

    OHSU DNP CRNA 2020

    I did not apply here, but my co-worker did and this week she received an invitation for an interview.
  22. 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.
  23. 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!
  24. HappyCCRN1

    Johns Hopkins DNP CRNA 2020

    I received an invitation to interview on a Thursday and when I called to schedule, there were multiple slots available the following week. So pretty quickly from invite to actual interview. I know I received an invitation after others had interviewed. Unfortunately, I’m not sure if they have all been sent out or not, I did not receive any indication one way or another. Just that interviews would go into the first week of December. Because of the webmail interview format, it seems like they have the ability to invite and then interview fairly quickly. Best of luck!
  25. HappyCCRN1

    Georgetown University CRNA DNP 2020

    The only email I received was about a “status update” in my application portal. So I had to log in to the same place I submitted my application and open it and then there was a link to click on with the letter.

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