CyclicalEvents

I got an offer! I guess someone dropped out last minute and I was sent an acceptance email. So happy and grateful. It's been a long journey to get here and I am ready to be in the deep end with all of y'all.

Nothing. Anyone know their number? I just wanna call and see if I have been rejected or and waitlisted

No call, no denial, no waitlist

I haven't gotten anything one way it the other

I've accepted the loss and have ordered Wingstop to wipe away my tears.

I think so. I'm a bit sad LOL. 4th rejection for me.

Congrats!!

Mine was nearly all biochemistry. I swear I was a taking biochem final. Rough.

Had my interview. It was really difficult. Lots of extremely in depth questions. I definitely messed up on a couple of questions and it they definitely started to rapid fire the questions. I don't think I could've done any better and anyone that survives that interview deserves to be there.

This is based off of 8 years of ICU, having started as a new grad in CVICU, worked my way through nearly every type of ICU, level 1 trauma hospitals, teaching hospitals, magnet hospitals, *** hospitals, top 10 in the nation hospitals. Less is more. Give your mind time to breathe and think. Starting on night shift is easier/better. But day shift is good to see procedures and better for your work/life balance. Night shift will ALWAYS have better teamwork. 1 - Don't worry, it's going to suck for everyone, everywhere. At least you can ride the sinking ship with the rest of us. There's nothing wrong with crying, failing, crying more, regret, anger. If you don't feel these things you aren't in ICU. 2 - Buy lots of cheap pens, only a few fancy pens (these will be stolen), sharpies (will also be stolen), a nice backpack. Don't waste money on a nice stethoscope, you WILL lose it (stolen). Either steal the disposable ones from work or don't spend more than 30$ on a stethoscope. If the patient is talking, document clear lungs, if they cough document rhonchi. This will save you sooo much time assessing. You'd be surprised how little you need a stethoscope in ICU. Buy nice scrubs with pockets (you deserve it). Wear comfortable shoes. 3 - My Brain - fold printer paper in half ------------------------------------- [Room Number] [Patient Name] [Code status] [ doctors / treatment team] [Allergies] [Date of admission] [Patient History] Learn the accroynms - copd, chf, hlp, MI, CABG, etc [Why did they come in??] [What have we done about it] [Neuro] [IV Lines] [Cardiac] [Drips and rates] [Pulmonary] [x] checkboxes of stuff pending [GI] Includes diet, poop, blood sugar [GU] [skin issues] --------------------------------------------- That's all you need for a thorough ICU brain. 4 - When you take your EKG class, really pay attention, really try to learn your PQRST and what each letter means is going on electrically and physiologically in the body. ICU is all the ABCs - airway, breathing, circulation. Once those are fixed, you don't need ICU care. Understanding pathology and pathophysiology at a really basic level will help you tremendously. I'd recommend any book from the ....Made Incredibly Easy series. Or the PASS CCRN book when you REALLY want to understand what's going on with your patient. I don't know what else you can do to prepare. I felt like nursing school was near useless for teaching my how to be a nurse. It's really an on the job training kind of thing. Always ask questions. Ask the stupid questions. I am 8 years in and ask some dumb *** questions and have no shame. Because you're dealing with the sickest patients and your pride or vanity mean nothing if your patient dies because you think you're too good to ask. Most of all, if you don't like it, if you feel you're not made for ICU, or worse if you hate your job, don't force yourself to stay. Find a different ICU or find a different specialty. ICU has extremely high burnout rates. I think the average time someone spends in ICU is 2 years. Believe me there are way more glamorous specialties that are far less work, less stressful, and will make you feel much happier. My proof of that is I have never heard an ICU nurse say "I love my job". We tolerate our jobs because we're gluttons for punishment. OR nurses and cath lab nurses love their jobs. PACU nurses love their jobs. Don't fear looking for a job you love. OH I NEARLY FORGOT - Find out if your hospital has access to a website called UpToDate. It is like the wikipedia of medicine and my personal bible of choice. It's extremely expensive to purchase access on your own so it's nice if your hospital has a subscription , or even better gives you one for free. You can thank me later.

Anything in acute care is going to be science heavy. Medsurg, telemetry, ICU, cath lab, EP lab. They all focus on different pathologies, pathophysiologies, pharmacology, Chemistry, etc. I'd say cath lab or EP probably would be the most "sciency" if you're really interested in the minutiae of the heart, cardiac cycles, anatomy, physiology, electromechanics, etc. From a practical perspective and application in practice, ICU is probably the most heavy focused on "putting it all together". You need a baseline knowledge of all of these things and the ability to apply these concepts to whatever patient is in front of you and how relevant they are to their diagnosis as well as to interventions, goals, outcomes, and evaluations of those outcomes. ICU is more critical thinking heavy with application of the science. To clarify, just because you understand difficult concepts does not mean you can necessarily apply them well in a stressful situation, so other fields like EP might be better suited if you are more interested in pure knowledge and understanding.

I got mine after my first year of nursing and was quite proud, but now, after 8 years of nursing it just feels like an unnecessary bill. It has never helped me get a job, never gotten a raise at work. I don't even know why it costs so much to renew or why it needs to expire. All it does is make me freak out about finding 100 CEUs every 3 years and annoyed that I have to shell out cash that could be better spent elsewhere. It expires next month and with the current covid-19 problem, I just don't see myself being able to find the CEUs or interested in forking over cash when the economy is so uncertain.

From the "official" CDP website The certification is not listed on the nurse.org certification and credentials list that I can find. Also concerning is that it seems you have to renew this certification every 2 years? Plus it literally says on their own site you aren't practicing anything you couldn't already do. It's deceptive to for it to have certified and practitioner in the title. Seems fine if you want some CEUs and education but them calling it a certification that you can put after your RN title seems like a stretch...

He was transferred to a hospital for acute care higher level of care/intervention that was likely beyond what would be reasonably accepted at your long term care facility. You're right they probably did try lasix or bipap for a bit until he got better. I don't know how reasonable that would be to expect to be able to do high turnaround lab work - ABGs, CXRs, continuous sp02/ekg monitoring in an LTACH but I assume it's probably limited. DNR does not mean do not treat. You do everything up until cardiopulmonary resuscitation. At a facility I worked in Texas, DNR did not even mean DNI (do not intubate), though I think the law on that has recently changed.

Hi, I'm at UCSF in San Francisco right now with fastaff. They post their rates on their site. my stipend is 1k/week. Hourly will very with specialty and unit