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Nienna Celebrindal

Nienna Celebrindal

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Nienna Celebrindal has 12 years experience.

Nienna Celebrindal's Latest Activity

  1. Nienna Celebrindal

    I want to leave bedside nursing

    I do 16 to 18k steps a day in my level 1 trauma ER and have anywhere from 6 to 20 patients over the course of the day. I don't think the ER is where you want to go if you are burned out. I loved hospice!
  2. Nienna Celebrindal

    Do pH nurses change their title to doctors?

    In the clinical setting they are not called Doctor by patients and staff. In Academia setting everyone calls them Doctor. Its supposed to help differentiate between MD and non MDs for patients
  3. Nienna Celebrindal

    LVN adanced placement California

    I did a pilot program at a cal state that let people test out of classes due to lvn experience. I wouldn't recommend it, a lot of the students passed their test but I think probably needed that review because a lot didn't pass nclex the first or second time.
  4. Nienna Celebrindal

    "Eat their young"

    Personally when I am doing report with a new nurse and they don't give me all the information I want or need I ask them and then I tell them why I am asking. Cause ya know, teamwork. I'd only run off to the educator if it was a consistent problem.
  5. Nienna Celebrindal

    "My Nurses"

    It actually bothers me more than you see me as a Doctor's property before thinking "hey maybe that means its that nurse is a trusted coworker." I know my Docs say "my" because its either a resident, np, or pa with them, or its because they know that nurse well and trust them. Don't jump to conclusions.
  6. Nienna Celebrindal

    Need the real truth. Are all EDs like this?

    I work in a Level 1 Trauma Center, we are not union, and we are nothing like that. We are usually 3:1 sometimes 4:1 when we get slammed but one of those 4 is on the more minor side, doesn't need a lot of attention. But we always have float nurses around, in addition to a charge nurse plus team leads for the different areas. We have transport nurses for critical patients or floats will help. Techs, or dispatch can also take patients places depending on how sick they are. Drips are not usually 3:1 but if they are like I said you always have back up. But normally they are 2:1. And again, lots of floats. In my ED you are never alone. I also don't stock. I mean I do if I see it and have time, but it's not my job, we have volunteers and techs who do. I'm sorry you are experiences. This site has made me realize I'm completely spoiled and I'm probably never going to be able to leave my hospital. I'm a float nurse and our staffing is awesome everywhere.
  7. Nienna Celebrindal

    Trying to choose between 3 NP programs

    I would do what is local. I've known too many people who have done distance NP programs who have had a hard time getting a preceptorship, or have gotten subpar ones because it was all they could find. They feel it really impacted their abilities to get jobs or better jobs later. I'm not an NP student, just thinking about it, and I can only go off what I've heard but sheesh some of those stories scare me personally. I'd want to network like crazy, which is a lot easier to do with good preceptorships near where you live.
  8. Nienna Celebrindal

    Difference between a BSN from a University VS. an Institute?

    I went to a state school but I work with a bunch of nurses who went to West Coast, and I have to say I'm blown away by the new grads I've worked with. They knew their stuff, loved their program and have become great nurses. I watch the techs and CNAs struggle to get into pre-reqs and remember how hard it was for me to get classes but West Coast doesn't deal with that. And in my area getting into nurses school is just insanely hard. People have to have ridiculously great TEAs and if you don't have a GPA over 3.8 (yes 3.8) you aren't getting into a BSN program. And there are 5 BSN programs other than West Coast that I can think of within about 50 miles. So its a ton of competition. I see the appeal of West Coast. Even with its cost, because they finish a lot sooner and with a lot less drama. You just have to know what you are getting into. My friends have student loan payments of over $800 a month, now remember this is California where new grads make more than seasoned nurses in other states, still its got to be just under 20% of what they earn. If you go in knowing all this, and willing to deal with it and budget like mad when you are done it could be worth it.
  9. Nienna Celebrindal

    My NCLEX run

    Big hugs, I cried the whole way home from LVN and my RN utterly convinced I had failed. I even had a breakdown during my RN nclex and had to pull myself back together. Thanks to the CA BRN I waited EIGHT DAYS to see my name online. EIGHT HORRIBLE DAYS. But I passed both on the first try. Be kind to yourself, and hopefully you'll be in the beautiful madness of the ED soon.
  10. Nienna Celebrindal

    Failed Nursing School

    I would keep applying to ADN and look for good private nursing programs like Galen or West Coast. I can't believe they failed you for grads like that, that's nuts.
  11. Nienna Celebrindal

    Does CA Accept Excelsior Pre-reqs?

    I did both of those labs online through South University and they were accepted by the board. I was however in their Allied Health AS program, I don't know if they do them separately and I would check again with the board because its notorious for changing and this was a 3 years ago. Good luck! Also, and don't take this the wrong way, but you do know its VERRRRRY hard to get a job here as a new grad right? Unless you have no move here now, or soon, I would HIGHLY recommend getting some experience first. Plus cost of living is just horrific.
  12. Nienna Celebrindal

    What is the Registered Nurse Patient Ratio at your hospital?

    No, this is what my hospitals ratios are. And one of the reasons I'll never leave. Its probably why we have such a happy group, and amazing teamwork.
  13. Nienna Celebrindal

    MSN, $60-$75K, worth it?

    Good advise, my friend did not look into this and got half way through a program when she ran out of financial aid and was forced to quit.
  14. Nienna Celebrindal

    What is the Registered Nurse Patient Ratio at your hospital?

    Wow some of these are scary for me. We staff based on level of care. ER anywhere from 1:2, 1:1, 2:1, 3:1, maybe 4:1 (all very basic if we're slammed and short, not common). Med surg is 4:1 or 3:1 Surgical and Intermediate trauma 3:1 Neuro 3:1 or 2:1 Tele mostly 3:1, only 4:1 if they are very basic/obs) All ICUs 2:1, 1:1, or 1:2 Oncology 3:1, can be less if level of care necessitates
  15. Nienna Celebrindal

    "I do the same thing as an RN"

    Here is a great example! Charles Plumb was a US Navy jet pilot in Vietnam. After 75 combat missions, his plane as destroyed by a surface-to-air missile. Plumb ejected and parachuted into enemy hands. He was captured and spent 6 years in a communist Vietnamese prison. He survived the ordeal and now lectures on lessons learned from that experience. One day, when Plumb and his wife were sitting in a restaurant, a man at another table came up and said, You're Plumb! You flew jet fighters in Vietnam from the aircraft carrier Kitty Hawk. You were shot down!” How in the world did you know that?” asked Plumb. I packed your parachute,” the man replied. Plumb gasped in surprise and gratitude. The man pumped his hand and said, I guess it worked!” Plumb assured him, It sure did. If your chute hadn't worked, I wouldn't be here today.” Plumb couldn't sleep that night, thinking about that man. Plumb says, I kept wondering what he might have looked like in a Navy uniform: a white hat, a bib in the back, and bell-bottom trousers. I wonder how many times I might have seen him and not even said Good morning, how are you?' or anything because, you see, I was a fighter pilot and he was just a sailor.” Plumb thought of the man hours the sailor had spent on a long wooden table in the bowels of the ship, carefully weaving the shrouds and folding the silks of each chute, holding in his hands each time the fate of someone he didn't know. Now, Plumb asks his audience, Who's packing your parachute?” Everyone has someone who provides what they need to make it through the day. Plumb also points out that he needed many kinds of parachutes when his plane was shot down over enemy territory-he needed his physical parachute, his mental parachute, his emotional parachute, and his spiritual parachute. He called on all these supports before reaching safety. Sometimes in the daily challenges that life gives us, we miss what is really important. We may fail to say hello, please, or thank you, congratulate someone on something wonderful that has happened to them, give a compliment, or just do something nice for no reason. As you go through this week, this month, this year, recognize people who pack your parachute.
  16. Nienna Celebrindal

    Working FT and PRN in different dept. at the same hospital?

    We have people do it, depends on the need.