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sophie<3

sophie<3

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sophie<3 has 4 years experience.

sophie<3's Latest Activity

  1. sophie<3

    I hate my job... :(

    Well that is your personal opinion Ruby...and while I respect it, I also disagree with it. Maybe the "not so good" are "not so good" because of the number of preceptors and inconsistency in an already difficult career field such as nursing. I think every individual is different..the person who thrives with 10 preceptors and the person who thrives with 3 should not determine how "good" of a nurse they are. It all comes down to how one learns best. I personally need some consistency and am not ashamed to say so. While I didn't LOVE my past jobs, I practiced safely and felt pretty comfortable despite being a new graduate. Each unit I was on, I had a max of 3 preceptors...in the NICU I had *1* preceptor my entire orientation. And it helped me develop routines and know who I could turn to in a crisis. My preceptor knew me and my skills..she learned my strengths and weaknesses and I feel I learned more from her in a month than I did in 3 months of my adult ICU orientation. Now that I have almost 5 years experience as a nurse and transferring to the beast of adult critical care nursing, the shear number of preceptors definitely played a role in HOW well I put the dots together. Every nurse practices differently and that does not mean one is better or worse than the other...we are just different and if we are safe and competent that is all that matters, right? But simply due to the fact that everyone is different, it was difficult to build a foundation. I also was never able to form a strong, trusting relationship with one single preceptor who I knew would answer my questions, continue to support and teach me beyond orientation, and who I could turn to with any "stupid" question I may have. I truly feel new ICU nurses...and new nurses in general...need to develop a relationship with their preceptor(s) so they know they have support when they are thrown to the wolves. Maybe you thrived with 8-10 preceptors Ruby, and that's great for you...but please don't knock other people because they learn differently than you.
  2. sophie<3

    I hate my job... :(

    I definitely agree that I should have stayed in the OR. Sometimes when you find something good you want to push the envelope a little in hopes of something "better"...but I am glad I went and experienced the ICU because now I can say that it is not for me! I am looking into how I can expand my job but still remain in the OR setting. Potentially a nurse educator or management or something along those lines. I didn't go into the ICU hoping for 1 preceptor. I knew I would have 3 or 4 and I was okay with that. But once I got to 7 or 8, I started feeling like I wasn't progressing in my orientation. Each nurse did things differently, so each time I was with someone else I would feel like I had to change my "system". I feel like having so many preceptors was just the cherry on top...I think I was unhappy altogether and the inconsistancies of my orientation just made it easier to walk away.
  3. sophie<3

    Career path...?? MSN concentration?

    Thank you all for your input! I think I am most interested in Staff Development...I am not interested in academia as I want to stay within the hospital setting. I *almost* accepted a position at a nearby hospital being an educator in the OR at it was an ideal position for me. But after the interview..I felt the role of the position wasn't cleraly defined. I only had 1.5 years in the OR and didn't feel this qualified me for the job..despite them offering it to me. But I feel the best option for me is an MSN in Education and then follow up with CEUs in Staff Development. What are your thoughts on a Post-MSN in Administration. Or any post-MSN certificate for that matter? Is this similar to the information CEUs would give me and is it worth my time? Are you happy with your Staff Development jobs? What is your favorite thing about it?
  4. I am currently a BSN prepared Registered Nurse and am interested in getting a MSN. I am unsure of what concentration would leave me with the best options as my career progresses. I currently working in Perioperative Services and LOVE it. My ideal position would allow me to continue to work in the OR. I am back in forth on a MSN concentration in Education and Administration/Leadership. I would love to work as a Staff Development Coordinator or Nurse Educator but would also like to entertain the idea of being the Service Line Manager (Patient Care Manager) in Perioperative Services. I know many people transition between roles and often experience in a specific specialty can open many doors within itself. If I go the more "administrative/management" route in my education..will I still be a good candidate for Staff Development and Educator roles or should I go more for Education route and then with experience and advanced roles...eventually seek opportunities in management if I choose to? I don't want to limit myself because I am truly interested in both roles.
  5. sophie<3

    I hate my job... :(

    Thank you! It was one of those tough decisions that felt like 1000 pounds was lifted off my shoulders once I went through with it. I am blessed to have a job to go back to and great managers in the OR! you should look into OR! I had ZERO OR experience...I worked in oncology and NICU when I applied for the OR job. Find a hospital that offers an OR internship or periop 101 program where they want brand new nurses or nurses without OR experience. I trained for 6 months and it gave me the foundation I needed. It's a whole different world but I don't really love the bedside interaction as much as other people. I have good relationships with my coworkers and I don't give meds or monitor vitals or any of that. But I get paid the same, if not more than bedside nurses because I take call and pick up OT! I was at the end of my rope ready to leave nursing and luckily I didn't because there is an area for everyone. If you aren't happy..branch out. Do case management...catch lab...IR...go back to school...do outpatient surgery if that's your thing. I love the air because I get to work 7a-5p 4 days a week. And unlimited OT when I want it. When I pick up shifts I always pick up 9a-5p or 9a-3p. Rarely any days or weekends except for occasional call shifts! Let me know if I can help!
  6. sophie<3

    ICU to OR?

    I am an OR nurse who recently transferred to ICU and now coming back to OR. I love the OR! Would love to answer any questions you may have :)
  7. sophie<3

    Leaving Nursing for Another Career

    My mom and I (both nurses) have discussed opening a bakery/coffee shop...she will bake and i'll manage the coffee. we would have bookshelves with tons of books, comfortable couches, fresh flowers, and soft music. SO OPPOSITE of nursing! hahaha IF only!!!
  8. sophie<3

    I hate my job... :(

    Ruby Vee...I have not spoken to anyone regarding future career plans. I did my research before transferring and know that it never looks good to view a job as a stepping stone and be vocal about it. Managers don't like that...your coworkers don't like that...so I just kept quiet and planned to bring up my goals after I gained some experience. I think it was just not a great fit from the beginning...But that does make sense! Thank you! Horseshoe...you know, you make a valid point. It is something that has weighed heavy on me and on Sunday morning I woke up with a strong feeling that I needed to walk away from this job. I feel that CRNA was a realistic goal...something I could have achieved if I had stuck with that plan... but at the end of the day, I wasn't enjoying critical care nursing and that's the foundation for becoming a CRNA. I discussed with my family and thought it over for a few days and that gut feeling remained. I gave my resignation today for the ICU position. No hard feelings...I didn't discuss the disorganized orientation or the number of preceptors, etc...just explained it wasn't working out like I had hoped it would. My manager and I parted ways respectfully and I feel a weight has been lifted from my chest. I have already made arrangements with my OR manager to come back to work next week. Luckily my position in the OR is still there. Some people will say the OR "ruined" me..."it's not REAL nursing", "you only count sponges" etc, etc. I've heard it all...but at the end of the day, it's where I am the happiest and I am lucky to have found that. I don't know where the career path will take me from here..I plan to go back to the OR and work for a little while and give myself some time to decompress after this ICU experience. Next year I may pursue travel nursing and later enroll in an MSN program for either Clinical Nurse Educator or a Nurse Management position and continue this journey in the OR. I am a little sad to walk away from the CRNA profession...but I feel good moving on because I know in my heart is wasn't for me. Thanks for everyone's advice! I am content with the way my dilemma turned out :)
  9. sophie<3

    I hate my job... :(

    I appreciate all of your individual input. I guess it's more of the orientation as a whole that's got me down. I have been at the same facility for my entire career and this is the only setting where I have felt like I'm not getting the most bang for my buck. I know I won't see or do everything on orientation...I simple want/need a foundation and that's where I feel I've been shorted so far. I've invested a lot of time with classes and online training (ECCOs, anyone?) outside of my typical shift and I feel I've put in a lot of effort to be successful on my own time. I worked hard to get this job and despite setbacks I have still pushed through the craziness. But I can only learn so much without the exposure firsthand. I've spoken up at every progress meeting..everyone on my unit knows I need higher acuity...but there's always some reason...so and so had this patient yesterday or you can help admit if a trauma comes up. I feel like I'm getting the scraps..the assignments other people don't want to do. They don't wanna get pulled so they pass that off on my preceptor and I for my "experience"...they don't wanna admit or take a fresh liver transplant so that's also passed off. But the patients I need to take...the patients I'll have when I'm on my own, no one offers those opportunities. Maybe it's just me....but I feel I've taken it all with stride so far. Unfortunately as I mark another day off my calendar the anxiety is setting in that I will have not even met the basics. In my last progressive meeting I asked my manager and educator what would be the plan if I wasn't comfortable at the end of orientation or if there were still several things I need to see/do. They said they could give me another week. Thanks? I guess. Haha i don't expect anyone to hold my hand through this experience. i just want to meet the basic standards I see other orientees meeting. Just because I can hang propofol drip and suction an ETT and remember to pass my meds on time doesn't make me an ICU nurse anymore than a nurse pulled from acute care who could do those same tasks. I don't want to feel pressured to be "on my own" before I'm ready just for the sake of them needing a body to fulfill a shift need. That's how unsafe practice occurs and people die and lose their jobs. Just my 2 cents. Thanks again.
  10. sophie<3

    I hate my job... :(

    Been there... Thank you! That's how I have been feeling. My educator has her FT role with orientation for new nurses hired facility-wide and she also is the educator specifically for the trauma/surgical services...my managers continue to apologize on her behalf and say she's stretched thin and stressed, etc. I can sympathize...I can visually see she has a lot going on because she always looks frazzled and overwhelmed. But at the end of the day...I have to look out for me. My license depends on it. I will be making a list and having a conversation with my manager soon. I know I am smart and I could be successful, but I deserve an adequate orientation or I am only putting myself at risk. Thanks for your input!
  11. sophie<3

    I hate my job... :(

    Wheaties...it took awhile to get there! I was researching elementary education programs (trying to leave nursing altogether) when I applied for the OR job. I remember telling myself that if I hated the job in the OR I would gracefully walk away from nursing and do something else. Luckily, I found my fit! There are so many areas of nursing out there to stay in one that you don't enjoy. I know I will never be an acute care nurse...step down units, psych, OB...not for me! I was lucky to not have kids or a lot of financial burden so I could change jobs easily and adapt to changes in schedule so I could find something I didn't dread doing everyday. I don't know if I'll continue with ICU nursing...the bigger picture of CRNA still stands but I also think I would enjoy being a manager or do something with education/staff development. Time will tell! I hope you find your niche :)
  12. sophie<3

    I hate my job... :(

    NurseGirl...that's the thing! My unit has had high acuity patients but the regular staff usually take those patients leaving few options for others who have orientees or students.
  13. sophie<3

    I hate my job... :(

    I think I phrased myself wrong. I am not looking to take the sickest of the sick patients to prepare me for CRNA... that would be ideal to prepare myself but I'm thinking of the here and now. I simply want sick patients so that I am exposed to it before being cut loose on my own as an ICU nurse. This unit is busy..Level 1 Trauma center that takes any big surgery fresh from OR and any trauma straight from ED. It seems that out of the 12 patients on the unit, an orientee needs the exposure of ANY sick patient and there are several to choose from any given day. But when making assignments, I did not agree with being pulled to progressive care or taking the 1 acute care patient. I am there to learn to be competent in this unit with my license on the line...and I feel that I am not getting the best opportunities to learn. We were pulled because no one else would agree to go...my preceptor tried to spin it into a positive because they are pulled to progressive on occasion so at least I could experience it now...but you have to have been there for 6 months off orientation before you can be pulled. I didn't complain, just didn't agree with that assignment. The downgraded patient, that happens...but we didn't pick up another patient, we weren't even set up to admit. We were basically just taking an easy day. Just a little disappointing because it felt like a wasted shift. I think I am worried I won't be practicing safely because the acuity of patients I have been assignment have been maxed at vented/sedated on propofol and fentanyl drips. I came to the unit wanting a great experience and it's left a lot to be desired in all aspects. I'm currently looking at my options....
  14. sophie<3

    I hate my job... :(

    Sorry this is so long..............I have been a nurse for almost 5 years. I started in oncology and it was just okay...I didn't love it but knew it wasn't home for me. Had my dreams set on NICU and couldn't wait to get a job there. After a year and a half in oncology I got a job in a Level III NICU. Spent about 9 months there...hated it. Dreaded work, knew it wasn't for me, and I wanted out. At this time I thought I maybe I would leave nursing altogether. I was discouraged because other people loved their jobs and I didn't love mine. Maybe that meant I wasn't supposed to be a nurse afterall. I decided on a whim to apply for a position in the OR. It was a different type of nursing so maybe that was more my style. And I loved it...I enjoyed my coworkers, I felt comfortable, I was happy. Then I started to get an itch to go back to school..to do MORE with my career while I was still young. I considered NP..but couldn't imagine leaving the OR setting...so I thought I would be a Clinical Nurse Educator in the OR...or even a manager one day. Then I started thinking CRNA...I worked side by side with them every day...I had seen A LOT of what the job entails and it looked challenging. All the CRNAs seemed very happy and it made me feel inspired that I could do it. I applied for some jobs and landed a job in a Level 1 Trauma/Surgical ICU. I'm still on orientation and it has been a struggle...the transition from OR to ICU has been huge...I have been faced with the reality that I am rusty on everything to do with bedside nursing. But I've stuck it out almost 3 months and my orientation ends in about a month...but I don't enjoy this. I miss the OR and every day want to go back. I love to learn and love to be challenged but I feel like my unit hasn't been very conducive for the best experience. First of all..in the 3.5-4 months I will be on orientation, I will have had 8 PRECEPTORS. I have been tossed around and of course everyone does things differently. That alone has been the hardest part. Secondly, my educator has been all over the place. She makes my schedule..only 2 weeks in advance so I never really know how to plan my weeks, she keeps adding and changing my class requirements..just when I think I am done, she adds on another class or requirement that is due shortly after she tells me. My managers have apologized on the educator's behalf saying she is "stressed" and "stretched thin"..but no one really seems to be supporting me?! I don't feel like I can go to anyone and say "hey..I am not getting a great experience"....and lastly, I have been planning on working nights...I worked nights on the floor and in the NICU and I know it's a better place to get your feet wet. And financially, I need the money as I took a pay cut to come to the ICU...Now they want one of the orientees (3 of us total) to go to dayshift when we are off orientation. Financially...I will not be able to afford this..I will have to pick up OT or pick up in the OR. And for my sanity, I hate dayshift in the ICU. I feel like I just run all day long and can't keep my head above water. I am just so disappointed in this experience. I feel I have learned SOME but I have only had 2 patients on pressors and that was my first 2 weeks on the unit. My preceptor and I have been pulled to another ICU and to progressive care. I have spent a whole shift with 1 patient who was downgraded to acute care and we never picked up another patient. I have admitted 3 or 4 patients, all who were stable. This isn't teaching me anything!!!! I need sick patients so that when I am alone..I feel somewhat capable.I'm so frustrated and while I still want to be a CRNA...maybe I don't want it bad enough. I can still see myself as a manager or Nurse Educator in the OR and being happy. But this is just frustrating beyond belief. Should I go back to the OR, stick it out, or look for another ICU job completely? Please advice....
  15. sophie<3

    TSICU

    I recently accepted a position in a Level 1 Trauma Surgical ICU. I am very nervous as I will be transitioning from the OR and am a bit rusty on my basic nursing skills. Can anyone give me some advice on what I should read over to help prepare myself a little better? i would love to hear some skills/topics that are commonly seen/used in the TSICU. I know they will give me a foundation but I want to start sooner rather than later to try to get up to speed! Thanks!
  16. sophie<3

    from OR nurse to ICU nurse

    Hello! So I'm about to make a big life change. I have been a nurse for over 4 years but have spent the last two years working in the operating room. So I'll be the first to admit I am RUSTY and I have a lot of catching up to do.I accepted a position in a Level 1 Trauma/Surgical ICU and I will be transferring in 6 weeks. I am very nervous but excited for the challenge. I will have approximately 12 weeks of orientation and I want to make the most of this time...but I also want to prepare now for getting my mindset in check. Any resources/tips/advice? I know this topic has been discussed but I am not only new to the ICU and new to trauma/surgical but also feel I am back at a new grad (or lower) level! Thanks in advance!