SquishyRN

SquishyRN BSN, RN

ER, Trauma, Med-Surg/Tele, LTC

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All Content by SquishyRN

  1. New grad - full time + per diem?

    Everything this poster just said. Agree especially so with the parts I
  2. Can We Talk Pay?

    Voilà ! 2016 Salary Thread:
  3. Will taking TNCC help me transition easier to ER?

    IMHO, TNCC is the type of course that means nothing without the experience to justify having it. Whatever potential positive exists in having it before working in an ED is negligible relative to the...
  4. Can RNs in CA give Propofol??

    At my facility we do use propofol for procedural sedation, but only MDs can push. RNs can titrate and bolus only on intubated patients. While I'm in CA, this is in ER, so not exactly the same...
  5. Does starting in a LTC limit you?

    I think it really has a lot to do with your area. Even in Southern California (where I am) and its tight market, everyone I know who wanted to go into acute care eventually got there after some time....
  6. Is this normal orientation for ICU??

    I'm always a bit skeptical of these "I have a friend..." stories because not only are there two sides to every story, but "friend" stories are generally less informed re-hashings of only one side. I...
  7. Any second degree students do a BSN?

    I'm a second degree person and I didn't even go straight for a BSN. I went the stair-step approach because I couldn't afford not to work after earning my first Bachelor's and my inability to find any...
  8. If I were in your shoes I would accept the offer, get trained, get experience, and move onto greener pastures after a year or two. As a new grad with no experience you don't have anything to bargain...
  9. Kaiser San diego RN pay

    I don't know about San Diego, but I assume Los Angeles wages wouldn't be too far off. Friends of mine that recently transferred to various Kaisers in the Los Angeles area are making $48/hr base for...
  10. Advice for new grad starting in ER

    Hands on is definitely the best way to learn in the ER, but since that's not an option yet, material/book-wise, Sheehy's Manual of Emergency Care as well as the ACLS and PALS or ENPC texts are a good...
  11. Lvn or straight to RN?

    There's still work for LVNs if you're ok with staying in SNFs or clinics as an LVN. But if your ultimate goal is to be in trauma, you're better off working as an EMT while you get through RN school...
  12. Does starting in a LTC limit you?

    I started in LTC and now work in a Level I ER. In between I worked in an LTACH and was cross-trained in ICU. Lots of people transition easily into acute settings from
  13. Spreading communicable diseases to already sick and/or vulnerable patients is not taking care of your patients. Telling yourself that financially taking care of yourself indirectly contributes to...
  14. What was your first Nursing job?

    Graduated in 2010 as an LVN, started working per diem in nursing homes and hospice. In 2012 started working Med-Surg at an LTACH still as an LVN. Became an RN in 2013 at the same facility. They cross...
  15. Travel nursing for nervous drivers

    Agree with this. LA born and raised. I drove around Boston and started losing my mind. The streets aren't in grids and a lot of them are named the same. LA may have aggressive drivers, but its streets...
  16. LVN TO RN, help California

    #1: That's how it works with most bridge programs, but not all. Also, it's not that rare. In my bridge program, about one-third of the people that started the traditional program did not make it to...
  17. LVNs in the ICU

    Quoted poster's reason is a pretty bad reason. One *good* reason though would be scope of practice, at least in an ICU. For example, in California, LVNs have a pretty limited scope of practice. LVNs...
  18. Does your ICU use CHG wipes for bathing patients?

    At the LTACH I work we use them on ICU and Med-Surg patients
  19. Code Team

    Sorry to hijack the thread, but since we're on the topic of code teams... Based on everyone's experiences, about what percentage of code teams consist of only ICU RNs versus ICU or ER RNs? Just...
  20. Pay Rate Jealousy

    Despite how you feel about how salaries should be determined, keep in mind that different things are valued by different people/companies/entities. While you place more value on formal education, the...
  21. For any job that needs these skills, you'll get plenty of practice once you're on the job. For any job that doesn't need these skills, well, it doesn't matter if you ever practiced them or not...
  22. Getting a feel for patient care....

    I wholeheartedly disagree with this statement. All the technical stuff (like bathing, feeding, drawing blood, starting IVs, passing meds) are PART of our job, but these are the least important reasons...
  23. What is the drug of choice in your area?

    Alcohol, meth, cocaine, and opioids in that order. I've had ecstasy, benzos, and bath salts a couple of times. Haven't had a single patient for spice
  24. 2016 Salary thread

    You get paid A LOT relative to your COL, even if the Bay Area is one of the more expensive places to live in the country. And that's an understatement. ESPECIALLY with only 3.5 years experience. Just...
  25. Depends on the hospital/facility, not the profession. Union facilities are more likely to have annual increases, but some non-union facilities do