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LTC, Med-Surg, IMCU/Tele, HH/CM
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R*Star*RN is a BSN, RN and specializes in LTC, Med-Surg, IMCU/Tele, HH/CM.

Worked in LTC as a CNA for 9 years, then as an LPN for 1 year. Finally an RN (since 2008)! Would like to make it all the way to DNP.

R*Star*RN's Latest Activity

  1. Hey everyone, I was just extended an invitation to interview at Harborview. I'm wondering if anyone can offer me guidance on what your typical interview looks like there? Or share what your interview experiance was like. On another topic if I were to end up landing a job there, where is a good location to live? A nice area without too much of a commute (or possibly not needing a car at all?). Currently I live in a fairly small community, about an hour away, so I'd have to move much closer. I know there are probably 100s of applicants for one position, however it doesn't hurt to think ahead :)
  2. R*Star*RN

    Who has more stess RT or RN?

    Here is how I tell people to decide (sort of funny but true): If sputum makes you want to vomit, become a nurse. If urine and feces and blood make you want to vomit, become an RT. But yes both jobs would b e stressful. As a nurse you have a little more choice in what area you want to work in, while I'd think RT would be limited to the hospital. You could be a clinic nurse, a home health nurse, and office nurse of some sort (ie medical records).
  3. R*Star*RN

    A question for all nurses...

    Yes you will be using your psych knowledge alllll dayyyy long. But non-nursing degrees don't count in the nursing world.
  4. R*Star*RN

    intermediate care vs med/surg floors

    when i worked in intermediate care it was also considered cardiac step-down. So we got post-open heart surgery such as cabg and valve replacements, post stents, post MI, post pacemaker. Ocassionally we got some medical tele overflow. I started out in med-surg on evenings. I worked nights in intermediate care. I am not a night person and had to leave. If you feel you can do well with nights, i'd start on med-surg because that experiance is very valuable. It's surprising that an IMCU is taking new grads. Ours required 1 year of med-surg experiance prior.
  5. R*Star*RN

    Acute care vs. Home health

    I left the "never-ending stress" of the hospital to go into home care. It is the worst decision I have ever made. Now, all home care agencies are not created equal but in my case there is nothing that parallels the hell I am in. I juggle a caseload of 30 patients. I am responsible for their needs 24 hours a day. I end up working 10-12 hours a day and only get paid for 8 because it has been hinted to me that if I charge too much overtime my job will go bye-bye. I sit in traffic for hours and if you think you don't get a bathroom break at the hospital well try getting a bathroom break in your car when you're running behind all day. Don't get me wrong there are some good things about home health but it is an all-consuming job. At least at the hospital your work stays when you leave. I am getting the heck out of this job as fast as I can get a new one. Getting back into the hospital will be tough since now I am labled as a "long term care" nurse.
  6. R*Star*RN

    how do you night nurses do your assessments?

    I worked nights on an IMCU. We were required to do an assessment every 4 hours unless otherwise noted (ie if they just came back from a procedure or were on hospice). I did mine between 2000-2100, 0000-0100, and 0400-0500. Most patients were still up at midnight, and if they were asleep I'd wait until they called and needed a medicaiton or something. The vampires (lab) came to do blood draws between 0400-0500 so I'd follow them with my vs and assessment. Around 0500 all the patients were gotten up for their weight and first ambulation of the day. On my unit I always ended up with several insulin gtts which had to be checked and titrated hourly so those poor patients never got to sleep.
  7. R*Star*RN

    All Med-Surg patients require an IV site

    It's not required but in my opinion everyone should have an IV site. Why? So if they code you don't have to fumble around to get access. Even if the diagnosis is stable, anything can happen. The only time I'm fine with the patient not having an IV site is if they are on hospice or palliative care and that is their wish. But it's still nice for that morphine gtt.
  8. R*Star*RN

    Is med/surg really that bad?

    I spent a little over a year on a med-surg floor that took mainly post op patients. Yes, it was stressful at times but I enjoyed it. I learned a lot and grew as a nurse. I still look back upon that experiance as my best one yet as an RN. If you want to talk about stressful go to a unit where your patients are just waiting to code. Sure your patient ratio is less, but you are also going to witness a lot more deaths and a lot more traumatic situations. Perhaps that's what you want, but I'd reccomend getting your feet wet in med-surg first. Or you could manage the care of a group of 30 patients and get phone calls in the middle of the night when someone's catheter stops working properly. With everything I've done so far, I am seriously considering returning to med-surg. It's just the right intensity and you actually get to send people home most of the time.
  9. R*Star*RN

    Why hire RN's when other disciplines can do the job

    It's interesting what the public knows. First of all I have seen MAs, CNAs and even Vet techs called "nurses" which I do find offensive, though it is usually by the office staff or receptionist and not anyone with an actual liscense behind their name. I am always told "wow you are too young to be a nurse" and "I bet you were in school for YEARS!" and "you must be so intelligent to be where you are now". So that tells me that the public does think that nurses are well educated (most of them don't know there is a 2 year option) and intelligent. The hospital in town is primary care. They are just transitioning back to CNAs on some floors now. However when I emptied the trash or changed the linens or helped patients to the bathroom they would always say "oh, that isn't your job. don't you have an assistant for that?". I took pride in being able to do those little things for the patient, because some key assessments are made during this time. IE how they ambulate to the bathroom, what does their skin look like, what junk food is in their garbage that they shouldn't be eating. Besides just the assessment part of it, I felt as if I was actually physically HELPING someone which was the main reason I became a nurse in the first place. Perhaps the public's knowledge of nurses and what they do varies in areas of the country, as does the ability to read and percentage that have a high school education or other degree. I don't think we can stop the "elevation" of nursing. Look at all the others. . .physical therapists, occupational therapists, speech therapists. They all need advanced degrees to practice. However if they are going to require it for one profession they should accross the board -- xray techs, sonographers, respiratory therapy, etc should all be expected to have "advanced" degrees in that case. ok that was kind of long and rambling.
  10. R*Star*RN

    Arrested while Occupying Wall Street - Will I Be Hireable?

    I was once arrested for "obstruction of justice". It was some a bs charge to get me into protective custody and away from an abusive boyfriend, whom they couldn't have arrested instead of me for some reason. Anyway it hasn't prevented me from getting hired or progressing my education. I am questioned about it every time I have a background check because it says I spent 30 days in jail, which was stayed and should have fallen of my record. Usually when I explain the situation, people are quite understanding. There are a bunch of people in town here who are "occupying" tha capitol's lawn. Its all been quite interesting.
  11. R*Star*RN

    McKesson Horizon

    Ugh. That is all I have to say.
  12. R*Star*RN

    Job market for experianced nurses?

    Hey all, I am currently living in WA and trying to get a hospital job after being in HH for 6 months. I have 3 years acute care exp, and have always been interested in living in Portland. What is the job market like there for experienced nurses? I have seen a couple threads about new grads but I haven't seen much about experienced nurses. I have step-down and tele experience but no ICU/ER exp.
  13. Hey everyone. So about 6 months ago I made the decision to leave the hospital (night shift) for a day job in home health. I had a nagging little feeling that this was the wrong choice but night shift was affecting my ability to sleep so badly that I figured anything would be better. I was wrong. I feel like this is the worst career decision I have made yet. Not only am I working 6 or 7 days a week, but I also work 10-12 hours a day and my job is NEVER finished. My stress level is through the roof and I thought that being on the code team at the hospital was stressful -- well it is nothing compared to this 24/7 "on" feeling. Anyway I am trying to get a hospital job again but everyone seems to have a hiring freeze. I am even applying to surrounding states. I'd go back on night shift! How difficult do you think it will be for an RN with 3 years of acute care experiance (including step-down/tele and code team exp) who has been out of the hospital for a little over 6 months to get a job?! I've applied to about 15 positions, which is all I could find that I am qualified for (since I don't have a specialty like ER/ICU) and haven't heard a peep back even though I've made phone calls and sent emails. Any advice or even if you share you experiences with similar situations, would be great. Thanks.
  14. R*Star*RN

    What's the best area of nursing to start?

    i havent found an area that makes me WANT to clock in. But ive found areas that are tolerable. . . .which, I a miss now that i have left the hospital and am trying to get back in to.
  15. R*Star*RN

    Hospital nursing question

    To be honest I went to case management in home health because i thought it would be less stress. Now, I am applying to hospital jobs hoping and praying I can have something similar to my old job back (cardiac IMCU).
  16. R*Star*RN

    Personality Typing...

    I am an INFJ. I dont know if there is one type that fits with nursing. I believe that it is a calling. I can't imagine not being a nurse. It is all I know, really. Ive been in healtcare since I was old enough to work.