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tfleuter BSN, RN

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tfleuter has 10 years experience as a BSN, RN and specializes in ICU.

tfleuter's Latest Activity

  1. The area I live in is just beginning to see the surge of COVID patients in our hospitals and I'm always on the lookout for problems that have risen in areas that have been harder hit before us. One image I've seen circulating around is of skin breakdown around the face of healthcare workers from wearing N95s over the course of days/weeks. It looks so uncomfortable and a possibly putting them at increased risk for other types of infection like MRSA. I'm worried for myself and my coworkers. Any helpful tips from those who are already weeks into this? Is this a problem anyone else is seeing firsthand? I work on what is now the designated COVID ICU unit for our hospital and part of the code blue/rapid response team for the rest of the inpatient floors when charging and have already had days where my face is tender from intermittent use throughout my shift (we are only using N95s during aerosolizing procedures and codes/rapid responses of COVID and PUI patients).
  2. tfleuter

    ICU charge RN - how are you organizing yourself with COVID-19 crisis

    I wish I had a good answer for you. I am a ICU charge nurse as well and while our staff are used to caring for patients that are ventilated, proned and on multiple pressers, we have too many green nurses and not enough experienced nurses on a normal day. Now we are training nurses from other specialties that are being redeployed to us. Many are from surgical services and have no critical care experience. It's a bit daunting to take on honestly. How do you orient someone to the ICU in 2-3 weeks? There is no crash course for the kind of care we provide to these very sick and often unstable patients.
  3. tfleuter

    Cleaning and reusing N95

    It's my understanding that any moisture on the front of the mask makes it less effective so any sanitizing wipes would not be advised. We have been given face shields to wear when using N95s and store them in paper bags when not used.
  4. What level of isolation has your local government enforced? If these coworkers are not actually breaking any current ordinances what can anyone do? All one can do is encourage social distancing outside of work and after that it is out of your hands. Focus on what you can control because whether or not these coworkers are putting others at risk all you can do is protect yourself and your patients to the best of your ability.
  5. NurseBlaq - it did sound like you were upset that a test was being denied to a human because a tiger got it. I understand the frustration of too few tests being available for the general public but what does that have to do with a tiger being tested by a veterinary school using supplies that would not be used by humans?
  6. You know, manys of us nursing students are exactly the young, doe-eyed whipper snappers some may be visualizing in their heads, lol! For many of us, we are in the late 20 to 30's, 40's and beyond. Nursing is often a second career choice and many have already been exposed to the professional world of business, in whatever manner that maybe. I don't think it's a lack of "real world" that is the problem, it may even be that prior experience is what has made it so that many students today are comfortable with addressing their superiors on a first name basis. I also agree with CuriousMe, the culture of professialism has changed from years ago.
  7. I find it interesting that some are bringing up the decline in manners and respect in "kids nowadays". Really, each generation has said this about the ones that have come after, this is not a new phenomenon. Not that I don't think this is or isn't true, just interesting that it always comes up when discussing such things. There are many ways to show respect. I would find it disrespectful to call another person by a title if that person has already introduced themselves by their first name and asked to be called that. They have indicated how they, personally, want to be addressed. I called all my teachers throughout my primary education by Mr. or Mrs. or Ms. as did my fellow classmates. You can certainly be just as disrespectful in the way you address them when using a formal title as an informal one.
  8. tfleuter

    Help with Major CNA Problems

    I was thinking about this problem. When approaching upper management, would it help to point out that if they can afford to pay, say, 20 CNA's who only work at 50% capacity minimum wage, could they not also afford to pay 15 CNA's who work closer to 75%+ capacity and offer an increase in pay? Perhaps suggest clearing out the "bottom" 25% of CNA's and spread out the total of their pay to the remaining 75% as incentive to do a good/better/excellent job? Higher wages attracts more applicants. More applicants means you can pick from the cream of the crop. Those who are compensated well are more likely to value their job and take steps to keep it. Yes, in a perfect world, the CNA should want to do an excellent job for the sake of the patient, but that doesn't always happen. Of course this could potentially backfire if upper management decides to weed out the herd without an increase in pay and pocket the savings for something else. The important thing would be to stress that it is worth paying a little extra for quality workers.
  9. tfleuter

    IHC RN New Grad Base pay?

    No it's definately not but right now I bet most new grads are just happy to be working if they've been hired. May be a long while for we see any significant pay increases me thinks.
  10. tfleuter

    Any updates on hiring climate in UT and SL county?

    Thanks for the responses! Doesn't sound like things are improving at all just yet. I just accepted a position today as a PCA so hopefully that will help me when I graduate. If nothing else I should gain some vaulable experience and I really just enjoy working anyways.
  11. We address all instructors by their first name. It is what they prefer and are comfortable with. Even when one instructor is refering to another, s/he will use first names as well. I am comfortable with this because they are. I have yet to see any signs of disrespect from any of the students. I have no problem addressing these instructors by their first names and always try to be respectful and professional at the same time.
  12. tfleuter

    Mountainland Applied Technology College

    I don't know much about the MATC LPN program, but I do know that (at least 2 years ago) each semester UVU allows 5 students graduating from their program to enter into their BSN program as a 3rd semester student. I was considering that route if I did not get in directly. My thinking was better to compete with 20 students for 5 spots than 300+ for 40-60.
  13. tfleuter

    Opportunity as a Nurse Anesthetist in Utah?

    From what I have gathered from previous posts and word of mouth is that pay for CRNA's is less in Utah, but then again, many professions are that way. I haven't heard that IHC is agaisnt using them, in fact, my last clinical rotation was at American Fork Hospital and I am almost certain that the person monitoring the anesthesia during surgery was a Nurse Anesthetist. I've also been searching on the IHC website for employment opportunities and recently saw an opening for a CRNA in Payson. Can't say whether job openings are abundant here for new grad CRNA's, but things can change quite a bit in 10 years, so the climate that exists now may not be true in the future. Best thing to do is get the best grades possible for your ADN and BSN and really excel in your clinical rotations so you stand out. Get at least 2 years experience in an ICU and consider taking some grad level courses. Truth is, if you are really interested in going into anesthesia, you may need to apply to several schools to improve your chances of getting in. My main concern with Westminister is that (at least when I looked into it last year) clincial rotations are mostly done out of state and you are gone for about 4 months each time. Not a good option for those with kids, but obviously not a problem for others.
  14. Thank you for the info! At least it's good to know that it's probably no more difficult than other programs, lol!
  15. Just curious if anyone has any new updates on what the hiring situation is for new grads lately in Utah or Salt Lake county? I won't graduate till next May, but it would nice to know what's going on now so I can prepare myself for it. I know I can ask my instructors classmates when the semester starts, but I like to get as many point of views as possible. Also, in the spring we had 2 HR directors visit our school and have a Q&A for the students about getting hired as a new grad. I couldn't attend, but I was told someone asked if working part times as an aide or PCT increased a new grad's chances for finding a full time RN position. Their feelings were that it did not, since those who were hired on a part time basis were "pigeon-holed" into part time work and not usually transferred to full time positions. This really surprised me and didn't make a lot of sense. Anyone involved in the hiring process able to comment on this? I could see how this would be a problem if you were wanting to work at the same hospital, but if you were applying elsewhere, it shouldn't matter as much, yes? Anyways, anyone who wishes to comment, I would really appreciate it!
  16. tfleuter

    Do you think you'll/have you put on weight in NS?

    As others have said, it's my budget that seems to determine my weight more than anything. When times are good, I can justify going out to eat with the hubby for much needed alone time away from the kids or doing drive thru for dinner when I feel too busy or lazy to cook. But when times are thin, and I have to watch where every dollar goes, meals get cooked, lunches are packed and food choices tend to be healthier, by sheer portion control if nothing else.