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hellerd2003 RN

Critical Care
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hellerd2003 is a RN and specializes in Critical Care.

hellerd2003's Latest Activity

  1. hellerd2003

    Professions before nursing

    Gosh, this could turn into a novel. High school-- worked at an Arby's. Yuck. During college (undergrad was in psych), I worked at a camp for kids/ adults with developmental disabilities. That was my absolute FAVORITE job. I also worked part-time at a group home, and for a bit of time (before I moved back to my hometown) was an activities coordinator in an alzheimer's/ dementia unit. I received my MA in occupational therapy. While I was finishing my MA, I worked as a mental health counselor. As an OT, I worked in psych (started a program at the facility where I had worked as a mental health counselor, assisting clients in developing independent living skills). Then I moved into a case management position in a senior housing program. Received my post-baccalaureate certification in nursing and went to work in ICU. Received my MS in nursing; now finishing up coursework to become a FNP. So, I guess nursing is a third career, and a stepping stone to me being what I want to be into the future.
  2. hellerd2003

    Getting married and want to go to nursing school

    Does your husband really support your career? If so, then nothing else should worry you. I was married before nursing school. Ironically enough, I was accepted to a PA program, and hubby supported me living there (at the PA program 1/2 a country away) and said he'd fly out to see me e/o week. I couldn't deal with that, so I stayed home . . . my choice. I got married prior to nursing school, but during nursing school, I dealt with issues related to hubby's previous marriage (knew about them prior but didn't realize how underhanded his ex was) and my stepkids (teens), and planned a cross country move. Still made Sigma Theta Tau. If you both love each other you'll get through anything. And your destiny is your own!!!
  3. hellerd2003

    With this economy...Are LPN jobs easier to obtain

    My hospital system has the goal of phasing out LPN's/ LVN's in the near future. . . They are not finding a financial benefit to LPN's. . . If you could hire an LPN who needed to be supervised by a RN, and was limited in scope, vs hiring a RN, in this economy, where RN's are looking for jobs . . . what would you pick? Personally, I'd take the RN who could supervise others and do full assessments/ IV treatments, over a LPN . . .
  4. hellerd2003

    Bariatric Surgery-Need Advice

    I had the RNY back in 2001 and would never recommend it. Anything that reroutes intestines/ messes up absorption of nutrients, etc. . . . I just cannot get behind that. Plus I've had numerous complications-- anemic, requiring IV iron (and I get scoped next week because I lose so much iron they think I'm bleeding somewhere); deficient in nearly every vitamin out there; hiatal hernia and GERD (not present prior to surgery); thinning hair; lethargy; nausea/ vomiting at least once a week . . . And you can still gain weight, so surgery isn't a PERMANENT fix unless you still do the darn diet and exercise rigamarole. As for lap band-- the research is still fairly new, and some studies have shown an incidence of erosion of the outside of the stomach at the band application site. Also the thought of having a "tool" that you can inflate/ deflate when you need/ want to (going on a cruise? deflate the band! Wedding in a month? inflate the band!) is a bit crazy, and one needs to examine the psychology behind that "selling point" of the band. Once again-- as crabby as it makes people (myself included!), weight loss is all about calories in Good luck with your choice-- it's a difficult one.
  5. hellerd2003

    I dont care what part of the United States you live in!!!

    When you think about it, your situation is actually pretty desirable if you can move for a job. If they pay for your school and THEN let you out of a contract, you're free to work wherever you want. It's far worse if you are locked into 4 years of service, and they don't have jobs/ won't put you in the department/ area you want to work. . . .
  6. I'd like to point out that they have created a new management career ladder-- thus increasing the number of managers in our hospital-- but when I ask for a CNA to ensure that we can give adequate patient care, I'm told it's not in the budget. Just curious to find out how many CNA's they can pay for if they cut out a manager or two? Too many chiefs-- not enough indians . . .
  7. hellerd2003

    Last name on badges?

    I once worked in a psych unit that required first and last names on badges. All staff covered up their last names with tape . . . easy to remove if mgmt does rounds . . . And we did this because pts that we knew were sex offenders moved into close neighborhoods and would call staff at home . . . I didn't care if I was disciplined or not.
  8. hellerd2003

    What is your first hint that it is gonna be a rough shift

    You walk into work and have a critical patient crashing/ desaturating, and at the time you are about to start report on that patient, you receive a new ICU admit that is vented, thrashing, blood pressure in the 70's, and it's a fellow RN . . .
  9. hellerd2003

    CNA wins at St. Rose!

    CNA won 76% of the vote at the last election at St. Rose campuses, signifiying that RN's are looking for a change from status quo. Nurses hope that they can work with and support ancillary staff. Ancillary staff continue to be supported by SEIU, and SEIU will continue to service that contract. CNA will service the current contract for RN's, while striving to include other areas of nursing, and attempting to address the nursing issues that SEIU did not address. Please, let both sides band together. We are stronger as RN's as part of the CHW bargaining unit. We are also stronger if SIEU supporters don't try to mislead ancillary staff to divide the nursing union. The two unions together can make a positive impact for healthcare nationwide, as well as the Vegas valley. Let's move forward.
  10. hellerd2003

    Nurses who work the day shift

    Nursing isn't for you unless you can get over this. Today, I carried away a bag (yes, a bag) of feces, helped clean another patient who soiled the bed x2, emptied 2 foley catheters of urine (multiple trips for each), suctioned my patients' mouths every two hours, did deep suction via ET tube every HOUR for one pt (dark yellow sputum), and every two hours for another (clear sputum). On the pt with the clear sputum, I bathed him, changed his gown and bedding (since his skin is weeping so badly that it is felt through the glove and he gets multiple baths throughout the day), and did a dressing change including a wound that was weeping serosanguinous fluid. My worst nursing day was taking care of a person with lower extremity wounds/ ulcers that had a wound so bad that I had to double-mask, gown and glove to treat. I spent over an hour on my knees in front of the pt (she wouldn't go to bed due to pain), and I could literally, on one leg, insert my hand between her calf and achilles tendon. Nursing isn't pretty, and it isn't about money, and it isn't about "I think I can do it". Nursing is a career and a lifestyle all its own. It's either for you or not. Only you can decide.
  11. hellerd2003

    Nurses who work the day shift

    Yes, you can get a job outside of a hospital with just a 2 yr. degree. If you're in a hospital, generally you'll have to work night shift to get a chance to day shift in my area (SW). Other areas of the country, hospitals aren't even hiring. If you're just entering school, you have a year or two for the economy to pick up. Do not think, even for one second, that the economy does not effect RN's and their ability to "choose" their "perfect" job.
  12. hellerd2003

    Do you ever feel like a monster?

    Just treat her within the realms of nursing care. You can't pass judgment on their relationship. He may have been a prince to you, but used her as well and denied it to his deathbed. Treat the patient, not the family. That said, if you believe in a higher power or karma, if she is as toxic as he and you describe, she'll get her own sometime soon.
  13. hellerd2003

    Do Nurses have to do the following??

    I have a MSN, CCRN, and nursing is my SECOND master's degree. I still clean up patients. No questions asked.
  14. hellerd2003

    Interested in ER nursing but have a concern...

    So true re. the ED and illness. When I worked in an ED, the first 6 months I was sick all the time. After that, I was invincible. LOL. Also true re. the isolation. Someone is colonized with MRSA in the nares, and we freak out. While, to be honest, 2/3 or more of healthcare professionals should probably be in isolation, because we're also most likely colonized.
  15. hellerd2003

    Interested in ER nursing but have a concern...

    You'll still get exposed to any and everything once they're on the floors . . . And you may not know what they have even when they come from the ED. Cultures take a while to come back, and you could be working with someone who has MRSA or acinitobacter (sp?) long before you hear from the lab that they're infected. It's really all about using universal precautions. My family always jokes about THEIR risk of what I could bring home to them, but to be honest, I've gotten more colds/ flu from THEM than I've ever given back. And if people are getting sick at work, like the previous poster wrote, it's usually from another employee, who got it from THEIR family and brought it in. As for bioterrorism-- no worries there. If a bioterrorism event takes place in my city, I could just as likely be a victim as an employee at a hospital. Life is too short to worry about things like this. Honestly, I'm more likely to slip and fall in the bathroom and die than I am to be a victim of bioterrorism, and I use the bathroom every day. :-)
  16. hellerd2003

    ICU Nurse-FIred?

    I have nothing to add-- just am shocked into speechlessness . . .