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TheBlackDogWaits

TheBlackDogWaits

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TheBlackDogWaits has 2 years experience.

A smooth sea never made a skillful sailor. -- Unknown

TheBlackDogWaits's Latest Activity

  1. TheBlackDogWaits

    Religion and Suspicious Death

    Hi, all! I'm looking for some clarification here. I'm currently studying for MDI certification and I've hit a small wrinkle in my understanding of jurisdiction here and certain legalities regarding family religious requests vs. an autopsy dictated by a suspicious death. My study material indicates that a pathologist must be alerted to religious requests from a decedent's family prior to performing an autopsy. Why? If a decedent suspiciously dies, isn't the decedent's body under the jurisdiction of the coroner/ME? Why would the family have any legal rights over the decedent's investigation in this scenario?
  2. TheBlackDogWaits

    Nurse Investigators/Nurse Coroners

    UPDATE: fepac-edu.org has a list of accredited universities. I am looking into it, but wanted to share first.
  3. TheBlackDogWaits

    Nurse Investigators/Nurse Coroners

    Hi Tren, I am also looking into this and feel as you do about sexual assault examining. Right now I am trying to find out more information, but the best resources I've found for continuing education regarding this field have been ABMDI.org, and taife.com. I'm sure there are other programs out there, it's just a matter of using the right language in your search bar. Keep me posted if you find something else? Thanks
  4. TheBlackDogWaits

    AIFE/ABMDI/AFN

    Looking into FNDI certification through AIFE, and/or "registry certification" through ABMDI... I'm really curious how to navigate the process of becoming a death investigator... I've been interested in this field for a little while, and in just the two years I've been digging around, the field seems to be growing significantly. I'm curious how the chips fall in terms of ranking competencies/credentials/skill sets. -medicolegal death investigator -forensic death investigator -forensic examiner -forensic nurse -nurse coroner -nurse examiner These are all roles that seem to either be synonymous or overlap in some way. In my findings, I also can't seem to find a hard and fast program of study - most programs only offer some form of a graduate certificate instead of a degree, or the program web pages are currently defunct. AIFE (through recommendation of AFN {or amrn.com}), and ABMDI both appear to be legitimate resources, but I want to be sure before I bite the bullet with either of these organizations. I would love to hear some feedback on this. Thanks for your time, it is much appreciated.
  5. TheBlackDogWaits

    Seeking advice from all you Introverted nurses out there...

    You are generalizing.... Can you honestly speak for all introverts? I made a suggestion, with suggestive language, not hard and fast language. Let's not get lost in semantics. I am heavily introverted. However, when I regularly explore things that intimidate me outside of work, taking a day off from that activity to resume a work day has sometimes been a true blessing. It may or may not work for others, so I made the suggestion. The "ultimate respite" for anyone is relative, introverted or not.
  6. TheBlackDogWaits

    Seeking advice from all you Introverted nurses out there...

    A couple things to consider... Your poll is likely to be heavily biased since the title of your post specifically draws in the introverted- what is your end game with that info? What does it facilitate? Also, most professional settings are similar in that you will have professionals who enjoy socializing and those who don't, and that's ok. It's ok to be the quiet one if that's something you enjoy, to recharge away from the center of activity. If you are feeling excluded, then by all means inject yourself into conversation every once in awhile, 'add a verse' as Robin Williams would say. I have found that exploring ways to decompress outside of work has done wonders for grounding me once I'm there. Find an activity that you think you might routinely enjoy that helps to also ground you and decompress your brain from social obligations. For introverts, this could be something like running, or hiking, or biking, or reading, or yoga at home, or going for a drive in the country, or listening to some awesome music..... The list goes on. These are all solitary activities that challenge you or get you into a different head space than you would otherwise have. Find a hobby that scares you, and commit to it maybe? Then, work might seem somewhat like a respite. Just a couple ideas.... Hope this helps, and good luck!
  7. TheBlackDogWaits

    Womp, womp, womp...

    Thank you..... I really needed to hear this. My new preceptor is phenomenal and she is sharing this with me as well, that this doesn't happen overnight, etc. I really am starting to feel like I am in the right place at the right time. I suspect that I might be here for a little while.
  8. TheBlackDogWaits

    Womp, womp, womp...

    Hi, PANYNP..... I can very clearly see your point. It sounds to you like I have a bias against "Gero," and it sounds to me like you have a bias towards them. And that's ok. Really. It's ok. It doesn't mean I take less pride in my work. Is it less exciting? Of course it is. Does that make me less passionate about nursing in general? Of course it doesn't. You speak as though aggressive care is something I dismiss for the sake of not providing compassionate care. It's the opposite of that. Sometimes, aggressive care for most of these patients (who are AMS/frail/can't bounce back from aggressive care, despite the care) is the very opposite of compassionate care. Also, I'm not trying to be happy 'every moment' - where is that coming from? I'm not really sure how you came to that conclusion. I'm trying to find my niche in nursing, which is a phase I'm sure you are familiar with. The message I was trying to convey is that as a new ICU nurse, I really think it's imperative to have a varied patient load to learn as much as I possibly can about intensive care. My implication wasn't that I am "inconvenienced" by my patients. The implication is that I have a lot of opportunity for growth here, and am I learning what I need to learn(?), and what is the best direction for me to move in(?). Did you read my post? Are you reading too much into something, or projecting some of your unsavory experiences into my intentions here? My attitude in my OP was anything but dismissive. Maybe 'chill' was an inappropriate word to use. I think the sentiment is there, though. There are high stress environments and low stress environments to consider, and that's different for everyone, and I've not decided what direction I want to move quite yet with regard to a work environment. Maybe "Gero" is where it's at *for you*. If I'm following the AACN correctly, that's about half of the acute care population, right? Great, so there's a whole other half for me to choose where my niche is. How awesome for me, and how awesome for you.
  9. TheBlackDogWaits

    Womp, womp, womp...

    Thanks for the replies. Yes, CRNA is definitely off the table for me. I'm an adrenaline junkie, and thought I may enjoy it, but I'm starting to realize I prefer to take my risks outside of a professional health care setting. I enjoy seeing gross things, and have considered OR work as well, but at the end of the day, just staying where I am looks like the best option. As I am moving further into orientation with the right person, I am realizing that this really is a great team and I am already pulling the pieces together, albeit a little at a time, and this process won't happen overnight. I never expected to feel comfortable right away, I just didn't expect the environment to be as different as it is. And as far as chill environments go, the ICU I work in pales in comparison to a trauma center, so it seems like I'm in a good place to get my bearings, when I look at this more rationally. JBN, thanks for the clarification..... I actually didn't realize that. lol On the bright side though, aside from the medical students, there are a couple of really phenomenal MDs who also use opportunities to teach me while they are teaching their students, and it's really nice to have their perspective; I'm super grateful for it. Sometimes I feel so silly because I work with nurses who've been doing this for 15-30 years, and I have this insecurity that they all think I haven't put my time in and I don't deserve to be there -- but not a single one of them has been ugly to me. Not to my face, anyway.... I'm starting to get the feeling like the team is glad I am not under the tutelage of my first preceptor, and everyone is pulling me everywhere to show me all the awesome things. Anyway, it's a process. Thanks, again.
  10. TheBlackDogWaits

    Interpersonal skills during a code

    What is the "issue?" In my unit, a code team is assigned for the shift, and each person on the code team is assigned a role. No questions asked. Get to the patient and own your role. Drugs, bag, CPR, timekeeper, etc... If everyone sticks to their role, there is usually no room for error or manners..... it just all transpires, and you pat your team on the back no matter what.
  11. TheBlackDogWaits

    Womp, womp, womp...

    I am in a 19-bed unit, with a 1:2 load ratio, fresh hearts are 1:1 and rare, but my campus is probably the smallest acute care facility in the system, and all the trauma gets diverted to another campus, where they have specialty ICUs. I've jumped from a 4-week observation type situation, to an actual orientation and I am currently taking two patients. I've been with my current preceptor for three shifts. My strongest skill set is ortho/neuro, and I think I would really love wound care or burn, but there are currently no neurologists on my campus (so those are also diverted), and our system doesn't have a burn unit that I'm aware of. Just some background info.
  12. TheBlackDogWaits

    Womp, womp, womp...

    So, I'm not really sure what my dilemma is. But I'm going to try to give y'all a crack at it the best I can describe.... I've been wanting to be a CRNA since before school. My entire direction has been focused on this idea. There are many reasons why, and they aren't really pertinent so I'll jump ahead. Got hired into an 18-month residency program before I even graduated, and got hired into an ICU before that was over. So This is where I am right now.... There are a few dynamics at play here. The first being that I honestly don't feel like my residency prepared me AT ALL for my current position. I currently work for a large magnet corporation/teaching hospital. I am very excited about this just because I feel like as a new nurse, teaching hospitals are the best way to go for a comfortable learning environment. Having said that, I often find that there are also a lot of new doctors drawn to this system as well, and more often than not they are expecting me to give them suggestions for orders, or just outright expecting me to put in the orders. HUH??? So, there's that. I've been in orientation for a bit of time, and my first preceptor was not a good teacher by any stretch. You know, generally I have shadowed a preceptor for a couple days and then start taking my own patients, prior to now. I've rotated through a few different units in my previous position, and learned a lot. This time, though, I felt like I was shadowing this preceptor for an entire month. Control issues. She didn't know how to articulate what she was seeing, looking for, how she came to conclusions about care, etc.... so I didn't have a lot of direction. She was super friendly but I had to eventually address that I felt I needed another preceptor, and she turned into a different person. She started talking to me about how she didn't think I'd make it in this unit, and I'm not getting this or that, and she feels like I am always just waiting for her to do everything. I really was laughing to myself, because I feel like for the most part my development is a direct reflection of her. Needless to say, I am with another preceptor who is pretty great, and I've really started feeling less panicky about my learning opportunities. She actually let's me do my job, which I am beyond thankful for. I learn better and I learn more this way. I don't know that I like this job though. It's completely different than I thought it would be. And I've read so many posts about this feeling, and for some reason, I never felt like it would apply to me. I have zero passion for this unit or even for this job. Most of my patients are nursing home complications, whose families refuse to DNR them. Most of them are contact precaution for the sheer fact that they're from community living, and I spend day in and day out eyeballing their lytes and cardiac function. Even though they are clearly at the end of the line. On the one hand, it's tough because I'm still trying to connect all the dots and figure out the big picture, but on the other hand I almost feel like I am not learning about all the million things I should be learning, that I could be learning if I were t a different hospital. I'm stuck between feeling like I am not good enough (because of my experience with my previous preceptor) and also like I could be so much better if I were in a different environment. I don't know at which point I should be owning my experience here. I hear a lot of people saying, "Stay the year..." but am I wasting my time and my boss' time? Am I wasting my preceptor's time? I feel like I want to stay and take advantage of this opportunity, because if I were a student reading this or a nurse without a lot of opportunity reading this I'd be green with envy and/or bitter about a possible lack of appreciation or insight on my part, but I also feel like all I'm doing by staying is being a nuisance to the unit because I am moving through preceptors and haven't been picking up info at the expected rate. At the same time.... I'm learning that I don't like acute care. I don't like trying to figure out the big picture. I like teaching, and I like patients who can talk to me in their right mind. I like chill environments. I like patients who are engaged in their care. Most of these patients are poor historians, with no family to advocate for them - and there are a lot of nurses who enjoy taking on that role, but I don't believe I am one of them. I'd like to make a decision that benefits everyone here. I don't really know what to do. There must be a few of you who have weathered similar events and made it through with a lot of regrets - or no regrets at all. Care to share your thoughts?
  13. TheBlackDogWaits

    Short Comics

    I really miss Brian's silly cartoons.... Does anyone know if he created those? And how is the admin team??? Y'all are in my thoughts...
  14. TheBlackDogWaits

    Other students don't think I'm good enough

    I consider myself reserved. I also considered myself a mediocre student at one time, and surrounded myself with people who (probably) believed they would be better nurses than I am. It's ok. First of all, if you're the smartest person in the room, you're in the wrong room. Second, people often find attributes in someone else to look down on - it's a defense mechanism/confidence booster; it's not cool, but it happens. I am a victim of it and guilty of it, as well. Thirdly, so what. You do you. Control what you can control, and control your attitude and reaction to those things you have no control over. In the end, or on the way, or wherever you land is exactly where you need to be. At some point, and it will happen, everything will click and you will feel like you are in exactly the right place at exactly the right time... ... And it'll be all kinds of awesome. Enjoy it before you move on to the next thing that you'll be awesome at. Good luck and keep your chin up. The people you're in school with, if you're living in a town with more then 200 people, will all fan out into the void after graduation and you'll land a job and work with people who are more like you than not.
  15. TheBlackDogWaits

    Meaning of your username?

    In European culture, the black dog represents death..... And it definitely waits for us. It's my reminder to myself to live each day with some purpose :)
  16. TheBlackDogWaits

    Words You Hate

    THIS!!!