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Content by SusGob711

  1. SusGob711

    Disaster drills

    In light of the incident in Orlando (and even prior to that) our department has been buzzing with discussions of doing regular disaster drills. We collectively agree that the drill NEEDS to be in department to simulate the realities of our own weaknesses and strengths (security, physical barriers--entrances, trauma and ambulance bays, layout, physical resources, personnel, etc). I'm wondering if any your ERs do this on a regular basis? I guess one of our concerns is how to facilitate a drill like this while continuing to operate an ER with real, live sick people without a)inducing panic & b)hindering patient care. I was thinking we could these on a monthly basis and possibly requiring staff attend a certain number per year. Would love to hear what other ERs do around the country. Thanks!
  2. 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!!!
  3. I'm miserable on my unit (not a good fit for me at all) and would like to transfer within the hospital to another unit (onc to L&D or ED). Wondering if anyone has done this and if there was any backlash? I guess I'm just concerned if I approach the intern head hanchos and thell them that my unit is not a good fit and that I'm unhappy they'll show me the door instead of helping me find a better fit. Obviously there's no way to know for sure but I'd like to know how this has played out for others. Just curious.
  4. SusGob711

    In hospital transfers with <6 months?

    Very good points indeed. My reason for wanting a change is personal, nothing the unit or I did wrong. It seems I was trying to make a square peg fit into a round hole. Adult oncology is not my passion and it certainly isn't for everyone as it doesn't seem to be for me. I originally took this job because it was a great opportunity and an awesome place to learn-I thought I could will myself into liking it--instead I dread going into work everyday and I watch the clock from the moment I step on the unit. I have done well on this floor so far (as well as any new grad can do) I simply have no passion here. I know that's a long winded cheesy answer but it's how I feel. I could certainly stick it out at the expense of my own contentment but that seems nearly unbearable to even think about. I get that the grass isn't always greener but I guess I want a job where all the crappy stuff is worth it because there's no where else I'd rather be and I don't think that place is here.
  5. 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??
  6. As long as it doesn't paint you in a bad image. For example, if you said your weakness is that you get attached to your patients, you need to be prepared to communicate that you know how to set boundaries for yourself and that you respect the nurse-patient relationship. I think the biggest thing they are looking for is awareness of self. My biggest weakness is I tend to be hypercritical of myself. This flaw actually pushes me towards self-improvement and I expect a lot from myself and other people as well. Good luck this week!
  7. I am a senior nursing student working at a mid-sized teaching hospital in Ohio. As I search for jobs, I'm a little surprised to hear many of our nurses and docs encouraging me to seek employment elsewhere. Multiple people have told me I need to get my first job at a bigger, more renowned teaching facility where I'll get the best experience and get the best training. Several of our docs have suggested Children's of Michigan but unfortunately I missed their residency deadline (Nov 17!!!! ugh!). Honestly I'm a little disheartened but I also want to work somewhere I'll have the best learning opportunities. That said, can anyone suggest a facility that is especially new grad friendly (definitely prefer peds)? Location is not an issue as I am willing to relocate.
  8. SusGob711

    Can a new grad work in the ER?

    Yes. I live in Ohio and my hospital hires new grads each application cycle.
  9. 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
  10. 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
  11. 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 :)
  12. SusGob711

    University of Toledo CON

    I've been getting some rather disheartening feedback on the status of this program. I.e.: lack of preceptorships, disorganized program, etc. I've had bad luck with another nursing program in the past and I certainly don't want to rush into a new one and graduate unprepared. Does anyone have any thoughts/opinions on their program?
  13. 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
  14. I'm curious as to whether there is a certain region or industry nationally that is willing to hire new grads. In my part of the county, it's close to impossible for someone without at least one year of experience to get a job in a hospital. So, as my topic suggests, are there any parts of the country or certain health care systems (hec, I'd even take a nurse internship/externship) that are desperate enough to hire new grads?
  15. 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
  16. SusGob711

    Can NPs write fertility drugs?

    Just curious as to whether NPs (nurse midwife or women's health NP) have prescriptive authority to write drugs like Clomid, etc? Thanks!
  17. SusGob711

    Can NPs write fertility drugs?

    Whispera--Just considering graduate school. I'm very interested in women's health and I'm torn regarding which program I should pursue, be it WHNP, CNM, or FMP. I've been researching their respective scopes of practice and I was wondering whether infertility was something NPs addressed as well (not just MDs/DOs). Just trying to decide which program & subsequent career would best suite me and make me the happiest :)
  18. SusGob711

    Can NPs write fertility drugs?

    Whowland-- NPs have restrictions and regulations regarding their prescriptive authority so my question regarded whether they have any restrictions on writing fertility drugs. Thanks anyways.
  19. SusGob711

    Can NPs write fertility drugs?

    Thanks--does the authority only extend to CNM, FNPs, and WHNPs?
  20. SusGob711

    RN jobs with the most independence?

    I'm sorry to post another 'burned out nurse' post but I'm growing very tired of my RN position in the hospital. I'd love to find a position without the administrative garbage. I truly love and enjoy patient care--it's the other stuff I don't care to deal with. Could there possibly be a title or position or setting where I can just be a nurse taking care of my patients instead of just another pawn?
  21. SusGob711


    I'm sorry you're having such a hard time. The good news is that many women with similar situations have done what you're doing. It's not easy, it's a sacrifice and a crappy one at that. But what you're doing is in the best interest of your son. I think in your situation it's short term pain for long term gain. The most important thing you can do for yourself at this point is to make sure you have a strong support system at home/school/work/etc. You're going to feel guilty but you have to take the time to make school a priority. It's hard to do when your hearts at home and your mind is on books. If you have the passion for this career, everything will fall into place eventually. Don't be afraid to ask for help or post here for advice and sympathy. Best of luck to you! :)
  22. SusGob711

    Going to an unaccredited school?

    Thanks again for the replies--you just confirmed what I already figured, lol. It indeed was Owens Community College. Luckily there are a couple other programs in the area--I'm just sick of bouncing around. I want to graduate and start practicing
  23. SusGob711

    Going to an unaccredited school?

    I know this might belong in the student section but I would appreciate the opinions of those in the workplace who have gone through applying/hiring cycles. How would having an ADN from an unaccredited school affect my job prospects? The school is still certified by the Ohio state board and their loss of accreditation came from a lack of internal regulation and leadership. I'm really concerned I won't get hired anywhere--I'd much rather start somewhere else if that's the case. The school supposedly got okayed from the local health systems but I'm not sure if that would extend to other cities, states, etc. Thanks in advance... :/
  24. SusGob711

    Going to an unaccredited school?

    Thanks for the imput--actually the other two programs in my area are significantly more expensive so hence, my dilemma. The other program is a BSN program which was just started--I'm a little nervous about its stability since I was SOL when the ADN program lost its accreditation. (I just want to graduate!) You have given me something to think about though. Thanks again :)
  25. SusGob711

    Re: Acute PNP vs. Primary Care PNP

    Hello all, I am currently persuing my ADN at local community college but I'm planning to eventually obtain my PNP. My question is in regards to the different job placement opportunities for PNP-AC vs. PNP-PC. Is it true that PNP-AC's have an easier time finding a job in a hospital? Also, it seems important to note which is in more demand as there are very few certified acute care programs compared to primary care. I would appreciate any imput.

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