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Posts by gaonsi

  1. I had a pt complain that I was too young. So I Webb to take care of a more critical pt. I think when people complain about insignificant things, they are just hurting about something. I apologize for how they feel, ask my coworkers what I could have done better in the situation, and move on. 10/10, my charge nurse and manager know my character and my bedside manager and keep it moving.

  2. I'll be honest, critical care is not for you. It's the epitome of multitasking. There could be several different things going on at one time and you're to testing drips using your knowledge base, not based off of md orders. Although I'm not in medsurg, it's very similar. You have 6 patients, all with different needs, pulling you in 6 directions. Good luck on finding your niche, but hospital nursing isn't for everyone.

  3. This is such a touchy subject. I sympathize for my make coworkers because unfortunately, they get asked to turn our barbaric patients. I don't have any advice besides putting yourself and your health first. Good luck! I think this is a prune example of a greater issue. We need to start focusing preventative medicine, and not reactive. But that's another rant for another day.

  4. I'm confused as how that's a violation of HIPAA. We used to go into each others rooms all the time for learning, addressing pumps, helping turn etc. as for the insulin, that's why someone checks behind you. To avoid mistakes. Someone caught you, crisis averted. Seems like BS to me. Sorry this happened to you. But maybe the universe is preventing you from something greater. Best of luck. Chin up!

  5. You're not foolish! You're just new and nervous. Take it each day at a time. Go into work with only one expectation: to learn. Nursing is about growth and learning something new and amazing each day. Some days you'll learn more than others. Some days you learn about patient care, a disease process, how to deal with family, how to do a procedure, etc etc. you did great your first day because you didn't quit! Chin up! You'll be fine. Don't be so hard on yourself. Like you said you've been out of the clinical setting for 4 months. It'll take time to find your comfort level. Orientation is overwhelming in any situation. Learn to laugh at yourself. Also if you still have your kit from fundamentals, go over some of your skills with a friend! Good luck, you'll be fine :)

  6. This post has been very interesting to read. Although I'm terribly sorry you felt disrespected, did you realize the hospital you were stepping into?! You're talking an inner city hospital in a downtown metro area. Sometimes the nurses should not be of concern, but your patient population. And truthfully, if you couldn't handle their aggressive interview style, you'd probably not be able to handle the docs, the patients, the families, the locale, on top of having to step on the floor and be the best regardless of if you're new or not. You're going to an ICU, people are critically sick. They can't be waiting for you while you're dryin your tears in the bathroom and they're going into hemorrhagic shock and the surgeon, RT, charge nurse and anesthesiologist are rushing you to the OR. With all you have to learn, you should be comfortable after a year with basic tasks like IV line maintenance and inserting urinary catheters, giving blood because unfortunately, they can't teach you basics you should have learned in nursing school or at your previous jobs. And they ask you questions about customer services scores not necessarily because they care about the scores of your previous institution but because they want to know that YOU know and are aware of them. That's knowin your performance indicators is something on your mind.

    Again I'm sorry, the notion of nurses eating their young still happens and I know I've gone home crying many a times. But I held my head high, waiting until I got out of the parking lot and burst into tears. Don't let people see you sweat, it gives them motivation. Lets all stop pretending that some nurses aren't mean. People are men! They will always be mean, don't interact with them when you're outside of work and simply don't become what you don't like. But also don't take things personally. I guarantee that when you were writing this post, those nurses had long forgotten about you while you're still expending energy being sad and angry at their behavior.

  7. I need to check out certification. I thought they required 2 years of critical care experience before sitting for the exam. Congrats!

    You need 1750 hours if critical care time. I completed that amount in about 10 months since there was a time I was going quite a bit of OT. And thank you!

  8. Congratulations! That's awesome. Where did you get the dvds?

    I got the DVDs from a coworker of mine. Lol i wish i could just circulate them around to whoever needs them :( The Pass CCRN code was 24 dollars online from the publisher. And thanks a bunch!

  9. So I passed my CCRN this week. I wanted to share how I studied since I asked everyone and I see the question come up. I work in a level one trauma hospital but in the MICU. I have been a nurse for a little over a year and I started in ICU as a new grad. I studied for about 4 days by watching the DVDs by Laura Gasparis and doing pass ccrn questions. I was really nervous but it ended up going well. I suggest the DVDs and then focusing in practice questions. Good luck to everyone attemptin it! Your dreams are closer than yo think.

  10. I think it depends where you love. Are ADN's getting jobs? If you're in a state like California, go get a bsn. It will make you more competitive when looking for a job. One year is a short amount of time in retrospect. Good luck.

  11. I usually don't take a patient load. But I do the help with admits, make all calls to MD's, monitor our tele (no techs), answer the phone (we get all the hospital calls after 2000), help with MAR reconciliations, do all the checklists/equipment checks, and help the CNA's on the q2 turns/changes. I answer call lights and try to help the nurses as much as possible.

    If the nurses are overwhelmed, I take patients. I do really try not to screw over anyone....usually. ;-)

    If you were my charge nurse, is be elated! You can send me your admissions! Continue to vent, you clearly go above and beyond for your team.

  12. Thanks everyone for your feedback. I decided to reschedule the test. It seems like most people I know have studied about a month. I'd rather err on the side of caution. $300 is a lot of money to spend to not give myself the best chance possible.

  13. Hey all,

    I've been working in a medical ICU for almost a year. I'm eligible to take the CCRN exam. I've paid and set a date. However, now I'm having second thoughts on if I have enough time to study. So my questions are, how long did you study? How many years of iCU experience did you have?just to give some perspective on my test taking, I studied for my anCkEX about 5 days before I took the test. Any advice and perspective is welcomed. Thanks for reading.

  14. You go girl! You can do it. Keep your head up, push through. It will be hard, and you will struggle ( just like we all have) but you will get through. Your kids will look back and say "wow, my mom is amazing". Keeping you in my thoughts! In excited for the road ahead that you are about to conquer.

  15. I'm sorry. I was filling an bag syringe once and blood splashed on my face. I panicked, I cried, I slapped myself on the forehead over and over for being "careless". It happens. Wait for the results. Mine came back negative. I hope yours do too. One of the few scary things we as health care professional endure and risk. Good luck!

  16. This doesn't sound like a normal situation. I am a new grad, and I've had one instance with being bullied at work. I went to my car at the end of my shift, cried, and came back the next night only for our mutual patient to say she was relieved I'm back and the other nurse and her "mean, non- caring spirit was leaving." I say this to say that if you do well with your patients, they are the real determinate of your success. Don't let yourself be bullied. Stand up for yourself. Maybe it's a facility thing. Have you considered working in another hospital? But if CRNA is what you want, go for it! The galaxy is your limit. Maybe they're mean because you have something they want. Freedom, skill, critical thinking? I don't know. I'm rambling now but good luck. I hope they start leaving you alone and you get into your too choice school!

  17. MOM To 4 - I completely agree with you, well said! I do want to add a few things to this discussion. I'm concerned that people are too stuck on the letters. LET IT GO. RN is the only set of letters that matters right now. That being said, the different programs were created for reasons, and now it's time to consolidate. There is nothing wrong with anyone in the field right now who has their RN to be an RN. But, going forward, things need to change. Why? Because nurses are being popped out like pills in a LTC Med cart... I mean for real, all over the place. POP. pop. PoP. pOp. Nurse nurse nurse nurse nurse nurse. It's time to realign ourselves. We *CANNOT* leave our fellows behind, however. We have to allow those who are experience to continue to be experienced, no matter how they obtained their nursing IN THE PAST. Change is about moving forward. From here on out, we have to go FORWARD. Stop going back!! My old boss is an ADN. So what? She was great and she works as a consultant AND SHE DESERVES IT!! :-) My new boss is a BSN. He's great. He makes good money and? HE DESERVES IT. I'm a DIPLOMA RN with a degree in something non-nursing. I'm great. Guess what, I DESERVE IT. I am in a BSN program. Not because I want to outshine the ADN or Diploma- it's because I want to learn more. That is it!

    All of this being said, compared to other professions, we have to change if we want to stay up. A 2 year degree is a vocational degree. It's a practical degree - An associate of a professional. I'm not putting any ADN's down, I'm saying that is what an Associates Degree is designed for. That's why it's an ASSOCIATES. Can't change that, it is what it is... Bachelor's degree is an entry-level BACHELOR - one who is ready to run, wet behind the ears but full of base theory. A starting professional. That's why it's a BACHELOR's degree. Masters- You've mastered your subject. I could keep going. So, why is the associate degree- the vocational school prepared degree, not for a LPN? The bachelor, the professional, an RN? Makes sense to me. Coming from someone who is a diploma RN, you have to know that I'm not about being better or worse than anyone who IS ALREADY A NURSE. I think we need to stop going back and start going forward. Sorry about the long winded message, I hope the idea gets through.

    Boom! Agreed and well articulated.

  18. I'm a recent Bachelors of Science educated Nurse in California. Before even applying to the clinical portion of Nursing i took Anatomy and Physiology I & II, a Philosophy series, a Psychology series, Pharmacology, an entire chemistry series before O-chem, Microbiology, Botany, Zoology, an entire English series, an entire Humanities series, Statistics, Human Development, Cell Physiology, Developmental Biology, General Ecology, and Mammalogy.....before taking one single nursing class.

    This education allows me to attend a Masters program if i so desire, or perhaps a PhD program if i one day feel that i can give back by educating and transitioning students into our amazing field. I will never feel ashamed for this education. In fact, it is one of the highest sources of pride in my life.

    I graduated in December 2012 and was offered a position late January 2013 with a starting pay of $42.90/hr. I am scared out of my mind. Will i be the best nurse on the floor? No, i wont even pretend to believe I'm more knowledgeable than the CNA with one day of experience. But what i do know is that i have the tenacity and gumption of sticking out college for five years and graduating with honors. I know that i mastered a didactic curriculum of nursing theory and skill. I know that wherever i go i will succeed. Whether this is intrinsic to my personality or a product of my education, i do not know.

    Lets keep advancing.

    Well said!!!