malicexmirage

So I'm a newbie in the operating room (1 yr in training) and I've come across times where I have to prep a dirty/infected surgical site. I know we have to prep from clean to dirty and from the incision site and outwards and never come back. I'd appreciate some clarifications on this as I have mixed feelings about it.. I just have this thought that if I do that with an infected site, I'm spreading it more towards the lesser dirty/infected areas. Just like recently where I had to prep a toe due for amputation (pt has MRSA, surgical site infected with osteomyelitis w/ 5mm diameterx3-4mm depth ulceration),my orientator told me to prep from the surgical site and away, so I prepped from the infected toe,around the foot (which I feel iffy bcoz foot is also dirty) and the rest of the leg upward. It's really discombobulating about how should I prep these types of things. Also, another case I had was prepping a site for vascular case where incision site is on the groin. As usual you start from the incision site and away from it, so I did that according to my orientator (As she showed me how,I started from the groin,circular motions, as I don't feel right prepping the surroundings of the groin since it's the perineum w/c is usually last). I feel bummed due to lack of material/feasible resources and the place I work with hasn't even made me take PeriOp101 Yet! (so i'm planning to take it out-of-pocket if they don't provide it to me). Can anyone enlighten me on this? I appreciate any help!

Hello Nurses! I have gone desperate to be posting this needing your intellectual-judgment based help. I am a nurse working in a subacute care facility for 8 mos. since january and has decided to start transitioning to my goal to work in a hospital setting (as this was my first nursing job after graduating last 2010). I have been looking to transfer to a hospital since july. Until now, still no luck I have gone to several versions of my resume and this is currently what I've been sending out. I would like to know how can I improve it better. My resume is currently on 'clinical experience' category. I have been thinking if I should revert back to the old-style "Work experience" list and list all my work experience. The reason why i currently have this resume, if i do list all my work experience it would make two pages, and since I don't have that much of a legit nursing experience, doesn't make sense making two pages. Would you like to give feedback on my resume?I would gladly appreciate it. My goal is to manage to get in the hospital setting by the end of the year. I really want to work in a hospital as I need acute care experience for my goals. NAME SURNAME ADDRESS, NY ZIPCODE PHONE # [email protected] website here PROFILE Licensed professional committed to excellence & results driven with sub acute care experience seeking position as a full-time Registered Nurse in a hospital setting; recognized as independent, self-starter, and a fast-learner with ability to multitask under minimal supervision. A certified BLS & ACLS provider with future goals that include obtaining a graduate degree and pursuing a specialty. *Key Skills Leadership & Management, Customer Service, Problem Solving CLINICAL EXPERIENCE *REGISTERED NURSE (Charge/Staff Nurse) Jan. 7, 2013 - Present Name of a Subacute Rehab Facility, NY Maintain high quality care to short & long term patients in a skilled nursing facility on a 40 to 50-bed unit capacity. Facilitate patient admissions, transfers, and discharges. Delegate responsibilities to a team of 4-5 assistant staff. Carry out physician orders of medication and treatment with cases such as: rehabilitation, hospice, TPN, use of peripheral, midline, and PICC line for IVT , tracheostomy, colostomy, GT/PEG feeding, wound vac therapy & management, Dementia/Alzheimer's care. *Utilized flexibility regarding staffing needs in short & long term care setting maximizing knowledge in delivery of care. *Active participation as multi-disciplinary team member providing professional patient care guided by its goals. *Mentored & motivated incoming RN/LPN staff as addition to the team. *STUDENT NURSE 2006-2010 Some University - City, Country Completed 2,880 hours of related learning experience in hospital and community setting with 5 completed cases, as requirement, of each major and minor surgery, actual delivery, assist, and cord dressing as the scrub and circulating under supervision of a Nurse Instructor. Experienced in bedside nursing, creation & utilization of nursing care plan, health teaching with average ratio of 1:2. *Maximized patient/community participation attaining common health goals. *Managed & motivated a group of 12 as a leader Student Nurse, maintaining efficiency of work without delay. EDUCATION *Bachelor of Science in Nursing, My University, City, Country, 2006-2010. LICENSE / CERTIFICATION *ACLS Healthcare Provider - American Heart Association active until 07/2015. *Registered Nurse - (New York) Active until 07/31/15; (New Jersey) Active until 05/31/15. *BLS Healthcare Provider- American Heart Association active until 10/2/14. *Essentials of IV Therapy - Omnicare - Some Facility, NY February 21 & 27, 2013. OTHER EXPERIENCES *Sandwich Artist - July 2012-December 2012; Subway-County,State, *Volunteer Research Assistant - March 2012; Retina Institute of California - County,CA *Home Caregiver - February 2012; County, CA *Physical Therapist Aide - January 2012-February2012; Brooklyn, NY *Home Health Aide - August 2011 - January 2012; Something Inc. - Borough, NY *Babysitter-Nanny - May 2011 - August 2011; Borough,NY ACTIVITIES & AFFILIATIONS *Red Cross Youth Collegiate Council - Disaster Management Committee, Member (University City, 2006-2008) *Voluntarios De Rescate - Kampo Uno Rescue Organization, Member (College City, 2005-2006)

so I've been working on this job for almost 3 months till now. And the main thing is that I need to learn better time management. thing is, i am a newbie desk&treatment nurse, at the same time charge nurse. this is my very first nursing job and i am so like crawling. I feel sad & frustrated at times whenever i felt incapable because I haven't experienced this situations and that so I try my very best to stay put & remember most of it if not all. I always knew Im fit to do paperwork& treatment, as I was ok with it. Then later on I figured out, when I work by myself, it seems I need more time figuring things out, calling MD's, transcribing orders, families, hospitals, labs etc.sometimes there's just alot that verbal report alone at the end of the shift everytime,you would like to have everything written out. There is pressure as I am managing a 50+bed unit then you have interruptions while you're doing your job. There are times I go blank during work because it was overwhelming. Yet I continue despite of that. Why so? I care for my patients thats why. I just feel like I needed more advice in this field of nursing like how you will manage yourself with time, & doing your job properly.

So I applied for a nj license through endorsement online using my nyc license last Oct. 21, i called them in days after i sent additional required information and had said they sent me a letter about fingerprinting information, then ...(hurricane came a week after i applied) so i expected delays,..a month after...STILL NO LETTER, i called like 3x & had even faxed a letter about my fingerpringing, i had one BON employee type in a letter to authorities about my concerns, STILL NO LETTER!! I got so frustrated that I didn't bother about it for a while, now it's already DECEMBER, only 1 status had changed (C&A out of state), so far, NO LETTER of fingerprinting....i'm about to call them later to check about the status of my application, flies are already feasting on it because it's been 2mos & half already

so this has been bugging me for a while and have called NJ BON on the phone like thrice already about my status and they are supposed to give me a fingerprint card through mail in w/c I haven't gotten hold of yet until now. I applied around Oct. 21, sent my receipts from Nursys verification, and RN application fee, birth certificate & photo, abit of status changes but they told me they sent me a fingerprint already, in w/c a week after that there was this hurricane sandy, so i expected delays but this is going overhand in my opinion when I requested for them to resend the fingerprint card mail. the last time i called, the lady over the phone she sent a letter to an authority for resending the mail to me, until now I still haven't gotten hold of it yet. how long does the endorsement usually take? it felt like my application has been ignored

I would also like to know about the renting opportunities around cooperstown >

@nycnursery:I am on the process of waiting for any responses from them, sent my application last week and hopefully get accepted! my residence is also Queens and trying my luck upstate,.

I also applied for GN/RN jobs @ bassett for nurse residency program and a recruiter tld me my file is up for a phone interview, im excited as well as nervous, hopefully I'd pull it off good! what is BMC's base pay for new grad?

OMG I can so relate to you! I am a foreign graduate batch 2010 and passed last August this year. we have the same goals! I also got a job offer but it was a nursing home facility and....4-5hrs drive away T____T/ what state are you licensed btw?

@coopher12 nurse stafing agency/recruitment well, I do agree w/ the at least 2 years thing, but I found an agency that offered me a job as a new grad, but it's not a hospital, it's a nursing home facility. I am just as frustrated as many new grads out there (well im an 'old' new grad, graduated 2010), for institutions/hospitals to hire from an agency is expensive, but I'm not giving up on looking if only I had more time to do this. another backside is that I am out of the state where I am licensed! I missed job fairs and such, I can only go back when there would be a scheduled interview/landed a job, and hopefully sooner

I have been hesitating whether to go to a nursing agency or not. many suggested for me not to, and these nursing agencies just look like they've got some placement in for me as a new grad. (Im actually in this agency and they offered me a job, pay is desirable but location is not! and I've been weary about if agencies will really take care of you or if they're slashing your actual salary) as much as possible I would want the institution itself to hire me so it's more..binding/permanent. I don't really plan on working under an agency for the rest of my life. what do you think of going to an agency? any opinions?

i'd give you feedback but I also would like to have feedback on my resume too if u don't mind? i've learned that when making resume's: > never be redundant > instead of stating your responsibilities, state what you've accomplished > every nurse knows what patient care is & every nurse has been through clinicals, state what stood out when you've done your patient care, so you gotta reword your statement(s): "Executed patient care by accurate assessment, implementation and evaluation of individual outcomes " my 3cents :)

thank you for all of your advices! It makes sense to me adding BSN with my RN, I put mine NAME, BSN, RN,. that way I'd get easily noticed by HR's that I got this degree thanks all! lovelots

sorry for double post, probs w/ browser & double clicking mouse >

so i kinda posted days ago but none replied, luckily someone from the real world (thru email means) helped me "up" my resume, but Im not really in the habit of always disturbing them as they are always busy and we have different times (other side of the earth). in my desperation i had to ask again once more I really need your help guys I've been working on this 2 weeks already *sob* im open to any comments, Thank you in advance! here is my resume, there's actually 3 versions: --- 1st VERSION --- NAME, RN, BSN ADDRESS ● PHONE ● [email protected] PROFILE Highly-motivated, goal driven, and client-focused professional seeking position as a Registered Nurse. EDUCATION Bachelor of Science in Nursing, April 2010, University, CITY, COUNTRY LICENSE New York State Registered Nurse, granted August 22, 2012 RELATED EXPERIENCE Volunteer: Clinical Research Assistant - March 19-30, 2012; INSTITUTE NAME, PLACE Assisted with research-related procedures and patient care per protocol. Organized and filed regulatory documents and other research-related files in fast working pace. Performed other tasks as instructed by Clinical Research Director and Research Coordinator. Home Caregiver - March 6-13, 2012; PLACE Provided care for a bedridden client based on health status & continuance of already implemented actions Physical Therapist Aide - February 2012;PLACE Assisted clients from admission to therapy under the direction of a physical therapist Home Health Aide - August 2011 - January 2012; PLACE Provided structured, adaptive, and consistent activities to the disabled directed towards reaching daily goals based on general and health needs on an afterschool care basis. Promoted positive behaviors. Reported daily activities and discussed events and ideas with other health care providers to create convenient solutions to existing problem. Home Health Aide - February 2011; PLACE - Assisted with activities of daily living to a fully dependent individual. Relief Operations Volunteer, "Operation TYPHOON Program - September 2010; , PLACE Donated, prepared, and delivered relief goods to Typhoon victims and implemented orders assigned by a team leader. Volunteer: "Operation Smile" - September 2009; Medical Center Participated in a program under proctor/clinical instructor supervision, which offers free surgeries for children with cleft lip, cleft palate, and other facial deformities. ACTIVITIES & AFFILIATIONS Red Cross Youth Collegiate Council - Disaster Management Committee, Member, ( University, 2006-2008) Voluntarios De Rescate - Kampo Uno Rescue Organization, Member, (College, 2005-2006); Basic high angle rescue, rappelling, and survival; experienced first-aid and rescue simulation drill and practice. OTHER SKILLS Computer and internet proficient - MS Office, search engine, typing speed up to 70-75wpm Bilingual English and Foregin language ------------------------------ 2nd VERSION ------------------------------- NAME, BSN, RN PHONE,ADRESS,EMAIL PROFILE Highly-motivated, goal driven, and client-focused professional seeking position as a Registered Nurse, Recognized as independent, self-starter, and a quick-learner. Excellent communication and organizational skills. EDUCATION New York State Registered Nurse, Active since August 22, 2012 Bachelor of Science in Nursing, UNIVERSITY,CITY,COUNTRY April 2010 EXPERIENCE Volunteer: Clinical Research Assistant - March 19-30, 2012; PLACE Home Caregiver - March 6-13 2012; PLACE Physical Therapist Aide - February 2012; PLACE Home Health Aide - August 2011 - January 2012; PLACE Home Health Aide - February 2011; PLACE Relief Operations Volunteer, "Operation TYPHOON" Program - September 2010; PLACE Volunteer: "Operation Smile" - September 2009; PLACE SKILLS Management and Leadership Trained and assigned as Shift Person-in-Charge at leading a 3-4 team to maximize efficiency and effectivity. Assisted the Manager in training newly employed staff Acted as leader in a college research group and provided research related tasks to 12 members. Patient/Client Care Provided home health assistance to a partially dependent mentally disabled individual based on general and health needs on an afterschool care basis. Provide assistance to clients recovering from injuries, illnesses, and surgeries under the direction of a physical therapist Reported daily activities and discussed events and ideas with other health care providers to create convenient solutions to existing problem. Assisted with research-related procedures and patient care per protocol. Administrative - Computer and internet proficiency - MS Office, search engines, typing speed up to 70-75wpm - Organized and filed regulatory documents and other research-related files in fast working pace. Language - Bilingual English and foreign language ACTIVITIES & AFFILIATIONS - Member, Red Cross Youth Collegiate Council - Disaster Management Committee, (UNIVERSITY, 2006-2008) - Member, Voluntarios De Rescate - Kampo Uno Rescue Organization (Basic high angle rescue, rappelling, and survival) experienced first-aid and rescue simulation drill and practice, (COLLEGE, 2005-2006) --------------------------- COVER LETTER --------------------------- [DATE] 2012 [iNSTITUTION NAME] Dear [Hiring Manager Name], It is of my utmost interest to work as a Registered Nurse at your institution as referred by a relative who happens to be a personal contact of your employee. I strongly believe with my accomplishments and excellent capabilities, as an entry-level nurse I am a great match to your needs. I am offering you four years of progressive experience of patient care as a student nurse in hospital and community, excellent organizing, strategic planning and problem solving skills demonstrated often in my home health aide experience and during nursing process, and attention to detail. In addition, I can offer to participate in research, familiarization with protocols, assist execution of screening procedures and filing data in great detail. I can assure you great relations with people involved. I usually set goals to work in a fast-paced manner, and absorb information quickly as inspired by previous mentors. I am proud of my being positive, knowledge/skill-hungry, professional and a believer that I can do anything I believe you will be interested to witness with which should make me an ideal candidate for the position. Enclosed is my resume and references for your review and in any case would welcome the opportunity to speak with you in time. I thank you for giving my resume your time and consideration. Respectully, NAME