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ErraticThinker

ErraticThinker

thoracic, cardiology, ICU
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ErraticThinker has 2 years experience and specializes in thoracic, cardiology, ICU.

ErraticThinker's Latest Activity

  1. ErraticThinker

    Can RN work as CNA in MA?

    Willingness to work is rather irrelevant since it's a legal issue of being held to the standard of your education and license. The hospital wouldn't protect you, nor would they try and you would be opened up to all sorts of liability. Also, the idea that MD's RN's LVNs and CNAs are interchangeable is pretty unrealistic. Physicians deal with a very different philosophy and use much different ways of knowing. Their training is also drastically different. LVNs have a basic skill set that's a little bit higher than a CNA, though both lack any real education in the theory of what nursing is and can only approach problems based off of their previous experience as opposed to using critical thinking and being able to draw off of a theoretical body of knowledge. The labor market is artificially tight for RN's because of profit maximizing techniques used by hospitals (non-profits ironically enough), but working as a CNA isn't really a solution since in most cases you can be considered over qualified, and I'd be wary of an institution that's willing to look the other way and open you up to a heap of liability should there be an event. just saying.
  2. ErraticThinker

    Pentobarb coma nurse to patient ratio

    usually if they're paralyzed they're pretty sick already and would already be a 1:1. but most of our post ops are 1:1 intially anyway. CRRT is definitely 1:1. Usually our 2:1 patients are either very stable or ready to be transferred to the floors.
  3. ErraticThinker

    GLBT Nurses

    The fenway community health center in Boston does a lot of research into the need for awareness of special needs when it comes to the gay community. You can google them, and they actually publish a guide thats pretty widely distributed for healthcare providers discussing special considerations when working with the glbt population. I personally prefer a gay doctor because its easier to discuss things that honestly a straight doctor just wouldn't get. But anyway, definitely look them up and check out their website it might prove useful.
  4. ErraticThinker

    Working as a stripper AND a nurse

    There are a lot of things that are accepted by mainstream society that make little sense, so it's not exactly a valid argument to say that something isn't right simply because a majority of people disapprove for no just cause.
  5. ErraticThinker

    Working as a stripper AND a nurse

    You'd probably be hard pressed to find a study of any quality supporting either claim. anecdotally, i've known male and female strippers who were functional and well adjusted who did find it empowering. Some lost themselves in the music and just liked the attention, while others like the expressiveness of feeling comfortable in their own skin. I think its something thats really difficult for people to understand unless they have been a performer of some kind whether its an actor or dancer. in this case most people can't get their prudish minds past the whole being naked part *shrug* :icon_roll
  6. ErraticThinker

    Working as a stripper AND a nurse

    I'm not going to argue with you there. the lifestyle itself is pretty sketchy, and depending on where you work it can be dangerous. My point was that its possible to work and stay out of the darker aspects of that lifestyle. The problem here becomes societal views and how that shapes each persons perspective on it. You had a little exposure to it and those girls situations were all pretty sad. i've run into it as well, but my point was that it isn't all that way.I knew girls who stripped because they felt empowered and did not feel exploited in any way. and yes, these were pretty well adjusted girls with day jobs. Every job has a wide mix of people doing it for different reasons. and moral often becomes a cover for people attempting to impose religious beliefs. :) The whole take home of what i was trying to say that it's definitely an experience but the OP needs to be careful too. It's difficult not to judge people sometimes on their actions, and i can understand that. what eventually happens is people claim to pity rather judge which is just a more passive way of placing a value judgement. and i'm sorry but I wouldn't quote Dr Phil as an authority on any subject. He may have a PhD in clinical psychology, but he's not licensed to practice anywhere so when he says to seek professional help, I hope he means not from him. but thats a whole other topic.
  7. ErraticThinker

    Working as a stripper AND a nurse

    one of the dancers i worked with was working on his PhD in physics. He told about his research grants, and how dancing gave him extra side money and a good work out. It's pretty easy to write someone off just because of the job they pick, but actually working in that environment definitely taught me that people tend to have pretty amazing stories to tell when you listen whether its another stripper or even the patrons.
  8. ErraticThinker

    Working as a stripper AND a nurse

    I'm a guy and I was a dancer/ go go boy/ whatever you want to call it in college and a shot boy too at some local gay bars. It was awesome money, i had a blast and met some really great people in the process.. some places are pretty sketchy, but I think if you were able to get through nursing school and work as an RN, then you probably have the common sense to be able to steer clear of potential trouble in that kind of environment. I've seen people get swept in, and a few had tried to get me into it the drugs and the umm "questionable" activities. I was there to dance, have some fun, make some money and then go home. I think it takes a special kind of person to be able to do it and stay reasonably well adjusted. I ignored most of the people watching me, and focused on the feeling brought on by the dancing, the music and a good rush from the exercise. To the OP, I'd say if you have fun doing it, keep doing it regardless of how people can judge. They probably don't understand the weird rush from being a performer. Cover your bases, and check your nurse practice act because yeah some do have morality clauses, but technically you're not doing anything illegal. I never really bought into that puritanical florence nightingale thought process that somehow being a nurse means you have to live like a nun.... or a priest in my case.
  9. ErraticThinker

    Use of peripheral inserted central catheters ( PICC )

    Sounds more like they're trying to reduce their central line infection rate to improve their numbers. it's a big issue in ICU's, and I think some insurances and medicare are trying to not reimburse for icu stays related to central line infections. we dont place piccs all that often in our icu. we just have 3 and 4 lumen CVL's. if they're going to be going on long term antibiotics then yes, but otherwise it's just easier to have an SC or IJ
  10. ErraticThinker

    Pre-RN student with some questions

    It really does matter on the facility and the area. I work in Massachusetts for a large teaching hospital thats union... everyone starts at the same level and you get raises based on experience basically. they're called steps. every year you go up one step. Tends to go up regardless as we negotiate new contracts lol i've been a nurse two years and make about 31/hr plus differentials. since i tend to work weekend overnight shifts, i make like 40 an hour. If i do a double the last four hours are double time. so not too too bad. I started with my ASN and there wasn't a pay difference, but a nice perk was the tuition reimbursement to get my BSN. i also get a whopping five dollars more a week added to my paycheck for having a bachelors degree. 10 dollars a week if you have a masters degree. I think a big difference in the boston area is that it's so much more competitive because its such a big college town. all these schools are cranking out new grads with BSN's so recruiters and managers can be pickier. with that, to be more competitive out there it's a good idea to get the BSN. Cost of living does factor in since Massachusetts is a very expensive state to live in, but all in all, I can't complain about what i make while having 4 days off a week.
  11. ErraticThinker

    thinking of applying to a neuro ICU

    I've been thinking about applying to a neuro ICU because I think it'd be really challenging, and it'd give me a chance to feed my interest in neurology as a whole. I'm hesitant though because I don't have any neuro experience, and wanted to hear your opinions on the matter. I've been an RN for two years, spent one year in cardiology/telemetry where I had a six patient load and titrated drips and all that. on a given day i'd have patients on heparin, dilt, nitro, lido, etc or any combination of drips. I currently work on a thoracic surgery floor in the step down unit, and we have some pretty sick patients and a lot of the times there'll be more than one team treating the patient like say the rare neuro patient with thoracics consulting. the step down has some pretty sick patients, most with a-lines initially. frankly, they'd be ICU patients at any smaller hospital. My question is, should I just read up all that I can and apply for the neuro ICU? or would it be better to apply to the regular neuro floor first to get that experience? the specialty seems pretty amazing, and the nurses that work there love it. I feel like I have the experience and would have the judgement to do fine, but i'd definitely have a lot to learn in terms of care for the neuro patient. any advice would be appreciated.
  12. ErraticThinker

    Hair style

    I've gotten more flack for being a guy than the fact that i have 10g plugs in my ears and a faux hawk. i'm in a surgical step-down and most of my patients are so sick and have so much going on that they just want someone knowledgeable over anything. the idea that looking professional means looking cookie cutter and boring is really antiquated. I have no desire to be upper management or administration. my patients have a great deal of respect for me, and i get mentioned in cards sent to the unit all the time (probably because they remember me and my crazy hair and gauged ear lobes). also have the respect of my colleagues who know what i'm capeable of and respect my knowledge base. my advice to the OP. establish yourself first, then go wild. you're going to run into people who judge you for all sorts of reasons regardless. I think it varies by area too. i'm in a big hospital in a metropolitan area.