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la_chica_suerte85 BSN, RN

Pediatric Hematology/Oncology
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la_chica_suerte85 is a BSN, RN and specializes in Pediatric Hematology/Oncology.

Second career RN -- currently an RN resident at a fabulous hospital in pediatric hematology/oncology.

la_chica_suerte85's Latest Activity

  1. la_chica_suerte85

    Unprofessional to mention you have other patients?

    I don't know why but it's always been a weird topic -- I vaguely remember being told that it's not that patient's problem that you have other patients so it's not an excuse or something (?). I can't remember but it's some customer service-related nonsense. I have had parents ask me how many patients I have for the night but that's usually just small talk. I still get a weird twinge of guilt mentioning it (again, don't know why). And, then, there's some parents who were used to having their nurse 1:1 when they were in PICU and don't get, ahem, sharing their nurse with 2 other patients once they get to the floor. So, they genuinely just don't know that not all nurses have just 1 patient. They're shocked, I think it's funny, but they just really don't get it.
  2. la_chica_suerte85

    PVC'S and SVT leading up to NCLEX

    I'll echo the sentiment that you probably need a break. I didn't pay too much attention to my Kaplan scores. I just kept practicing the alternate format questions until I couldn't practice anymore. Since it's the day before your test date, take a moment to immerse yourself in things that make you laugh. For me, it was looking at stupid memes. I found some particularly funny and held them in my mind's eye. When the test got a little overwhelming, I would pull out the mental image, chuckle to myself and move on. I'm sure I looked like an insane person sitting there LOLing to myself but it worked. One and done in 75. I was put through the ATI gauntlet at school, did the Kaplan 4-day workshop and used Saunders throughout my time in school. The thing that helped me the most content-wise was Saunders. I hear this with UWorld, as well. I think you have a fantastic chance of passing your first go. You just have to be able to control your anxiety. It will be the most terrifying time in your life. When you get to 75 questions and the test turns off and you get directed to the survey, you'll be begging for more questions, another chance to show you know what you need in order to get your license. But, it'll be okay. You will pass and you will reflect on that moment with negative feelings that fade with each recall. Good luck!
  3. la_chica_suerte85

    Nursing School

    This depends on your school and their agreement with your state's BON. It should be stated in your the student handbook for nursing students or on the department info page on your school's website. Your state's BON also likely has some information related to this. I believe after our second year we could have taken the NCLEX-PN but most people don't do that because it's such a short time from that point to finishing your BSN. It's enough of a journey to get your ATT (and, depending on your state, you may have to wait a very long time to get it before sitting for the NCLEX-PN; for example, in my state, it took such a long time to get my ATT for NCLEX-RN that if I did that, I would have been sitting for the NCLEX-PN just as I was about to graduate) while you're trying to concentrate on finishing your BSN.
  4. la_chica_suerte85

    Jimmy Kimmel Thanks Nurses Who Saved His Infant Son's Life

    Huh? The National Heart, Lung & Blood Institute and the Eunice Kennedy Shriver National Institute of Child Health and Human Development (institutes within the NIH) would like a word. Also, Trump gave the okay for reimbursement cuts to facilities that serve populations that include undocumented patients -- this also includes the patients with cancer, heart disease, lung disease and many other problems (who happen to be from Mexico and are here illegally) that are treated most effectively at places like CHLA. These patients are covered under the Medi-Cal expansion, "Medi-Cal for All Children" and with the repeal of the ACA and the dawning of its replacement, that means cuts to this expansion and that means facilities that treat these patient populations are going to lose out big (and, for the record, CHLA is not a for-profit organization but celebrities can't donate to us indefinitely, as much as these donations help). So, yeah, Trump can stand to be thrown under a bus. His willful ignorance (along with that of many of his supporters) of the complexities of the health care system in this country put him there.
  5. la_chica_suerte85

    "My kids"

    My "fun friend!" That's what we say. :) For some reason, "My kiddo" drives me up the wall.
  6. la_chica_suerte85

    Differentiating between lung and bowel sounds

    Yes, it is possible. If you hear coarse lung sounds where you should be hearing bronchovesicular sounds, you just have them cough and clear their secretions and, voila, clear lung sounds. Also, wheezing is a bronchial issue and it is possible that the deep breaths allowed them to relax enough for the restriction of air flow to stop and the wheezing to disappear, just like you would hope a breathing treatment would do the same for someone with asthma.
  7. la_chica_suerte85

    Wearing secular head coverings?

    I believe the studies that regard laundering...erm...auxiliary accessories and sanitation have to do with inconsistencies and lapses in proper laundering. And, yes, if you are looking for an exception to a particular guideline or rule, you'll have to discuss things that are otherwise personal or uncomfortable to discuss. Usually, nursing school dress codes are not as strictly adhered to as you might think. I was very careful to put my hair in a bun and make sure it was never in my face or falling out of place. But, I saw people who simply put their hair in a ponytail and most of the instructors didn't care. I'm sure a modest hair covering would likely be noticed but, because people are too afraid of offending someone or making them think they are discriminating against them and getting themselves into trouble, it is likely no one will tell you otherwise. They'll just assume it's for religious purposes and leave it at that.
  8. la_chica_suerte85

    Nursing is not what it is made out to be..

    While you're in nursing school, now is the time to prepare to set yourself up to work in the best possible environment. But, nursing in and of itself has some major challenges that can make even the most ideal environment sheer hell. Still, you don't have to settle for some place that automatically makes you miserable.
  9. la_chica_suerte85

    Nursing is not what it is made out to be..

    I agree with this to a point -- and I've only been on my own as a new RN for nearly 4 months. My experience, however, is what I tried my hardest to make it out to be. I made sure I would position myself to 1) get into a hospital setting, 2) go directly into my specialty of choice (because I'm old and a 2nd career RN and I have no time for this "be an adult med/surg RN 1st and then branch out" thinking), and 3) be in a supportive environment because I know my limitations and there's no reason to be miserable working with people who add to the misery. I succeeded on all 3 points. However.... The business of nursing is tough regardless of what kind of paradise or hell you find yourself working in. You have to work as part of an interdisciplinary team (ahem....) and god help you if you work at a teaching hospital and you're a new RN and find yourself teaching residents who give ZERO ***** about oncology or pediatrics or both (although, it really makes the wonderful residents stand out even more -- and when they are amazing they are A-M-A-Z-I-N-G and you'll fall in love and it's not fair that they leave to go on to spiffy fellowships somewhere far away). Anyway...back to the concept of working on the interdisciplinary team. You will find yourself at the center of this team and catching all the dropped balls. You will wonder to yourself why it is so hard to get certain things done. You will have those residents who don't care tell you "that's a day shift problem." You will have nights/days where you don't eat for 13+ hours because everything that could go wrong did go wrong and everyone else's things that could go wrong did go wrong as well. You will have parents/patients ***** about you in their native language (that, while you can't speak it well, you sure do understand it) because they want their food reheated when you're trying your damndest to get their treatment started on time (which, for some godawful reason was advanced to the beginning of the shift). You will have to bite your tongue to maintain a "therapeutic environment" while fighting back tears of frustration and wondering WTF you got yourself into. You will be endlessly disappointed in people's decisions about their health and lives and endlessly frustrated at their complete lack of understanding or willfull ignorance that turn what could have been a simple resection and 6 weeks of treatment into a year and a half of back and forth nonsense, failing to make appointments to progress treatment and ultimately turning a curable cancer diagnosis into a terminal one. You will wonder if the things you are being exposed to as a nurse (especially you wonderful ED and ICU RNs) are going to have lasting consequences (health, mental, or otherwise). You will be pushed to your limit. Repeatedly. You will extend your limitations. Repeatedly. You may be pushed to the brink of feeling unsafe. And then, you'll catch and error made by a veteran RN -- a good nurse -- and you'll remember we're all human and this is all nonsense. You'll put up with a treatment-delaying error made by the shift before you and push and push and PUSH to make it right. You will marvel at the consequences of human error. You will grieve the consequences of human error. You will see far too many wasted lives, wasted potential, potential disabled by the life-extending (but not quality-increasing) treatments modern medicine can provide. And yet, you'll keep showing up. You'll almost have a sick love for the torture. You'll swear that you won't stay in bedside longer than the minimum commitment. But, really, what would be different? Human error, apathy, patients being non-adherent to their plans of care -- what will ever change? In fighting the tears back, there is the clarity that this shift will end. Things will get done. You will be better for it and the next time when you have an even harder shift, you'll laugh at how you thought this hard shift was actually difficult. And then, you'll have a beer at 9AM with your donut and say, "Hell yeah, I deserve this." But, honestly, I don't know how long this lunacy can last. If I could somehow make the living I make now with my face in a microscope 8 hours a day M-F, I would be there in a heart beat. So, when people say they want to go into nursing, I say, "Are you really sure? There's still time to do something else."
  10. la_chica_suerte85

    double lumen PICC & incompatible meds

    It's funny -- I was just mentioning this to a coworker the other night. I know the lumens are often staggered at the end (but not by much) and I still have some magical thinking going on that things are just going to mix together at that end point and it's no different than having a single lumen. But, the evidence bears out that it will dilute ASAP and it will be a-okay.
  11. la_chica_suerte85

    Pre-reqs of a pediatric nurse

    These are pretty much the basic keys to peds nursing. If you can entertain the kids and the parents and make everyone comfortable, you'll have a good time. If you are also able to stay up on the latest ridiculous trends and obsessions of the little ones (a la Frozen or Shopkins or watching people play video games on YouTube), you have your in on relating to them. When kids see that you think the stuff they think is cool is cool, they often feel validated and trust you more. Also, don't be afraid to play! A lot of kids that are inpatient for long periods of time like to play with their nurses and bond with them. It's fun -- when you have time, that is.
  12. la_chica_suerte85

    ATI testing for LPN students

    They aren't. ATI is not the best in terms of quality or test-taking strategy. I had to basically de-brainwash myself from ATI before I took the NCLEX-RN. I used Saunders and Kaplan to prepare and I passed the 1st go around. I would not put any stock into what ATI says in terms of its predictor scores. They're very vague and finding the evidence to back up their bizarre scoring system is curiously difficult.
  13. la_chica_suerte85

    Dying to be a Nurse

    Nursing school is generally a very competitive academically. It's difficult to get through your stream-of-consciousness style writing so I think that the criminal record might be only part of your issue.
  14. la_chica_suerte85

    New Grad, Can't Get Hired?

    Yeah, you gotta get out there and do the foot work. See if there are any job fairs at the local schools around you coming up. There should be since a lot of people are getting ready to graduate. Good luck!
  15. la_chica_suerte85

    New Grad, Can't Get Hired?

    Uhh....this may not be what you want to hear but a very experienced colleague of mine (my preceptor, in fact) moved to NJ and remarked before leaving that it was incredibly difficult to find a job in the specialty we work in. NJ and California (and I believe NY) are notoriously filled to the brim with RNs. Just keep at it...or, try moving to Florida. They can't seem to get enough people there.
  16. la_chica_suerte85

    Gel nail polish

    Essentially, anything that is artificial and does not occur naturally on the human body has the potential for providing environments for microorganisms, particularly gnarly ones, to thrive. The purpose of alcohol-based sanitizers and minimum 15-sec hand washing with soap and water is diminished when artificial anything (polish, acrylics, gels, hybrids, etc.) is involved. and Wood, A. (2015). Ultraviolet (UV)-cured nail polish. AORN Journal, 101(6), 701-704. doi:10.1016/j.aorn.2015.03.004 Granted, this is from the AORN's clinical journal so their primary concern is with peri-, intra- and post-op situations where the patient's normal defenses are severely compromised. But, I work in hemonc and, while some people may blow off the risk of having chipped polish or wearing gels (or, wearing their natural nails longer than the recommended max of 1/4") while providing patient care, I'm not down with that risk, especially when we have a 0% line infection rate to defend.