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Rabid Response

Rabid Response

ICU/CCU
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  1. Rabid Response

    Moving to San Fran in May 2012

    I am insanely curious as to why you absolutely must move to this area when you don't know a soul here and face probable financial ruin by doing so. At least save up a little money to live on before you move. Without employment you will find it difficult to find a place to live, and roommates will not be able to charge your portion of the rent to a credit card if you choose to save money by moving in with a few other people. I'm scared for you, and I don't even know you. Please be cautious or you will end up sleeping in your car and, eventually, on the street. I love SF, but I wouldn't ruin myself to live here.
  2. Rabid Response

    2nd degree BSN vs. Nursing Master's

    I was faced with the same decision when I applied to schools. I chose ABSN over ELMSN because I wasn't sure exactly what sort of nurse I wanted to be, and the EL Master's options seemed rather limited. I'm glad that I chose BSN because I wound up in critical care, and could not have gotten a CNS or NP in that specialty (thank god) with no experience in the field. Now I'm applying to grad schools for exactly the MSN that I want. If you are sure that you want to stay in the field of Psychology, then you should go for the Masters for sure if it's a NP program. If the schools you are looking at only offer CNL Masters degrees, then go for the BSN. No offense to the CNLs out there, but you will not get much respect from nurses as a "leader" if you have no experience working as a nurse. I'm not even really sure what people are supposed to do with those degrees, since all the ones that I know are working as floor nurses. I suppose it's a good thing to have if you eventually want to go into the rewarding field of nursing management.
  3. Rabid Response

    Does anyone really like their job?

    Today I wanted to jump out of a window at work by 0900, but for the most part I do love my job. Thank God that not every day is like today was, and thank God for my excellent and supportive co-workers. My unit is a great place to work.
  4. Rabid Response

    Stigma with LTC

    While I don't think less of RNs who work in LTC, I personally would not want to be a nurse if that was the only job I would ever have. Passing meds and supervising unlicensed personnel are two of my least favorite aspects of nursing, so a job that consisted mainly of those activities does not appeal to me in the least. I do know some nurses who have worked acute care but prefer LTC. It's just a matter of preference. Anyway, my organizational skills and ability to delegate are so bad that I wouldn't last one day in a SNF.
  5. Rabid Response

    Job market reality for new nurses

    While it's admirable that you want to encourage and reassure your students, I don't know why they are so outraged about the state of the job market. This recession started in 2007. The last time my hospital hired a large number of new grads was in the summer of 2007. I remember my own class of accelertated BSN students grousing about not having jobs BEFORE they graduated, since the previous year's class had been recruited right out of school. Change was in the wind, and we didn't know how lucky we were--the next year's class had a terrible time finding jobs at all, and it has only gotten tougher. When YOUR students STARTED their accelerated BSN program, the market had never been worse for new grad RNs. What were they expecting??? Had none of them done any research? Had none of them spoken to the previous years' graduates? They could have popped into allnurses.com and seen the gazillions of posts by new grads who had not been able to find work. While I can't blame them for being worried about finding work, I can fault them for being surprised and indignant about it. They should have done a little research before they shelled out for that tuition. Caveat emptor etc... Your advice to your students was just fine. The ones who work the hardest to find work and are prepared to compromise and, perhaps, even sacrifice will be the ones to find jobs right away. Maybe they didn't go to nursing school to be volunteers or interns, but new grads willing to go that route are the ones first hired at my hospital.
  6. From what I've observed in my hospital, PACU is where experienced ICU nurses go to retire while still collecting a paycheck. When I talked to a co-worker who had recently transferred to PACU, he said that he was very happy there but was often bored. That said, I am sure that the only reason the job seems easy-breezy to him is that he has more than 20 years experience as a nurse, most of it in ICUs. PACU doesn't seem the sort of place to start your critical care training. While the workflow might be kind of routine and predictable, when something does go wrong with a patient, it can go very wrong, and I think you need to be able to call on mad critical care skills to deal with that. In short I think that, unless you have heard awful stories about the working conditions in that particular SICU, you should take the job there to develop a broad critical care skills base. Congrats on having two job offers!
  7. Rabid Response

    What HAVE you said to patients???

    I once had a patient who was admitted to my unit with a balloon pump, pa line and quite a number of drips. Unfortunately the cath lab had sent him up to me with no warning and without calling any report. Of course there was a problem with the IABP on his arrival, and three other nurses and I were scrambling to fix the problem before we had to call the MDs and possibly shut down the pump and remove the line. The patient was NPO in case he had to go for emergency surgery. It was a huge clusterf**k, and through it all the patient was complaining that he'd had nothing to eat or drink all day. At first, as always, I explained his npo status and the rationale for it in the most polite way possible. But he just kept on and on about how he had not eaten. His complaining and my explaining (while trying to troubleshoot the iabp and lines and settle him in) went on for about ten minutes. Finally he yelled, "I'm ******* DYING of hunger here and none of you care!" I had absolutely had it and yelled back at him, "Sir, you might very well be dying, but NOT of HUNGER!" I thought the other nurses were going to choke when they heard that. I'm usually very patient, but that guy got on my last nerve. He and I got along pretty well after that, though.
  8. Rabid Response

    EKG Interpretation Course in the Bay Area, CA?

    SF Paramedics offers a couple of courses. I've never taken an ECG class with them, but the other classes I've taken have been really great. http://www.sfparamedics.org/index.php?option=com_content&view=article&id=80&Itemid=75
  9. Rabid Response

    Entry Masters vs BA for RN- pay, jobs, lifestyle

    I work with a couple of nurses who have entry level masters degrees. They work bedside nursing just like me and get paid exactly the same as I do. I don't know anyone with that degree who works a desk job, and you would not be limited in any way by having it. On the other hand, I don't think you gain a whole lot career-wise by getting a masters before you've practiced as a nurse for a while. I'm applying for masters programs this year, and I'm glad that I waited a while since now I am sure that I want to be an Acute Care Nurse Practitioner, and that is not offered at the entry level in any program I've checked out. One thing: I really hate the name "Clinical Nurse Leader," especially for a new grad with no experience. Somebody needs to come up with something better that that.
  10. Rabid Response

    Nursing School Selection Process???

    Are you sure that by "scores" she meant only the entrance exam scores? Most academic programs give scores for every part of an application. You could get 4/5 possible points for an essay, 4/5 points for previous experience, 2/5 points for interview etc... Maybe what she was trying to say was that they took the overall scores into consideration. Or maybe the original 35 were selected using broad criteria, but the admitting committee only used test scores to eliminate the final 7. Since it happened late in the process, they might have been pressed for time and just used what they felt to be the most objective measure. I realize that you are upset, but you seem to imply in your post that intelligent people are more likely to be serial killers (!) And it's ridiculous and unfair for you to state that "most of the people that got accepted dont want to be nurses or even care about nursing" when you have no idea how many times some of them have applied or how much work the accepted students put into their applications. You are not the first well-qualified applicant to be turned down on her first try. I hope that you didn't get as confrontational with the admissions coordinator as your post makes it sound. Perhaps your stated intention was to find out what was lacking in your application, but it sounds like you lashed out in anger at the coordinator, and the impression you left her with could pretty much have ruined your future chances at that school. So, in answer to your final question--you are certainly being overdramatic.
  11. Rabid Response

    My nightmare Nclex RN exam

    "insanity: doing the same thing over and over again and expecting different results."--albert einstein failing the exam five times is most certainly an indication that you are dealing with more than simply "bad luck." unfortunately i have a feeling that you are only going to heed advice that reinforces your current way of thinking. a poor grasp of the english language is most certainly hindering your ability to pass the exam. moreover, if you do manage to pass by the skin of your teeth next time, you could be putting future patients at great risk due to your inability to comprehend and communicate in english, especially since you seem unable to recognize the degree of your language deficit.
  12. Rabid Response

    My nightmare Nclex RN exam

    I'm going to go out on a limb here and say that your problem may not be that you lack the requisite nursing knowledge, but that your reading comprehension in English might not be adequate to fully understand the more nuanced questions on the exam. I barely remember the NCLEX, but I seem to recall my test including a number of questions based on written scenarios, which required very close reading and attention to detail. Since it appears that you have used nearly every study method possible to pass the exam, perhaps this time around (rather than simply doing MORE of what already has not worked) your efforts might include an advanced ESL class. I hope you have better results the next time around.
  13. Rabid Response

    Nurses, how do you feel about raw food diet?

    No. I don't think there are many people, obese or not, who could stick with this kind of diet for very long unless they were extraordinarily committed. The best "diets" really consist of several-to-many individualized lifestyle changes that people can maintain for the rest of their lives.
  14. Rabid Response

    How hard is nursing school? Another question...

    I did not think that nursing school was that hard. Lots of time, lots of work, lots of bullsh*t, but not difficult except in a suck-it-up kind of way. Being a nurse, on the other hand, IS hard, at least if you want to be a good nurse. Working in ICU is awesome, but it is not for everyone. You may think you'd like it and then hate it once you have a taste of what it is like. Only having two patients sounds grand until you realize that some days you can't be away from either of them for more than a few minutes and that often you are expected to chart on both of them every fifteen minutes etc... How long it takes you to get a BSN depends on your educational background. If you are fresh out of high school, it will take at least four years. If you already have a Bachelors in something else, it could take one and a half to two years depending on how many prereqs you need and how long the accelerated BSN program will take. Some people get an ADN first (at least two years, with prereqs) and then bridge to BSN, but I don't know how long that bridge usually takes. You salary will depend on where you work. In my part of the country, new grads make as much as nurses with 20 years experience make elsewhere. The catch is that there are pretty much NO jobs here for new grads. On a final note--you should change your handle. It's really not cool to use "RN" in your handle if you have not passed the NCLEX.
  15. Rabid Response

    What do you think?

    Weight issues aside, your facility should have a call system that does not involve having someone constantly sitting in front of a phone. It seems a waste of resources to have a RN sitting in one place for hours at a time. But then I have never worked in a nursing home.
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