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Intensive Care and Perianesthesia Care
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borkowskikid has 5 years experience and specializes in Intensive Care and Perianesthesia Care.

I graduated high school in 2006, and had no idea what I wanted to do. I worked as a mechanic for five years before I realized my calling. I became an EMT to "test the waters" so to say, and I loved it. I quit my job, enrolled in a BSN program at my hometown university, and four years later I became a real nurse. I did my dues on med/surg and with an open mind I took a position in PACU and eventually ended up in ICU.

borkowskikid's Latest Activity

  1. borkowskikid

    PACU Traveler?

    Hello my agency peeps. So recently I've been seriously entertaining the idea of agency nursing, but I'm slightly concerned about the availability of assignments. I'm a certified perianesthesia nurse working Pre-Op/PACU and would obviously like to stick to what I know. Do any of you specialty travelers ever have trouble finding contracts in your forte? Of course, i'm not above working another nursing specialty, but one of the big reasons for me going contract is getting PACU experience in various facilities and with different patient populations/types of surgeries. Thanks, guys! Any input is greatly appreciated.
  2. borkowskikid

    Violence is Not "Just Part of the Job"

    “I’m gonna kill you” Is what he said just before grabbing Ashley Schade’s neck with both hands during her shift in a Washington ICU. She detailed the event in a social media post: “having a strong individual’s hands around your neck, the inability to breathe, let alone call for help, to the point where you can’t see a thing and can only hear an emergency “staff assist” tone going off, is one of the absolutely gut-wrenching, most terrifying feelings anyone could ever imagine” How Much is Too Much? Although Ashley’s encounter was extreme, violence against healthcare workers happens all too often. A 2001 study by the Department of Justice found that out of all workers across all industries 16.6 per 1,000 were the victims of violent acts, compared to 21.9 per 1000 nurses. Furthermore, according to the Occupational Safety and Health Administration (OSHA), approximately 75% of nearly 25,000 workplace assaults reported annually occurred in the healthcare and social services settings. The statistics are staggering, especially when you take into account that violence in healthcare is often under reported, as most healthcare workers contribute violent acts to “just being part of the job”. In some circumstances, nurses and assistive personnel forgo reporting such incidents all together in fear of negatively affecting Centers for Medicare and Medicaid Services (CMS) scores, however most facilities lack a formal reporting protocol to do so. We’re Here to Heal, So Why all the Violence? Its safe to assume that the vast majority of nurses did not get into the field out of a desire to fight people, so why all the fighting? A study performed by the Emergency Nurses Association (ENA) detailed contributing factors of healthcare associated violence in emergency departments across the nation. Most factors were directly related to patient conditions such as an increase in the prevalence of mental health disorders and patients or their family being under the influence of drugs or alcohol, while other factors were related to facility shortfalls like under staffing and the lack of safe visitor policies. What Can We Do About It? While a large portion of workplace violence in the healthcare setting stems from factors which are difficult to control for, there are measures we can take to increase safety for nurses and other healthcare personnel, and arguably the most important is awareness. As the phenomenon of healthcare violence gains public attention, more and more nurses and other healthcare professionals are becoming vocal and sharing their experiences, most notably through the trending hashtag #silentnomore often broadcasted by popular social media personalities such as “ZDoggMd”. While awareness may be necessary for change, understanding is how solutions are made. The lack of effective reporting protocols in facilities across the U.S. may potentially be the largest inhibitor of increased workplace safety. How can we possibly solve the problem when we don’t fully understand it? Furthermore, in order for reporting tools to collect accurate and useful data, nurses must be encouraged or inspired to report the incidents in the first place. That is why the notion that violence is “just part of the job” is so dangerous and counter to what we pledged as nurses: to do all in our power to maintain and elevate the standard of our profession. So, while we continue to be healers and provide exceptional care to our patients despite what they may say or do to us, it is of utmost importance for the sake of safety and the progress of our profession, to maintain the belief that violence is not okay, no matter what.
  3. borkowskikid

    Hurst or Kaplan?

    Which guide would you suggest for studying for the NCLEX? I've heard good things about both of them.
  4. borkowskikid

    Generic name for vitals machine?

    Haha! Sounds good to me!
  5. borkowskikid

    Generic name for vitals machine?

    Does anyone know of a simple generic name for the vitals machines that roll around? We've been talking about different terms like the "COW" and I was curious if this device had a nickname like "computer on wheels"?
  6. borkowskikid

    How much is too much?

    Thanks Again! My main concern was that I enrolled in a sub-par program and wanted to hear from other students/nurses about their experiences. I feel much better now knowing that y'all suffered the same torture! Jk, but really thanks you guys.
  7. borkowskikid

    How much is too much?

    Hello all and thanks for your replies! It's seems as though everyone has experienced similar situations, except for the care plans. It's not really the care plan that takes so long, it's all the things that go with it. We are required to do a summary of each medication that our patient is taking, summarize all the possible interactions and their adverse effects, why the pt is taking it, summarize their abnormal lab values and reasons for those values, and all the tipical clinical documents, and some professors that want all this in APA! Some students turned in 36 pages all together and failed. I agree nrobinson7, that's exactly how I feel, there is so much these people want from me that i actually learn less. At our clinical sites, I spend more time getting all this info before the shift is finished than I do seeing patients. Otherwise I wouldn't have the info I am required to have to pass. Sorry NurseAshley, I would like to keep the institution anonymous, but I will say that it is a new program and I am in the third class to ever enroll. Thanks again everyone, it makes me feel better knowing that other schools are the same, even though it is insanely stressful!
  8. borkowskikid

    How much is too much?

    Okay, so I'm a junior in a BSN program and am really wondering if my school is taking things too far and here's why; first, we were required to purchase 16 books, that's right I said 16, and that's just for one semester! I paid somewhere around $1200 for the used version of all of them! Then they gave us five more ati study guide books. To this day, I have only utilized three of the totaled 21 books and the others haven't even been opened. Second, the amount of material is almost impossible to manage. Every week we have five chapters worth of end of chapter questions, a small 2 page paper, and care plans from clinicals (18-36 pages!). We have an exam just about every other week and now we've been told that not only are we having class tests for grades, but we're having to do these ati tests and get at least a 75 to pass the course! That means, if you have an A average, but get a 70 on ati you won't be able to continue to next semester even though your average would be passing! I currently have 2 A's and 1 B (that's the other thing, 21 books for 14credit hours!), that's medsurg, pharm, and nurse concepts, I have a 3.9 gpa, and was just inducted to Alpha Chi National Honor Society (top ten percent of juniors from all disiplines across America), I haven't really been challenged by the content of these courses, but more so the quantity of it. It literally takes between 12 and 16 hours to complete care plans alone! There is, quite frankly not enough time in a week for anyone to complete all assignments and study for exams simultaneously, especially now with ATI! Did any of y'all go through anything like this? I feel as though I have so much on my plate that I'm learning less by simply trying to finish everything. Advice?

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