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  1. MissBrittanyRN

    New grad in Cardiac Cath Lab Recovery???

    Thanks for the clarification. Just like many things in nursing, it must vary by area. I have recently learned that one hospital's policy depends on the specific vessel involved....go figure :-)
  2. MissBrittanyRN

    New grad in Cardiac Cath Lab Recovery???

    Hi dognurse, This message is actually perfect timing, I just finished my very last day of precepted orientation yesterday! It was extended a little bit longer because they added a ton of additional classroom experiences in addition to my floor time. Looking back, some days were much better than others, and vice versa. It was an amazing orientation though. I am nervous about being on my own next week, but not as bad as I thought I would be, because I am never really on my own there. The next month is already mapped out with resources, how many patient I will take, etc. But if it doesnt work out, management and my preceptors have shown support in my being able to come back to them and remediate if necessary. It is the perfect mix of nursing. I was concerned that it would be too cardiac focused (which it is) so that I would not learn ANY thing else. But we get patients on ventilators and other situations waiting for critical care beds, so I really do see a lot. The most comforting things is that I am not expected to care for these patients alone until I am much more experienced, but will definiately have the experience, if that makes sense. As I said before, it's short term acute because of the outpatient setting (which could turn inpatient), but very intense and invasive often. We titrate drips unlike most outpatient settings, and I never thought that I would be pulling femoral artery lines, etc. We get basic diagnostic cases, and we get intervents, and we have patients that we have to prep for open heart surgery. We actually also prep and recover some interventional radiology patients, peripheral angiography, carotid, pacemakers, cardioversions, ablations, etc. So, we are specialized but pretty widely. And our patients are not the same. People have their own chronic conditions that we individualize our care around, so we do care for other aspects than their hearts. I was worried that I would learn cardiac, and nothing else. Many of our patients have comorbitities (diabetic, renal, etc.) I am lucky at the specific hospital that I work in, with how much I see. We get several transfers a day from other hospitals. Something that you may already know, that I did not before starting here is that if a hospital does not have an open heart surgery center, they often cannot intervent during a cath unless it is an extreme emergency. We have OHS so we get a lot of cases that other areas may not. Well I can go on and on and on and on, so please please tell me about where you are going. I don't think you have started yet, but have you shadowed? I am excited for you!
  3. MissBrittanyRN

    Who is hiring LPNs ?

    children's national medical center in dc has a few openings advertised for LPNs. It looks like they want 3 yrs experience, 1 yr in peds, but I'm sure it's worth a look.
  4. MissBrittanyRN

    New grad in Cardiac Cath Lab Recovery???

    It's great that you have the support from your coworkers after orientation. I am sure I will be blessed the same, which is great because as you would know by now, there is just so much.... I have not taken ACLS yet. I actually planned on taking it ahead of time to be more marketable, but I was concerned that it would not make sense without having the rhythm and basic pharmacology knowledge. Then I had my interview and mentioned that ACLS was a short term goal, and they suggested that I wait until I was on the floor for a little while, and that the hospital would pay for it. I too see myself sticking with this for a while. I love the short term acute environment. I previously worked in L&D, so I am sensing a trend lol. If I do decide to move on to something else in the future, I know that this experience will be incredibly valuable, but I plan on doing this for a long time. It's hard, and I beat myself up a lot, but my preceptors think that I am doing fine and progressing normally. But you know what they say about being your own worst critic. Not to mention, I did not expect this specialty to be easy, especially as a new grad, and everyone warned me that it was going to be very challenging.
  5. MissBrittanyRN

    Maryland pay scale...please help

    I don't know specific salaries. I tried to start a thread for new grads to post what they knew about salaries, but didn't get many participants. Of course, that would be different than an experienced nurse, but could have given you something to go on. Anyway, from my understanding, DC generally pays more than Baltimore, based on conversations with travel nurses in the past. Just something to look into, as the cities are not too far from each other, especially if you are going to be living somewhere in between the two.
  6. MissBrittanyRN

    New grad in Cardiac Cath Lab Recovery???

    Hey there. Just logging on for the first time in a while. I have been very busy with orientation. I have actually been spending time at home burried in the EKG books lol. I start critical care courses next week and want a head start. Floor orientation has been going well. This is my fourth week, and I feel like I have learned more than my entire nursing school experience lol. I could not ask for better preceptors. And yes, there is so much to learn, but I have another five months! There are always bad seeds everywhere so I was prepared to experience a few negative coworkers that were unsupportive, but I have not had even one yet, which is awesome. Some of my days have gone better than others, but even the days that did not go well did not end up with negative criticism, only productive learning experiences. We learned what I needed to work on, and myself and my preceptors worked together, formed a plan, and fixed it! Are you still orienting jaq96? How is it going?
  7. MissBrittanyRN

    New grad in Cardiac Cath Lab Recovery???

    Thanks Becky! I am excited and nervous. I just finished the classroom time that all nurses have to go through in the hospital (experienced or new grad). This is done with the nursing education dept. Everytime I meet a new eductator they say things like "wow, you are a new grad going into cardiovascular recovery? here? congratulations, but it's not usual. you must have really impressed them. that's going to be very intense for you." I am wondering if I should take it as a compliment or a warning lol. oh well...bring it!
  8. MissBrittanyRN

    New grad in Cardiac Cath Lab Recovery???

    thanks so much :-)
  9. MissBrittanyRN

    Help with Prerequisites!

    Hey there RNb440. Although you can be out of county and qualify for in-county tuition rates, could you take advantage of the rates if you are out of state? Thanks!
  10. MissBrittanyRN

    Does anyone work / know someone at Patient First?

    I heard (but don't quote me) that their new grad pay is 24 or 24.50 /hr. I am sure it varies for experienced nurses.
  11. MissBrittanyRN

    New grad in Cardiac Cath Lab Recovery???

    Thanks! I did get an offer from Cardiac cath recovery, and I start Monday. I will not work in the cath lab in this position, just prep and recovery. Precepted orientation is 6 months with several critical care classroom experiences, and I will go through CCL, CVICU, and some other units, just to see how the big picture falls into place. I believe I have a continuted mentorship for a year. I do think it's going to be challenging, but it's a challenge that I am up for! I am very hardworking and ambitious. The fact that this is an area of nursing that I LOVE to learn more and more about will give me even more drive to soak up what I am learning. This could go one of two ways: I could get in over my head and fail miserably, or I could actually succeed and it would be success at something that I love, which would be very rewarding. And I guess the third way it could go is that I think I love this area of nursing, but I learn that it's not what I thought. I guess there is only one way to find out, and I loved my shadow days there and my shadow days in nursing school. I will post an update in a few weeks to let everyone know how it's going! And thanks again for the advice :-)
  12. MissBrittanyRN

    Help with Prerequisites!

    Well good news and bad news.... Good: Some community colleges offer in-county tuition for non-in-county students for nursing, as nursing programs are part of the "designated statewide or health manpower shortage program." Bad news: I am not sure if this applies to the nursing prerequisites or the actual nursing courses only. Also, they may only allow the tuition exception to other Maryland county residents, as oppose to out of state residents. Sorry that I don't have more info, but hopefully this gives you some leads as far as your research process will go. Good luck!
  13. MissBrittanyRN

    Patient First

    Hey there, thanks for the update! I am glad everything is going well for you. I know a couple of MAs who are happy there too. I have been blessed with a great new grad position in the city with an amazing orientation, but I want to soak up all that I can at some point or another in nursing, so perhaps in the future! Best wishes to you, and I hope that your experience remains positive.
  14. MissBrittanyRN

    Administration of PPD to someone with a previous positive reaction

    Thanks everyone. I don't think she had TB, or at least if she did, I would hope that she was treated, which she definiately does not remember, and probably would remember if she was actually treated. I did not even think of the BCG vaccine, which she may have received. Who knows, growing up in what they still call orphanages, she may have been exposed. I just recommended that she let whoever she goes to know, and they may or may not go right ahead with the cxr. I just wanted to be sure that there was not a risk of a bad reaction if she actually received a ppd. Although a ppd is not necessary, as once positive always positive, I did not know if it was actually dangerous. Thanks NRSKaren for the info about a possibly increasing severity of reactions! And thanks everyone else for your input.
  15. From my understanding, one should not have tuberculin skin testing performed if they have had a positive PPD in the past. I have a friend who was adopted from a foreign country when she was a teenager, who is not sure if she had a positve PPD. She needs to have one done for work so I explained to her what it was. After explaining, she is pretty sure that she had a PPD that was raised at some point in time. I explained to her that redness is ok, but she thinks that she remembers it being raised. She does not recall having a chest xray. I was wondering if it just unnecessary for someone with a past positve ppd to have another test, as they will continue to test positive, or if someone in that situation would truly be put at some type of risk for having a ppd administered after having a positive ppd before.