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Schuur451

Schuur451

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Schuur451's Latest Activity

  1. Schuur451

    How does your unit orient new nurses?

    Hello everyone, I'm working on a new mentoring/orientation model for our ICU/CCU. We are still in the assessment period; defining mentor, assessing what the role will entail, assembling resources...I'm hoping to begin a formal mentoring program where core staff are assigned to new nurses based on personality/clinical interest. The core nurse would be responsible for making sure that clinical competencies/skills were adequately addressed, and also be a general resource person for that new nurse. In my thinking, the mentor would also be a social support for the new nurse, and help them to "fit in" to our unit. What I'm wondering is how other critical care units orient and mentor their new staff. Do you assign one preceptor/mentor that guides the person through their first months? Is there a formal mentoring program in place? What has worked for your unit in terms of achieving rapid clinical competency and also helping new nurses (especially new grads) feel like part of the team? Mostly I'm just interested in what the practice is in different hospitals. We have had several of our new people express frustration that they didn't always have a "go-to" person who could answer their questions and provide guidance. Any information would be greatly appreciated!
  2. Schuur451

    EKG Interp. and Axis

    I'll have to check out the book. I had a slow night last night (only one patient), and spent a great deal of time on learntheheart.com. Awesome site. I went through every EKG on the floor, did a few of their case studies, it was good. Just like with basic EKG interpretation, I think I just need to see more of these patterns before it becomes second nature.
  3. Schuur451

    EKG Interp. and Axis

    How many CCU nurses out there know how to determine the electrical axis of an EKG? Do you feel like this is an important part of EKG interpretation? If you feel like it's a good skill to have, do you have any tips/ways of understanding it that you could pass along?
  4. Schuur451

    ICU or OR; pros and cons of both

    Great post, Poetnyouknowit, I'm glad you gave a good surgical perspective. And yes, one patient, who is asleep is a HUGE...let me say that again HUUUUGE!!!!! pro. I'm just done working my weekend, and it was a doozy...
  5. Schuur451

    ICU or OR; pros and cons of both

    OR is very narrow in scope. Unless you go advanced practice, you'll probably only be a circulator. You work closely with the docs in some ways, but you won't learn much about disease management. In ICU you are more indepedent, work closely with docs on a variety of patients, and learn more long-term management.You learn a lot more critical thinking (in my opinion), and learn more of what you need to move out of bedside care into a more independent role. Surgery, like OB tends to limit options if/when you get sick of it. If you want broad experience, go to a MICU or SICU. A SICU (surgical ICU) could be a good option for you if you're interested in surgery. Unless you want do surgery forever, I would not start there. I guess I should disclose that I work in a CCU/MICU. So I'm a little biased :)
  6. Those numbers are right in line with what I've been seeing in the Omaha area.
  7. Schuur451

    Married on active duty

    Thanks everyone. We've got some more thinking to do, but this helps.
  8. Schuur451

    Married on active duty

    Man, I'm glad I found this forum. My wife and I have been talking about the potential for me to join the army as an active duty nurse. I will be graduating soon, and since the job market seems somewhat iffy where we are living, I looked into the army. I have a couple of questions for all of you married people. What is it like to be the spouse of someone in the ANC? I've read on other threads that chances of deployment as a new graduate are lower because we are classified as medical/surgical, is that true? Is the tuition assistance/loan repayment, experience, and training worth the sacrifice of being in the army? My wife and I are both excited about the experience and financial help I could get by going the army route, but she is very concerned about me being gone for long periods of time. If these questions have been answered more completely on other threads that I missed, please point me in the right direction. Thank You.