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Pediatrics, Med-Surg, ER
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GARN912 specializes in Pediatrics, Med-Surg, ER.

GARN912's Latest Activity

  1. GARN912

    To specialize or not to specialize...

    It's hard for me to answer because when I first graduated I wanted to work ICU and would have jumped at the chance had it been offered to me. I can only give my perspective on what I gained from working Med-Surg. I reluctantly took a Med-Surg position when I could not find my "dream" position in ICU, but I think it is the best decision I have made for my nursing career. I worked in a small hospital so the Med-Surg was a general floor, which meant I got to see everything: pediatrics, lots of post-ops, ARDS, renal failure, COPD, CHF, telemetry, even post-partums...and our floor also had specialized "step down beds" so I also got experience with insulin drips and DKAs, chest tubes, cardiac drips, CVP monitoring, "stable" MIs, etc. Depending on patient acuity I could have anywhere from 3-7 patients. When I decided to apply to a critical care position again, I was hired 10 minutes after I walked out of my interview. They were impressed with the variety of patients I had, as well as the number of patients I was able to manage. They also spoke with me about having difficulty with new grads because they're having to teach the basic nursing skills as well as the critical thinking skills that come with experience, on top of trying to teach critical care. I don't think you have to work M/S to be successful, but I don't think new nurses should look at it as "settling." Med-Surg is definitely a specialty, and you can learn a lot to take with you in the area you hope to go in.
  2. GARN912

    Graduated 12/10, still no job, giving up...

    That sucks. I would NOT go into the navy as a hospital corpsman, I would have them agree to help me get a BSN and go in as an officer. Or, I would relocate to another area....have you tried north of the boarder? Where I live in GA (Savannah area), I see lots of new grads get hired. I would apply and then call to talk to a recruiter.
  3. GARN912

    New Grad in LTC - Feeling Overwhelmed (21 pts)

    :eek:If I were you I would not walk but RUN away. As a new grad, you are too inexperienced to basically run this unit with 21 patients all by yourself. And with only 5 days of orientation? The way these patients sound, with ivs, meds, suctioning, dressing, etc, I think 21 would be too much for 1 nurse with tons of experience. I mean, if something goes bad, what kind of help will you get and how fast can they get there? I think you should talk to your DON some more about this position, especially if she gave you the impression that you would have help. Ask her if she's had successful new grads in the past...perhaps there's a reason this position was vacant in the first place. I know I sound completely pessimistic about this job but I really think that you may have been put in a bad situation. You have 21 lives that are your responsibility, and you have a license to protect. I know jobs are hard to come by but I would start looking for a position that gives you time to orient with another RN. (On a side note, were you an LPN before becoming an RN or is this your first nursing position ever?)
  4. GARN912

    New job, any advice?

    Yesterday I was offered a job in a step down unit. I was told from there I could train and join a critical care unit later on. I accepted because it is an opportunity I've wanted since I graduated from nursing school. I'm a little nervous because I've only worked Med-Surg and ER, and because this place I'm going to be working in is huge! The amount of beds in this one unit equals the amount of beds in the whole hospital I've been working in. So does anyone have any advice on what to expect and what I should try to review before I start working? Any good critical care reference books? Thanks, your help is appreciated!
  5. It could be that he/she struggled because it was a class and not the real thing. I've gone through a class with a nurse who has been an lpn for over 30 years and the way she acted and responded to questions and during mock code would make you think it was time to retire. But in actual codes she is totally different. In fact, she will tell the doctor what they need to do. There is something about having to perform in front of people in those acls classes that some people cannot handle. I would think (and hope) that the charge nurse has made it this far for a reason.
  6. GARN912

    Funny things patients say !

    a couple years back i had a 95 year old lady with a lot of anxiety and confusion who always insisted she was dying. one day we had to take her to get a ct scan. the ct techs and i dressed in our all white isolation gowns and slid her over to a stretcher. all the while the patient is saying "am i dying? are you taking me to glory?" we got her onto the ct machine and as she's going through the circle with those rainbow colored lights flashing she's yelling out "this is not how i imagined gettin to heaven but okay lord do as you will..." and as we loaded her back on to the stretcher she kept saying things like " i guess i'm dead now? that was it right?" later that morning, the lady looked at me and said "i made a decision...i am not gonna die until the machine they take you on gets some padding to it....and then looks up to the ceiling and says ya hear that lord....tell your angels my back is sore!"
  7. I graduated in May of 2009 and started working in late August of 2009. The girl who precepted me also graduated in May of 2009, started orientation in June and had only been working by herself since mid July 2009. She actually did a great job of teaching me the policies and how to chart on the computer system and stuff, but could not help me when it came to some big patient care issues, the both of us were constantly turning to others for advice. I really think both of us were done a disservice and although many nurses on our floor would say "I cannot believe so and so is precepting you" none of them stepped up to precept me themselves. I ended up figuring a lot of things out on my own, supplemented with a few kind nurse's advice and assistance in between. It ended up turning out good because I had to learn fast to survive. I will say to you that although you want to protect your license you also have a responsibility to the patients on the floor and I would talk to your supervisor if you feel the girls chosen to precept have no idea what they are doing. Just remember they are creating clones of themselves so that's more people you have to clean up after!!!
  8. GARN912

    How do you politely walk away or say no?

    It's all about following policy, setting limits, and being firm but polite when people become a little overly demanding. I would have told the lights lady that maintenance would have to come in and approve those decorations (which in most hospitals, is usually the policy). And if she was making snide comments while I was helping I would have said, "well you seem to have a better idea of what you want, so I think it would be better if you placed them" and left the room saying "I'll check back in later." As for the massage guy...I would have said I am not licensed to give massages and if I hurt him or made him worse (which can happen if you massage incorrectly) I could be liable. Then I would offer pain medication, heating pad, or to reposition him. As for the purse, I would have been upfront and just explained that I had other patients to round on and would check back in. It's hard to say no at first...when I first started I thought if I said no it would make me a bad nurse or I would somehow get written up. It's important to set limits though because some patients do think you are there to SERVE them. I have actually had a patient's daughter tell on me because I would not stay in the room and give a foot massage to their mom, I put venous flow foot pumps on her instead. The daughter complained because 15 minutes later she came out to the nurse's station and saw me "playing on the computer", when in reality I was trying to chart. My supervisor came to my rescue and told her that with 9 patients she was surprised I managed to put the foot pumps on her so fast. And then she asked the daughter why she could not do a foot massage for HER mother if she was going to stay the night...that shut her up!
  9. For the most part I feel protected. If you get your vaccinations, follow your standard precautions, isolation protocols when needed, and use your PPEs, you have the best protection possible. You do have to keep in mind there are a ton of times you will be exposed without knowing it to things like TB, flu, etc before these people are put on isolation...but you are probably exposed to these things when you walk through a grocery store too. Just be as careful as you possibly can be.
  10. Go ahead and call. Just tell them when you interviewed and that you are following up. No harm in that.
  11. GARN912

    New graduate job offer in a surgical floor.

    Here in GA, graduate nurses are nurses who don't have their license yet but have graduated from school. They are able to orient to the floor (usually under a preceptor) and chart as a grad RN, but not do things that only a licensed nurse can do (give medications by yourself, initial physical assessments, etc). As far as the surgical floor part, I'm assuming you'll have a lot of pre-ops that you'll be getting ready to go for surgery, and a lot of post-ops that you'll have to monitor after surgery. Depending on what kind of surgery it is, you'll be checking dressings, monitoring vitals, emptying drains, neuro checks, and helping the patients regain mobility. You'll probably also have to do a lot of education and reeducation with patients before and after surgery. Basically this position should be kind of like the practicum or preceptorship you did while in school. One thing I would find out is how long you have to take the NCLEX after you are hired. At my hospital grad RNs/LPNs have 90 days to take it. If they haven't or cannot pass they are made into patient care techs. Hope this helps and good luck!
  12. Hi, I've been looking into online MSN nurse educator programs and found Univ. of Central Missouri. Just wanted to know if anyone is currently enrolled in one of their graduate programs or has already graduated. If so, what did you think of the program?
  13. GARN912

    Okay, why do ER nurses think they're so cool?

    Okay I think you have to work where I work! :) I worked on Med-Surg for 2 years and I always felt that way about the ER...why do you keep calling every 5 minutes for report? why do you think you've seen it all/done it all/heard it all? why don't you understand that I'm busy too? And we had a joke on Med-Surg that our elevator must be a secret killing machine because people all of the sudden came up in respiratory distress, or all of the sudden had a temp of 94.6 or all of the sudden had an elevated bp or all of the sudden started hurting... But now I work in the ER so I can understand it a little better...I still don't get the sending people up unstable part and refuse to do that with my patients BUT one thing I do get is why they keep calling for report. At my ER we are pushed all the time to cut down on wait times...it doesn't matter if the person is admitted already and we're holding them, what matters is what time they literally leave the department. And also, it does get very busy in the ER. Unfortunately people tend to treat the ER like a clinic and come for toothaches, pregnancy tests, work excuses , etc...and the waiting room can go from empty to 20 waiting in a matter of minutes. At my hospital we had to have a meeting between Med-Surg and ER to resolve some of the conflicts we were having. It has actually helped to a degree. Maybe you could talk to your unit manager about the problem and see if they and the ER's manager can come up with some solutions.
  14. GARN912

    How can I best assure that I'll get job after nursing school?

    I think the best thing to do (if you have the time to) is to try to either get a job as a tech/CNA or as a nurse extern at the hospital of your choice while you are in school. I worked at 3 hospitals while in school and was offered a job at all 3 by the time I graduated. Unfortunately, I was not from the town where I went to school so I had to decline these offers and move home. It was extremely difficult to find a job when I first graduated. The only thing that saved me is that my mother is a nurse and was able to get me in where she works after a 5 month job search. Every new grad in the place I work now either worked here in some capacity before graduation or knows somebody who knows someone else.
  15. GARN912

    MSN programs??

    Hi, I was looking for some advice on master's programs. I have my BSN, 2 years of Med-Surg and 4 months (so far) of ER experience. I would like to stay working in a hospital setting at least PRN but I know that my ultimate goal is to teach at the community college or university level. I'm wondering if an MSN nurse educator degree is the way to go? I've read that some people are earning master's in other fields of nursing (CNS, FNP, etc) and still managing to teach. I'm wondering if people in those fields would have an advantage over me because they have a specialty:confused: