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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

    Days off

    If this is actually a policy, I would highly consider looking elsewhere. I know certain facilities can mandate workers to stay/work over time as it part of their organization's policies and whatnot (I.e. mental health facilities) and employees are notified/educated about that before actual employment, but I've never heard of a SNF firing employees for not coming in when asked by their employer. Definitely would look for a job elsewhere. But yeah, never feel guilty for not picking up the phone or responding to a text about an extra shift. Normally staffing at my location will send out a text, but when staffing is extremely short the manager calls/leaves voicemail. I don't even call back when a voicemail is left. They usually tend to ask why I can't come in or bargain when I used to return the calls, but it's simple, I'll call back or I'll call staffing if I do want a shift. And it always bugs me when management asks why I can't come in extra. None yo bzness.
  2. barcode120x

    Nursing in Southern CA

    For LA county and Orange county, most definitely. If you look into the eastern counties/areas (SB County, Riverside County, etc) it's way more affordable. Of course you're further away from OC and LA, but there's a pretty significant difference in cost of living. Travel nursing in SoCal is probably a great idea to help with the cost a living and I'd imagine a juicy contract for the LA/OC area.
  3. barcode120x

    finding time for clinical

    You likely would need to find another job/position, quit, or go part time or PD unless your job is willing to accommodate morning hours for clinical and you can work later during the day or from home. Most of my classmates work the typical 3's at the hospital so making days for clinical was quite simple. Others quit, work PD, or PT.
  4. barcode120x

    I'm a Student not an Employee

    Tough to say because I haven't come across this issue at any of my family practice clinicals. All the MA's, secretaries, and managers have never bothered me with these sort of tasks. Don't get me wrong, I'd be willing to do any of them if they asked. Being a floor nurse, I'm used to giving medications, IM's, collecting UA's so it's all normal for me and I would no problem doing them if I was asked during clinical. I mean technically, we are still "qualified" to do these tasks and being in a position of higher standing doesn't mean you shouldn't be doing these tasks. But if it's really getting in the way of "doing NP stuff all day" and you are actually busy doing NP stuff, maybe tell the MA that you're about to see the next patient or getting ready to see the next patient and will not be able to do said vaccine, UA, etc? Tough situation to be in really because we are all grateful to even have a precepting spot at this current time. Other than that, if I was in your situation and it was always busy, I would probably just suck it up because I wouldn't want to jeopardize my clinical spot unfortunately. If your manager and/or preceptor is very open, you can simply just bring up the issue with them and how some of these tasks are interfering with your work.
  5. 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."
  6. barcode120x

    APEA Clinical Guidelines in Primary Care

    I can't say I have had "success" with using the APEA resources as I'm still in NP school and haven't taken any practice boards yet, but part of my curriculum is to attend their 2-day seminar every July with the author/CEO Amelie Hollier and a few others. Their 8 hour, 2 day lectures were amazing. Very informative, short, sweet and to the point in terms of what you should and need to know on the main conditions and medications. Amelie is a great teacher and lecturer and everything she teaches about is easy to understand and take in. Hope this helps a bit if you are interesting in attending their lectures. I do have a few of their books which I bought more to help me out with clinical rather than for testing (I got Amelie's pocket book for antibiotics and her main primary care manual). As a student, it was definitely worth paying for, twice actually. Our 2nd time with her lectures again are in July, a few weeks before we graduate.
  7. barcode120x

    Suggestions for getting a preceptor?

    I had always known my PCP precepted students, particularly ones from my exact school so she was the first one I contacted right after I got accepted into the program. Definitely doesn't hurt asking your PCP or maybe even friends or family members if they've noticed their PCP has students. Ask your faculty and adjunct faculty for your program if they precept or if they know of anyone that precepts. I was lucky to precept with one of the adjunct faculty members for a few months. Unfortunately, mid-year through the pandemic, like many other clinics, I lost my clinical site. The first place I started looking was at my hospital. I asked some of the attending physicians, one of which I am still with to this day. If you work in a hospital, definitely get in touch with the physicians. Many do primary care outside of the hospital. If you're cleared to start with OB and/or peds, I would imagine they would be more willing to be open to students than primary care. Stay in contact with your clinical advisor and program director about clinic sites if you're having trouble. I would hope they assist you in any way in finding a site. Worst case scenario, you can pay for one. I would never pay anyone to be my preceptor, school is expensive as is. I did recently recommend to a friend to hold off on applying/starting the FNP program because of the whole clinical situation with covid. That's another option if it's not too late.
  8. 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.
  9. barcode120x

    Is it normal for nurses to enjoy hunting??

    Don't care much for fishing, but I've never been hunting. I don' t think there are any hunting spots at all here down in SoCal; however, I've been interested in picking up a gun license. My bro has a few guns in which I've shot with him at the range a few years ago. Now that I have some monies, I've been interested in picking up some sort of bolt action rifle.
  10. barcode120x

    Precautions After High Risk Exposure at Work

    Double post sorry
  11. barcode120x

    Precautions After High Risk Exposure at Work

    Honestly, "precautions" should have started months ago. The day I woke up with covid-like symptoms was the day I knew I was positive covid. I live with my parents (early-mid 60's very healthy) and immediately isolated myself. I actually keep to myself so it wasn't anything different. I basically confined myself to my computer room and bedroom and wore a mask around the house. Told my parents to do the same. I ate and did everything in my room and tried to minimize contact with my parents. My mom ended up testing positive a few days after me. I wasn't surprised. It's almost as expected since we live in the same confines it's only a matter of time just as it is with nurses like myself that work on the covid unit. Precautions can go as far as you're willing. The main guidelines are really the same, social distance, mask and hand hygiene. If your symptomatic, get tested and isolate. Can't get any simpler than that.
  12. barcode120x

    Now that I've gotten it....

    I too didn't really think I'd get COVID. Or rather, I never really thought about it. I ended up being symptomatic this past Tuesday (I more than likely got it at work the previous Friday as I never really go out). I had really bad bodyaches, a lingering headache, and a cough, and fatigue. That night was the worst. Immediately got tested the next morning, was taken off work, then I broke out into a low grade fever and chills. The last few days I've been recovering well. No more headache or cough, but have mild bodyaches (usually pretty achy in the morning but tylenol fixes it) and a lot of fatigue/lethargy. Things were starting to look up until earlier and I woke up with a fever of around 101. I hope this is just a small bump in the road. The fatigue and lethargy really gets to me though. When I wake up in the morning I don't feel well-rested and weak and I've been napping 2-3 hours every day. Same thing happens when I wake up from the nap, just feel drowsy and tired. Fortunately no shortness of breath. Another odd "issue" I'm having is that I have a hard time "warming" up when I get into bed. No fever, but it's cold right now in SoCal and the last few nights including my naps, I spend about an hour trying to warm up in bed. I shiver here and there (no fever), but I just cant get warm even with a ton of blankets. Luckily I have a portable heater, but then I'll wake up later in the night or in the morning burning hot where I can't tell if it's cuz I'm just hot or if I actually have a fever. This literally just happened again today.
  13. barcode120x

    Nurse Practitioner clinical site

    Sounds like you already answered your own question. Get in touch with your physicians that you work with. There's a good chance that physicians in the hospital do primary care. Even some specialty docs do primary care. Can't be picky when it comes to precepting with NPs vs docs. Take what you can get.
  14. barcode120x

    N95 mask

    The most obvious reason is that the n95 is way too tight. If possible, try going up one size (I duno if there is a "large" n95, we only have small and regular at my place. Another trick is to loosen the stretchy straps by pulling on them a little harder/stretch out the strap before putting it on your face. Of course you don't want to loosen/stretch them out too much that the mask won't get a good suction. If your place has the supplies, the duckbill N95 would definitely lessen the soreness/tightness when compared to regular N95's. If all else fails, you'd need to wear the astronaut set-up. Or, find another position. Also, depending on where you work, you may not need anything more than a regular surgical mask or any other medical mask that is designated as a "droplet" protection mask.
  15. barcode120x

    Anyone not working during NP school?

    Most of the 1-year post master's FNP students in my class ended up not working because most of their weekdays were spent in clinicals. The coursework was very manageable and not necessarily hard (our program is all online) but they only had 1 year to get all the required hours and patient counts. One of my close friends was doing clinical 4 days a week in the last few months of the program. The remainder of the class such as myself that is in the regular 2 year program as well as those that are in the 3 year extended program are still currently working. In general, I think the regular 2 year FNP programs are meant to allow students to continue working. My first year I was able to manage 3 nights at work, 1 day of clinical, coursework, and a per diem 1 day a week job. Albeit I was exhausted, I ended up going part time while continuing school. Many of my classmates unlike myself have families to take care of and are still managing both work and school full time in both.
  16. barcode120x

    need nightshift sleep/health tips

    That's terrible...I would look elsewhere for sure haha