Jump to content

CalicoKitty BSN, RN

Med-surg

Three cats in the yard. Life used to be so hard...

Member Member Platinum Nurse
  • Joined:
  • Last Visited:
  • 706

    Content

  • 0

    Articles

  • 15,946

    Visitors

  • 2

    Followers

  • 0

    Points

CalicoKitty has 8 years experience as a BSN, RN and specializes in Med-surg.

7 years of medical-surgical. Now floating around and around. Certs in Gerontological Nursing RN-BC BLS/ACLS/PALS CWCN

CalicoKitty's Latest Activity

  1. hi would you be able to send me your medsurg organization sheet? I saw that you posted on someones wall but wasnt able to open it. Thank you! 

  2. CalicoKitty

    Certified Medical Spanish Interpreter transitioning to RN

    At some hospitals, if you are bilingual/translator certified, you are required to be available to translate when requested. I've seen techs do that. The hospital may consider the interpreter role as more important than your primary job, so if someone (anywhere?) needs an interpreter, you'd be expected to go and leave your patients to someone else. It can pull you off of the floor. So, a challenge for nurses.
  3. CalicoKitty

    New nurse!! Worried about starting first nursing job!

    Could always look at places that do flu shots. Sure it isn't really "nursing", but it is something to pass the time. 2 months isn't that long, and chances are, you haven't really learned "much" in school and clinical. Most of your training will be on the job.
  4. CalicoKitty

    Job Search Anxiety

    Before you start, you need a job. Job searching is pretty stressful in itself, and with your delays, it may make it harder to find a job. So, while you apply for every job under the sun, try to tailor your resume and cover letters for the positions you want. Think of the kind of nursing you want to do, and try for those positions or "stepping stones" to get you where you want to be. For the job, most places will train you. You just need to show up and be willing to listen. Take criticism and teaching, learn from them. It will take months and years before you feel "competent". Seriously. So, for now, first step: job search! Good Luck!
  5. CalicoKitty

    Job search sites

    The last 2 jobs I got were from browsing my spam filter in my e-mail about local hospital open-houses. I may browse the various job searches, but after seeing "available" postings, I go find them through the hospitals site.
  6. CalicoKitty

    Punny nursing names

    Nurse Ratched, The Rollator, B52, Chill Pill
  7. CalicoKitty

    Thoughts On Incentive Plans

    Could also add a bonus where each staff member is paid more for the staff members that are short. So, if you're short a nurse or a tech, that "money" would be divided among the staff that have to do the extra work?
  8. CalicoKitty

    I am lost

    Compact states are only compact if you are a resident of the state. If you move, you'll need to get a new one in your new state.
  9. CalicoKitty

    Pumps

    It depends on what's running. I'd hang a new primary bag, and pull from a distal port until I've sucked out the air, and return what I pulled - assuming it wasn't something that was safe to "push" the ~10 mls.
  10. CalicoKitty

    New grad @ LTC/SNF/Rehab Facility. Hating it

    Had a rant, but, deleted it. Seriously, though. "Give me your tired, your poor, Your huddled masses yearning to breathe free, The wretched refuse of your teeming shore. Send these, the homeless, tempest-tost to me, I lift my lamp beside the golden door!"
  11. Some 4 year nursing schools pack all of the "pre-requisites" in the first two years. Many schools want previous grades, especially in pre-reqs to determine entry eligibility. The best nursing school varies by location and needs. Want cheap? Community college. Already have a degree, may want accelerated. Public schools are probably less expensive than private ones. Some people want to do online courses (often the RN-BSN types). I'd focus on getting some pre-reqs done. Get admitted to community college, make sure you have your basic english and math. Some pre-reqs I've seen: anatomy & physiology (I and II), microbiology, pathophysiology, nutrition, statistics, and ethics. Could be others. All 2 and 4 year degrees will require other stuff like English and history, etc. Some schools may accept you without grades, but most want some idea of how you're doing in school. And many nursing schools want a TEAS test for admission, so you could pick up a study guide for that.
  12. CalicoKitty

    How can I figure out if nursing is right for me?

    Please shadow. Here is an example of, well, most days for med-surg. Depending on your unit, if it is med-surg (where many people start), you have 4-7 patients. You get in at 7. You get report until 8. At 8 you try to get the 8:00 meds done (not every night shift, but days will have breakfast meals and medications to do) and assess your patients - you may even get a chance to document on one or two. Perhaps you have a discharge or two to take care of, or maybe an admission. General med pass for everyone is 9-11 or whatever. You may wait in line to get the meds, you spend a minute or so pulling the meds, get the supplies you need to administer the meds (needles, syringes, tubing, med cups, something to drink), you get to each patients, get to the room, administer the meds. Total time is a minimum of a few minutes per patient, but can really pile up when you have 3+ IV abx scheduled for the same time and 1 "working" IV that is no longer working, so you gotta get a new one in and come back to the room to administer the next antibiotic if they are not compatible and set up a few piggybacks if they are. It is 11, there are the 12:00 meds at night, or meals and meds during the day. Somewhere before midnight you would hope to have done your wound care or other treatments, day shift treatments will be later because everyone is being sent to imaging/surgery/therapy and you need to sign the form. Everyone would have needed to go to the bathroom at least once, hopefully not on themselves. Vital signs! Make sure you checked or did those at 8 and 12. So, about 12, people get their lunch, 1 they need to go to the bathroom again - though night shift some may start to sleep soon. Day shift often have 2pm meds. After 2, much of the time, you can start to document those assessments you did at 8. Perhaps you get a lunch break. Perhaps you have more discharges. 4 is vitals again, and your discharge/admission. 5 is time for the 6:00 meds and dinner and hoping you have time to check to make sure you've done everything. 7 you get to give report to all the nurses on your patients, and some of them will ask about the stuff you forgot/missed).
  13. CalicoKitty

    How can I figure out if nursing is right for me?

    There is a lot of "subjectivity" in nursing. You can measure things like vital signs and labs, but sometimes you just "look" at your patient and can tell something may be wrong. Maybe a tad grey, a tiny bit confused. Need to be able to determine if maybe the confusion is from narcotics or an infection starting. And nursing is a LOT of psychology and some philosophy. Some science, but it is slower to develop. Much coaxing confused patients to take their medications. Everyone is demanding. Patients. Patient families. Charge nurse. Managers. Transportation that wants to move your patient NOW. The person calling you on the phone while you're cleaning poo. Getting the insulin to your patient as close as possible to their meal. Nursing is very hands on and people oriented. Nursing school is it's own beast. Books are fine, but learning how to answer NCLEX style questions is the most important, since 99% of your NS gpa will be based on test results. I use Cerner for documentation. Documenting on this is sometimes just charting a whole column in an excel file.. Other bits may be radial dials and excel files. Your "healthy" patients will all probably be the exact same documentation. AAOx4, calm and cooperative, normal heart rate and sounds, +2 pulses, no edema, lungs clear, regular respirations, belly round, regular bowel sounds, BM today, urine clear, yellow... Etc. The challenge sometimes is remembering your outliers. But, much of the time, you will see it when documented in the shift before... on the column next to yours. Some jobs are stressful. Nursing can be going home after your patient dies and wondering if it is your "fault" because of something insignificant, and rehashing that death months later while trying to sleep. The reality, patients die. Patients may come into the hospital dying, and we're lucky when we can send them home in better shape, and postpone the inevitable for another day or decade. Nursing can be very rewarding. We can save and improve lives. Teach people how to live with new illnesses. Teach families to care for loved ones.
  14. CalicoKitty

    Three interviews on very different units - need advice

    It may depend on how many units your hospital has. Stroke/Neuro patients can have a lot of physical deficits, and combining that with ortho can have staff better trained to dealing with patients and new ADL problems. Can also have the PT/OT nearby because of their higher patient load. Also may depend on where neurosurgery goes, since both ortho and nsgy would be dealing with post-surgical wound care, etc.
  15. CalicoKitty

    Anyone know anything about accelerated nursing programs??

    While I kinda wanna get more education, I generally remind myself that I do _not_ want to be "the doctor" (or Provider). When I think of my challenging nursing shift, I gotta remember there's a doc somewhere that is caring for like 30+ patients, writing daily updates and being "responsible" for making all the right choices regarding treatments and medications. They see a patient for like 5 minutes, and lots to do with it. Nope. Not me! I prefer being the "last line of defense"
  16. CalicoKitty

    Anyone know anything about accelerated nursing programs??

    The accelerated program I went through was a 2nd degree program. I did have to repeat a few science courses since they needed to be less than 5 years old. I got into one with about a 3.0. I got A's on the repeated science courses (I took those at a community college) and other needed prereqs. I also took the GRE and did pretty well. I also had a career where I was published on some journal articles. So, those may have "helped" me get in with my less than stellar GPA. If you're currently in school and really not doing well, I think your best bet is to try to improve your GPA. Nursing school tends to have some challenging courses with grading scales that put failing at 75-80 (and no "rounding up". If you had a 74.99, you're out. There really is no room for slacking, and accelerated programs are basically full time jobs - 3 days of classes, 2 clinicals every week. Being tardy is not accepted. As far as "too late for you", there are plenty of people graduating in their 30s-40s, some even in their 60s. It can be a fulfilling career, but I'm glad I was older when I entered the field. Not sure I would have been "ready" for it when younger. But, that's me, and there are plenty of young nurses in the field, too. Btw, some community colleges are also hard to get into. GPA is very important. Community colleges are less expensive, so many want to get into those programs (and many have very good local reputations).
×

This site uses cookies. By using this site, you consent to the placement of these cookies. Read our Privacy, Cookies, and Terms of Service Policies to learn more.