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lcb

lcb

Adrenaline junkie, lover of chaos. Emergency Room or bust!

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lcb's Latest Activity

  1. lcb

    Grady Nurse Externship Summer 2021

    hey, how's everybody doing in your externship? I LOVE the ER so much! I've known since I first started thinking about going to nursing school that I wanted to work in the Grady ER, but it's so much better even than I thought it would be. I learn as much in every shift as I learned in all of nursing school! I just got my senior practicum placement in Grady's CVICU, so I'm really excited about getting to experience "the other side" too! I definitely want to do my residency in the ER, but I requested ICU for my practicum and I'm really stoked I got it! Is anybody in the CVICU? Would love to hear what the culture is like there, I'm nervous about culture shock coming up from our ER chaos! 🙂
  2. Hi all you brilliant CVICU nurses out there! I just got my senior practicum assignment in the CVICU and I'm SO excited but also SO nervous. I've been working as an extern in the ER at the same hospital, and I LOVE it, and CVICU was my first choice for my practicum because eventually I want to work as a trauma nurse and I think this will be good experience (my hospital has an entirely separate unit for our Level 1 trauma, where I work is the medical ER and you need two years of experience there before you can apply to the trauma unit). I've been working on getting my ACLS and I think I can finish it before I start my practicum, and I'm also working on an online ECG course, but I'm really worried about the culture shock going from ER to ICU. In the ER, everybody's always throwing trash on the floor (yes we pick it up after the emergency is over -- usually!), everything is chaos, and I can't even get the cords on the portable vitals machines to stay untangled enough to use them -- don't even dream about organized IV lines! I have gotten to help with several codes already, and I feel reasonably solid on my basic knowledge of cardiovascular/pulmonary physiology (will brush up on that too of course), but I'm really worried about the culture of the ICU, especially in such a high-acuity/high-pressure unit as CVICU. Are the nurses as mean and snobby as the stereotypes say? Will everyone give me side eye if I drop a saline wrapper on the floor in the middle of a code? Will they act like I'm stupid if I can't remember proper medical terms for things and talk about them in plain language instead (which happens to me all the time)? What should I do to optimize my experience and learning and avoid the nurses hating me? Gahhhhh I'm so excited but so scared!
  3. this is a GREAT point and exactly what I was trying to point out in the discussion. I was definitely not rude in the discussion with this instructor, at least not by my standards of politeness — I literally didn’t say ANYTHING other than to ask whether “pink” is really an appropriate term to use to describe all skin, and when she insisted it was I shut up and said nothing more — but my firm belief is that the ritualistic use of the word “pink” to describe all skin tones is in fact racist. It’s white-centering, because it implies that pink skin is normal skin and other colors are not normal. Using “pink” ritualistically (that’s a great word you use, love that way of describing it) to describe all skin tones is upholding racism in healthcare. It’s also inappropriate for the reasons you mention — it’s not an accurate assessment. Solidarity fist bump on the respiration counting. I am pretty good about *actually* counting respirations (I work in the ER so vitals could literally be anything at any time, we have no clue what’s going on with people when they come in so you gotta really look at everything), but I sometimes round up or down to chart a number between 12-20 when the person is conscious & talking & their breathing isn’t labored & their pulse ox is 100% but the respirations number is not quite within the standard limits. I’ve been thinking I’m just not very good at counting respirations, and I don’t want to flag someone and cause a panic when I’m confident their breathing is doing what it’s supposed to do, but maybe it’s just that normal is a much wider range than textbooks say!
  4. WOW, @soontoretire2020, it’s WILD to hear how much hospitals have changed. I can’t even imagine the situation you’re describing when you first started — so different from today!
  5. Ah, thanks for all the support — I wish I’d checked this thread again before my comments were due! After talking with other students who saw me in clinical and a friend who’s a nurse and had a similar experience as a student, I decided to let it go. I really didn’t want to do anything in my response that would potentially support her statement that I don’t accept feedback, and after talking with other students who were with me in clinical, I feel pretty confident that this was just one person not liking me and that I’m not really gonna be able to learn anything valuable from her. (As others said in this thread — if she wanted to offer constructive or useful feedback, she would have said something when an incident happened, not called me names after the fact like that!) Also, there was an incident — which to me was so minor I had forgotten it — where I questioned her use of white-centering language to describe skin (she INSISTED that in report we should always say skin is “pink and well-perfused”…I asked “wouldn’t it be more appropriate to say “skin color is appropriate for ethnicity? Because not everyone has pink skin?” and she insisted no, you have to say pink, and the discussion moved on). But yeah, me essentially implying that she was being racist in front of all the other students is probably what she meant when she said I was argumentative and uncivil. I’m not ashamed and I would do it again. 🤷🏻‍♀️🤣 After talking with my friend who’s been a nurse for years, I realized that it really doesn’t matter — I got a passing grade overall, and she probably just wanted to punish me for questioning her. But trying to discuss it now is likely not gonna benefit me — it’s not even gonna show up on my transcript, and the program director would undoubtedly take her side, because it would basically be my word against hers on whether I was argumentative or not. I certainly DID argue with her when she insisted that everyone has pink skin, because that’s some white-centering racist BS, and if that’s what this was about then that’s not about me. I decided it’s only gonna exhaust me to to try to get clarification, and it’s not gonna benefit me, because if she actually had valuable insight to offer me about my behavior and ways I could improve, she would not have dropped it on me unexpectedly like this— she would have discussed it constructively when I still had a chance to improve. After final grades are in, I might email the course professor and just let her know that this instructor dropped this criticism on me out of the blue, and that I felt I couldn’t ask for clarification without sounding like I was confirming her accusation that I don’t accept feedback. That prof is a sweetheart, and I think if I offered her that info in good faith, in a kind way, she might share it as constructive criticism with the instructor, which I think would be helpful for future students. I don’t feel comfortable saying anything to the instructor because I feel like any interaction I have with her, she’s gonna perceive as argumentative and uncivil…seeing as I have no clue still what I did to get that on my eval. But most likely I’m just gonna let it go. It doesn’t actually affect me at all, and there’s a limit to how much I can advocate for future students.
  6. I am a rising senior and I just got my first poor clinical eval. The problem is, I have no idea why. She did pass me, my overall grade is satisfactory, but she said in the eval that I'm argumentative, unprofessional, uncivil, unwilling to do tasks she delegated to me, and that I don't accept feedback. I'm dumbfounded because she didn't ever once give me feedback during the clinical. The clinical was only 4 days and we didn't have a midterm eval. Never once did she say one word to me about my performance. I honestly didn't do anything in the entire clinical other than change bed linens, take vitals, and give a few oral meds (under her direct supervision, of course). This criticism is totally out of left field. I honestly have absolutely no idea what she's referring to -- like, I'm wracking my brain and I can't even think of what interactions I had with her that she interpreted this way. Was it because I asked her for advice on how to better count pediatric respirations when she told me to go back and count them again? Was it because I asked if I could finish a task I was in the middle of for my assigned patient before I followed her orders to change the bed linens for several other patients on the floor? So my question is: Should I ask her? The clinical is over and I don't expect to ever see this instructor again. I feel like even asking what she's referring to is going to sound like I'm being defensive and, you know, "not accepting feedback." But obviously I can't learn from it when I literally have NO IDEA what I did that she didn't like. Feel like I'm damned if I do, damned if I don't. Should I ask for clarification, and if so, how would you word it? Or should I just let it go? I'm supposed to put my own comment on the eval and I have no idea what to say. I feel like if I say anything along the lines of "I truly don't know what interaction/incident/behavior on my part this is referring to," then -- again -- I'll sound defensive, thus proving her point. But if I say nothing then I'm afraid my professor will think it's true and that I agree with it, which I definitely don't (at least not without further clarification seeing as I truly don't even know what I did!). The professor for this class is the one who does placements for senior practicum, so I DO care what she thinks.
  7. lcb

    Grady Nurse Externship Summer 2021

    Bianca, did I meet you today? Were you the person who’s going to ICU? I’m the one who asked nonstop questions and is gonna be in the ER. 🤣 I’m so excited!
  8. lcb

    Grady Nurse Externship Summer 2021

    THANK YOU, yes that’s extremely helpful! Gonna email my prof and see if anything can be done
  9. lcb

    Grady Nurse Externship Summer 2021

    I emailed to try to find out orientation week schedule cuz I have a clinical day on June 8. 😭😱 Which I can probably get moved if I ask NOW....but I need to know the orientation schedule!
  10. lcb

    Grady Nurse Externship Summer 2021

    Yes I got the offer too!! So excited! Mine didn’t say which unit either but I’m assuming it’s ER since that’s the only clinical director I interviewed with. So excited!!! June 7 is so far away! Dying to get my official offer. Anybody know what the rules are for shoes? I want to get new work shoes to celebrate! 🤣
  11. lcb

    Grady Nurse Externship Summer 2021

    Did they tell you when they’ll be making decisions? I forgot to ask that 🤣😭
  12. Hi ER nurses! I’m a BSN student in an accelerated program, graduating in December. My dream is to work in our level 1 trauma ER someday. I’m waiting to hear if I’ll get an externship at my dream hospital this Summer, but I also have the opportunity to take a couple of elective classes this Summer, and I’d love advice on how useful they would be for ER! One is on trauma-informed care (childhood trauma, not blood on the ceiling trauma) , and the other is EKG interpretation. I want to take both, but if the Summer load ends up being too much I may need to drop one. Which do you think would make me more attractive as a new graduate applying to the ER residency? My school isn’t offering the critical care elective (sob), so that’s not an option. I am working on getting my ACLS and I’m gonna try to take the Society of Trauma Nurses TCRN prep course before I graduate too (yes I’m extra but we are getting NO clinical experience because of COVID so I figure I may as well get all the book learnin’ I can 🤷🏻‍♀️).
  13. lcb

    Grady Nurse Externship Summer 2021

    Bianca how’d your interview go? I felt like mine went well but it was really short!! She only asked me 3 questions. I prepped answers to like 10 questions. 🤣 The first one was “tell me about yourself” and I had a detailed story that showed both my experience and passion and why I’m the perfect fit for Grady so I’m hoping she made up her mind to hire me from that.. 🤣
  14. lcb

    Grady Nurse Externship Summer 2021

    Hi! I did and I have an interview tomorrow! Super nervous. Also I haven't received the email invitation to the online interview. Someone called me yesterday to invite me to interview, but I'm not sure who it was, and I'm worried that I haven't gotten the email link to the call! Interview is gonna be online.