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Pediatrics, Pediatric Float, PICU, NICU

Content by JadedCPN

  1. JadedCPN

    Switching jobs after 6 months?

    If you're switching within your hospital, you need to check your policies and procedures - many hospitals require 6-12 months on one unit before transferring internally to another unit. Your main concern should not be that you will look bad to the unit you are currently on, bad rather that you might look bad to the other places you will be applying to.
  2. JadedCPN

    Never feeling good enough, despite milestones

    I absolutely hate this mentality of people who think one specialty is "better" than another, and in my observation it appears to be a more common phenomenom in new grads from the past 5-ish years or so. I have worked a lot of different specialties including ICUs, med-surg, ER, and oncology and I don't think a specialty makes someone a better nurse than another. They're all different, they're all hard in their own way, they all require different types of critical thinking and time management. Often times one specialty might "struggle" if they tried to do another specialty - ICU nurse may have a hard time juggling 6 med-surg patients; med-surg nurse may have a hard time managing an Oncology assignment full of blood products and chemo; Oncology nurse may struggle understanding lab values of a non-onc patient....my point being that they all thrive in their own ways, and not one is better than the other. Anyone can be a "real hardcore badass nurse" no matter their specialty. You are a new grad though, you aren't hardcore or badass no matter what specialty you're in because you are still learning. Improve your critical thinking skills, increase your understanding of underlying pathophysiology and disease processes, know your patient population like the back of your hand, and then decide that you are bored/aren't "good enough" and try to go somewhere else. Until then, there's a lot to learn. Also, shout out to the SNF/LTC nurses out there managing 1543 patients at once (okay, slight exaggeration) providing excellent care and always advocating for their residents. They are the true badasses to me.
  3. I personally wouldn't recommend saying anything beyond the vague statement NightNerd suggested of how your experience as a patient has helped shape you, IF you truly feel it will give you a leg up. But that's it. I definitely wouldn't throw the C word out there. Nope.
  4. JadedCPN

    Med passes

    Whenever I admit a new patient, part of my spiel of orienting them to the unit and routine involves discussing typical med pass times and the importance of minimizing interruptions. I also inform them of change of shift/nurse report times and educate them that studies have shown less interruptions can lead to improved safety. I make sure they know that if there is a true emergency, by all means they can interrupt, but otherwise try to avoid these times if possible. It works like a charm most of the times.
  5. JadedCPN

    Exit interview survey, tell the truth, lie or ignore

    I know at my current facility, they do electronic exit surveys and "lump" all exit survey results into biannual feedback, which provides some level on annonymity. Whereas if I did an exit interview right now and the feedback went to my employer this week, it would be obvious (despite it being "annonymous") that I was the one who provided the feedback considering I was the only one who left this week. I think if worded in a constructive way that still maintains professionalism, exit interviews could be very beneficial. But as the poster above said, it is out of your hands as to whether they actually enact any changes based on what you said.
  6. JadedCPN

    Dialysis nursing pros and cons

    That's a hard NO from me.
  7. JadedCPN

    "Not sure what unit you will be hired into..."

    Ditto. I've made 3 cross-country moves in the last 6 years and always have had an email that included the offer letter with specifics. Only once have I had to ask for one, and I told them it was needed for my lease (which it was) so it was never an issue.
  8. JadedCPN

    Are we not asked to give to much?

    Another perfect example of why I have always, and will always, work inpatient pediatrics at a ranked stand-alone pediatric hospital. 95% of the problems I hear and read about in adult world are pretty much non-existant in my pediatric world.
  9. JadedCPN

    HELP! New ICU Nurse

    I started as a new grad in the PICU years ago, and we had an amazing 1 year new grad residency program. A big part of what helped me improve my critical thinking skills was to practice using case studies. Case studies allowed me to critical think through various scenarios and also understand the rationale. It may benefit you as well.
  10. JadedCPN

    I have been on night shift for 30 years and...

    I did nights for 12ish years before switching to days last October, and it is still an adjustment. The worst part for me is actually waking up at 0500 and not feeling like I'm physically dying. Some of the posts had some great suggestions. I agree that, much like night shift, it is about getting onto a schedule. Try to have a good after work/evening routine - workout, eat dinner, watch a show, and then mentally wind down before bed. I also second taking something to help sleep during the transition since your body is so used to being awake in the middle of the night. In terms of staying awake at work - caffeine if you are allowed to do so. On "slower" days at work, I also found myself taking walks around the unit to keep going. Overall it took about 4 months before I felt pretty good on days.
  11. JadedCPN

    Over my head?

    You should have never, ever, ever been hired as a new grad into this position, ever in life ever. That's not your fault, that is the facility's fault. Run.
  12. JadedCPN

    When to know you're over delegating

    I second the advice of giving your reasoning for delegation. Yes, it is "their job," but I have always found my PCTs to be more receptive if they understand that I'm asking them to do a task that I am capable of performing because I am going to be doing a task they can't do in another room. This is moreso about common courtesy and respect. I also agree about jumping in to help the PCT when you can so that they can see that you are a team player and willing to get your hands dirty, so to speak. It has been my experience that many times PCTs have been there for years, have seen nurses come and go, they know their stuff, and just want that respect. I have no problems giving it to them. I personally only delegate when I truly do not have the time to do something myself. I have found that because of this, my PCTs know that when I do ask them to help a pt to the bathroom or get a blood glucose level, it is because I am genuinely busy with someone else, so I never get pushback.
  13. JadedCPN


    In my 13 years of experience, this is pretty much the standard in Pediatrics. It is really unfortunate, because when the parents want to withhold information it is always because they think it is what is best for the patient. But these kids are resilient, and smart, and no matter their age they always know something isn't right and lying to them by ommiting the truth doesn't help at all. This has always been an ethical struggle and my biggest issue in pediatric world. I stand my ground on not participating in outright lies - so you're either going to get the truth, or I'm not going to say anything. It is still not right, but that's where I have found my peace.
  14. JadedCPN

    What conference benefits does your hospital offer?

    The first hospital I worked for had an amazing and supportive program for continuing education and conferences. Each employee had the opportunity to apply for a grant for one conference a year. An application had to be filled out including why you wanted to attend the conference. The conference had to be relevant to the job and then you were required to present the information you learned at your unit's staff meetings and send out a summary via email. They paid for airfare, hotel room, and a per diem daily for meals.
  15. JadedCPN

    BSN but not a nurse

    She has her BSN, she earned that, she can flaunt that anyway she wants because it is hers. The issue comes in when she starts calling herself nurse when she is not a nurse. She simply has a degree in nursing.
  16. JadedCPN

    12 Hour Shifts Issue

    The fact that you are struggling with both getting up early and 12 hour shifts puts you in a really tough spot. You need to decide which one is worse for you. If the 12 hour shifts are worse for you, then you could find a job that only requires 8's but the downside to that is you're waking up early 5 days a week. It seems like in either scenario/option, you are going to be dealing with one thing you don't like.
  17. JadedCPN

    "Not sure what unit you will be hired into..."

    The nurse manager absolutely lied and pulled a bait and switch, which is wrong and I don't believe anyone who has replied is debating that. And as someone who has years of ICU experience, years of med surg experience, and now floats to both, I never said or believe that they are interchangeable. I'm simply stating I don't believe it is accurately to state ICU nurses are the highest specialized, and I say this from experience as someone who made the transition from ICU to med surg, and then transitioned from med surg to other specialized areas such as Oncology and Pediatric Cardiology. I can't sit here and say that an ICU nurse is "highest specialized" than a nurse who knows their pediatric heart defects front to back and the ins and outs of all the leukemias, cancer protocols, etc. They are just specialized in different ways.
  18. JadedCPN

    "Not sure what unit you will be hired into..."

    Yes, read the post. The very last line, the OP states "These positions are outright LIES and they want the highest qualified (3 yr ICU RN) for what....med surg???"
  19. JadedCPN

    "Not sure what unit you will be hired into..."

    Just want to point out, as a nurse who started their career years ago in ICU, that ICU is not the "highest qualified" position/nursing as you stated. You've had three people now, including myself, simply informing you that the way you worded your rant about your friend comes across as slightly insulting to med surg nursing, even if that is not what was intended. Perhaps you should humbly listen. In terms of the actual issue here, I definitely wouldn't be cool with that as an experienced nurse. I've heard of similar type of setups for new grads which makes slightly more sense. Unless I were desperate for a job or super flexible about the job, that would be a hard no from me. ETA: Many areas of nursing are "highly specialized" (ICU, oncology, cardiology, etc) and as has been discussed ad nauseam on AN in the past regarding if one is "better" or more specialized than the other. In my opinion the answer is no, they're all specialized in their own ways, and that is what makes nursing great. And I second what Orion said about some ICU nurses not being able to handle med-surg - when I transitioned over, it was a harder transition than when I started as a new grad in the ICU.
  20. JadedCPN

    Do you have a side hustle?

    You're working under the assumption that strippers have less dignity. That hasn't been the case with many of the strippers that I've friended over the years. And my personal opinion as a very sex-positive, body-positive person is that being a stripper doesn't automatically take away your dignity. But that's just based on my personal view, not on any experience as my original comment was made purely in jest. In regards to out earning as a bartender versus a stripper, I think that is entirely possible but entirely depends on the stripper and the bartender and for both of them, the location.
  21. JadedCPN

    Do you have a side hustle?

    Stripper I'm so good that nursing is my side hustle
  22. JadedCPN

    Transferring positions prior to 1 year in first nursing job

    My only word of advice is to have your company’s name removed from your posts. You’d be surprise to find out how small the nursing world is and how quickly things get around.
  23. I can't speak on the legality of working as a CNA in San Diego. I just wanted to say that if you truly are desperately in need of money to make ends meet, which is of course understandable, then I personally do not think doing only one application every other day is putting in enough work. I've put in double digit applications every day, to every single open position that I came across no matter how undesirable. Also it may be worth looking outside of California as well. Good luck to you.
  24. JadedCPN

    Improving Nursing Practice

    Assuming you are applying for a Nurse Manager/Director position, it seems extremely important that you should be able to answer this basic question on your own and with your own idea. We could definitely help refine it though.
  25. JadedCPN

    Paid for Mandatory Online Learning from Home?

    Any mandatory training should be during paid time - most facilities I have worked at prefer that to be during your scheduled shifts if you have the time. I've worked at places that allow us to complete X amount of education from home and get paid for X amount of hours. I've also worked at places, like my current facility, that do not allow you to do training at home but do allow you to come into work for X amount of hours (as long as it doesn't put you into overtime for that week) to complete the training at a computer in the hospital. Either way, I am not doing mandatory training on my own time without getting paid.