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Jackfackmasta ASN, RN

Adult ICU
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Jackfackmasta is a ASN, RN and specializes in Adult ICU.


Jackfackmasta's Latest Activity

  1. Jackfackmasta

    Not sure what to do. Licensed RN working as tech.

    I worked as an ED tech and at one point I was interviewing for ICU jobs and did not get the call back for the first 2 places I interviewed for that I thought I had. I did not like the management at my hospital but was desperate for a job and asked my manager who was still mad at me because I would not commit to their ICU after I took their critical care classes he didn't want me to attend unless I stayed but the educator said I could. I was blessed that I finally got the call for my dream job shortly after and love my job. I realize know had I stayed I would have been miserable. I did not like the management and the way I was treated. I was an excellent tech and did not want to work in that environment as a nurse. If I were you I would not stay at the hospital. They sound like my managers who don't want me. The disciplinary action means you're pretty much done. You need to look else where. Management isn't gonna change because you're and RN. If they are not working to keep you then they don't want you. It will be tough searching for a job but don't give up.
  2. Jackfackmasta

    What can nurses do to be more happy in their career?

    Turning the air conditioner to freezing then watching a scary show all by my self with my dog next to myself at midnight snacking on popcorn:cheeky:
  3. Jackfackmasta

    Anyone applied for an Internship for Scott & White, June 2012?

    It's a wonderful internship and the staff are amazing. I love working here.
  4. Jackfackmasta

    When a patient states "something isnt right..."

    I had a patient with a brain bleed who was still intubated but other wise stable after the bleeding stopped. Her neuro side had improved. In report the nurse told me she had desaturated for no reason down to the 80s but came back up quickly. Then she desaturated once when they were turning her but other than that she had not done it again. VSS. I had her the two days before and her desating for some reason I felt like something was not right. We were repositioning her an hour into shift change before she desated again but came right back up. The doctor did not think anything of it because we were moving her but I kept talking to him that there's something wrong and we need an x ray and abg minimum. I'm glad I pushed him because she slipped into ARDS that night. Family pulled support the next day. This was my first incidence of gut feeling. My preceptor had told me it was probably from moving her but the fact she desated twice during the day shift and never before alerted me to something was wrong.
  5. Jackfackmasta

    So...you've had a bad day?

    My worst day was yesterday. My patient came back from IR in the middle of shift report with a emergency lumbar drain only to find there is not one lumbar drain on the unit. Central supply sent the wrong set up and needed to order another one while my patient has neuro changes while the transfer nurse for my other patient keeps calling me and the unit asking when I'm going to call report and send her upstairs. I tell him I have a critical patient that needs to be cared for first and meanwhile we're on the phone with the doctors because their orders make no logical sense and through all the umms and well and changing his mind 5 times about where he wants the lumbar drain my patient is having delay in care. I get another call from the tranfer nurse after I get my other one hooked up to drainage telling me she needs to be up by 1100. Its 1000. Im working on it. I work frantically charting her assessments and then meanwhile I have not charted a thing on my other. Take my patient up. Getting dirty looks from everyone. Come back down and told they called the charge stating no tranfers after 10am. Not what the nurse told me. New policy not written but coming. My lumbar drain patient also has meds every 2 hours and is rolling around in bed with no care that she has a drain. I get her settled and yes! I have one patient and I can chart now:). Charge then tells me 10 minutes later I have a patient coming in 15 minutes. I go and get the room set up and get my patient and the time is now 0200 and between doing all the ICU orders and settling my patient's I was about to loose my mind because I had not charted a thing until 430, My team helped me and I go out on time but jesus I had never gotten so behind. I could not sit for 10 minutes without an alarm going off or med was due. Plus I they were both contact patients. Did I mention this was my 3rd day off orientation in a level one STICU? I love my job!
  6. Jackfackmasta

    Anyone applied for an Internship for Scott & White, June 2012?

    Google Scott and White Nursing Internship and in the results there should be a PDF link that will send you to it. I can't open it so I don't know if its running and the website does not have the link or info. I would recomned e-mailing one of the nurse recruiters or calling to get more specific information. I do not know anything about next cohort so you would need to call or keep checking back on the site. Hope this helps
  7. Jackfackmasta

    8s vs 12s; night shift or day shift?

    Personally I have rotated days and nights on orientation at a level 1 ICU and have to say prefer days for orientations to learn and get a feel for the devices and people however I would say nights is better off of orientation because its slower and allows you to focus on your work and gain your confidence. Day shift can be very hectic and night allows time for teaching and showing so when you get your first ventric you're not overwhelmed. I would never work 5 8's as a floor nurse. Maybe later in my career when I have kids and am in a higher nursing position. I love being able to go to the store and not have to fight to get down an isle and deal with rude people who act like they don't see you standing there waiting to pass......
  8. Jackfackmasta

    Am I being offered a fair pay?

    Austin is BADLY saturated with new grad nurses so it is very hard for people to get jobs here therefore desperate nurses mean less pay. People live in Austin for the beauty not the pay/traffic. Seton Brackenridge pays the most and offers most opportunities for professional growth and pay but is hard to get in and has to open a new hospital. Your pay is about the same as a new grad ICU nurse. You can go to Scott and White an hour a way they are in need of ICU nurses.
  9. Jackfackmasta

    Common nicknames for hospital items.

    The fish bowl= Admissions The hole= Triage Bucky= our doctor Code Shakespeare= Drama Code Charlie (Sheen)= Cray person on premises Big Bertha= Big Bed Side Commode
  10. Jackfackmasta

    Volunteering at a hospital worth it?

    I personally wouldn't have quit. I worked as an ED volunteer for 1.5 years and I cleaned rooms, made paper charts, did copies, run stuff to the labs. A lot of times there was not much for me to do however I worked hard and always asked if anyone needed help. That's what got me hired. My hard work ethic. Not being a volunteer. The thing about following a nurse and watching patient care as a volunteer is HIPPA. Unless you are directly involved in the patients care volunteers really have no business being in the room. Nurses also do not have time to teach and stuff. Put yourself in the patients shoes. I would not want a volunteer in the room watching me or my nurse. Its uncomfortable and weird. I felt the same way as you at first but quickly learned its about the patient's privacy not about learning. It was my hard work ethic doing work I did not want to that got me a job as an ED tech. I had no tech experience and would not have gotten the job without volunteering. I have worked at that hospital for a little over 3 years and the experience I got as a volunteer and especially as an ED tech I could not match with school or anything. I learned SO MUCH, got confidence, felt comfortable working with critically ill patients and codes and strengthened my skills and thinking. Had I not been a volunteer I wouldn't be orientation this week for a level 1 surgical - trauma ICU nursing internship. I got a lot of bs as a volunteer and tech sometimes but it made me stronger. Everyone expects volunteers to be valued and cherished and nurses wanting to teach you. Doesn't work that way. Sometimes you have to work your way up the poll because the prize is at the end and I have my prize now doing what I love in my dream job. There are always opportunities to get into volunteering in the future but do not expect a job offer to come because of it. Ive seen many volunteers and nursing students asking the charge nurse about getting hired as a tech. None of them did get hired because they were lazy when they were there and did not leave an impression on the staff. I had 3 references from the staff that got me hired as a tech. I wish you the best.
  11. I graduated school in May and am taking the NCLEX in a couple days. I have accepted a position at a level 1 trauma-surgical ICU to start next Monday. The first week is hospital orientation and I live in Texas. I have been ordered to enter TPAPN which is a peer review thing. On my eligibility questions I had to answer yes to "have you ever been treated/diagnosed with BPP/BP." I was diagnosed that when I was 18 at college and could not sleep. My father has sexually abused me and I could not sleep. I decided to get help and my counselor at the time refereed me to a psychiatrist for meds to help me sleep. Long story short he said I was depressed. I wasn't depressed I just couldn't sleep. I was academic honor role and ran division 1 track and functioned fine. He put me on antidepressants and it made me suicidal. I tried to commit suicide and was dx with the BPP/BP. Finally I found a doctor who took me off of all the meds and I got counseling. I was able to return back to my normal self and got a job as an ED tech and started/finished nursing school with no problems. Everyone I know will tell you I'm not BP/BPP and have docs, nurses, co workers and SW who back me. BON in taxes has ordered me to join TPAPN which can put restrictions on my license. Some which can make me loose my dream job because I wont be able to function in my jpb description. I do not know what if any I'll have. I am not eligible for the GN license but If I pass the NCLEX in a couple days I will have my license to be able to start hands on patient care which is needed. The first week is orientation and BON said i can verify my license 10 business days after passing. I'm worried that If I pass I will have a hold on my license until I am accepted into TPAPN and have whatever they want on my license. That can take weeks. If that happens Ill loose my job. As a new TPAPN and new grad nurse I wont find a job. I'm in the process of finally pressing charges against my dad and I have come so far the last 15 years. Its also my 24th birthday the day I take my NCLEX. This has been worrying me all week long and I have been trying to get answers. Does anyone know if I will be able to practice under my license while waiting to enter TPAPN or am I going to have to give up my dream? Thank you
  12. Jackfackmasta

    Volunteering at a hospital worth it?

    I was a volunteer at my hospital during pre reqs for nursing school for 1.5 years. I did not do much just cleaning rooms, stocking and stuff but I did form networks and worked hard always asking to help. I was able to see codes and stuff. When I got accepted to nursing school I decided to I wanted tech experience and the charge nurse i worked with and other techs were my references to get the job there. I have been here for over 3 years and the experience I have gained as an ED tech has been unmet my anything in the nursing program. I have gained confidence, strengthened my skills, developed critical thinking and hands on opportunists with critical patients and codes that I did not have in clinicals. I would not have traded it for anything. I also would not have gotten the job had I not bee a volunteer. I had no hospital experience before that. I gradauted May and am taking NCLEX June 14th and starting my level 1 surgical trauma ICU job on the 18th. Employees look at volunteer work and tech work. A lot of them like ED techs because our training and scope of practice are bigger than other units. They also encouraged me to get my ACLS/PALS during 1st semester of school and it helped me to anticipate things in codes. I say go for it and utilize it. Don't be a lazy volunteer though be the hard working one and it can open up doors like it did for me.
  13. Jackfackmasta

    Stuttering? I am getting a bit down by it...

    I am hard of hearing and am waiting to sit for my NCLEX. During 3rd semester I did a rotation on a PCU and my primary nurse was the charge nurse and she stuttered. I worked along side her and she would stutter several times but would not stop and apologize, she just kept on going like it was nothing and the family/patient just went along with it. She worked in a trauma ICU before working there. Being hard of hearing people ask where I am from and I tell them I am hard of hearing and they are shocked and I just move on. I've learned that ultimately people may look at you in disbelief at first but ultimately it is your work ethic and your care that people ultimately judge you on. Every unit I did rotations on the nurses were kind of shocked by having a hard of hearing student but they quickly got over that and saw me for my skills and knowledge that I brought. I rotated through ICU and worked on codes while other students stood back scared. I work as an ED tech and will be starting a level 1 trauma ICU position in a few weeks. I will encounter the same problems of shock by people who have never seen a deaf nurse but I know ultimatly its your skills and compassion and the way you care for your patients that you are judge on. Don't focus on your stuttering. If they ask tell them yes I stutter and move on. Most people don't ask about my hearing unless they know someone or have a deaf child. Alot of my patients find comfort somewhat in knowing that. You can't change that you stutter or that some people will have issues with it but you can great nurse. :hug:
  14. Jackfackmasta

    Did I do the right thing?

    I am not an EMT. I have been trained as a ED PCT. We have never been trained on that though before. I have graduated nursing school and am sitting for NCLEX on the 14th. The other tech that did it was a newer and was in nursing school. I just don't know if this is in the scope of a tech's practice or if the nurse should be doing it.
  15. Jackfackmasta

    Did I do the right thing?

    I work in an busy Ed as a tech for almost 2 years. I was volunteer for 1.5 years before that. I graduated nursing school last week and have accepted a position at a level 1 STICU. That being said, I was confronted with a delegated task from an RN who asked me to stabilize a arrow that had gone through this 17 year old boy's forearm with a bulky dressing. It did not hit the bone or any major blood vessels and the patient was stable. He also happened to be the younger brother of one of our admission people who we all know and love. I told the nurse that I had not done that before and I do not feel comfortable doing it since it was not in my scope of practice and required judgement. The other techs and one of our newer techs were looking at me like whatever let me do it after I refused to do it as he was telling me how to apply the bulky dressing. Was I right to refuse this delegation? I believe it was the nurses responsibility and not mine. I'm not going to be liable if something happened. I would not have delegated it if I was that nurse.
  16. Jackfackmasta

    Things I noticed as a patient...

    I used to be like you when I was a nursing student and started as an ED tech. I would see nurses not scrub the hubs all the time and sometimes meds were pushed in faster than what I remembered them to be. I soon learned that in a code situation a nurse is not going to sit there and scrub the port for 15 seconds or if its an emergency. I also know that if there is a 6'4 guy high off a 4 day meth binge with 7 nurses on top of him just waiting to rip us apart, the nurse is not going to push Ativan slowly over the prescribed time. Its going in NOW. Be careful about pointing things out because a lot of times there is a certain reason behind it and until you are a nurse you won't understand that. On the other hand I have seen lazy nurses do things with no excuse and I choose not to incorporate that into MY practice when I become a nurse unless it is something that is a threat to patient safety. I have to tell you school and working on the floor are not text book perfect. I work in an ED as a tech and will be starting a level one STICU job in June as a new graduate.

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