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BostonTerrierLover BSN, RN

Adult/Ped Emergency and Trauma
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BostonTerrierLover has 16 years experience as a BSN, RN and specializes in Adult/Ped Emergency and Trauma.

Newly Single Trauma RN/ Part Time NP in ER.

BostonTerrierLover's Latest Activity

  1. BostonTerrierLover

    You might be a night shifter if...

    I've slapped my face, got out and walked, let window down, chewed gum, and tapped in sync w/music- all while intermittent dosing. But that was mainly getting used to day shift- where I am hypersensitive to light and sound until around lunch:) I would walk outside during the day sometime and shield my face from the overwhelming light, and think,...what is night shift doing to my body. Once on a flight arrival to a Hong Kong UMC Clinic, I was ready to go, the other nurses looked like Zombies- I was bright eyed and bushy tailed:) Now watch this thread slow down as the night shifters bed down, and day shifters come in and yell at all the comments about dayshift;)
  2. BostonTerrierLover

    You might be a night shifter if...

    Your "For Sale" ads say, "Call during Unreasonable hours.":) On your off days, you wonder: "Why are my pets sleeping all day long?" You would rather be beaten than go to Wal*mart during peak hours, and instead haunt the store at 3-4am. You make it home barely able to think, so sleepy, shower, lie down, and BAM!!! Your eyes ate wide open, so you see who Dr. Phil is berating today:)
  3. BostonTerrierLover

    rant

    My wife hated my night shifting, and finally put her foot down. Now my sleep doesn't get interrupted as much single:)
  4. BostonTerrierLover

    Will going to school for nursing fly by? Tips for nursing student

    For me, the 2 years of ADN school felt like it took 10 years off my life! I can't believe I feel that way when I always wished I had more time to come up with fee money, or more time to study, finish a project, or prepare for clinical, and mostly just to sleep a solid 5-7 hours(very rare). No, for me the only thing that "flew by" were paychecks, good moods, and confident moments:)
  5. BostonTerrierLover

    I have ALOT of of questions somone help me

    Kind of reading between the questions I came up with a hypothesis that you might be wondering "Is it worth it to go to Nursing School with all the challenges involved, and graduate successfully only to maybe not be hired, and if hired make less than all the rumors you've heard about nurses' paychecks being fat? Let me say this the softest I can. I love being a Nurse. I love what it means at the least spectrum of our job doing CNA type skills, to the advance practice skills I have now as a Family Nurse Practitioner. Would I do it all over again? I truly don't know. The "Customer Satisfaction" Model that Healthcare has become startles me and lessens my moral- it's not going anywhere. The Malpractice insurance I wouldn't be caught without is too expensive. I have two extra degrees that have really earned me no extra money, as I could have remained a Traveling ADN making more than my FNP nets in. I was an RN at 19, and I don't "regret" my decision, but sometimes I do wonder if I made the "best" decision. Even when all these questions you have are answered, I assure you- you'll just have MORE:)
  6. BostonTerrierLover

    I don't like nursing school :( will I hate nursing?

    I love my nursing career, and even days I dread coming to work, I'm fine after I get there- and usually have a mixed bag of enjoyment, reward, and some worries that were no where as big as what I "dreaded" happening. On the other hand, I severely disliked Nursing School's ADN program. It was like boot camp for the spirit, and left me kind of damaged inside. My first year of Nursing healed those wounds, and I went on to greatly enjoy and appreciate the more (authentic) "academic" feel of my BSN, MSN, and MPH. Back to ADN, I never slept good, lost a ton of weight, went from depression to anxiety like a roller-coaster, and came out feeling emotionally numb. I had a really bad experience with an instructor who was later fired for doing the same thing to the wrong person that I was to shy and scared to report. So I take part of the blame, I just felt like they would take her side if anyone complained. She became the dean for a while before several students came forward, past and present, and some with proof. I still have nightmares! But, even had I not had that hell semester (which strengthened my character and killed the naïveté I possessed), I would have still strongly disliked school. I miss my close friends, our bizarre study groups where we found some real crazy ways to retain and critically think the material through(we called it "Digesting.") I also loved the Outpatient Clinic where I helped out a Rural Pediatrician over the Summer and received a heart for Med School. I too enjoyed the Academic parts better than Clinical. I perform well under pressure, but I like to learn in a positive environment without the anxiety.
  7. BostonTerrierLover

    Triage complaints- the good, the bad, and the shocking.

    We had an 87 yr old MD who sometimes worked ER. He was very distinguished and had taught Cardiology at UNC Chapel Hill and Duke. It was nothing in the old days for home visits with leather bag in tow to be for an 800lb Jersey Cow who was having Labor Difficulty, or a milk cow who needed Calcium Injections that were Super Dangerously fatal to cattle. So, during my time at that ER it was nothing to see one his peer age group farmers bringing a mule with Colic or a Mama pig that wouldn't lactate in the back of a truck or in a trailer right up to the ER. One night we had a fill in for him while he was sick, and sure enough- a trailer with a calf who wouldn't take the bottle came on a pillow of hay still wet from birth. I was really surprised when the young doc(from Massachusetts here to work off loans in Rural Mississippi) went right out to the calf after being told the man was out there(without one complaint or frown), and slid down an improvised feeding tube from a respiratory tubing, took a 60cc syringe and checked placement with his Stethoscope, then put the leather strap around it to secure. We were so surprised. This used to be more common place in the South and West for MDs to take care of 2 and 4 legged creatures, even 3 if need be. Don't worry, he scrubbed down and changed scrubs, the hospital made out a quick notes for these farmers cheaper than a Vet would cost, and the Physicians were reimbursed well the next day always with some pie or creation from the farm on top of their $40 check from FVR-MS for the Vet(MD) Bill. I never told any of my colleagues about that Travel Nursing, but it sure gave me a sense of place:)
  8. BostonTerrierLover

    You might be a night shifter if...

    The Sonic carhop bringing your breakfast has to knock on your window,....to wake you up:(
  9. BostonTerrierLover

    disclosing past addiction during interview

    I agree, there is enough grief and pain in one lifetime to prevent the invitation of anymore- if you've been sober without any relapse issues for greater than 5 years and they don't know it, that's a blessing! Count it as one- and lay low:) You see, time passed means nothing really from their perspective. To them, an addict is a pickle. A pickle once was a cucumber- but no matter what you do, it's never going back to being a cucumber again. You and me are "pickles." We are just clean pickles that can be pickled again anytime. You are ahead of the game if they see you as a "cucumber" still- I wouldn't go looking for dill, vinegar, and a mason jar(sorry, terrible analogy). That is a ghost that can haunt your career and lifestyle more than you ever imagined if the BON does not already know your past. I live in that very real haunted present- even with near 5 years clean, and no diversion history or occupational related incidences.
  10. BostonTerrierLover

    Triage complaints- the good, the bad, and the shocking.

    I got a "Domestic Violence to Posterior Head," which turned out to be bald spot where no head trauma occurred(besides the hair coming out), via EMS. It is rare that fast track and out side was slammed, the Director had just called diversion like 30 seconds after EMS let this girl out. Of course non-emergent patients get placed in waiting area. She wasn't happy one bit about our "outdated patriarchal @$?%ing system(G Rated Version), I came by the @$&%# meat wagon!!" Then she all the sudden calmed down and remembered "out-loud" that she had a cousin near the facility that made his own "hootch." (a homemade ETOH beverage) She was back right before my shift ended, this time carried by a few inebriated kin, blood dripping from a wide lac to her forehead, unconscious, and before I could dart out of the glass office to the triage area from report, my ER tech said, "Darn! She's looks like she's grasped the Triage system's complexity!" (Just a few stitches and a concussion). Then, the brightest of the group, the designated driver, states: "It's a good thing she was drunk and limber, or that fall would have broken bones or even killed her!" I would like to think sober she wouldn't have tried to balance across a bridge under construction, but what do I know- I'm just a Nurse:)
  11. BostonTerrierLover

    is your efficiency misinterpreted as lazy ?

    I really don't care if they thought I was lazy when I worked that floor in the small hospital where I backed up ER. Many times I would come back to the floor and they'd tell me things my patients requested that they didn't do- yet they were terrified of ER. The Policy was actually to "rotate" who went to ER, but the DON assigned out floor patients, so,... She didn't trust the other two nurses with high acuity(I got em') and charged, backed up ER, had my own load of acute cares (equal load to their's or heavier), was night supervisor over entire facility, had to make a 24 hr assessment entry on all LPN patients(including all 40 bed LTC), (plus, do admission and IV's on every other LPN admit/Half her IV Meds), EMS rides with critical patients to Larger Facility (48 miles away), and relieve ER nurse for 1 hour lunch nightly. So, that night really ticked me off my patients were neglected (and I had family members breathing down my neck), I just stated, "Well then, this isn't working out me doing all ER back-up, and my patients being without a Nurse- we are going to rotate out ER just like the other shift- this is unacceptable to my patient's and me. They were terrified- I never had that problem again! All the quiet nights they sat at the desk while I was running like crazy in ER, I never minded watching them run awhile from the desk at my quiet times. Taught them some team work- and it kept them out of ER(they knew when they were hired the ER deal). So, if you have a nurse with poor time management skills "gossiping" at desk early while your getting it done, and calls you lazy later because your done at desk and not assisting her; if you did get up and help- I would call that enabling poor behavior and bad judgment if you didn't call him/her on it. Some people only learn the hard way. Team work is a totally different thing entirely. I'm not one for facilitating "social time." Always willing to help, but with discretion:)
  12. BostonTerrierLover

    is your efficiency misinterpreted as lazy ?

    Yeah, this has soooo much to do with individual personalities. I remember one RN who was always running, complaining, and whiney. I gave her the benefit of the doubt. I really thought she might be getting heavier loads than her counterparts. Then, one night I got called in on overtime, and she had the load I had carried all week- and yes- was whiney, running, and complained all night. I realized this was just her, I considered the crew a pretty easy bunch. It has soooo much to do with the individual staff member. Some are always going to think your lazy, cutting corners, and think you should be up helping them. One night I grew the courage to tell her: Well "Name," I've noticed you have been runnning,... but if you had even been "walking" even, while you were at the desk complaining (instead of charting, assessments, or med-pass), your needed pace would be much different now. That night I was charging, backing up ER, had 2 more patients than her, and took all the "completes" (back when as a male I felt obligated to do all the turning with the CNAs), and she still asked me to do her 2100 Med-Passes. A strong backbone serves you well in nursing in more ways than lifting, Lol!!
  13. BostonTerrierLover

    Getting Your Desired Position 101

    Well, let's see,.... I apologized for the grammar and spelling on the main thread, the first following post, and again right above your post. But, I guess thanks for being observant to some extent?
  14. BostonTerrierLover

    Getting Your Desired Position 101

    Thanks, I certainly can't take all the credit, these came from many other hiring friends and associates. They came over my 10 years, and being nervous facing and preparing to face the beast of a fight to get the positions I now feel at home with! Also, much of the credit belongs to tnbutterfly and Joe.V for reformatting and editing the messy grammatical and spelling nightmare I threw together in time for a few members CV Resume, and interview. It is now something to be proud of thanks to the APA Article formatting by tnbutterfly who saved my modesty by lots of editing and spell checking that I should have done prior to submitting! See,... it really takes a "team!":)
  15. BostonTerrierLover

    Getting Your Desired Position 101

    I know really? We didn't take the first psychic course either, daggumit!:)
  16. BostonTerrierLover

    Getting Your Desired Position 101

    Yes, there is no doubt the market is depressing in some areas for New Grads. Some Areas it's much higher than your example. I recently posted an RN position, and got 103 online applications, and 211 from out-of-state. Before I could hire for the position, the hospital closed the opening all together- and told me I could hire another ER Tech. After 1 desperate week of advocation for my ED, the position was reopened without my knowledge, and I had 250 emails in one day (my max space), complaining that the position's inbox was full of Applications, and after all their work- they couldn't submit their resumes. It is heart breaking, it is devastating. So, the best "I" can do is to make sure the New Grads know how to prepare the best possible Applicant Packet, and prepare for the interview. I hope it helps, but I know there is no "magic bullet." I have worked jobs I'd rather kept my mother-in-law from experiencing:) I have worked as a Wastewater Technician once waiting on my hometown to get a position opening (or a local hospital) making $9.55 after coming home from the Dallas/Fort Worth Area making $40/hr. I feel your pain. However, back then I didn't know the best ways to fully prepare for the Market- now I freely pass these tips and tricks on hoping they help others if applied with tact. Your only new until your first position. Then you begin the road we all want to be on- to your "ideal" and "desired" position. I would personally rather the Government stay out of it, I can't remember the last time they really helped anything private(just an opinion). The Post Office, Medicare, (my State's Medicaid goes broke regularly), and Congress aren't running to "swift" lately, and I don't want healthcare looking like that. Don't Give Up, even if you have to take a non-nursing job right now- "It is what it is." If anyone here could change it- I know they would. But the best we can do is increase your chances of hooking that position that will get you by- until you get the one you WANT:) Good Luck in The Rat Race!! BOSTON
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