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JulieCVICURN

JulieCVICURN

Registered Nurse
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  1. JulieCVICURN

    Obamacare and Informatics

    First off, yes, OR experience counts just like any other. In fact, in my department we have had difficulty finding someone with expertise in that area and would welcome it. Some of the biggest informatics challenges come from periop or procedural areas, especially with regard to transition of care. Second, the government funding mentioned is ARRA, or Meaningful Use. It's far more complicated than hiring an RN to submit paperwork. There are certified EMR platforms that must be implemented, workflows that have to be designed to gather data in exactly the required way, and reporting structures that must be put in place. My team has been working on this in our facility for 3 years and only just attested for the first time 2 weeks ago. Now we begin the uphill battle to continue to meet the criteria, which only gets more intense at each stage. If you really think you want to do informatics, learn all you can about it before you make the leap. It's not for everyone, but I have never loved a job like I love this one. I am a clinical informatics specialist, formerly a cardiac ICU RN.
  2. JulieCVICURN

    Curious with nursing informatics specialty to new grada

    I have seen both sides of this. I think it should be required to have nursing experience, particularly in a hospital setting, to specialize in informatics. So much of what we do is about making the technology work for the workflow, and adapting the workflow when technology requires a change to the workflow. It's just a really difficult thing to do if you haven't had some sort of clinical experience. You really need to understand the frustrations and challenges so you can think through the solutions. Having said that, I don't think it's impossible for someone who is a really good critical thinker and a go-getter to learn the ins and outs of the practice and be a great informaticist. You'll have a hell of a lot of extra homework to do. From day one on the job, I'd be putting on scrubs and shadowing for at least two weeks in every clinical position in the facility. And even then, I don't know how it would go. I know some really good HIT people who were techs, or pharmacists, or counselors, but I have yet to meet one who didn't come from some healthcare experience before moving into informatics.
  3. JulieCVICURN

    Tool for people working with McKesson iForms

    It says "There is a problem with your tokens. Please try again"
  4. JulieCVICURN

    Tool for people working with McKesson iForms

    Nathan, I signed up but am having trouble-it says there's a problem with the token. Can you help?
  5. JulieCVICURN

    Why are some nurses not grateful for my job?

    I must have worked in an unusual unit, because I can honestly say I'm surprised to hear that anyone doesn't appreciate a patient sitter. We got them so rarely and needed them so often that we treated them like gold.
  6. JulieCVICURN

    Why are some nurses not grateful for my job?

    Maybe you're taking it too personally. Perhaps the comment was in regard to that particular patient and not that a sitter isn't necessary ever. I've worked ICU, and believe me, when we have a patient who needs a sitter we are super grateful to get one. Based on what you posted, it seemed to me like the conversation was belittling the patient, not you. Either way it was inappropriate.
  7. JulieCVICURN

    Is there EPIC class for individual RNs

    I'm curious why you chose Epic. Are you sure you'll be working in a facility that uses it? My facility uses McKesson, the one across the street from us uses Meditech, and the one 20 miles away uses Cerner. Also, these applications are very user friendly. We only give employees about an hour of training before we let them loose on the computers. There's not really a huge need for any sort of certification or intense training if you're an end user. Even our superusers don't get much more than an hour of training plus some additional training in coaching techniques.
  8. JulieCVICURN

    do you have to be strong to be a transporter?

    Just normal strength with no issues like back problems should be able to handle it. I'm not particularly strong even though I'm not a 100 lb girl (I'm a bigger girl than that!), but those carts are in general pretty easy to maneuver and push around. Yes, even with a big fattie on them. I was able to push 400lb patients on enormous airbeds around the hospital for tests with only one other person to help "drive" so we didn't run into walls when I was working the ICU. As a transporter, you probably would mainly deal with the Stryker carts.
  9. JulieCVICURN

    Made an error :'( unable to move on

    Ha! I have done exactly this too! Boy, was I embarrassed.
  10. JulieCVICURN

    was i unprofessional? (quick story)

    It was unprofessional. It seems perfectly logical to me for the CN to load herself up with patients so that she doesn't have to take an admission, because she's got additional responsibilities. One of the most time consuming aspects of patient care is doing admission/discharge duties, so setting herself up to avoid that possibility is not only appropriate, but efficient and smart. The CN, even if you think they don't have many additional duties, is held responsible for knowing the status of her entire unit at all times, not just her own patients, and has to be able to answer for any incidents that occur on her shift. Many places have CN roles that don't take any patient load at all.
  11. JulieCVICURN

    Made an error :'( unable to move on

    The doctor is an ass for shaming you that way. If I had a dollar for every time I called a doctor before I realized I already had a PRN (when I was new), I'd be able to buy dinner at Outback. Cripes. Nurses are busy enough, of course you're going to make mistakes. Yes, it sucks and you feel bad, but it's not worth beating yourself up over forever. I once overdosed a patient on coumadin. I felt horrible about it, but the patient didn't suffer any lasting effects and you know what? I'll NEVER do that again. My manager told me that she believes that sometimes these things are good (especially when they don't cause real harm) because we learn so much about what not to do from them.
  12. JulieCVICURN

    Showing off my vent experience

    I would just highlight that you have extensive experience with vent dependent patient, including ventilator troubleshooting, if that's the case.
  13. JulieCVICURN

    Living with poo

    Two things - you are a little overly worried (just a little, though, not crazy) and your coworkers seem to have some pretty careless, disgusting behaviors. Bleh.
  14. JulieCVICURN

    Mandated Flu vaccine?

    At our facility, when you show up for your free mandated flu shot there is a paper that you fill out that asks if you had a reaction before. You can check yes and a box that says "Refused due to allergic reaction" and you're allowed to refuse. I can't believe that other facilities don't allow for that option - it would be abusive and foolish to require someone who truly has an allergy to something in the vaccine to take it. And my facility still allows you to work. It's not that big of a deal if a few people don't get the vaccine, and the mandate minimizes the number of people who don't get it. I find that I often feel a little sorry for people who have nothing better to do than to make a big straw tiger out of vaccines. i suspect that there are a very small number of people who have a valid reason not to get vaccinated, and a HUGE number of people who just aren't happy unless they have some sort of drama or dilemma in their lives.
  15. JulieCVICURN

    New RN worried about confrontations

    In most institutions there's a behavioral reporting structure for situations like a doctor treating you the way you describe, so if you're not comfortable confronting them, use the hotline/reporting. As far as other nurses go, you just have to have a backbone. There's no other way about it. Sure, you could report the meanie nurse to your supervisor, but that's not going to change the situation and it might even turn others against you. Politely but firmly stand up for yourself, and depending on the situation make it clear that you are a professional and you treat people with respect and expect the same in return. You should also do this with the doctors, but I can understand how when you're new it's a little intimidating. Just remember - the doctors are NOT your boss in terms of your employment, and you won't get fired for politely sticking up for yourself with them if you need to.
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