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Medic/Nurse

Medic/Nurse BSN, RN

Flight, ER, Transport, ICU/Critical Care
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Medic/Nurse is a BSN, RN and specializes in Flight, ER, Transport, ICU/Critical Care.

Medic/Nurse's Latest Activity

  1. Medic/Nurse

    Experience before Travel Nursing?

    I started doing local contract work after 4 months of "staff experience". 4 months after being licensed. My staff spot was a 12 hour a week spot with benefits. Local contract is essentially travel without having to change states. I could go home, to a friend's house/stay with family or sometimes I'd stay in a hotel if doing back-to-back shifts for them -- depending. I think it was fairly easy as I was a bit of a known quantity (this can be for better or worse -- lol). There wasn't any shortage of demand. Actually, there was a lot of demand. Plently of offers to hire. I didn't want to hire and I tried to avoid staying anywhere longer than 4-6 weeks, (I did contract with one for 8 + 4, I can't say no sometimes - Arrrgh!) tho I would go fill in an occasional odd day or 2 in OT for a previous place if I was on another contract. I was doing this for BROAD EXPERIENCE. PART OF A LARGER PLAN. I was burned a bit in staff spot (I'd been a deluxe unit clerk prior to RN licensure for 16 hrs weekly), so I'd resolved I'd try to never take another one. Leaving staff work behind was heartbreakingly difficult. Once I finally left the area to travel, it was like leaving my family. Never again. I did local contract for 16 months. Plus, flying had always been my ultimate end goal, so I tried to find diverse experiences that would help me focus on that goal. Joined ENA, AACN. Studied, read a LOT. Pre & Post shift. Eat, lived & breathed NURSING My real mastery of nursing -- EMERGENCY and CRITICAL CARE came in those days of CONTRACT and TRAVEL. I knew how to care for critically ill patients, but putting in into action in different settings is challenging. Assessment is EVERYTHING. I took advanced critical care classes, I had ACLS, PALS, NPR, actually I had been instructor in ACLS & PALS for over a decade. I had certification in Emergency Nursing. I traveled for 18 months out of state on 4 main contracts in 6 facilities. I was extended on 2 of the 4. Invited to be staff on 1. The last contact I was on terminated me 2 weeks early and it was such a freaking blessing. Prolly cost me a few thousand dollars and it was money so well spent -- I can't even recall what the issue was, just nonsense I'm sure. I can't find my Can you say beautiful new facility that's run by an administrative ER director who is not a NURSE and has no clue. In the 11 weeks I was there, 9 staff left (5 nurses, 2 RN clinical leadership, 2 techs) Literally, I expected a portal to hell to show itself any day. ~*~*~*~*~*~ I am not going to say I was comfy, I don't think you will ever know it all, be able to master it all, have seen it all, eat once and for all or, well, you get it. I was was competent clinically. Part of that is knowing that you don't know it all and knowing where to access help. Ask for help. You will run into things that you will need help with -- ask. There should be a clinical leader. Spend time getting to know your computer charting system -- it pays off. It will make you a better nurse if you embrace it. Learn all you can. Come out better. Save money. Period. Anyway. A NOTE ON EXPERIENCE. HOW DO YOU DEFINE IT? I was a medic for years prior. That matters. Confidence wise, I guess As for nursing -- my staff was 4 months + local contract work was 16 months. But that's misleading. I think you have to look at hours/units worked in. I worked over 4100 hours in 16 months. That's well over 2 years of "experience" in 16 months. It all depends on how you define experience. I define my experiences as clinically caring for patients. Being a nurse. Good luck. Look at facilities very critically. :angel:
  2. Medic/Nurse

    Remember pagers?

    I forgot I had one in the pocket of a skirt and was driving down the Interstate, it went off on vibrate and I thought I had a bee in my skirt. I am severely allergic to all things wasp and could not get off the road fast enough. I was quite a sight, flailing until I realized it was that freaking pager that would not stop buzzing. Not on call. :angel:
  3. Medic/Nurse

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    I'm trying to add something meaningful. I will say this about Vandy. My experiences with Vandy are several years old - however, their clinical processes and systems approaches to care were squared away. One must keep in mind that humans can defeat a process or system. IMHO it was human error/systems error. I'm going with a 90/10 ratio on the nurse. And it's a tough call. Only because even if she DID NOT KNOW what the DRUG was for presuming she's not dumb butt stupid - PARALYZING AGENT - could she not read English language words with meanings -- it should TRIGGER another RUH-ROH when she had to mix it STERILE WATER (she had to freaking draw this in a syringe!) This took time, effort. Another good place to stop. Vecuronium/Norcuron is rarely to NEVER mixed with NS -- always sterile water or D5 or it burns like mad. She carries this from NeuroICU. I genuinely mystified. This nurse is ORIENTING another (presumed experienced) RN to a "help all" spot -- What the Heck? Give a Med and Hit the Road? So 2 nurses are actually doing this in some manner? Nope. Anyway. We all know what went wrong. I do wonder if Versed had been in shortage in some way contributed to stock, par issues? On a NeuroICU I'd expect to see that heavily used. Systems staffing adds to the issue. I've been in 18 facilities as either staff, contract, travel or PRN and as ground/flight I've transported out of 50+ more in every area of whatever facility (I take them from wherever they call). I assure everyone any ICU patient going anywhere intrafacility for any reason goes with an ACLS RN and a Monitor/Defib and initial resus box. Period. I've untangled plenty of desperate situations. Can you imagine the horror? As an integrity test, this is a failure. "Clean Kills" are very bad things. God help us. :angel:
  4. Medic/Nurse

    12 hour night shifts

    That is truly terrible. I am sorry anyone spoke to you like that. I just cannot. Depending on my state of shock or prickliness, I could have gone for her jugular. True verbal exsanguinsation before she could have turned to go. She would have been dead on other floor before she could have responded to me with another meaningless word. She hit her unwelcome word limit. Because just no. This is why I 'on occasion' think certain nurses should be banned from management. Doxxed even. A place where nurses can name the bad ones on a website - and these wanna be power trippers without the requisite skills (bad personality, uncaring, the fakers, brown-nosers, etc) get called out as the 'dastardly, dirty' beings they are - perhaps enough to put an end to badness and start to put caring back into a caring profession? :angel:
  5. Medic/Nurse

    Four Year Contract for Free School?

    How long is that bridge program? Typically one year - right? And they want FOUR years of your life post program? In an area you aren't interested in. Nah. Not a chance. Don't employers offer regular tuition assistance? Use that. Use student loans, grants, home equity, sell lemonade, Etsy, I don't know, but servitude is not the answer. Hard pass. Good Luck. It will work out. You got this. :angel:
  6. Wow. Wow. Wow. Wonder what this will mean for any pending medical malpractice litigation that names the hospital? This should make the earth feel shaky there? Get the checkbook out and get right with yourselves WBGH. Patients DESERVE better. And nurses there deserve Saint status. 91 (Ninety One - that is SHAMEFUL) OPEN positions for NURSES tells everyone it's a terrible place to work as a NURSE. A complete hell hole. YIKES. Better clean that house. They must have known it. That couldn't have been a surprise. They have big systems problems. 91??? Wow. Hopefully, they will be heaping goodness on those amazing nurses that stuck it out with them. :angel:
  7. Medic/Nurse

    Situational Trauma

    FTR - I worked in retail in college. It was at Lazarus (what is now Macy's). It was a grind. I actually made more money comparatively in retail vs. as a firefighter/medic. I think it really prepared me for to become a high paid "waitress" that can give drugs, warm blankets, turkey sammies, coffee your way, iced soft drinks and ever so often have to tell someone news so shattering that it will forever break their heart into pieces and, of course, save an occasional life. Yeah, selling mass to high end accessories did that. $20 - $500+ handbags, sunglasses & scarves. It was the best if times and the worst of times. The customer was always right. Funny thing - the decisions were kinda low stakes and always resulted in apologies, smiles and refunds. Only one customer died, but I didn't have anything to do with it. She didn't collapse till she got to cosmetics. I just sold her a handbag. It wasn't THAT expensive. :angel:
  8. Medic/Nurse

    Situational Trauma

    The ONLY way I would have hit the mall on BLACK FRIDAY would have been at GUNPOINT. Yep, I'd have had to have been a hostage. No longer into pain & torture. Actually, not going at all. :angel:
  9. Medic/Nurse

    MORALE

    And posters or with cheerful/happy sayings make things WORSE. Avoid these. No "HANG IN THERE" - No "DOING A GREAT JOB". NO PLATITUDES. Just DO NOT do it. Management must get remaining core staff to communicate & be accommodating, appreciative. Then these staff get rewarded - epic levels if "core" financial incentives. Immediately get agency, hire, bulk up support and ancillary staff like never before. My tolerance on management BS would border on allergic to near anaphylaxis. ACTUAL solutions, when staff is neck deep in misery are NEVER going to be based on WORDS. SOLUTIONS that MATTER will ALWAYS mean ACTION. :angel:
  10. Medic/Nurse

    Mandatory Vaccination

    Either it was VOLUNTARY to be VACCINATED for the FLU and you could OPT OUT and would REMAIN EMPLOYED; or It's a situation where you would no longer be EMPLOYED if you DID NOT AGREE to RECEIVE the FLU VACCINE. One or the other. Gotta pick which hill to battle on. I think it's way too meta for a hospital to go fully gonzo of policy with analysis, and every side effect/consequence/benefit of a flu vaccine program, resulting liabilities and risk mitigation strategies and then try to sell it as OPTIONAL through the occ health nurse. Funny stuff, I say. These are likely the same lawyer folks that have staff put FLU tags on their name badges. As if "RN" isn't enough! Plus whatever other in vogue thing they are promoting this week hasn't been added. These strange little "FLU" add-on to the name tags create unwelcome, unwarranted and unnecessary conversations everyone has plently of extra time to participate in! Geez. :angel:
  11. Medic/Nurse

    financial donation to a needy patient

    FTR - as a medic, I've returned to certain residences OFF-DUTY and out of uniform and bought & left groceries, diapers, clothes, etc. AND yes, we made sure all had access to info on community resources. Some things CANNOT wait. I did this quietly and without notice and discussion. I.E. Left things on porch. And once as a flight nurse I actually left cash in a card with chaplain services to give to a mom of a patient that we flew. Told him to wait 30 mins after we left and swore him to secrecy. There was no way I was leaving this kid with a sick kid without the ability to buy a sandwich. And not every need is urgently addressed by someone else. I'm willing to stand by my decisions. Once you know what you know, well... you KNOW. :angel:
  12. Medic/Nurse

    Opiates Are Not for All Pain

    There is more to consider with regular NSAID and COX-2 use in anyone other than renal function. Cardiac & bleeding risk are real. Plus, there can be interactions with other meds. This caregiver is the person who is with this patient many days and hours (moving, bathing) - and let me tell you folks, there are few things worse than trying to comfort someone SCREAMING in pain knowing it's not going to be ever be treated in a meaningful manner. Really, multiple known to be painful medical problems, patient can't verbalize reliably and, yet, because the caregiver reports the need for the patient to have opiate pain control back into the mix (however unartfully) alarm bells go off about caregiver diversion. This patient is 90. I'd think low dose fentanyl patch that the daughter changes could be a way to go with very limited IR on hand if you really diversion is an issue. Ensure treatment with the least horrible option. Used correctly opiates have been safe for many years in most patient population, by most providers. Crisis? *** It is if you are trying to manage a 90 year old with multiple painful co-morbidities and family wants to keep her from a nursing home. Heck, you make $10 bucks an hour and are really fond of the lady, but how much more will you be able to take?? *** ~ BTW - the first thing they will do once she's in a nursing home is get an order for opiates (untreated pain!) and benzos (sundowning!). Funny stuff. And pain (untreated or treated poorly) causes lots of bad effects on the body. From cognition, sleep, cardiac/respiratory effects - really everything is impacted. Bad juju everyone. :angel:
  13. Medic/Nurse

    When you thought it was patients you needed to watch...

    Unless he rendered me helpless instantly, the only thing that would be on the menu would be the REAL police or possibly the coroner. For once he was trying to KILL me and my life was threatened, I'm hopeful that those rescue scissors in my pocket would become useful and I'd leave him sans eyes or jugular. If not the scissors, I'd grab something, anything and use it like I meant to kill him. I would fight him like my life depended on. He might lose. Something. Maybe eyes. Nose. His life. I don't fight like a girl. Lucky dude might have had a bad outcome if he had come at me. That's what this criminal deserves. A bad outcome. Not a stay in a country club getting "treatment" for his problem. And why in the hell are doctors coddled? A nurse tries this crapola they would be crucified on the closest cross. Heck they would cut down the last tree on earth to build a cross to crucify them on. That crazy, criminal nurse would never practice again! Jail them -- yesterday!!!! Also, just another thought --- A doctor has drug diversion issues with massive abuse, they get country club treatment and have their licenses back in 30-60 90-180 days and generally no monitoring. Nurses are under the microscope for YEARS!!!! Cause they are doctors and doctors are special! ~*~*~*~*~ What is going on with this madness. So a doctor is not dangerous? Cause they are special. Not common, like nurses. I think we have an answer here. What if crazy dude had decided a patient was the target. That's why I don't buy the "snapped" defense. He was deliberate. ~*~*~*~*~ F this line of questioning whether the nurse had the "right" to inquire over this MD on anything! Holy Mother of Dog? Is this now a defense on attempted MURDER? No, nah, nope! I'm prickled down to my toes. We need this Angel. :angel:
  14. At this point, by not authorizing NCLEX (which it can be presumed you would be successful based on prior performance) the school is compromising your ability to EARN NURSING DOLLARS. I'd send them a CERTIFIED letter outlining the course of the last 5 months - key dates, prior requests to resolve (check your cell bill detail) and give them 10 business days to remedy or face recourse. I'd check all my papers to be clear on the school's responsibilities (it may not say specifically NCLEX release, but could interpret no valid reason to delay). This could impact contract law or not - just know everything. As for RECOURSE - go public (media) or not. I'd think about small claims court in my state (you represent yourself & it usually has a fast docket) on breech of contract and seek max allowable amount for damages (tho your actual expenses may be low, the school's attitude of "crap on you" fraud shady-as-hell factor is a biggie with damage). I had my degree completed in December, degree was conferred on (I think the dates are right, I know April 9 licensure date is) February 22 (or there about) started as a graduate nurse in the ER on March 21 (I think) and passed NCLEX on April 9. So I was making NURSE DOLLARS within 4 weeks or so. Yeah, you are potentially losing big. Or go talk to a lawyer (I might even find one that does nurse defense, just because they understand nursing) and see if one is willing to take on this case. I'd bet there are takers! :angel:
  15. Medic/Nurse

    A Sense of Alarm as Rural Hospitals Keep Closing

    As a medic, when I worked in some counties, it was COMMON to have EMERGENCY transports of 25-40 miles to the closest hospital. Imagine having to add another 30 miles to that - yeah, that's a recipe for bad things. Think about that. Someone is trying to die and I've got some big real estate to cover to get them to the hospital alive. An ambulance running, red lights sirens for miles - and someone you love in critical condition - and you are following that ambulance for 20, 30, 40, 50 miles. Excruciating. Healthcare should be a right. Accessible. Affordable. Small hospitals are ESSENTIAL. I think Congress, Governors, State Lawmakers shouldn't have Cadillac on demand care. Do they get the best - you bet? Their health is valued, their pain is treated, they get treated in top rate facilities, by top docs. This is wrong. They don't have to search for a MD that will see them in 3 weeks and participates in their "plan". Or drive through 3 counties to get to "care". They (and their family) should have to spend a year on their state's public plan. Once that happens, healthcare will become funded, accessible. And small hospitals will have a chance. They don't know what they don't know. Once they know, by having lived it, the limitations of scant healthcare - all lawmakers will act. Or something. :angel:
  16. What? Not triggered. See cop on toast thread for that. LOL - I know as TRUTH and FACT I'm not a RACIST and DO NOT discriminate. Easy peasy lemon breezy. Right? I'm firmly comfortable commenting on the fact this nurse seems like he might be suffering from a lack of self-awareness and epically bad judgement. Hell, he could be a great guy just testing the limits of FREEDOM OF SPEECH. Doesn't matter - for better or worse - he has branded himself. Life is about choices. Let your freak flag fly. ~*~*~*~*~ I operate on a few basic principles. Every patient deserves the best of care - this applies to the wealthy bank president to the penniless undomiciled. No exceptions. In my practice, I've lived and died on a principle of non-discrimination. No one will be treated differently based on income, sex, race, gender/identification or general repulsive jerkiness. We are imperfect angels. Two for you! :angel: :angel:
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