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link51411

link51411

Critical Care, Cardiology, Hematology,
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link51411 has 5 years experience and specializes in Critical Care, Cardiology, Hematology,.

link51411's Latest Activity

  1. link51411

    Win $100! June 2015 Caption Contest

    Why did you put a dinning room light by the front door. You said you wanted an open concept.
  2. link51411

    getting back into hospital nursing

    I have been in the same situation. I worked ICUs for 2 years and then transferred to Research for 3 years. To my surprise I ended up being hired on a Gen Med floor with working in Units again being completely off the table. What worked for me and advice to you is always write a cover letter explaining how your past experience will benefit the dept. you are applying for. For example, a lot of HRs did not know what a research nurse was or did. So I simply would explain the roll and how it was still fairly clinical. Also, I explained how after settling into the roll I would love to continue in research or project improvement boards. This showed that not only am I capable of doing the job but also add something that others who are applying likely do not. Your experience is obviously different but do not be afraid to sell your skills. If you think you are an acceptable candidate for the posting explain why. If you can not write out how you meet the requirements then I would save your time and not apply. In other words focus your time on positions you actually can get and be successful in. Last comment which is the most important. Always write a new CL specific to each position you apply. This shows HR that you care about and are passionate about this opportunity and is not simply a shotgun application of someone who wants a paycheck. Do not write a general one that you simply attach to every application.
  3. link51411

    Transitioning from NICU to Peds Hem/Onc

    A lot of the patients/parents are chronic or at least been dealing with the given issue for an extended period of time. Because of this they are very educated on the disease process which means you have to also. It is a very difficult field with a lot of turnover. My personal perception was you either stay in the field for 6 months or forever. I would love to give you more info if you have more specific questions.
  4. link51411

    HELP! How do you handle Workplace gossip?

    I never understood why nurses are so quick to run to the managers office but so slow to run into your room and help/educate if they are that concerned.
  5. link51411

    Any rumors about GA joining nurse compact?

    I have a friend who works for the sec of state, it is not going to happen. They want to be able to personally screen and control everyone who holds a license in the state.
  6. I do not understand what you are asking can you narrow in your question. I may not be the best person to answer your question since I do not believe qualitative research is reliable anyways. But I know you are not going to get an answer because you question does not really make sense.
  7. link51411

    Precepting Questions

    I graduated in early 2010 when the econ. was rough and it was very difficult to get a job as a new grad and basically impossible to get a job in Peds or Mother/Baby. My school offered me a rotation on a unit I did not want to work in and in a hospital I did not want to work at. At the time I was working PRN as a PCT in the staff float pool at the local university hospital and met a nurse in the unit that I wanted to work in so I asked her to precept me and it was approved. I was offered a job before I graduated and actually hired and started orientation before I even passed boards. Working in the Neuro ICU opened up doors immediately to basically do whatever I wanted and wherever I wanted to do it after a year of experience. I do not want to tell you not to precept in your passion. But think long term and future goals and what is the best way to get there. Sometimes you have to tough it out in the most demanding/difficult unit at the lowest paying hospital on the night shift in a city you do not want to be at in order to get where you want to go. I would also say that whatever you chose it is not going to affect your nclex. If you are relying on your senior preceptorship to help you pass your nclex after all the book work you have had to complete in your program you are going to have some problems passing boards no matter where you are.
  8. link51411

    Moving from ICU to research?

    Overall I am very glad that I went into research and I do not want what I say below to prevent you from giving it a shot. You will learn a completely different perspective and there is a lot of room for growth and development. Research has also given me a different perspective on life and in my practice. My eyes have been opened up to importance of global and community/public health. I also now see the importance of questioning everything from hospital protocols to the research articles that the protocols are based on if they were even research based to begin with. It is a completely different mind set though. In any research you are no longer treating patients. When I first started, I was somewhat shocked when I was told that I could not get a BP on a patient prior to consent because if I left the hospital I was allowed to do it on the city streets. So for me the whole concept changed from using your knowledge and abilities to save lives to doing something because the protocol simply says to do it and nothing beyond the protocol. The one place where it pays to be a good ICU nurse is in the role of safety reporting and being able to connect the dots and find relationships. There are many more frustrations in research compared to working in the units. For example, you will be shocked at how much the nurses in the hospital dislike us. They blatantly do not do orders, get labs hours late, or will sometimes get a VO from a resident to cancel our VO, that we put in under the attending/PI for study purposes, and then send the your patient home so there is no chance to get needed data. I was also 1 on three staff in both departments that I have worked in. The first was Int. cardiology and I was essentially on-call 24/7 365 because I was the only one who was consistently was close enough to the hospital. Now I am the only nurse in the department with 2 coordinators. So I get pulled in 5 different directions to draw blood, give study drug, etc... for the coordinators because only I can do these tasks. At the same time I am expected to keep up the same number of regulatory binders and do the same if not more data entry and safety reporting because of course I will get all the drug studies since I am the only nurse. It gets overwhelming to say the least. There has been a very quick turnover in our department of research nurses for the above reason.
  9. link51411

    Holistic Nursing Research

    Good luck, unfortunately there is not a lot of funding for this kind of research. I am still searching. Where are you located?
  10. link51411

    Research Fellowship Help!

    families of oncology patients perceive their loved ones to be in pain and emotional/spiritual distress during end-of-life treatment. There is a testable hypothesis right there. Now make a questionnaire to give to families on your floor and see what you get. If the answer is yes take it a step further and say Patient/familes that recieve _______________ do not perceive their loved one to..... We do QOL and pain assessments often in our patient population. from what you are describing above it sounds like you have 5 different research questions. Try to come up with one hypothesis which pertains to one patient population and then say how can we test this and do not take time collecting data that does not directly relate to that hypothesis and population. Then when you finish move on to another pt. population with the same question or come up with a different hypothesis all together. Right now I work with some MDs that do not have a lot of research experience and I am stuck in a study that has been going on for 5 years because, as opposed to just finishing their original protocol and then creating a new one, they just keep adding stuff to the study and we can not finish it or publish anything because the data is all over the place. The second problem I see is when the hypothesis is not proven to the liking of the investigator they do not write the paper and attempt to publish. No is just as important of an answer as yes and we need to share the info either way if not only to prevent others from throwing time and resources down the drain. I have a form that I use that a friend from Harvard shared with me that helps me control/orginize research ideas that come to mind contact me if you would like a copy and you can use or toss it.
  11. link51411

    research in a clinic

    Is a clinical research nurse able to practice as an RN as licensed, in a clinic that they have received privileges at, before the consents are signed outside of the protocol? also if during recruitment you have the pt. primary MD do a measurement to report the result back to you for inclusion exclusion purposes, you have a partial hipaa waiver, is that not recruitment of pt and that MD have to be on the DOA log? Im new to research and alot of it seems to be a shade of grey.
  12. link51411

    Graduate degree

    I have seen research classes at the BSN and the MSN level and both do not really do a good job at preparing anyone for being in research. I am interested as well in conducting clinical research. I am looking at the BSN to PhD in nursing programs such as UAB and Emory from where I have looked so far.
  13. link51411

    how do YOU define NURSING?

    depends on where you work. hospital rns the role is to insure a safe experiance through the hospital experiance. to protect the pt from meds, other nurses, MDs, family, friends, themselves, etc.
  14. link51411

    Confused about recapping in the medroom

    this is wierd for me to think about, I guess its been a while since ive been out of the ICU. Ive never used a med room. I take all the drugs to the room, check them in the EMar, and pull them up there. the idea of pulling up in a med room seems risky to me for contamination purposes aswell at giving the med to the wrong pt.
  15. link51411

    Precepting in the NICU... Advice?

    ask alot of questons. I precepted on the NICU and have worked there for 7 months and still ask questons everyday. its unlike any other unit. some pts they want sbp up to 220 others below 140. Ive also seen goal NA of 150. but the MDs always have a reason for what they are doing if you just ask.
  16. link51411

    need some encouragement

    this past week I had an 17yo healthy male who had a football scholarship to the local college. I admited him following commands. when we took him down to CT he wouldnt sit still so we gave him .5 Ativan. He was not following when we returned. MD told me to let him know if he doesnt wake up. 1.5 hrs later, clear cut and dry posturing. the rest of the night stat CT, stat MRI, while we were in MRI resident called in the stat OR team to do emergency angio. all I can think is if I hadnt given the Ativan I would have noticed the change 2hrs prior.