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TheSquire

TheSquire DNP, EMT-B, APN, NP

Emergency Nursing, Camp Nursing
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TheSquire has 9 years experience as a DNP, EMT-B, APN, NP and specializes in Emergency Nursing, Camp Nursing.

DNP, APRN, FNP-C, CEN; working in an Urgent Care for professional development with goal of returning to ED as provider.

TheSquire's Latest Activity

  1. TheSquire

    Finish my degree or quit and do nursing

    Depends how strenuous the last of your bachelor's is.
  2. TheSquire

    Demand for Nurses in Chicago

    I wouldn't know about that one - if they're sensible, there are rules that take into account experience, credentials, etc., when determining your initial pay.
  3. "Patient is well-known to the department"
  4. TheSquire

    Who else uses Saline Flushes for contacts?

    I never wear contacts at work - while glasses are no substitute for a full face shield, there have been times I've washed specks of blood off my spectacles.
  5. TheSquire

    ER nurse advice

    As an occasional Charge RN, there are ways around this - while I may load up the rooms of a nurse with an ICU-bound pt, it'll be with patients who can be safely ignored for some time, and/or with patients that someone else has already started line/labs/fluids on.
  6. TheSquire

    Does nursing school matter?

    "Not having specialty preceptorships" sounds very fishy to me - do they make everyone do med-surg for their capstones? Also, I'm not sure I'd want to be a new grad looking for work associated with a school that few local hospitals even want to deal with.
  7. TheSquire

    Finish my degree or quit and do nursing

    I have to chime in - finishing your degree will open more doors for you when you look for a nursing school, both with Accelerated BSNs and Direct-Entry Masters programs.
  8. TheSquire

    Getting kicked out because of panic attack

    You should be able to petition your program's Admission/Progression/Retention committee to challenge your dismissal - making you repeat the class might be reasonable, but (assuming that your presentation of the facts is accurate...) going straight to dismissal really isn't. You'd have to have your ducks in a row (including letter from your physician, proposed plan to prevent future occurences, etc) to make that route work. You may also need to contact the Dean of Students' office, and/or whomever is in charge of ADA compliance - if it's a new diagnosis for you, they should be able to accommodate it short of dismissing you. As a last resort, if it is true that you're solely being dismissed because of this one instance, you can choose to lawyer up. However, whether or not you'd want to go that far to force this particular program to keep you is a decision you'd have to make for yourself.
  9. TheSquire

    Demand for Nurses in Chicago

    NWM pays below-market rates because they insist that it's an honor to work there. Others have addressed Stroger. However...with experience, you should be able to get a job most anywhere else. Check out the Advocate system (IL Masonic is on the North Side), Rush, the Presence system, University of Chicago (which just came on-line as a Trauma center this year), Mt. Sinai/Holy Cross, the hospitals leaving Tenet, or the slew of independents (Swedish Covenant, Norwegian American, Loretto, Thorek, Community First, etc.).
  10. TheSquire

    What to do when a patient doesn't listen?

    See, I could dig to find out why each poorly-adherent patient from our largely indigent population isn't complying with their treatment modality...but what would that do? I don't have access to any resources to improve my patients' non-clinical problems, and my institution is actively resistant to assigning 24-hr Social Work to the Emergency Department, despite the known benefits. We haven't even had bus passes for months, and the direct phone line to the local cab company in the entryway has been broken for about as long. All I can do is make sure my patients know what their diagnosis is, what they need to do, and what the signs are that they need to come back; the rest is up to them.
  11. TheSquire

    Do Employers Desire Nurses With FEMA ICS Certifications

    NIMS/ICS training was included in my initial hire-on training bundle as an Emergency nurse; I repeated it to be a part of the local MRC. If they want you to have it, they'll make you sit through it - since it's all online, and they're making you do a bunch of that anyway, they won't care about the extra "three hours" it'll take you to go through that training.
  12. TheSquire

    Mandatory Uniforms

    This thread pops up perennially, but I'll put in my usual $0.02. 1. Color coding =/= the jack-boot of The Man on the throats of bedside nurses. No. Just...no. Get over yourself, especially if you're espousing this view as part of advancing nursing as A Professionâ„¢. Every profession and skilled trade has a set of expectations for dress; some of these are socially reinforced, while others are explicitly handed out by employers, due to safety rules, etc. Nursing is no exception. I had a dress code for High School and happily wore button-down shirts, slacks, and a necktie for four years; I've worn ceil blue for over seven years because that's what my institution calls for, and I have no complaints. Patterned scrubs look tacky (with at least one study backing that up), and having a set color or palate of colors for staff makes everyone look more professional. 2. Color coding exists to to help me, and not patients, identify you. If you work as a floor nurse and that's all you do, you might not see the benefit. However, I sometimes have to respond to codes on the floor (thankfully not often, but it happens). As an emergency nurse, I am explicitly sent to those kinds of situations because I know what to do when things go sideways in ways that floor nurses (or the random staff someplace non-clinical in the hospital) just don't. In that role, I need to be able to look at someone I've never seen before in my life and instantly know what I can tell them to do without this "oh, you can tell what someone does by how they're behaving in the code" stuff other people have been advancing. Floor codes are a showcase of bovine excrement, and I don't have time to sift through who's screwing up what to figure out people's jobs. I'm sure my ICU colleagues who go to all the Rapid Response calls that I get to ignore have similar opinions. (And before I get hate-PMs - RTs are wonderful, and there are few enough of them that I know them all by sight; Radiology generally doesn't get involved until after the code is done, and I wish the residents were color-coded by specialty and year so I could guess which of them might have a clue.) 3. Most scrubs aren't actual scrubs, but a uniform/costume we've decided upon in our society that everyone in anything remotely related to healthcare will wear. Generally, if you're being forced to buy your own scrubs, you don't need to wear scrubs for your job. Myself, I'd prefer to wear a polo with EMS pants so I can wear something clean-looking and professional while still keeping having lots of pockets. That said - if an employer forces you to buy their scrubs, and the material is super cheap, then you have every right to complain. Either your employer should set a specific color so that you can buy your own, or they need to get rid of the uniform entirely if they're not willing to pay for it. And yes, there are institutions whose management utilize less critical thinking than the letters after their names would lead you to believe they are capable of, and who want nurses in white "because the patients don't know who their nurses are." That problem was created by letting/forcing everyone from a desk clerk to housekeeping to wear the same general uniform (scrubs)...which is management's fault, and color-coding isn't the solution. Put non-clinical staff in polos or some other type of uniform (and mandate all your physicians do the same in their offices...) and you'll solve half that issue. Mandating white just increases everyone's laundry bill, and has Victorian associations which are problematic at best. That said, there are some patients who will always address me as "Doctor", not because they can magically see my degree, but because I'm in healthcare and have a pair of testicles, and there's nothing we can do to help those patients in the short or medium term.
  13. TheSquire

    Demand for Nurses in Chicago

    Most hospitals have 12-hr shifts for ED and ICU; some are 8-hour for med-surg and tele/step-down, while others are 12hr, and others are a mix. If you're a new grad from out of the area, you might have a tough time getting a job, as there's a boatload of schools here (whose students have at least some networking connection to local hospitals) and half the BSN new grads from across the Midwest seem to want to move to Chicago as well. I can point out a couple hospitals that do hire new grads to ED and/or ICU if you PM me, but your best bet is to apply and see who bites.
  14. TheSquire

    Gave up DNP

    As someone who did complete their DNP...I wouldn't recommend it to everyone, and think that making it the entry degree for advanced practice was done for the benefit of the colleges and noone else. I'm also not surprised that the 2015 "deadline" for transitioning to DNP-entry as standard came and went with only backtracking and denials that it even existed from AACN et al. That said, there is a place for the DNP, not just for those doing instruction or applied research, but also for those who want to take on leadership roles in their practices and institutions (for example, many EDs with sizeable numbers of Advanced Practice Providers usually have a "Lead NP/PA" who handles managerial tasks) - or someone who just wants to know enough about Administration's job to be dangerous when they want to make changes at their institution. None of those things have direct clinical bearing - and part of the failing of AANC was that they sold the DNP as a way to train improved clinicians, which was the usual load of bull from them.
  15. TheSquire

    Inpatient Boarders?

    My department may create these ad hoc when we have 3-4 boarders, but that's rare and usually a result of flu season. If a unit is doing this on a regular basis, that's evidence of a structural throughput problem on the inpatient side. Holding people in the ED should be the exception, not the rule, as many people here have already pointed out - it stresses the department and patients receive sub-standard care. When I was initially hired, we never had boarders or went on bypass, but then our corporate overlords were a bit overly-enthusiastic during a round of belt-tightening one Fall and closed down an entire med-surg unit and cut the number of ICU beds in half, then wondered why we suddenly went on Bypass on a weekly basis that Winter. There was a smaller med-surg floor that was opened up later, and that was slowly staffed up, but the damage was done. Since then, we've had issues with holding patients in the ED most winters, but it's usually no more than 1-3 at a time. I have to agree with other posters - if a given department is regularly holding inpatients to the point they have to put pts in the hallways as a matter of course, anonymous tip-offs to both the Joint Commission (or HFAP) and your state's relevant regulatory bodies are definitely in order. And no, hospitals everywhere aren't as bad as OP's. If my time reading this board has taught me anything, New York is a messed-up place, and NYC is doubly so.
  16. TheSquire

    Clarification needed in renewing license vs certification

    I hope you mean IDFPR, otherwise you'll get very screwed barking up the wrong department's tree
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