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CLTnurse13

CLTnurse13

Critical Care
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CLTnurse13 has 3 years experience and specializes in Critical Care.

CLTnurse13's Latest Activity

  1. CLTnurse13

    What to get after MHA?

    I am currently an assistant nurse manager of an ICU. I have my BSN, and I am halfway through with my MHA. I hope to advance to the manager level after I finish my graduate degree. I am already thinking about whether I want and/or need a doctorate level degree. I have heard that some hospitals, particularly those with Magnet recognition, prefer senior nursing leaders to have an advanced nursing degree vs a MHA or MBA. Is that true? Should I try to get a DNP in nursing administration? If so, are there any DNP programs out there that would take my MHA into consideration to help avoid redundant course work? Is a DNP worth the cost and time to make myself more marketable? Thanks!
  2. CLTnurse13

    Check-In 2015 Spring New Nurse Managers

    Hi MBARNBSN! I have completed my 4 weeks of orientation to my position that is akin to ANM on my floor. I was able to orient for 2 weeks on nights and 2 weeks on days to meet some of the physicians, staff, and to get a feel for both shifts. I will now be returning to nights permanently. So far, I am really pleased with entering the management field. I am hourly instead of salaried, so I am getting 10-15 hours of overtime a pay period simply going to meetings and doing office work in addition to working my shifts taking care of patients and being the charge nurse. My manager is really appreciative of her ANMs and other staff, so I really enjoy working with her. I was granted home access to all work programs, including the EHR, so I find myself doing audits from home quite a bit. But even still, my manager has insisted that we get paid for all work done from home. It has been a steep learning curve transitioning from ICU to med/surg. I am maintaining my ICU and ACLS competencies though by working PRN in my former unit. The rapid response team loves that I am in charge on this unit because it helps them out a lot and avoids a lot of calls to them (i.e., when to call the doctor; having an ICU-trained supervisor carries a lot more weight than a staff med/surg nurse; how to set-up chest tubes, etc.). We are short-staffed on nights by 2-3 nurses most nights, so I do have to take anywhere from 2-5 patients a shift, in addition to being a resource for my staff, dealing with patient/family complaints, communicating with the house supervisor, answering phones/call bells after the HUC leaves at midnight, etc. So far, I have not had any issues with staff questioning my knowledge or critical care judgment/skills. No one has disrespected me based on my age. However, I have had to counsel a couple staff members on appropriate behavior/professionalism or policies relating to pain medicine, etc. It has definitely been a great experience, and I am excited to put the time in over the next couple of years so that I can hopefully advance to house supervisor, nurse manager, or some other role.
  3. CLTnurse13

    First Management Position

    Hi KBICU, my last day in my ICU was Saturday, and I start my new position on Monday. So I will let you know how it goes! I'm excited regardless and think it will be a good transition.
  4. CLTnurse13

    First Management Position

    Thank you so much. I will definitely follow your advice. I especially like your point about requiring accountability from the very beginning. I will also check your book recommendations out. Thank you again, SummerIsMyFave2.
  5. CLTnurse13

    First Management Position

    Thank you so much for your response, MBARNBSN! I have read some of your other posts in this forum, and I truly appreciate your feedback. I am excited about this opportunity, and your words of advice and encouragement will definitely be taken into consideration and practice!
  6. CLTnurse13

    First Management Position

    Hello everyone! I will soon be transitioning into a new role on a new unit within my hospital as a "Nursing Unit Supervisor." From reading other people's posts, I believe it is similar to the role of an assistant nurse manager. For example, I will function as a permanent charge nurse, but I will be taking patients, delegating admissions and discharges, scheduling, doing performance reviews, etc. I will be one of four NUSs, and I will be working on night shift. I will be leaving the bedside as a critical care nurse to work on an adult medicine floor. What advice or suggestions do you have for making such a transition from critical care to med/surg? I think it will be hard for me to not be able to put in a lot of orders based on protocol and standing orders (EKGs, ABGs, labs, etc. for critical situations). Also, nurses on medical floors do not take patients on pressors, BiPAP, etc. They are not allowed to insert PIVs or do sterile central line dressing changes. I am still a relatively new nurse with only 2 years experience (in critical care). Do you think I will encounter older and more experienced nurses not willing to listen to my advice or suggestions? I get along very well with older and experienced nurses in my current setting, but do you think respect will be an issue when I assume this role as NUS? Do you think my experience as a NUS on a medical floor will help me to return as a NUS in critical care if I continue working PRN in the ICU? In the long term, I would like to advance in the ranks of management. How do you manage taking patients and being available as a resource to patients, families, staff, and physicians... as well as performing supervisor responsibilities? Do you have any other advice such as how to become a respected member of this new team? Do you think it would be appropriate to ask the staff nurses to come to me first before calling the rapid response nurse as I have critical care experience? Thank you all for your feedback!! This is a huge transition for me in a lot of ways, and I will freely admit what I do not know.
  7. CLTnurse13

    ICU to Med-Surg?

    Thanks for your feedback, Lev
  8. CLTnurse13

    ICU to Med-Surg?

    I searched the forum, and I found plenty of topics about med-surg nurses transitioning to critical care nursing, but I did not find any topics about the reverse. I have been an ICU nurse for nearly two years, as I was hired immediately after graduation to work in the ICU. I previously worked as a CNA/tech in the same ICU for 3.5 years while attending nursing school. I have never worked on a med-surg floor as nurse, but I am strongly considering the possibility of transferring out of the ICU to take on a clinical supervisor position for a medical floor. I LOVE working in the ICU, and I know there will be many new and unique challenges to working on a medical floor. However, I look forward to being able to communicate and educate my patients in a different setting. I was wondering if anyone had any advice about this sort of transition, i.e., from ICU to med-surg nursing or ICU to clinical supervisor of a medical floor. Has anyone ever experienced this transition? Would it be possible to continue working PRN in ICU to maintain my ICU competencies in case I ever wanted to return to ICU full-time in the distant future? I worked very hard to learn just a PORTION of the skill set of critical care, and I think it will be a valuable asset as a charge nurse on a medical floor, but I certainly realize there will be a very different skill set to learn there as well. Thanks for your honest feedback.
  9. CLTnurse13

    Mayo Clinic Summer III 2012

    Surgical-Trauma ICU/PCU :)
  10. CLTnurse13

    Mayo Clinic Summer III 2012

    I got my packet at home today, but I can't look at it until this weekend. When I called Mayo on Monday, they said we can fax the forms to 507-266-3168 ATTN: Latasha Perkins.
  11. CLTnurse13

    Mayo Clinic Summer III 2012

    I just called again today, and she said we should be getting it any day now...
  12. CLTnurse13

    Mayo Clinic Summer III 2012

    @sunnycalifornia My status says "Interview" as well, so I called Brandy, Latasha's assistant today, and she said that they mailed my acceptance package Wednesday afternoon. She said I would receive it tomorrow or Monday. So I think that everyone who has a status of "interview" was accepted. @coonkine Sweet! Thanks for creating it and adding me to the group!
  13. CLTnurse13

    Mayo Clinic Summer III 2012

    Hey everyone! I just found out today that I was accepted into the Summer III program! I'm definitely looking forward to it. We should start a Facebook group for those of us who will be participating to get to know each other. :)
  14. CLTnurse13

    Med aides giving insulin

    In my facility everything is pretty cut and dry. The hospital recently initiated a "pilot" ICU drip which means that all patients who do not pass confirmatory screening must be put on an insulin drip. We use an online calculator to figure the dosage changes, but basically, their target range is between 101-150. For the first 24 hours, we check their BGL q2. The nurse changes the drip dosage accordingly based on the calculator for the pilot gtt. If the patient maintains the target range for 24 hours, we then check their BGL q4. I do not see what is so hard about doing CBGs, as long as you do it according to proper procedure.
  15. CLTnurse13

    Med aides giving insulin

    As a CNA in a Med-Surg ICU, we do CBGs, calculate the new insulin dosage, and report it to the nurse. We do not, however, change the drip ourselves.
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