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cardiac (CCU/Heart Transplant, cath lab)
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Aymese has 6 years experience and specializes in cardiac (CCU/Heart Transplant, cath lab).

Aymese's Latest Activity

  1. Aymese

    What chapter of your anatomy book has been most useful?

    CV, renal, endocrine I work in the cath lab
  2. Aymese

    CNS! Is this a Dying Specialty!?

    NPs that work in the hospital are usually acute care nurse practitioners. Many schools offer an ACNP track.
  3. Aymese

    Changing Careers

    If I were you, I would get out of LTC. It sounds like autonomy is important to you. I have always found this easier to achieve while working in critical care. You will have 2 patients (usually) to focus your care and attention on. I imagine it to be much more rewarding and satisfying than LTC. Can't imagine having that many patients. I definitely understand your concerns about safety and liability.
  4. Leviathan...yes, an evil sea monster.
  5. Aymese

    Do you use a pocket manual?

    I really like Medscape's application. It is an actual download so there is no need to worry about internet connection once you've installed it on your phone. It works for Blackberry, Iphone, Android. I like it becuase it has detailed drug references including interaction checker, conditions, and procedures. The topics under conditions are formatted very similarly to their online CE articles (pathophys, s/s, workup, tx). Examples of procedures include: ACLS/BLS guidelines, Acid base, cardiac markers, thoracentesis, TONS of others. It is a free app but you have to sign up on Medscape, free also. I like it better than epocrates or micromedex, personally.
  6. Well said.... http://emergencynursingtoday.com/?p=1561
  7. Before I even read this thread, I walked into work this morning and was ******. Huge banners all over the place celebrating "hospital week" without one mention of recognizing our superb nurses during what has always been Nurse's Week. It spoke volumes to me about the lack of appreciation for all that our nurses do. I thought it was a particularly unwise move considering our hospital is attempting to gain Magnet status...what a joke.
  8. Aymese

    How much do you get paid for being on call?

    $3.5 an hour is the average among cath labs in Atlanta.
  9. Aymese

    Nursing Student looking for out of state jobs

    I guess choosing which state to sit for boards would depend on how long you think your job search may take and how long you plan to study prior to taking NCLEX. I am not sure if the CA will allow you to start working pending boards. Some states no longer allow new grads to do this. If you think it will be say, 4-6 months, before you move, I would plan to take the NCLEX in FL. You will get the results in 2-3 days. At that point, if I remember correctly, then you can choose which state to apply for a license. If you end up getting a FL license, to transfer it to CA probably just requires documentation and paperwork (you won't have to sit for the NCLEX again). Some states take a while to issue your license. When I transferred my license from IL to GA, it took 8 weeks!! So make sure that you find out your potential employer's requirements for you to start work as a new grad. Congrats on finishing up with your program! Good luck!
  10. Aymese

    Looking for NP Preceptor near Kansas City!

    Try going to http://www.enpnetwork.com/ There is a preceptor directory link where you can enter a location. You will probably have to sign up for the group and pay to view the list. But when I was running out of luck finding an NP preceptor, it was definitely worth it!! Good luck, I know how stressful that can get!
  11. Aymese

    How to deal with low morale?

    Consider finding a job at a Magnet-designated hospital if there is one near you. Usually nursing has a strong voice with administration within these facilities, which really does go a long way in preventing and dealing with problems like the one you describe.
  12. Aymese

    Any RNs switched to PA career?

    You could look into schools that have an acute care NP with RN first assist (ACNP-RNFA) program. UAB has a distance-accessible program.
  13. Aymese

    Which unit is better Cath lab or Ambulatory?

    I can't speak much to ambulatory because I am inexperienced there. However, cath lab is definitely a different world of nursing. There are certainly pros and cons to it as there are in all areas but it is definitely not for everyone. You generally receive a 3 month orientation if you are learning all 3 roles: scrubbing, monitoring, circulating. Scrubbing is the most challenging role for nurses to learn because it's 100% new skills that we are not previously trained for. It involves manual dexterity, speed, anticipation of the doctor's needs, lots of equipment to learn how to use, and working under pressure. Learning this role requires consistency with a good preceptor that likes teaching. Once I became comfortable in scrubbing, I find that this role is the most fun. Circulating will come most naturally to you as a nurse. If you are thinking about working in an interventional cath lab (as opposed to diagnostic only) you will feel most comfortable having cardiac critical care experience. Situations you will encounter involve hypotension, bradydysrhythmias, mixing and titrating vasopressor drips, right heart catheterizations and hemodynamics, chest pain, MI and cardiogenic shock patients, assisting with insertion of IABPs and transvenous pacer wires, pulling arterial sheaths, etc. You will learn SO much about all different forms of heart disease and ACS. I feel that my experiences in cath lab have made me a much more well-rounded cardiac nurse. It's a very fast-paced environment in terms of getting the patient on the table and prepped, do the case, give report and get the patient out and the room turned around for the next case. Keeping the schedule going and getting the docs started on time can get stressful. You may enjoy not dealing with total patient care anymore and the challenges that come from having family members around all the time. It's nice to work dayshift and be closed for elective procedures on the weekend/holidays. Depending on how much staff the lab has, you will have a certain amount of required call. Usually you have 30 minutes to return to the hospital. Carrying the pager typically gives you between $3-5/hr (which truly adds up on your paycheck!!) and time and half for callbacks. On average you may be there between 1.5-3 hours. However callbacks at 2 am and having to work the whole next day is exhausting. On the other hand, to help save someone's life in the acute STEMI situation is extremely satisfying and rewarding. Wearing lead all day can be physically tiring, so take care of your body. Finally, I have found that the most challenging part of working in cath lab involves working with so many team members for one patient. There may be specially trained cardiovascular technicians and radiologic technologists. You no longer have the same autonomy in caring for your patient. It requires a lot of effective communication and team work. And people, as you know, can communicate very differently than you. It is hard to verbalize the culture that exists in many labs..but basically my advice would be to seek every opportunity to learn how to do all the skills even if it scares you and maintain self-confidence. Probably this is more than you ever wanted to know, but I hope it helps you in making your decision!
  14. Aymese

    "Bumped to the Bottom??"

    Can you inquire about IABP classes at other local hospitals or contact Maquet (formerly Datascope, if that is the IABP that your facility uses) to see when your clinical rep will be around again? Good luck!
  15. Aymese

    More on "Disrupted Catheters"

    I remember this happened to my grandfather's portacath when he was receiving chemo in late 2007. It had to be removed from his RA in the cath lab. I wonder now if his catheter was only one of many defective catheters placed in patients, adults as well.