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JulieCVICURN is a BSN, RN and specializes in CVICU.

JulieCVICURN's Latest Activity

  1. 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.
  2. JulieCVICURN

    Tool for people working with McKesson iForms

    It says "There is a problem with your tokens. Please try again"
  3. 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?
  4. 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.
  5. 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.
  6. 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.
  7. 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.
  8. JulieCVICURN

    Made an error :'( unable to move on

    Ha! I have done exactly this too! Boy, was I embarrassed.
  9. 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.
  10. 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.
  11. 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.
  12. JulieCVICURN

    Lots of blood... starting IV's HELP!

    I'm not trying to be an ass here, but honestly it's not "normal" to get a gusher. You can improve that technique. Unless I'm using a large guage cath, I rarely get more than a drip or two escaping from me! Don't be afraid to use pressure above the catheter - it doesn't do much good to be right on top of it because while you'll compress the vein, you probably won't compress the catheter itself. And yes, yes, yes, make sure the tourniquet comes off as soon as you see the flash. And I don't mean to be Captain Obvious, but you do have your saline lock pigtail all set up and flushed first, right? Don't worry - you'll get better at it. Just the fact that you asked for help here tells me that it won't be long before you're much better at it than those who told you it was normal to have a river of blood every time!
  13. JulieCVICURN

    Help! Pre-employment nicotine test!

    Many companies have gone to policies of hiring only non-smokers. This is legal. It doesn't seem fair to be judged for what you do in your personal life, but the result of hiring smokers is higher insurance costs for companies who do so. And yes, I would not be at all surprised to see that the same rules may start to apply to the obese as they cost more in insurance dollars as well.
  14. JulieCVICURN

    ACLS Prep

    Review your cardiac rhythms. The rest of it is provided in the book for the course.
  15. JulieCVICURN

    what percentage of your job involves poop?

    No problem. Realistically, I went into nursing school doing my damnedest to avoid anything poop, mucous, or vomit related. I would have trouble not gagging, but I put on my game face because I didn't want to embarrass the patient. I literally dreaded having to deal with any of these things, and hated clinicals like the plague. So I disagree when people tell you that if you feel this way that nursing may not be for you. I think it's ok to feel this way, and I can tell you as someone who felt the same that once you start working, these kinds of things will become pretty non-important to you. Instead of being disgusted because a patient had diarrhea or vomited all over the bed or themselves, you'll ask yourself what made this happen? Why were they incontinent or is it a sign of some other issue? If a patient has thick mucous, you might still be grossed out but the overriding thoughts will be keeping their airway clear or how you might be able to help them get relief from the problem. You're never gonna love poop or mucous (once I almost made myself vomit while using a yankauer to suck a huge booger out of a vented patient's nose), but it will become a non-issue. Once your assessment and clinical skills are developed you will see these things as clues to a puzzle and not as isolated, gross events. This is the difference between a person who asks how much poop they might see in a day and a person who asks why they see that particular color of poop on that particular patient today. I have found a lot of positive on this site, but I have seen more of a tendency of people to jump on others when they show any sort of weakness. Don't let it affect you if you truly believe nursing is what you want to do.
  16. JulieCVICURN

    Just a reminder to watch what you say!

    Because it wasn't enough to give kudos, I have to quote you and say I couldn't agree more. I have to wonder if stuff taken from someone's FB, if it can be proven that they had appropriate privacy settings, would hold up in court as a valid reason for termination. I mean, if Casey Anthony can get off on circumstantial evidence, an employee with happy status trigger finger still has a chance to win!