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SusGob711's Latest Activity

  1. SusGob711

    Working in critical care as a new RN

    Obviously you know what you're comfortable with. I can't speak for ICU but ER is not the monster everyone makes it out to be. You're not going to get thrown into a full arrest your first week on the job and be expected to just wing it. ER is actually a lot of nonsense patients and following protocols (i.e. stroke, chest pain, etc). My biggest piece of advise to you is don't just take the first job that comes along bc you'll be miserable (trust me, I've done the leg work!). I worked in ER in nursing school and there isn't a day that goes by that I don't regret not staying there as an RN. You are a REGISTERED NURSE!! Even with limited experience you're a hotter commodity than you think. Also, just to throw it out there--unless you'll be eating a soup kitchen don't EVER take a job with the primary motivation being money--you'll regret it. Best of luck!!!
  2. SusGob711

    Help! I hate my first nursing job!

    Just as the post states--I was hired on a busy intermediate oncology unit at a large urban hospital a few months ago and I'm miserable. The preceptors aren't great, have the aides simply don't work, and the staff is incredibly unfriendly. I actually passed up an interview for my dream job for this one because it was an awesome opportunity and the other paid less (lesson learned-money isn't everything!). I kept telling myself it would get better and it has not in the least. The internship program director is sweet but unreliable and rarely follows through. I'm currently in an internship with no true stated time commitment however I'm still torn. Do I start looking for another job and if so do I disclose this situation at my interview? I really can't imagine staying here even a whole year however I don't want to be black listed or "screw anyone over." Advice anyone??
  3. I need help with a question for my adult health nursing course. I'm comfortable calculating IV rates given volume to be infused, time, gtt/min, etc. but our latest questions include another piece of data I'm not sure what to do with: DRD (drip rate denominator?). How does this influence the calcuation? Our instructor gave us at least a dozen of these and I don't know how to do them. Thanks for any help!! Here's one of our problems: Order: 1000 mL D5NS with KCl 40 meq to be infused in four hours Drop factor: 15 gtt/ml with DRD=4 Run IV at what rate on the pump? (ml/h) a) 100 mL/h b) 200 mL/h c) 150 mL/h d) 250 mL/h
  4. SusGob711

    Probably gonna get fired my first week...

    I don't mean to sound unsympathetic but you're just going to have to get thicker skin. I work in a pediatric ER (not much different than urgent care or primary to be perfectly honest) and parents leave irate almost daily. The thing is, it's your job to do what's best for the child/patient even if they (parents!) don't agree. You don't have to be rude or unkind but you can't win them all! (and you won't!!) Unnecessarily prescribing an antibiotic (or 'insert your patient's requested intervention here) is not only senseless, it's dangerous! A popular speech my attending uses frequently for viral pharyngitis R/T adverse effects of Amoxicillin: 1/10 kids will develop a rash, 1/25 kids will develop diarrhea, and 1/1000 kids will develop a severe, life-threatening reaction to the abx. Now compare that to the risk of rheumatic fever: 1/1,000,000!!! There is less chance of developing this life-threatening illness than of the patient developing a reaction to Amoxicillin!! (you'd have to double check my stats but I believe they are pretty accurate) Now enough of my rant--the moral of the story is to stick to your guns. The best thing you can do is keep up with your reading so you can present the most up-to-date evidenced-based reasoning for your plan of care. But please, please, please don't practice defensive medicine--it can be just plain dangerous. That said--hope things get better. I'm sure you're doing great
  5. This mainly applies to my pharmacology course but my instructor has put several questions on our exams regarding when to notify the physician and/or hold the dose when a patient experiences a side effect to a drug. One in particular pertained to an antibiotic (an aminoglycoside I think) that can cause ototoxicity and said patient was complaining of hearing loss. How do I know which side effects are significant enough to warrant immediately stopping the med and/or calling the doc? For example, I know some drugs cannot be stopped abruptly and some side effects do not warrant withholding the dose. Any thoughts or resources you can point me toward would be greatly appreciated. Thank you :)
  6. SusGob711

    University of Toledo CON

    Thanks for the response. I've had great experiences with 95% of the faculty in the CON. Since this posting, I've applied to the program, was accepted, and I'm in my second week of first semester upper division this summer. Definitely VERY hard and VERY time consuming but it's all a part of the process. I've already met some amazing people--your peers will get you through emotionally intact, lol. Good luck to you and keep that GPA up
  7. SusGob711

    Areas of the country with jobs for new grads?

    Thanks guys!! It's good to know that there are some hospitals willing to higher new grads. I'm definitely willing to relocate so I'm excited to start looking elsewhere
  8. SusGob711

    Cost of UC

    This is exactly what I was looking for. Thanks for your help!
  9. SusGob711

    How to be a CRNA

    From what I have researched there are many things you can do to prepare yourself for both the program and the application process. Basic things include providing yourself with plenty of adult ICU experience. Most schools require at least one year of adult ICU experience but I have heard of University of Cincinnati considering PICU applicants. Along these lines you can/should work on obtaining your CCRN certification. This really demonstrates ICU proficiency and you can obtain either adult and peds version. As far as academic preparation schools recommend physics/chem/etc. I suppose this is more to make you comfortable than an actual requirement but it can also serve to boost your GPA if necessary. Also it would be a good idea to start preparing for the GRE/MAT ahead of time. A solid score will really boost your application stats. Also along the knowledge sector, I would advise making sure you are proficient with all your applicable drugs/drips/etc. Also shadowing a CRNA is really a good idea. It will give you a good idea of what to expect and also some programs require shadowing. Finally and perhaps most importantly, financial preparation is VERY important (they even ask about this in interviews!). You need to make sure that you are financially ready to undertake this program. Be ready for unexpected expenses on top of rent/books/car/etc. Most students seem to rely on loans but you need to make sure you are comfortable. Do not expect to live a country club lifestyle as not working during the program makes that impossible... As far as prospects I think you will always have a job but like any occupation you may need to be open to moving, even if it's just an hour or two away in your own state. I think that the benefits, compensation, and sign-on bonuses make moving practical and rewarding. Not sure if this is what you were looking for but hope this helps...
  10. SusGob711

    Cost of UC

    I'm interested in the University of Cinicinnati's CRNA program but I cannot find any info R/T cost. I'd like to apply to multiple programs in Ohio but it is important to me that I know all the facts so I can plan financially accordingly. Also any info on financial aid amounts/scholarships/assistantships/etc...what was your fin. aid package like? Thanks for the help guys
  11. SusGob711

    Working during as a SRNA?

    Hey all, Just curious if anyone has gone through CRNA school with a job. I will need an apartment and I have school loans to pay for so I cannot imagine not having some kind of income. The schools all advise against working through school but I'm sure someone has attempted to do both. Can anyone give me some insight on the stress levels, work load, achievability, etc. Is this even a realistic option? Thanks guys

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