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CamperNurse

CamperNurse ADN, RN

IMCU
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CamperNurse is a ADN, RN and specializes in IMCU.

CamperNurse's Latest Activity

  1. CamperNurse

    COVID-19: Envo N95 mask

    Not sure if this is the right thread or not, but has anyone tried/ is currently using an Envo N95? I have seen a few nurses with them and like the idea of an easy to clean (relatively) reusable N95 with a fresh filter for each shift. Does anyone know how effective these are? I’m on an IMCU turned COVID unit so effectiveness is a big deal. Our hospital provides duckbill N95s. Each one is reused 5 times before being thrown away (used by same person, “cleaned” via UV or some such).
  2. So, I am a new grad and newly licensed RN who went straight into an RN-BSN program and will be doing my Community Health clinical hours in a COVID vaccine clinic. My question is about IM vaccine administration. I was taught the z-track method, but while observing nurses administering the COVID vaccine both on TV and while receiving my COVID vaccine, I saw them pinching the deltoid like a Sub Q administration. What am I missing? I start in the clinic on Monday and do not want to look dumb, but I have no RN experience and have not administered an IM shot since my third semester of nursing school. 😳 Note: the vaccine is being offered to all students/volunteer RNs in the clinic and I begin my residency in a couple of weeks.
  3. CamperNurse

    Clinicals Advice

    Congrats on starting clinicals! Here are a few things I wish I had known/ learned the hard way/ knew but was still taken aback by in my first semester of Clinicals: 1. Even if you can't administer a medication, if your nurse is willing to directly watch, you can prepare it. (For us it was mandatory that our instructor supervised ANY and ALL medication administrations, but preparing meds, even programming pump, was permitted so long as it was the actual RN who administered/turned the pump on). You can get a lot of experience this way, but just double check your school's specific policies. 2. I think our schools clinical paperwork was a little weird, but in my first 2 semesters of clinicals it was not due at the end of the clinical day, but instead a few days later. This is a great time to learn everything you can about the disease process(es) you encountered that day (and make your write-ups/care plans really good). My paperwork always took me until the day it was due, but the amount I learned from taking the time I had was invaluable. 3. ASK QUESTIONS!!! Also, keep a "note sheet" with you to jot down little things you learned or things you want to follow up on later. 4. Volunteer/request to do things. One of the things I told my assigned nurse at the beginning of my shift was that I really wanted to be able to do as many hands-on things as possible, like preparing meds and performing nursing skills (maybe pick one or two that you would really like to try and name them specifically). If she knows this at the beginning, it is more likely that she can accommodate you. As not all schools are the same, if you need to have your instructor present for med administrations and invasive skills, make sure you also tell your nurse this. 5. Do not let the nurses intimidate you. Sometimes you may have the unfortunate experience of getting a nurse who does not want you, or worse you may outright experience nurse bullying, do not let it get to you. Stay professional at all times no matter how your nurse acts. Communicate with your instructor if needed, and make sure you get what you need to do your job. Also, do not do things you know you are not allowed to do or you do not feel comfortable with. I would suggest learning what CUS (Concerned, Uncomfortable, Safety) words are and how to use them early on just in case you ever find yourself in a situation in which you need to use them and to help prepare you to use them when you become a nurse. Here is an article that can give you a little more information about CUS if you are interested: Safeguarding patients: The courageous communication solution Also, on a side note, if you have zero hospital and/ or medical experience at all, it is OK just to do more observing than actually doing on your first 1-2 rotations, but after that, get in there! Just ask questions and try to do things you can! Whew! sorry that was so long!
  4. CamperNurse

    Got The Vaccine! Share Your Experience

    Got the Moderna Vaccine on New Year's eve. It was a bit more uncomfortable than a flu shot. Shoulder was sore at the injection site and I found the fluid going in to be mildly uncomfortable. I had notable pain and tenderness in my deltoid around the injection site for a solid 36 hours and I currently have very mild tenderness at injection site a little over 48 hrs later. 24 hours after injection I had some mild body aches, mild headache (I did not feel I needed anything for HA), and was a bit more fatigued than normal, but, honestly, could be from the... ahem... celebratory libations on New Year's eve 😉 (enjoyed at home with members of my household).
  5. CamperNurse

    IMCU

    Thanks for the info! I did get the job, yay! I have not begun the residency yet, but will soon. I have so many questions! I wish they would send out all details now. How long have you worked in IMCU/IMU/Step-down? As far as I know, the unit I will be in is not specific to any one thing (eg Cardiac, COVID, etc) are there any disease processes that you frequently see? I do not have ACLS yet, but my understanding is I am required to get it in the first 30 days (they will pay for it). Any tips/ suggestions with that? Also, do you mind if I ask about what part of the country you are in? Are you in a large magnet hospital? Small rural? Lastly, any recommendations on specific knowledge/ skills to brush up on before starting? LOL, sorry, I am just eager beaver over here right now.
  6. CamperNurse

    Wilderness Medicine

    thankyou! fitting in hikes that long with a career will be a challenge, but hey I'm going to try.
  7. CamperNurse

    Wilderness Medicine

    OK, so even though you are an RN you are able to work under a different license (or just certification?). What are the potential legal ramifications of working below your licensure level in this situation or are there any? Note: I am a new nurse so there is still a lot I am learning about situations like this.
  8. CamperNurse

    Wilderness Medicine

    So I love to camp and hike... like LOVE (have you read my UN?). One of my life goals is to become a triple crown hiker and I was wondering what opportunities there are to transition/ utilize my nursing license/ skills in a wilderness setting are? I have seen that NOLS offers some backcountry medical courses but they seem more geared to paramedic/EMT. Also, I have looked into the Wilderness Medical Society but that seems mainly geared towards MDs. Are there any nurses out there that work in "wilderness medicine" of some type? How did you become involved in that area? What roles are available for nurses (RN and APRN) in this area? Are there any resources or professional organizations that you would recommend checking out? Any other thoughts, advice, opinions, words of wisdom, etc that you can think of that my questions did not cover? Thanks, I look forward to a discussion around this topic!
  9. CamperNurse

    IMCU

    Intermediate Care Unit, my understanding is it is a step-down unit for patients who no longer need ICU but are too unstable for a MedSurg floor (like you described). If you could tell me more about your experience with step down I'd really appreciate it!
  10. CamperNurse

    IMCU

    Hello! I have an interview for an IMCU position and was wondering if anyone else here has experience working in an IMCU and would be willing to share what it is like? As in, do you like it, why/ why not? what are the most common types of patients/ conditions that you see? how do you think it compares to ICU and MedSurg? Good place for a new grad? Thanks!
  11. Hey there experienced ICU nurses! I am a new ADN grad in a major city with a large magnet push trying hard to get my first nursing job. I want to be in an ICU (I loved my clinical rotations there in nursing school) and was wondering what a good first job stepping stone is to make that goal happen. I am open to anything really (except medsurg...see below) and am not put off by the prospect of being challenged and having a sharp learning curve. I am applying to ICU positions, but I don't think that will pan out for me at this time. A little more about me: I am currently working on my BSN in an online RN-BSN program and foresee myself going on to get my MSN in the next 5 years. Very longterm, I do think I would like to teach. I also have an unrelated Bachelor's degree. Nursing was a career change for me and I have no experience in health care or other relevant hospital work. I do have a long background in customer service and leadership roles (the leadership roles were more on the informal side/ low level but still came with official responsibility). I would very much love and prefer to get a nurse residency. But, with the magnet status of most of the hospitals in my city, the extremely limited number of residency positions, and COVID thrown into the mix, it doesn't seem like a very attainable thing for an ADN. I did very well in nursing school and am doing very well in my BSN program. I hate... HATE medsurg. Those were the WORST rotations of my clinical experience both in the flow of the units and adversarial work environments (the only nurse bullying I observed/experienced in nursing school was on medsurg floors) Thanks in advance for any input you all may have!