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barcode120x ADN, BSN, RN

Telemetry
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barcode120x has 6 years experience as a ADN, BSN, RN and specializes in Telemetry.

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FNP class of 2021!

 

barcode120x's Latest Activity

  1. barcode120x

    Back surgery during nursing school

    First, I would clarify with the professors as well as the director of the program in terms of accommodation. If they can't accommodate you during clinicals, then of course you would have to wait until graduation. I wouldn't expect them to accommodate you for your surgery and healing process. Now IF they can accommodate you and your entire recovery process, I personally still would wait until after graduation. You still have to finish this 2nd semester and you have another year to go after that, why bother risking your seat? You have to assume the surgery goes well. Then you have to assume that you recover with no complications. You have to assume physical therapy to get you back on your feet quickly/on time. You have to assume personal life, business life, and educational life doesn't get in your way the next 1.5 years. There's a lot of assumptions that things will go according to plan. Not only that, you will be pushing your body to the limits by continuing with school work and clinicals when it should be resting/recovering. On the other hand, if this scoliosis is impairing you from performing RN skills during clinical and/or the progression of the scoliosis is expected to worsen over the next year, then surgery may be warranted. This is a serious discussing between your PCP, surgeon, and your program director. Lastly, jobs will always be there. You have the CNA experience, I think you already are a step ahead in terms of employment. If you work at a hospital, then you are way ahead of the employment game. There's no point in worrying about jobs if you haven't finished nursing school and passed your boards. There's also no point in getting a job if you can't physically perform the job duties due to injury. Recover and heal first. Back surgery isn't something to think light of and shouldn't assume you will be "back on your feet in no time."
  2. barcode120x

    Back pain... the abysmal side effect of nursing

    You should put the height that is comfortable/appropriate to the shorter person. It is easier for a taller person to "lean" in for a pull-up than it is for a shorter to "stand taller" (by tippy toes) and only use arms to pull up (which is a big no!). The taller person shouldn't necessarily be "bending" over the patient, but more like should be "leaning in", as should the shorter person. Legs should be slightly spread apart. Most importantly, knees should be bent (especially for the taller person) to get to a comfortable height AND both should be tightening their core as they begin to lift/pull-up. Don't worry I'm short too 😄
  3. barcode120x

    High Demand or Oversaturated?

    I don't finish until Summer, but I recently spoke with a coworker of mine who graduated about a year ago and said that it has been very difficult to find a primary care/family practice position (Southern California) especially in the time of COVID. She has an extensive background and she knows quite a bit of a physicians, but still hasn't had any luck. Clinics are simply not seeing as much patients as they used to due to COVID restrictions. Tele-medicine is on the rise and I personally feel it can make "seeing" a patient "easier" in some ways where docs may not even need to hire as many PA's or NP's now. She said that most family practice clinics she's applied to require experience or simply are not hiring at all. I personally don't have much interest in primary care as my interest lies in sub-acute (I.e. SNF's, LTAC's). One of my close friend has been an NP for a few years now for SNF and has said that with COVID, there is going to be a bigger need for SNF's. With more patients, means more positions for NP's, at least in sub-acute setting.
  4. barcode120x

    Back pain... the abysmal side effect of nursing

    The things mentioned above are definitely important, but also pay attention to the little things at work. Quite often do I help others reposition and pull up patients yet the bed is raised high enough. Sometimes people (including myself, I'm guilty of this) don't raise the bed even for petite, light patients. Over time, even the smallest incorrect body mechanic will eventually take it's toll. Also, always use the Trendelenburg position (not all the way back of course) when attempting to pull up patients. Gravity works wonders, and of course, do it on appropriate patients.
  5. barcode120x

    Student nurses: Earn 40/hr on COVID units?

    I would definitely do it. Gets your foot in the door, experience and $40/hr is a lot. My guess most of your work will be CNA-like services. I would make sure you look into any fine print on that position. Make sure it's not like a set contract, or you have to work like 5 days a week straight or something.
  6. barcode120x

    Failed clinical portion of nursing school during COVID

    The student didn't correctly do the online clinical and/or courses to the expectation of the instructor/curriculum/program. Although online clinicals and courses may be new to many nursing programs because of covid, the students still have to abide by the grading system set forth by their instructors and curriculum even though this online curriculum is "freshly" made. Your family member should be able to go into detail as to WHY he failed. Did he fail the clinical portion? Was there a specific assessment in a online clinical or simulation that he failed? Or did he fail the coursework-testing portion? Did he not show up for one or two online lecture sessions? There is a lot missing to your story. My FNP program is full online so I am all too familiar with how online "clinical" works. We call it simulation and it's part of our curriculum. In light of covid, we did do these "simulations" through zoom and of course, if you fail, then you fail the class. If you cannot show your instructor what you have learned and/or practiced, then that is grounds for you to fail. Our very first "simulation" was to do a advanced head-to-toe assessment before starting any clinical. If we couldn't do that, then you failed the class and have to restart. This would be your example of learning the nursing skill, never seeing a patient, but still failing the class.
  7. barcode120x

    Clinical rotation sites / Preceptors

    I've mentioned this before, get in touch with the docs at your work. If you work in acute care or even sub-acute, chances are the docs do family practice outside. Even some specialty docs do family practice. Ask colleagues and fellow nurses that you work with if they know anyone that can precept. Networking in healthcare is vast, you just have to put forth the effort and speak up. If you have a PCP that you've known for awhile, it doesn't hurt to contact them. My 1st clinical was with my PCP (unfortunately now, she is not taking students due to COVID). Take that same thought with friends and family and have them ask their PCPs. As the poster above me said, it actually might be a good idea with push NP school till next semester or another year. Last thing anyone would want is paying another semester or two fees. I would have done so but COVID hit smack in the middle of my 2nd year. I fortunately can do a few hours of clinical each week, but I'll most likely have to extend my graduation by another semester due to low hours/patient totals (July is my initial finish date).
  8. barcode120x

    Anyone not working during NP school?

    I had the impression that most, if not all FNP programs required RN experience. I would definitely find a job right away.... You will need the experience as an RN to help you through the program when it comes to diagnosing, treatment plans, etc. Textbooks will always tell you the textbook way to deal with things, but in reality, real life is not a textbook. Nor is the clinic.
  9. barcode120x

    FNP preceptor tips / around Los Angeles

    Get in touch with some of the general hospitalists at your facility. Chances are that many of them have their own office and see patients in primary care/family practice setting. I'm currently following a few physicians because of that and I know a few more hospitalist at my work that also do primary care.
  10. barcode120x

    Post-Masters Acute Care NP Programs

    Don't think I've heard of an acute care NP Program. I had the impression anyone going for NP essentially goes through an FNP program first and then transfers to another school that has a specific certification for a NP specialty such as E-NP. For acute care I would imagine you are talking about a hospitalist or internal med NP and I would think that would definitely need to be some sort of certification. I do know that PMHNP programs are their own programs that combine both MH specialty and FNP together.
  11. barcode120x

    What are your favorite scrub brands? Why?

    Dude here. Figs will forever be my favorite. I've always struggled finding a scrub brand that fit my build (am on the shorter end but bulky-buff) and Figs was actually the 2nd brand fit me perfectly. I think many can attest to say that the quality of the fabric is great and they like never wrinkle either. Honestly, I think Figs has become the "professional" look of nurses and there's just something about it that makes any person wearing look and feel fresh. No other words to describe it. Of course my favorite style is the joggers for the pants too. Also, I would actually consider their clothes to be a "slim-fit" type of style. Similar to what you see on tops and even jeans at clothing stores. Prior to figs, I stuck to Cherokee. I had only 2 black pairs that I used for like 3 years when I was working per-diem as a lift tech. I also had a Dickies pants that was nice too because it had tons of pockets. All I had were those because any other scrubs I tried on or bought/returned just were too big or too small, top or bottom until Figs came out.
  12. My coworker and I were the first telemetry nurses in the hospital to take covid/critical care patients. One on two drips, the other on one. Both fairly stable for the most part overall. We had a critical care nurse that picked up 8 hour extra shift to "oversee" us and our drips. Thankful to have her and she took charge of the drips and charting and helped us out anyway she could. Overall, it was an OK experience (except with my frequent head turns to check how my septic patient's BP was). Not going to lie, but it was a good shift of "team nursing" (that's what our hospital is calling it if we have to break ratios or cross over specialties in light covid). Would I do it again? Hell no, as much as my night was OK and I definitely know I could manage it IF it happened again, I don't want that liability if something does happen. I am nowhere near interested in CC nursing. If I have to do it, will I? Unfortunately yes and I may have no choice as it seems like they are pulling the seasoned nurses first to take these patients. And, we had 0 "cross training." I literally walked into the shift last night not knowing this was gonna happen.
  13. barcode120x

    What is your minimum base pay on Covid-19 unit???

    No bonus pay in the Inland Empire in SoCal. The bonus we get right now are 3:1 ratio (which is amazing, sometimes nurses are down to 2:1 if the day is low census) and I almost forgot to mention the freebie leftovers dayshift gets that they leave for us.
  14. Eek, that's a lot. My buddy that I highly advised not go to WCU a few years ago (he graduated with flying colors and is working at a psych facility) ended up with around a 130k or so bill. He was the one I mentioned had to take extra classes because WCU wouldn't accept some of his transferable classes from Cal-State Fullerton. Honestly, once you finish you WILL be able to pay off your loans in the long run, but it's such a huge bill. In your case, this may seem to be the only route left in order to get into nursing. Who knows, many of us healthcare workers are hoping that something good might come out after this C-pandemic (loan forgiveness, reimbursement, etc) and you might get lucky if this happens. But, one can only hope.
  15. Sounds about right. But as I mentioned, if you have the passion for nursing, go for it! 😎
  16. barcode120x

    Azusa Pacific University MSN-NP Spring 2016

    Last time I talked to my coworker a month or so ago I remember she had mentioned they DO find clinical placement for you. Very fortunate. Wish my school next door (I'm at Western Uni) doesn't 😞