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RNNPICU has 13 years experience as a BSN, RN and specializes in PICU.

RNNPICU's Latest Activity


    RN's required to be sitters???

    Many on this site who are nurses also worked as techs prior to becoming a nurse and have had to sit as part of that role. I tend to disagree with your statement. While nights are toughter, it still is better than using a vacation day.

    RN's required to be sitters???

    OP: I can understand your frustration on having to sit for 8 or 12 hours. Just remember that is what sitters do. It is in the job description of an RN.. It could be a good way to see what the sitters experience as well as gaining a different perspective of pt care for those pts that need a sitter. I would rather do that than waste my hard earned vacation hours for a day off when I did not want it

    Bedside with an MSN?

    You can work as a bedside nurse with an MSN. Ways to use education - think of ways to update discharge education on your unit, get involved with councils that focus on nurse professional development, skills training. Easy to stay at the bedside. Also, really hone in on your discharge teaching of your patients

    Working Weekends: How often? Seniority based?

    This should be after 25 years no weekends

    Working Weekends: How often? Seniority based?

    If you are in a union hospital, sometimes that can dictate weekend requirements. We have every third weekend. I think after 20 years it is one a month, I believe after 2 years you don't have to work weekends. Now if you work in management or are salaried it doesn't matter
  6. I just caution as a new grad in home health. You will need to know different development, trach management, vent management, tube feeds, PICC line, broviac cares, TPN administration, etc. Clinical experience along is what gets up to pass the NCLEX. Your precepted first job is what gets you experience to practice independently. You will need a solid three-four month orientation, 6 months for ICU. One week or a visit or two with a partner is not enough. Please rethink the home health. You will need to have experience enough to have assessment skills identifying what is the patient's baseline, where they need to be, and what is "sick". Also you will need to know how to manage an emergency on your own until the EMS arrives. Good Luck, it is only July, give yourself another month or two of job searching.

    New Grad Indecision

    But again, they didn't throw out your application, if there were no other positions, they still wanted you. 🙂

    New Grad Indecision

    I still think that they must have thought enough of you to offer something you didn't apply for. That means they likely think you are a good candidate for their hospital and want you as an employee and this was the best match given your experience, interview, etc. This isn't a downgrade, or something that makes you less than something, this is a job that someone thought you would be a good fit. Working in LTAC is not a sub nursing job. Although I only have ICU experience I have worked with those who work in LTAC type facilities and there is a lot of different patient management and is a challenge in itself. Nurses work in so many different settings, nurses are needed in all settings. Think about this, what if the ICU turns out to be a disaster of a unit?

    New Grad Indecision

    That scenario at shift change is the exception not the norm. You can also choose to hate or like something. If you have an offer, you obviously interviewed and applied for a reason. I realize it was a disappointment with the residency cancelation, but you do have another offer. If you really think abut it, even in a job you would like, there will be aspects that you can complain about, and people will complain too even if you think it is the best thing ever. Take a chance, be open to all skills and patient management. You have the power to set your own tone about the job. If you go in with the idea that it is a great FIRST job, then you have won half of the battle

    New Grad Indecision

    I don't know of any area where you would be in the patient's room for 3 + hours, you would never have time for everything else that needs to be done. In the ICU you try and minimize the time in the room, you go in, do assessments, give meds, monitor and then let the patient rest. Yes, when the patient is really sick and there is a lot going on you can be in the room for that long, but that is pretty rare. Trust me, you really don't want to be in the room that long. Exceptions are teaching, cluster cares, etc. Remember you will likley have 2 patients in the ICU and with all of the charting, coordinating other services, checking meds, charting, assessments, charting, charting, you would not have those three hours. Since you do not have an offer for the ICU I would take the LTAC. It is a job. Good Luck in your future as a nurse
  11. Sometimes I think it is better that way, you can grieve the loss but then still be able to think, okay, on to thinking about the next set of patients. Sorry for your loss OP

    Code blue and PPE

    Think Scene Safety, the first rule in a code situation. There is absolutely no reason to put yourself at risk. You can be the hero once you are safe.
  13. I don't think you missed it. You were right about needing oxygen. Now take a lok at the HR, high HR and low BP - potentially sepsis, might need some fluid resuscitation. Aso, h/o diabetes - may need a glucose level. With these scenarios it isn't about guessing the diagnosis rather anticipating what orders might be needed. As you gain more experience it is often the nurse who makes a recommendation to the physician but that comes with time and experience.
  14. Look at the BP... Is that normal? What can you do for abnormal vitals? Is there something elseyou can think of? This is just to help guide your decision making, Take a look at each of the vital signs... Decide is it normal range or out of range? Then think what could you do for each of the vitals either normal or out of range. So try that and post it here
  15. OP: I am glad to see the perspective you have gained. All of us in this profession become attached, we care about our patients and want them to feel better and comfortable. Sometimes as you have now seen it is important to take a step back. Glad you have taken steps to see this and taken care of yourself.

    Is this bad sign?

    Managers get 50+ emails a day, no joke. There are lots of emails they have t send with high priority, are in multiple meetings a day, need to deal with employee needs, and other unit management as well as ensuring they are reaching benchmarks for their unit and hospital. I would give it a few days.

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