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tamsonfirst specializes in Neurosciences.

wife, mom, (soon to be) RN, BSN

tamsonfirst's Latest Activity

  1. tamsonfirst


    I'm watching CNN from Seattle on my lunch break. They just announced that some hospitals have decided not to transport their most critical patients...that seems unwise to me. It appears even the Canadian Armed Forces are offering their services to medi-vac people out. They think Gustav may be a Catagory 5 (Katrina was a 3)...This is nothing to play around with...my co-workers and I here in Seattle are keeping you in our thoughts and prayers. There's still time for this storm to change course...that will be my prayer. Stay safe!
  2. tamsonfirst


    ruralnurs, I, for one, thank you. I agree that the label is given rather frequently just as I believe ADHD is. I became even more disheartened by it when I saw the number of women who were diagnosed when I did my psych nursing rotation. When I read their histories, I couldn't help but wonder if their life circumstances and perhaps even normal hormone issues were not responsible for many of their problems. In addition, I was very upset to see that the drug reps sponsored Tuesday morning breakfasts for the psych hospital staff where samples and other literature was given for many of the represented meds. Unethical, if you ask me. That is not to say that I believe BP and ADHD are not real because I am sure that they are..just that it has become too convenient in our society to diagnose these things, perscribe meds and consider it done. The labels do affect people with regard to military service, licensure in various fields (including nursing), etc.. Lastly, as I stated before, this illness does run a broad spectrum, so even if someone does truly have it, they still may be capable of living a productive life. Thanks for sharing this perspective.
  3. tamsonfirst


    just a quick encouragement, as I'm off to work. I know from family experience that bipolar runs a broad spectrum, it is difficult for some people to get leveled out on meds (but it can happen) and when one is only 18, their body is still maturing physically and emotionally. Sadly, your sister may have to become sick and tired of the mood swings before she takes her self-care seriously. I am so sorry that this is causing you undue stress. As a wife and mom who has just graduated from nursing school and started a new job, I can relate to the super-stressed aspect. Hang in there! Tam
  4. tamsonfirst

    Has anyone considered going all the way?

    If I understand things correctly from my observations as an employee in a teaching hospital where I see many med students, nursing students, ARNP, etc...In the simplest terms doctors are trained to diagnose and treat disease and nurses are trained to assist patients and their families in recognizing and overcoming all of the many obstacles that may interfere with that process...The two professions compliment each other nicely but I don't necessarily see one being a stepping stone to another unless a practioner of one were to decide, after time in the field, that they'd really prefer to be practicing in the other... my ... Tam
  5. tamsonfirst

    Are Student Nurses Prepared for "Real Life?'

    As new grad who has just recently begun my residency program within the last two weeks, I'd like to give the more veteran nurses my perspective. I worked on the floor with patients for the first time on Thursday and I was scared as hell! This despite the fact that I worked as a Nurse Tech on the same unit for the past year...There is a higher patient acuity these days and there are not enough hands to go around; however I knew these things going in. It is not as if I was completely ignorant of these facts. I earned a BSN degree and completed roughly 900 clinical hours over the course of my schooling and, although I had exposure to a variety of clinical experiences, I never got to do any one thing enough times to feel confident about it, let alone proficient. I have a great deal of respect for the nurses who have done it "old school", sitting for 2 days worth of boards, etc. I also appreciate the care and patience they have with me as I strive to learn to become more skilled. I had a nurse tell me Thursday that she was glad to hear I was scared because she believed I would be more careful then those who come out of school cocky...I suppose time will tell on that. Anyway, be kind to us new grads, we're trying to make your jobs easier... just my ... Tam p.s- Oh yeah, about the new grad who drew up 5 mls of insulin...giving her the benefit of the doubt here, maybe she was nervous?
  6. tamsonfirst

    NCLEX tomorrow...

    ...will someone bring me an emesis basin please? Thanks! Tam
  7. tamsonfirst

    Harborview or Swedish?

    5th floor is Psych Unit, not surprising, but, believe it or not, that sort of thing doesn't happen very often. Yeah, lots of drama but you get used to it and it saves you the trouble of having to watch television! http://seattlepi.nwsource.com/local/358387_jumper10.html Here's the link...
  8. tamsonfirst

    How competitive is it to get into a nursing school?

    I'd like to weigh in and say, I agree with the advice about being careful of new programs. The school I am graduating from (May 3rd--yay!) is a fairly new BSN program. I will be a member of the 7th graduating class and it is just finally starting to become a more solid program .They are accredited and passed their 5 year renewal last year, but, basically, IMO, it takes at least 10 years for a school to really prove if it is a success. Something to consider: employers may not be open to considering your application if you come from a school with a poor rep. Not always the case, but a possibility. I'm not saying don't apply, just be aware of the risks going in.. sorry if this is a ramble, it's late, I have my practicum early tomorrow and I need to head-off to bed... Good luck!
  9. tamsonfirst

    What shift to work for a new grad??

    I had alot of the same questions that are posed on this thread. I am currently a nurse tech at the hospital I have been hired to work at as an RN (I graduate in 3 weeks, hope to take boards in June, scheduled to start in July). I know I will be orienting on days but I am scheduled to work nights after that, 7pm-7am. Because I am a nurse tech on this unit, I see the routine a little bit (obviously not from an RN perspective) and I know days are more chaotic. That is not to say that nights can't have really crazy things happen because I know that they do. I work at a public hospital and it is common to have homeless people on our unit detoxing, etc. I guess what worries me most is screwing up my sleep schedule even though it is only 3 nights per week and the extra patient load. Our night nurses take 5-6 patients whereas the day nurses take 3-4 (high acuity)... For those of you who work nights, how does it work for you? Do you stick to your night schedule even on your days off or do you find yourself flipping to a "normal" sleep pattern on you days off? Any other advice to impart? Thanks!
  10. tamsonfirst

    Harborview or Swedish?

    Thanks for the encouragement and the reminder...I know all organizations have their positives and negatives. I am laboring on the assumption that if I can learn to be a good nurse there, I can work anywhere...
  11. tamsonfirst

    Low pay in Seattle

    The best argument we have here is that the wage is disproportionate to the cost of living. My starting salary will be approximately 4104.00/month yet the average house in King Co costs 475,00.00. Do the math. On a whim, after visiting friends in Albany, Oregon (south of Salem, north of Eugene), I looked at RN wages vs. housing costs and found that RN starting wage at the local hospital was 27/hr and a brand new 3 bedroom home cost $225,000. Yeah, Oregon has state income tax but Washington has an almost 10% sales tax so... I plan to get experience, pray the next contract (current one expires in 2009) is better and, if all else fails, consider moving in a few years...
  12. tamsonfirst

    Compare Evergreen and Overlake ER's

    I have done clinicals at Evergreen in the past and I think they are amazing. They have computerized charting and medicine administration. They are really big on customer service towards patients and families and they give employees kudos quite a bit. If you live on the Eastside, I would definitely apply there... Just my .02 worth.... p.s- if you PM me, I can give you the name and contact info of the nurse manager of the Evergreen ER. I have 2 classmates who are doing their preceptor ship there now...
  13. tamsonfirst

    Harborview or Swedish?

    I've worked at HMC for 1 year as a Nurse tech and have been hired as a New Grad RN to start in July. I have seen many unstable people in my time there but I have NEVER once felt unsafe. Security at Harborview is great, prompt. Also, public safety will escort you and even drive you to your vehicle after your shift 24 hours a day. I chose HMC because I love the cultural diversity of the clientèle and the staff plus, because it is a public hospital, I feel like I am truly helping an under-served population. Swedish is a private hospital;they do have excellent employee perks and I have known nurses who are quite content there so, really, it all depends on where your heart is. Hope this helps...