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RickyRescueRN BSN, RN

ICU, Trauma, CCT,Emergency, Flight
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RickyRescueRN has 21 years experience as a BSN, RN and specializes in ICU, Trauma, CCT,Emergency, Flight.

South African trained RN, American Citizen & proud of it! Ambitious, driven, believe in old fashioned nursing Ethos & Professional Practice/ values. Stickler for High standards.Believe caring is the basis for being a nurse. Immediate Past-President of Air and Surface Transport Nurses Association (ASTNA.org)

RickyRescueRN's Latest Activity

  1. Myself and several other nurses have just started (2 weeks ago) our PeriOP 101 program . All of us come from other areas of nursing and have anything from 2-3yrs to 22yrs experience as nurses. We were wondering if those of you who have taken this course (been a periop 101 student) could detail how your days were set up; whether you received formal lectures ; how much of the day was spent "doing online modules" and basically what your course consisted of. This is our hospital's first periop 101 course and so both our instructors and , us ourselves would like input on how others have experienced their courses. What do you think are the strong points or the course , versus the challenges . What did you find was lacking , that you needed extra input/ teaching on. How were your modules correlated to your clinical experiences and lectures (if you got any) . Would love to hear your take on the course.
  2. RickyRescueRN

    shift preference? and pigeon-holed new grad?

    I was an ICU, Trauma & ED and Flight nurse for 22yrs and just started out in the OR, doing the PeriOp 101 course. So yes, you can totally do it; and that is the beauty of nursing. You will find a specialty to suit you in that period of your life and then can do something completely different when you so choose to. Just speaking to my OR colleagues I work with; it seems to be pretty common for many to come straight to the OR as a new grad and I can understand why. Contrary to what others might say, floor (med/surg, ICU) nursing does not really prepare you for the OR in terms of skills and tasks. The extra knowledge is beneficial , but I don't think essential for you to become a successful OR RN. Personally , I'd grab the 3 x12hr shifts if I could ; but right now I am doing 4x 10hr shifts. Best of luck in your new adventure .
  3. RickyRescueRN

    Circulating RNs with ACLS

    Most job descriptions indicate which AHA courses one needs to have as a job requirement. Most only require BCLS/CPR. Some CV service lines prefer their nurses to have ACLS and will have that stated in the job posting.
  4. RickyRescueRN

    Is it impossible to get in OR or what?

    The only OR experience I had was 2 months during my student nurse days in South Africa. Just got hired into my hospital's PeriOp 101 program and a position in neurosurgery as a scrub and circulator I'm at Stanford University Hospital. I was an ICU, ER and Flight nurse for 22yrs. I think you just have to find out which hospitals in LA offer the PeriOp 101 course as they usually either hire new grads with no experience or nurses with no OR experience (like myself). Good luck.
  5. RickyRescueRN

    sterility question

    No, once they step away from the sterile field and back into a potentially contaminated area, they are no longer sterile/ sterility can no longer be assured. They need to scrub again and gown and glove again.
  6. Personalities who should not work as flight nurses: Those who only want to wear the flight suit; those who want to take dozens of Instagram selfies of themselves and show how awesome they are. Those who are in it for themselves and how they perceive it will make them appear great. Those who only "like to care for the dying or those who need to be coded; the "sickest of the sick" and not being the type of "nursey nurse" who holds patients hands and reassures them. Arrogance, ignorance and self centeredness have no place on any flight crew. I've been involved in interviewing more Flight nurse candidates than I can remember, and the above type personalities are ones that typically don't get hired at quality flight programs. We don't want Yahoo's. We want humble, educated, experienced professional people who are mature and take their career seriously Flight nursing is different from many other specialties in that you are expected to give a lot more of your time to work in terms of shifts (24-48's) education days, clinical rotation days etc when most other nurses have the day off. Typically you have to travel long distances to the nearest helicopter base (not uncommon to drive 2-3hrs to get to work, each way; after a 24hr shift). Be prepared to sacrifice your social life and life with your family as work will take up a lot of your time. There are some flight programs out there that do 12 hour shifts (typically the hospital based/owned flight programs) where one's schedule is somewhat better, as is the pay. It would be hard to find any flight/ transport programs that pay as much as hospitals do, unless they are owned by the hospital and you are hospital staff in the flight RN role. Typically, expect to take a pay cut. No differentials if you work for community base programs (such as weekend, night, evening differentials). No education benefits such as tuition reimbursement etc. Any many of the other benefits that hospital nursing offers one. After 22yrs as a RN and 18 as a flight nurse, I finally hung up my helmet this week and embark on a new specialty in the OR on Monday. Doing this for a variety of reasons, but some of the biggest are not having to work nights, weekends and public holidays any longer; having a less dangerous/ risky job in terms of personal safety and legal liability ; being disillusioned with the growing Financial/ competition drivers of the flight industry and the pressure those place on crew members to take flights , often with little regard to their own safety despite lip service to the contrary. The growing arrogance of many crew members with little experience or sufficient education and know it all attitudes . The hours and hours or even days of sitting around doing absolutely nothing is soul destroying , especially if you are a nurse like me who loves taking care of patients and actually nursing patients. I had 2 months of night shift with only 2 flights! That kills one and destroys ones motivation and interest in work with boredom. It is seldom 12-24hours of action all the time at most programs, and when it is people burn out fast. If I could have my life over, I would most definitely have chosen the flight career , but may have exited a lot earlier and gone back to school for my CRNA. I loved my job , while it was good, busy and stimulating. Once the boredom set in, I needed to do something entirely different and hence the fact for my specialty change. My advice for nurses considering the specialty; try and get hired at a hospital based flight program (as a flight RN employed by the hospital) as the pay and benefits are much better and the hours are too usually. Search for programs that are CAMTS accredited and have a good name and clean safety record (no crashes) and who put money into their crews education and ongoing professional development. Do due diligence and make yourself the most attractive hire , by having as much clinical experience in ICU as possible, being a member of the Air and Surface Transport Nurses Association (ASTNA) , completing the courses that the program will require of you, before getting hired (Neonatal Resus Provider-NRP) and Transport Professional Advanced Trauma course (TPATC) and attend the medical transport speciality conferences such as CCTMC and AMTC where you will network with these people and potentially get a job offer. Read professional journals , listen to podcasts on critical care/ emergency medicine and stay up to date with evidence-based critical care literature and research. Best of luck! Blue Skies and Tail winds
  7. RickyRescueRN

    O' Grady Peyton International Agency, are they any good?

    Ive been in the USA (California) since 2003 as a RN. I immigrated from South Africa and to be quite honest , would not have been able to accomplish the whole move with the legalities and documents , without having O'Grady Peyton International by my side the whole way. I had several colleagues who left South Africa before me, also with OGP and none of us had bad or difficult experiences. Currently, I only recommend them to overseas friends who are wanting to make the move to the USA as RNs as OGP really takes care of everything. Living the American Dream for the past 15-16yrs thanks to OGP.
  8. RickyRescueRN

    Flight RN to NP

    Hi there, I have worked and do work with many Flight RN colleagues who either work as an NP in addition to their flight RN position or have done so in the past. My advice to you would be to first get well settled in the flight specialty as it is 100% different in terms of the environment that you have experienced before and so will take at least a year to adjust to. There will be a steep learning curve so it would be inadvisable to try and learn to become a flight RN at the same time as becoming / working for the first time as am APRN. Most flight programs will expect you to give 100% to them for the first year at a minimum and I would not even mention that you are graduating as an NP when you interview as they might not hire you for that reason. Most of may colleagues who are also NP's , were flight RN's for many years before going back to school for their Masters, so were well established in the Flight specialty already. Also, any programs will require you as a RN too work for at least 1-3 years before they would consider allowing you to take a Part time/ Per Diem position for that very reason. 99% of Flight programs will not permit you to work in the capacity of a NP, so while you will have your education behind you, you will still be required to practice at the level of the RN and remain within the program's practice guidelines / protocols. It is very common for flight RN's to go back to school for their Masters (ACNP) at some stage , but usually do so after they are well established in this specialty . Best of luck in your future endeavors.
  9. RickyRescueRN

    Tips for New Operating Room Nurses

    Love this post and all the other comments. After 22 yrs in ICU, ED, Trauma and Flight nursing, I'm getting an interview on Thursday for our hospital's 10 week peri-op 101 course. While I am excited , I'm also a bit anxious as I know that not much I've done prior will be useful to me as I enter this great new nursing specialty. Thanks for all the great pointers and RoseQueen's excellent advice and encouragement.
  10. RickyRescueRN

    Need some advice/opinions please!!

    Its most professional and courteous to let your manager know that there has been a change in your family's plans (husbands job move) and that it will affect your employment. Most managers just prefer early notice and honesty up front.
  11. Hey there, I am also an experienced (22yrs) RN looking for a career /specialty change, and I'd recommend that you first decide which hospital you want to work at, then check and see if they have a PeriOp 101 course and apply for the posted position (usually listed as a PeriOp training position). Im up at Stanford and have applied for their course which starts in May. Best of luck
  12. RickyRescueRN

    Bully Scrub Techs

    Sounds like you have an unproductive/ hostile work environment on your hands. I'd recommend that you write incident reports, keep notes of dates, times, what was said, how you escalated it to your immediate supervisor and their response. If there is no improvement , go directly to HR of your hospital and be very clear that this behavior has been ongoing. If they do nothing about it, you will have a solid case for legal action against the employer. If you are a union hospital, get your union representative involved. Best of luck,
  13. RickyRescueRN

    New to OR, need advice on resources

    In the same boat here; been a flight nurse for the past 17yrs and an ICU and ED RN before that. Applied for two different OR jobs at my hospital (large academic hospital). I started watching OR youtube videos on instruments, positioning, safety, sterilization, OR fires, surgical smoke evacuation etc about a year ago and that has helped me a lot. Became a member of AORN; bought all the OR books (Berry & Kohn, Alexanders, AORN Periop Guidelines, Pocket guide to the OR, and Instrumentation for the OR). Our hospital has a 10 week Periop 101 course as part of the orientation. We are required to scrub and circulate, though in some services (CV OR) the RNs do a lot more scrubbing. Super excited as well, though a bit scared as its a huge change from taking care of patients on board a helicopter. Good luck to you!
  14. RickyRescueRN

    Best shoes for OR nursing

    Hey all, I'm looking for your input on what you find the best and most comfortable shoe is , to wear if you work in the OR. When I worked in the ICU years ago, I found my Dansko's to be pretty comfortable. Any feedback/recommendations greatly appreciated.
  15. Grab every single opportunity for learning more; take extra free classes that hospitals offer. Get as much experience as your time off allows; volunteer to help out if the ward is busy and needs extra hands when it's your time to go home. The more experience you get as a nursing student, the better you will be able to function as a RN when you land your first job. I think that is the biggest thing that new grads struggle with. They have never had a full patient assignment for 12 hours , 3 days in a row , every week. If you are not prepared for this, you will struggle to make it through your first year.
  16. RickyRescueRN

    O'grady peyton nursing agancy

    I came to the USA from South Africa, through OGP 15yrs ago. I think you are referring to the Visa Screen test. I remember it being pretty simple ( but I had to put myself in the place as a new grad RN, not an ICU and Trauma RN). This test is done by anyone wishing to prepare to take the NCLEX exam to license as a RN in the US. It's pretty standard and I think OGP has been using it for a long time as a screening tool. The process for me back then took a long time, but in the end it has been totally worth it. Been in California for all 15 years and life has been grand. No regrets ever. Good luck. Andrew
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