JBMmom MSN, NP

New Critical care NP, Critical care, Med-surg, LTC

Member

All Content by JBMmom

  1. JBMmom

    Working as a tech on the floor until my new grad RN residency begins?

    JBMmom replied to Hispromiseremains's topic in General Nursing

    I really can't see a downside to taking the position. They know they're hiring you as a new tech and then eventually as a new grad RN, NEW is an important word here. You're not going to be "good" at...
  2. JBMmom

    Which job to take?

    JBMmom replied to Going2bRN's topic in General Nursing

    The six weeks to train for ICU sounds ridiculous to me. Even with ED experience, you need more than that to be proficient. And if you're coming in as a float, they're not going to expect you to need...
  3. JBMmom

    Rude Clinical Student

    JBMmom replied to 3319684's topic in General Nursing

    I would definitely approach the clinical instructor and ask that the three of you meet together to go over things like expectations. Is this student arriving with a group or do you have a student that...
  4. JBMmom

    Access while Proning

    JBMmom replied to ICUBSNRN7's topic in MICU, SICU

    I've proned plenty of people over the past few years with PIV access only. Believe me, it's not because us nurses didn't want the central access, but there was a bump in the CLABSI numbers during...
  5. JBMmom

    All Med-Surg units created equally?

    JBMmom replied to wendalin920's topic in General Specialties

    You're going to gain skills in any new position. And then some of those skills will transfer to anywhere you go, and you'll have to develop new skills to go with them. It's important to like what...
  6. JBMmom

    Recommended ICU/ critical care books for new grad

    JBMmom replied to Katey Avendano's topic in General Specialties

    The ICU book by Marino is the fall back with everything. However, depending on how you learn best there are fantastic online options, like YouTube videos. MedCram, NinjaNerd, many ICU geared lectures...
  7. JBMmom

    Have you ever wanted to see a coworker fail?

    JBMmom replied to SilverBells's topic in General Nursing

    No. Letting someone else take up that much real estate in my head has no positive impact on my life. I do my best at my job, and try to let comments from jerks just roll off because they're a...
  8. JBMmom

    New Job Recommendations

    JBMmom replied to SilverBells's topic in General Nursing

    Your initial post reads as if you're looking for people to tell you to take job #2, you point out many negatives at job #1 (flood zones, state run, feels like a nursing home), that you present as...
  9. JBMmom

    The longest year. Finally off orientation! Proud ICU NP

    JBMmom replied to JBMmom's topic in Nurse Practitioners, NP

    I'm glad you could chuckle at my Swan anxiety, I know I'll get used to all of these new experiences, but adding the provider role to technology I'm not used to certainly gave me some challenges....
  10. JBMmom

    The longest year. Finally off orientation! Proud ICU NP

    JBMmom posted a topic in Nurse Practitioners, NP

    I will be going back to work for my next shift as a nearly independent ICU NP after a little over a year of orientation. After 24 years of professional employment (and 33 years of work overall) this...
  11. JBMmom

    Nurse Practitioners, New Grads especially, be realistic about compensation

    JBMmom replied to FullGlass's topic in Nurse Practitioners, NP

    My pay, as a new NP is about $65 an hour. That's in a union position, and that includes almost $10 an hour for working in the ICU. So, most NP new grads in my hospital system will make about $55 an...
  12. JBMmom

    Any insight about hire after termination

    JBMmom replied to Kaeayo's topic in General Nursing

    Since you do have experience, even if it is a while back, you will probably be able to find something. First, though, make sure that you've addressed your anxiety (unless you just mean it's...
  13. JBMmom

    New Grad Feeling Unsupported

    JBMmom replied to Hazex6's topic in General Nursing

    It sounds like this particular unit is not friendly to new grads, or you've just had the worst of luck with getting the three worst nurses as preceptors. Either way, I would consider going to your...
  14. JBMmom

    Am I entitled to decline being assigned to a specific unit?

    JBMmom replied to understressnurse's topic in General Nursing

    That does sound like a poorly planning situation. Having a resource nurse "available" doesn't replace having a properly trained nurse. Unfortunately, though, as hospitals are finding more staffing...
  15. JBMmom

    Being Mandated to Work

    JBMmom replied to nurse_shelly's topic in General Nursing

    We have also had similar problems with the 8/12 split. Our ICU has eliminated 8 positions almost entirely, there's one nurse left on night shift that still has 8s. For a while the 3-11pm nurses were...
  16. JBMmom

    Being Asked to Give References for Someone You Don't Respect

    JBMmom replied to Emergent's topic in General Nursing

    You can always hide behind the policy- saying you're not allowed to give a work references because the organization doesn't allow it. (Our organization instituted that policy a few years back saying...
  17. JBMmom

    Please, I need your insight.

    JBMmom replied to JS0108's topic in General Nursing

    In my RN program, LPNs started their bridge in the third semester. Every semester we had some new students, some were repeating the previous semester, some coming back after taking a leave for a...
  18. JBMmom

    NPs, inpatient vs outpatient, which one do you like better?

    JBMmom replied to treeye's topic in Nurse Practitioners, NP

    My outpatient experience is limited only to my clinical rotations where I realized that, for me, outpatient is NOT a good fit. I found myself frustrated with patients coming in for their specialty...
  19. JBMmom

    Hospice Advice

    JBMmom replied to HospiceRN1234's topic in General Nursing

    I am sorry this happened to you, especially in the very close relationship with hospice patients I'm sure you developed a level of attachment. Since you don't have any more information, and may not...
  20. JBMmom

    From nursing home to hospital

    JBMmom replied to Emily elizabeth's topic in General Nursing

    I worked in LTC for five years before I moved into a hospital med-surg position. I didn't leave the LTC because I hated it, but I have to say I worked harder in that job than in any job since. As busy...
  21. JBMmom

    Leaving outpatient for bedside, feeling guilty?

    JBMmom replied to Mursefirst's topic in General Nursing

    Everyone has and keeps their job for whatever reason they have. There's nothing wrong with nurses that would enjoy the job you had that required more desk work and a certain mindset and skillset. And...
  22. JBMmom

    Increasing D-dimer

    JBMmom replied to Matthew89's topic in General Nursing

    D-dimer is a notoriously unhelpful lab value in many situations. It is best used to rule out a condition involving clots like a PE or DVT. However, as DavidFR already pointed out, it can be elevated...
  23. JBMmom

    Lazy Coworkers?

    JBMmom replied to thenursebabe25's topic in General Nursing

    A very good point. As awful as it is to follow a lazy coworker, you're the only one that knows whether this is worth it to follow up and risk either losing your job or making an uncomfortable work...
  24. JBMmom

    Nurse Practitioner had live sex for online viewing

    JBMmom replied to FullGlass's topic in Nurse Practitioners, NP

    I think it's unfortunate but I don't really extrapolate this situation to any reflection on NPs in general. There are people that make questionable life choices (in my opinion) in all walks of life....
  25. JBMmom

    New Reports on NP Compensation

    JBMmom replied to FullGlass's topic in Advanced Practice

    One other thing to focus on in job comparisons is the benefits package. Not reflected in base pay, that can really be a game changer. I know that my salary may not be the highest but my medical...