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RN in training ADN

Trauma, Emergency

RN, CEN, TCRN

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RN in training is a ADN and specializes in Trauma, Emergency.

RN in training's Latest Activity

  1. RN in training

    getting plan established for NP program

    Hey all, I'm finishing up my BSN right now, I've been a RN for 6+ years, in a level 1 trauma center ED for 3 years. I'm trying to figure out my next steps for getting going with a NP program... I'm interested specifically in Trauma NP or acute care NP. I live in central NC. It just seems like there are so many options out there. What should I look for in a program? What are some red flags I should be aware of when looking? HELP WHERE DO I START?? I don't know why this makes me feel so overwhelmed... any insight you might have to offer about getting started would be much appreciated! Thanks so much in advance.
  2. RN in training

    AN - be honest....do I suck as an ER nurse?

    This is the case in my department. It can be very disheartening to not be in the "in clique," and I'm 2+ years into the place. with over 5 years nsg exp.
  3. Hi friends, I'm just beginning in a level one trauma ED. I transferred to it from a tele unit in my hospital system. It seems like the classes and certs I'm required to get surpass any of the requirements of heard of nurses in other departments needing to fulfill. Luckily, I got a few of the classses out of the way when I oriented for my old unit, like IV infusion, 12-lead, and EKG interpretation. But now I'm also having to do TNCC, PALS, ACLS (which I already had from when I worked in the OR but let it lapse bc it's not required for floor nurses other than ICU at my hospital), mass casualty class, nonviolent conflict resolution, lethality (domestic abuse class), decontamination (we aren't too far from a nuclear power plant)... I think there was one called ENSI too, but I can't remember if that for sure is it. There's another ped very we have to get as well but I can't remember the name of it. Anyway, based on my experiences, this is a lot more information than most of our floor nurses are required to take in. Don't get me wrong- I'm not complaining- I love learning, and I want to be hella prepared for any possible contingency. I just get the impression that ED peeps are more formally clinically educated than most other types of floor nurses, am I totally off the mark? I mean they were "strongly encouraging" nurses to pursue stroke certification and cardiac certification on my last floor, but it wasn't mandatory so a lot of people took it as a "meh." I was working part time so I wasn't eligible to take the classes and exams under hospital pay, so I couldn't afford it but I generally approach things with an all or nothing attitude and would have if they'd offered to pay for the exam. Anyway, just wanted to know yalls thoughts on this? I was at a community hospital with 380 beds, and now at the main one within my same hospital system with 890 beds, if that is at all necessary to inform your opinion.
  4. RN in training

    New to ED question

    I've been told by a few it's because of burnout? As of right now, I can see myself making a career in the ED... fingers crossed.
  5. RN in training

    Demoted from ICU to IMCU

    This, x a million.
  6. RN in training

    New to ED question

    Thank you so much for your thoughtful reply! I have another question I just thought of- how do you do shift change report? Is it expected that you try to DC/admit to inpatient all the pts you can before leaving? Or just report off and hit the road when it's time? Also, I feel so silly saying this having been a nurse for 4.5 yrs now but I've only ever called a few rapid responses and a couple code strokes... never had to call a code. So anxious about that, even thought I *know* what to do and how everything should work, I'm anxious I'll go blank in the moment! God I feel like a new grad again...
  7. RN in training

    New to ED question

    Hey y'all, apologies if if this has been posted, I looked and nothing popped right up. So I have 2 yr OR exp ambulatory surgery, and 1.5 yr telemetry/intermediate. I just got hired on in the adult ED in my hospital system, level 1 trauma center. I have many reasons for wanting to make the change. I don't expect to be good at it right away, but I want to have as much knowledge going in as I can. I saw in another thread some folks recommended Sheehy's Emergency Nursing Manual and the Emergency Nursing Bible. I know that I won't be able to control the adrenaline and unfamiliarity at first, but I can control how prepared I am mentally to some degree. I bought the ENB, but have to wait til til next paycheck for Sheehy . Are there other books, materials, websites, shows, etc that yall feel like give an accurate portrayal of ED life or pertinent information? Any tips to prepare myself emotionally? I'm not the toughest bird out there but I'm no wuss, either. I still have 3 weeks before the transfer happens, so I want to read up as much as I can. Also, I streamlined the heck out of my brain sheet for floor nursing, but it occurs to me that I won't be needing it anymore in the new position... do y'all carry an ED equivalent of a brain sheet? If so, would you mind sharing it with me? I'm so thankful for any insight you can share. Oh, I read on a thread here the importance of real time charting in ED... any tips you have on time management are welcome, too? I left a message with my new sup asking her these same things, but I figured nobody ever died from having too many perspectives on a topic, right? Thanks y'all!
  8. RN in training

    tele to ER, tips??

    WHEW! thanks for your response! Holy cow, I better do some ncclex practice questions to review for this interview!
  9. RN in training

    tele to ER, tips??

    hey all, Hope you're well and surviving the onslaught of insane natural disasters plaguing us right now... I wanted to ask about a potential interview with an ED mgr. I'm currently on an intermediate CV care unit. I love the people, but it just doesn't feel like home to me. I've been applying to some area EDs- smaller ones, because the bigger ones are way out of my league with only medsurg/tele and OR experience under my belt, obviously. Anyway, I wanted to ask if any of you ED hiring nurses or recent hires can tell me what you remember about the interview process... are there any special ED-related questions that get asked? Or just standard hospital RN questions? What are the biggest things they might be looking for? if it helps, its a small ED healthplex that's part of my current hospital system. Its in a smaller town outside of the big city where our level 1 trauma center is, so I doubt we'd get any really crazy critical patients. Thanks for any insight you can offer!
  10. RN in training

    Horizontal bullying

    Yeah, what are they doing to make you feel bullied? I myself started on a CV intermediate floor this spring, coming from the OR (so not a new nurse, but new to floor nursing).
  11. RN in training

    Giving report (just a little vent)

    OH MAH GAH please do not interrupt me to read out loud something from EGD results from 3 weeks ago when it's 0710 and our patient is only on our cardiac floor because their most recent general anesthesia threw them into afib. AGGHHHHHHHHHH Seriously though, report is not for detailed H&P. I have to report off on 5 pts- I can't spend 20 minutes on each one.
  12. RN in training

    Should I take time off? Help!

    Thank y'all so much for the insight! My employer has given me their word that they will TRY to give me a set schedule- which they have to some degree I guess? I'm already working 2 days/week, but finding kid care for two days that varies is what's killing me I think. Like last schedule, I was Tue and Thur for 4/5 weeks. Then this sched, I've been Tue and Fri for 4/5 weeks. So finding an arrangement where a nanny or caregiver can switch days every month and a half or so is the tricky part! I know, it probably sounds dumb to y'all to know I work 2 days and I'm still thinking of getting out of the game for a bit. Maybe I'll try a PRN night? That sounds like a good idea. Hell, if I'm switch from OR to floor, I'll be like a newborn fawn again anyway, right?
  13. RN in training

    Should I take time off? Help!

    Hey. For y'all who have been there, done that. I have a 9 month old. We are workin on #2. I was hired at an ASC for the OR before I graduated from school- a little less than 2 years ago- my complete dream job (I wanted to be in the OR since before nursing school). Great hours, good people, fascinating stuff. I'm having difficulty balancing working part time and feeling like I get enough time with my little one. I've been given 2 raises and made a specialty team service leader since I started, so I know my performance isn't a problem. I enjoy my job for the most part, and I don't want to lose my skills. We're also having some serious trouble finding reliable childcare that can accommodate a part time schedule that varies sometimes from week to week. My husband and I both come from years of retail so we're really trying to avoid going back to a schedule where one of us is working nights/weekends/holidays (which is why an ASC is perfect for me!). We can afford for me to quit (we'd be tight, but we could make it work), but the idea of that makes me nervous professionally speaking... If I take a few years off (and keep up with CE credits of course), will I be "hireable" when kid(s) are starting school? Me staying home makes more sense for our family right now but I worked my ass off to get through nursing school (as I'm sure you all did too) and get a job I love and I don't want it to all mean nothing if I can't get hired again down the road...? What have y'all's experiences been like with taking time off work to be a stay at home parent (or for whatever reason)? Note: I love the OR, but I'm also interested in other types of nursing when I return to the work force (like psych, hospice, emergency). Thanks for your thoughts on my conundrum.
  14. RN in training

    For all the momma nurses out there...

    Thanks ladies! Makin me feel a little less crazy ;-) and yes it's amazing how exhausting making a person can be!
  15. RN in training

    For all the momma nurses out there...

    Hey y'all, I'm a circulator in the OR and I'm 34w3d preggo. I was originally planning to work right up 'til D-day, but this last week my pregnancy has really started catching up with me physically. I am significantly slower-moving during cases (my OR turnover times are suffering too), and the mobility required to quickly open things/connect tubing and wires/place foot pedals/assist with intubation/etc is becoming an issue... I can't fit in small spaces now like I used to and crawling around under the table to pass cords through to the other side makes me see stars when I stand back up. And I'm generally always breathless which is not helped by those green ugly masks I wear. Not to mention wearing lead for c-arm cases is almost more than I can physically take since the maternity lead is like instantly adding 15lbs to me. Note: My BP has been high for me, but still in a safe range (130s/80s) and my pregnancy has been healthy (despite 24+ weeks of terrible morning sickness and recently tremendous fatigue) per my OB. So my question is for y'all, any nurses but especially OR nurses... Is it wussy or ridiculous of me to go out of work around 36 or 37 weeks? I hate to be a complainer and I know there are some bad ass circs and scrubs who have worked up to D-day... It's silly but I'm afraid it makes me less of a woman or less of a nurse to go out early? What have y'all's experiences been like? Thanks for taking time to read... I never knew circulating could be so freakin exhausting!
  16. RN in training

    New grad needs help- quick question!

    Hey, this is better suited for a couple of other boards but this one seems to get the most traffic so I'm coming to you... Just started circulating on my own, started at an ASC when I took my boards in May. We didn't ever learn Surg instrumentation in school. I will be trained as a scrub nurse in the next year, but in the meantime as a circulator, I need to be able to quickly grad certain instruments when requested by surgeons/PAs/techs. Don't know how to go about familiarizing myself with these and it seems overwhelming. When I came in today, found out I'm spending the day in sterile processing to get to know instruments, but I have no plan of attack. Side note: no set-in-stone orientation program available here for this as they typically hire experienced OR staff (since it's a half-surgeon owned ASC). I just got lucky as a new grad. So any apps for iPhone? Books? I would live to make the most of today in SPD that I can... Thank you for your help!
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