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PacoUSA BSN, RN

PCU / Telemetry
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PacoUSA has 7 years experience as a BSN, RN and specializes in PCU / Telemetry.

Second-career RN and loving the change!

PacoUSA's Latest Activity

  1. Has anyone here been through this program @ Georgetown? It is designed for experienced nurses in non-ICU specialties to transition to ICU or PACU. Would love to hear feedback, thanks!
  2. PacoUSA

    Reputable Per Diem Agencies

    I used to work for Aya doing registry at UCSD, but that was until I found I could make double that $ in L.A. working per diem through the hospital.
  3. PacoUSA

    New Grad Los Angeles, CA

    As an experienced nurse, I would only recommend that you apply to acute care hospitals and stay away from LTACs and SNFs. Your best bet is to get into a residency program for new grads at any hospital that will take you. I would also recommend looking out of state as well where the competition is less than it is in California. I know many new grads that left the state for a year or two to complete residency/earn their nursing experience and came back to jobs in California successfully.
  4. PacoUSA

    PCCN vs CCRN

    If a PCU nurse takes PCCN, earns that certification and later on goes to ICU and takes CCRN, can that nurse just let the PCCN lapse and keep just CCRN? I assume it is kind of silly to maintain both if the nurse is staying in critical care/ICU.
  5. PacoUSA

    UCLA Hiring Process

    That is so unusual that they do that kind of "test" lol
  6. PacoUSA

    UCLA Hiring Process

    I’m an experienced RN, took me 6 months from application to offer to get a per diem job there.
  7. PacoUSA

    Who is attending NTI? We are!

    I am here!! It’s my first NTI and I’m loving it so far! 🥰
  8. Am very interested in applying for a job at the Mayo Clinic in Rochester. I am currently coming from California (not a native Californian here, I am originally from the northeast so no stranger to snow ) ... Truthfully, how hard is it to get a nursing job @ Mayo? I am a PCU nurse and ideally want to get a job in an ICU. Are they open to training new ICU nurses transitioning from PCU from outside their hospital? Or do I have better chances of getting a PCU job at Mayo first and then transferring internally later on? I am planning ahead, working at Mayo would be a dream come true! All feedback welcome especially from current employees!
  9. PacoUSA

    I found a way to avoid HIPAA violation!

    Come to California, with our ratios we have time to stay connected and keep our patients alive
  10. PacoUSA

    I found a way to avoid HIPAA violation!

    It’s 2019, it’s a little unrealistic to get 100% of the nursing workforce to part with their cell phones for even half of their shifts.
  11. PacoUSA

    PCU Nurse Feels "Second Rate"

    I have applied to ICU positions, and nurses with ICU experience always get the interviews before I do ... I am seeking some sort of transition program for nurses that want to learn a new specialty. I believe one occurs in my present hospital system (I am fairly new here) but I dont think it occurs too frequently. I do have a question tho. I am interested in eventually moving on to a university hospital, it is where I would like to spend the rest of my career. I am not interested in staying in a community hospital setting as this is where I landed a job currently and just took it. I used to work at big university hospitals and loved it and I wish to go back. My question is: were I to get ICU experience in a community hospital (300 beds or so) is that decent experience for me to go on to a university hospital ICU?
  12. PacoUSA

    Advice from experienced nurses please

    I have been on this site since I started my prereqs about 10 years ago. I bet I can go back and find a post or two and be like WOW! were you thinking? Lmao!
  13. PacoUSA

    Advice from experienced nurses please

    If it makes you feel any better, I was a train wreck as a new grad and used to fumble with many details as you are doing. To be honest, I read your post and I have to say I was worse than you ... I remember ignoring an order to stop a heparin gtt at 10pm and by george it was still running at 7am when handoff occurred. Needless to say, the patient could not get surgery that day. 7 years later, I have gained much more confidence in my skills. The ONLY thing I still struggle with even so many years later is delegation, which stems from the fact that I worked in a facility as a new grad where CNAs where notorious for hiding out and as an RN you were forced to do certain things you would normally delegate because it was faster than searching out the CNA (but wouldnt you know, they magically appear the second you are completed). Because of that my time management was affected too. That is my worst PTSD but it has gotten a tad better. Wanted to share my story because I know how you feel. I could have written the same post years ago. It gets better and in a few years you will laugh like I Iaugh at my new grad days too. I only wish I had a YouTube video to post of me back then so you could see. I am proud of how far I have come, and you will too. Hang in there!
  14. PacoUSA

    Mistake

    While I agree that nurses should be encouraged to report their mistakes without fear of retribution or blame, we must be assured that we are in a culture that this is a guarantee. As long as we see even an isolated detour of this guarantee, we will continue to be shutmouthed. As such is the case somewhat of the Vanderbilt nurse currently in the news of whose name escapes me right now. By the same token, nurses should not be admonished for legitimately calling out sick for having the flu or what not. We are encouraged to call out sick when we are contagious but get written up for staying out sick too much? The hypocrisy needs to stop. No wonder nurses feel undervalued and are leaving the bedside by the truckload ...
  15. PacoUSA

    12 patients for a new grad to much?

    That is too much for ANY nurse!
  16. PacoUSA

    PCU Nurse Feels "Second Rate"

    So I may be criticized or flamed for some of what I am about to post, but it is just something that I have been feeling and thought I'd put it out there for some feedback and perhaps help my outlook. I currently work in a PCU and bored to tears because I am no longer learning anything new. In fact, I am working on a unit that does not allow us to do certain things that in prior facilities as either a traveler or staff I have been able to do independently (for instance, PICC dressing changes at my facility are only done by IV team and not floor nurses). Also, my unit does not allow titration of drips like cardizem, whereas in other places I have done this with no issues. But specifically, because I feel tapped out on PCU, I am yearning to learn to work with more critical patients as those in the ICU. I would love to transition to the ICU but all the ICUs near me only want nurses with ICU experience. It is frustrating because I ask then, well HOW do I get the experience if you wont take me? I have tried to look for critical care courses to take to make myself more marketable. I have even looked into taking an ECCO course, but these are not available to people who do not work in ICU currently. I am a member of AACN as well which I think is important for my goals. I seem to perceive ICU nurses as more prestigious and important in the hospital setting, and I know that is wrong to say but that is how I feel. When I have to call a rapid response on my patient and an ICU nurse comes to the bedside, I feel inferior because his/her presence makes me feel "inadequate" as if the nurse is here to say "you are not capable of taking care of this patient on your own anymore, you need to step aside and let me with more superior skills take over." So, I ask myself, why can't I be that kind of nurse too? I am tired of feeling deficient, I want to be that kind of nurse that takes care of patients when they get sicker and doesnt need that higher level nurse to come save the day. I am even having issue with certification. I am clearly qualified to sit for the PCCN but I have this fear that earning that certification will peghole me as a PCU nurse forever which is something I do not want. I would much prefer to have CCRN behind my name. I perceive nurses with CCRN to be higher regarded and I am inclined to not progress further in my career until I achieve CCRN. There are varied schools of thought as to who can sit for a CCRN. Some say the rules are vague and that I in fact can sit for that certification exam. But others say it must be ICU experience. Granted, I have never touched a vent long enough to understand its settings but believe me I want to. I want to learn about A-lines and vents and transducers and all that critical care stuff, and I want to learn to work with medications that are not part of my world. I hear names like esmolol and norepinephrine and I get excited to learn about them and want to work with them. I am also tired of remembering details on more than 2 patients. I much rather know well 2 patients than remember details on 4. For the past 7 years, all I know is tele and PCU and I feel like I need a nursing change but life is not allowing me to ... despite it all, I love nursing and proud of being one! At this point I am probably babbling, but I gave enough information to start dialogue I guess.
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