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ICU, M/S,Nurse Supervisor, CNS
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Ahhphoey has 16 years experience and specializes in ICU, M/S,Nurse Supervisor, CNS.

Ahhphoey's Latest Activity

  1. Ahhphoey

    From CNS to CM? other options?

    I have a friend (an RN, but not a CNS) who works from home for an insurance company as a CM, but she has set hours. I have a second job working from home for an online university, though, with very flexible hours.
  2. Ahhphoey

    Desiring to be a CNO

    I know this thread is old, but I work at a 550 need level 1 trauma center Magnet designated hospital. Our current and most recent CNOs both had women's health back rounds almost exclusively.
  3. Ahhphoey

    Which CNS certification?

    I recently graduated a post masters program and took AACN'S ACCNS-AG in October. Fortunately, AACN offered a free review course when you register for that particular exam.
  4. Ahhphoey

    I'm an MSN now!

    Congratulations! I finished in August and took and passed the exam in October so I know just what you're feeling! Completing the program was a very challenging and rewarding experience, but I'm so glad it's over!
  5. Ahhphoey

    RN Certifications?

    There is also a sticky at the top of this general nursing board with 7 pages worth of a glossary of nursing and medical certifications and acronyms
  6. Ahhphoey

    Help! Where should I work???

    I've worked various areas since becoming a nurse. Honestly, I would suggest going after what ultimately appeals to you most. Regardless, you don't have to stay in that position forever if you don't like it...just try something different. This is the good thing about nursing-variety. I've worked for the same organization for 7 years now and I'm in my 4th position with them. When I needed a new challenge or something different, I'd just get to looking on the job postings and apply for something else while still remaining with the same employer. Fortunately, its a large system with 10 hospitals, plus some nursing homes, rehab centers, doctors offices, an insurance company, etc.
  7. 1:6 is pretty normal for med-surg. I used to take between 5-8 patients on day shift when I worked med-surg and that was about 5 years ago, so a max of 6 is pretty sweet.
  8. Ahhphoey

    AM I CRAZY??

    I wouldn't do it. I have a full time job, but also a per diem job on the side. Although I usually get all of the hours I sign up for (which is only about 24 a month), I've been put on call for every shift I've signed up for over the last 6 weeks. But, thats just the way the census goes sometimes-up and down; this has happened several times over the four years I've been with the per diem job. You'll likely be the first person put on call when low census strikes so you really don't want to uproot your family for such a shaky position. Five months seems like forever, but like others have said, this job really isn't worth the relocation at this point.
  9. Ahhphoey

    This Does Not Make Sense - But happens anyway!

    lol!!! actuallly had tears in my eyes laughing at this one. :lol2:
  10. Ahhphoey

    Only 5 units of insulin per injection site??

    Wow, never heard of anything like that before. The scariest part is that this nurse and his NP brother are practicing and teaching vulnerable patients with no medical knowledge and their families this dangerous practice...
  11. Ahhphoey

    Knowing the worst and not saying a word.

    About 6 years ago I was caring for a young Hispanic woman in the ICU who had become critically ill with some type of respiratory issue. She was about 30 or 32, an immigrant, and spoke no English. The docs were baffled at what had made her so sick since she appeared the picture of health and from the limited history we got from her friends, she had no medical history other than 3 pregnancies. She had no family in the states; her family, including her young children, were all in her home country. A slew of tests were ordered to try to figure out what was going on with her, one of which was an HIV test. Needless to say, it came back positive. The first day I had her, which was about 4 or 5 days after she first came in, she was on a ventilator, but had significantly improved and was about ready for extubation. With the help of a Spanish-speaking respiratory therapist, I was able to communicate enough to let her know what I was doing, such as drawing blood, turning her, doing mouth care, etc, and ask if she needed anything. What I remember most is that she smiled a lot, despite the tube down her throat and lines all over the place. She couldn't talk, but her smile was almost constant when she was awake. It was that day that the results of the HIV test came back. Early the next day she was finally extubated and able to talk. Fortunately, the same Spanish speaking RT was there and helped with a lot of the translation. But when it was just the two of us, with my limited broken Spanish and her limited broken English and a LOT of hand gestures, we actually conversated about her children and how much she missed them. All the while I kept thinking about that HIV diagnosis and how it would change her life. It may not be a life sentence anymore thanks to advances in treatment, but its still life altering. Plus, this was a woman with very limited resources who only saw the doctor in the past to give birth. Later that day I sat in the room at her bedside while the physician and a translator informed her of the diagnosis. The wails that came from that woman were almost unbearable. The only thing I could do was rub her back and sit with her while she cried, and thats what I did for the next hour (fortunately my charge nurse was able to watch my other patient during that time). She sat there and cried and talked and cried some more during that time...I felt horrible that I couldn't understand most of what she said but it obviously wasn't the time to leave her to get someone to translate or use the translation phone, so I just stayed with her. It seemed liked she just shutdown after that. She barely talked for the rest of my shift and the next day she was equally quiet. She wouldn't make eye contact and answered questions with a simple yes or no. I transferred her out to stepdown in the middle of that last shift and just felt helpless when I left her in her new room curled up in the bed facing the wall. Sorry so long, but that is a patient that really sticks with me especially how she looked when I last saw her. I still think about her from time to time and wonder what became of her.
  12. Ahhphoey

    Critical Hgb value changed

    I haven't yet seen this and our docs often transfuse for less than 8.5. At one hospital I was at a few years ago, they had just begun transfusing all post op orthopedic patients who fell below 10 (with or without signs of active bleeding). I believe it was part of a study, but never learned the outcome.
  13. Ahhphoey

    ODU Nursing School VS Sentara Nursing

    I have not attended either school either, but I am a Sentara employee (I'm not biased...no really, I'm not) who works in education/staff development. I coordinate orientation for all new nurses on the units I cover so I've encountered graduates of both programs and like the previous poster mentioned, both are good. I do think Sentara offers a bit of an advantage when it comes to clinical experience (all clinicals are of course at Sentara hospitals and Sentara students are the only ones who get training and access to the computer charting system). They also offer a few other experiences that are open only to Sentara students. Plus, you're almost sure to get hired somewhere within the Sentara system as a graduate of that program. However, ODU's program is also very well established and respected, and does an awesome job of preparing their students to be effective new grads. If its a BSN you're after, ODU's program has been around longer than Sentara's BSN program which has not even graduated its first class yet (though the Sentara's school of nursing has been around over 100 years). I would honestly recommend applying to both because one or the other may have a waiting list anyway which would make your decision a whole lot easier.
  14. Ahhphoey

    "You're a NURSE??"

    I saw that on FB too and thought it was a nice tribute to nursing. Our profession is often misunderstood and downplayed to be "just" a doctor's handmaiden with no real knowledge or contribution to the healing process. Plus, nurses are the catch all for any patient complaints whether it be regarding the cleanliness of the room, bad food, the lighting, lack of cable, etc. We deserve a little credit now and then!
  15. Ahhphoey

    Survived my 1st week!

    Congrats on making it through your first week. Its always great to see someone posting about how excited and happy they are about starting out their nursing career.
  16. Ahhphoey

    If I hear this/see this one more time, I'm gonna scream!

    That type of attitude in an industry that is essentially centered on "caring" is apalling. I didn't realize it until reading this post, but I guess I've been pretty fortunate in that I have not yet encountered an RT that wouldn't help me boost a patient (or not that I can remember anyway). The rehab folks I've worked with over the years (including PT, OT, and ST) have also been great for the most part. I've even had docs help me boost patients. Like others have said, though, patient care is not just the nurse's job, though we definitely take on the brunt of it. Healthcare is supposed to be about helping others, so what are we saying about ourselves (all healthcare disclines included), when we have to bicker about who's going to help who boost a patient in bed.