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Awesomocity0

Awesomocity0

Gastroenterology, PACU
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Awesomocity0 specializes in Gastroenterology, PACU.

Awesomocity0's Latest Activity

  1. Awesomocity0

    Should I make a stink about this?

    There are a couple of lessons that can be learned here, OP, that will help you in your future endeavors. 1) If you didn't document it, you didn't do it. Takings others' assumptions for granted would get you in trouble as a nurse pretty quickly. 2) Stay humble and open. Kind, sweet individuals on this forum have pointed out that the umbilical cord (a cord, not a combination of musical notes) is part of the fetus, and you came back with stubbornness and animosity. I was already wary of how this post started out, but your reaction to being helped is astounding to me. If you persevere, there will be many things you're taught which might not make sense initially, and you'll have a fork in the road. You will either open yourself up, think about them, and come to accept these facts, because you'll realize that they make sense logically, or you'll deny them, develop anxiety, miss questions, and in the end, not grasp the concepts at all. Seek clarity, not self-indulgence. 3) Nursing isn't about low-level knowledge. If you get a lot of low-level questions on boards, that means you're probably going to wind up failing them. By low level, I mean the sorts of questions you seem to want your A&P prof to ask. It's a hard road learning to answer high level questions, and it's best to tackle it now, because it only gets worse from here.
  2. Awesomocity0

    What would say to a nurse shadowing you

    OP is either a foreign teacher teaching English as a second language, or OP is lying about being a teacher. One of these things has to be true, otherwise God help the school system or country that would employ, let alone certify, him/her. I've read four pages of complete nonsense, with a non-native speaker who has turned belligerent. There's no shame in admitting you lack fluency in English, OP. Doctors and hospitals make enough money to be able to cover the costs of a medical interpreter. Just throw in the towel, or else you'll be doing a disservice to the medical professionals which have, for some reason, been entrusted to your care. Also, please don't speak to the Japanese medical professionals the way you speak to us. Our jobs (a good chunk of which include teaching patients, coworkers, the public, etc.) cannot be summed up in a few lines of dialogue. I'm deeply offended that you think that nurses have such easy, generic jobs, to where you think a telemarketing-style script could sum up our duties and teaching points. ... Actually, I'm not offended at all. I would be if I wasn't laughing so hard at this thread, though!
  3. Thready is weak, which is the opposite of increased. Are you asking why it isn't increased and decreased at the same time? I think you may have gotten some terminology confused. Why it's weak, makes sense if you think about it. You have decreased volume. It's like if you lost 50lbs and put on the same dress. The fabric wouldn't be as snug around you.
  4. Awesomocity0

    Spiking IV fluids by PCT's

    I don't know what state you're in, but Texas has a resource guide on delegation. https://www.bon.state.tx.us/practice_delegation_resource_packet.asp Nurse educators also tend to be experts in delegation and scope of practice, so I'd consult with the ones in your facility. In general, anything that requires nursing judgment shouldn't be done by a PCT.If you feel like your PCT is overstepping her bounds, I'd recommend chatting with her and telling her it doesn't make you feel comfortable. If it's a safety issue (which, I actually think it might be), and your manager doesn't care, it's time to keep going up the chain until you get an answer about policy. If no one wants to help, you could even contact your board.
  5. Awesomocity0

    Pneumothorax question

    I know that some pneumos resolve on their own, regardless of whether they're traumatic or spontaneous, so I think it'd make sense that if a small one doesn't resolve on its own, you'd get a worsening of s/sx at the very least r/t a prolonged period of v O2.
  6. Awesomocity0

    FREE Offer for Nurses - Stay Tuned - TBA... Tomorrow

    Kind of a pain with the verification, since the size limit is kind of small, and then it didn't take my initial .gif. But other than that, kinda cool. Especially the bit where it says no credit card required. Any time something say it's 'free' but makes me put in a credit card, I'm immediately skeptical.
  7. I just enrolled. The biggest issue was resizing my proof so that it would fit. And then for some reason also, my gif didn't count as a valid file type, so then I had to go back and do a jpeg. Kind of a pain, but... it all worked.
  8. Awesomocity0

    Apologies for using the term "NETY"

    ... is this true that this happens? If so, that's terrible, and it makes me really, really sad. I've never even thought of nety in reverse or the horrible justifications for it. Also, the problem with so many of these arguments is their modalities. Some people come off with arguments that involve the almighty implicit 'all.' The phrase NETY might stop being so controversial if used in a much weaker sense. I know from personal experience that it's not 'all' and it's not 'none.' It's just some. More than the quantity 1 and less than the percentage 100. Arguing any specifics to justify an 'all' or 'none' statement is a sampling fallacy and a compositional one as well. So let's not make fallacious arguments. That's the real problem, imo!
  9. Awesomocity0

    Dallas/Fort Worth Student, interested in Peds

    At UTA, you're going to do clinicals at Children's. If you do well in clinicals and really get to know and impress the managers, there's a pretty good chance they'll offer you a residency. When I worked at Parkland, we had girls come through in their final rotations who had already secured jobs at Children's before school was even done. The impression you make at clinicals mean a lot, especially when trying to land a competitive residency.
  10. Awesomocity0

    new grad: cant find a job

    I'm going to say this and then run and hide in a corner. I'm not saying I agree with it or advocate it. I'm just sharing what some people I've known have done. FYI, I did not do this. Some people who do residencies that require contracts don't honor their contracts. I honored mine, but I was just about the only one. And the only reason I honored it was because I really liked my job. (Would have stayed if the commute wasn't so tiresome.) Looking into the contracts people had to sign, they were about as hole-filled as they came. They basically weren't contracts at all. They were basically just thinly veiled guilt trips. And not one of the folks who left before their contract obligations were up had to pay the fee, were blacklisted, contacted by lawyers, etc. A friend's Dad who is a lawyer even looked at them and laughed when he saw them. SOOOO... I recommend a residency. I liked mine a lot. Buuuuuut I wouldn't let a time stipulation in a contract mean that you HAVE to honor it. No one can force you to work somewhere for any period of time. Even soldiers can leave. Sometimes it might be to jail as a consequence, but you always have options.
  11. Awesomocity0

    Apologies for using the term "NETY"

    I had to go back and look at your thread to see why you're apologizing OP, but I see how you used it incorrectly. It's using it incorrectly and the assumption that lies behind using it at all that's the issue. 'Nurses eat their young' is just a grouping of four words that are meaningless until you throw them into a context. I think a lot of people have already astutely pointed out that the issue is the implicit 'all' before the word 'nurses,' when it could be replaced with 'some' OR the nurses with 'some professionals.' I've definitely seen nurses eat their young. I don't see it often, but I have seen it, and sometimes it has been invalidly and irrationally. My first job out of nursing school was in mental health, and I actively watched an LVN try to destroy an RN, repeatedly saying things like, "just because she's an RN doesn't mean I have to work under her. I have more experience. I'll show her." It was ugly and uncalled for and as a brand new nurse, I had no earthly idea how to handle it, so I stayed out of it. Her complaints were never specific about the RN, just what she felt was an injustice and that she would bully the RN because of it. In a hospital environment, I've never experienced it or seen it. When my preceptors reamed me, it was totally deserved. It sometimes came off as harsh, but it wasn't. It was just blunt and factual, because sometimes, you have to be blunt and factual to stop someone from being unsafe. I will say though that I HAVE seen some docs eat their young. The amount of bullying I saw in a teaching hospital from SOME (note the word some) attendings to their fellows and residents is so much more tremendous than anything I could have ever imagined. And no, it didn't involve 'safety' or 'teaching.' But again, that's not the norm. And yes, I also heard the phrase NETY in nursing school A LOT. I think everything just looks and feels worse when you're new and your self-esteem is fragile. Sometimes you just need some space and experience to realize that the 'bullying' isn't actually bullying but constructive criticism to help you.
  12. Awesomocity0

    Decreased pay during orientation?

    Hospitals incentivize preceptors. Some do this with an increase in pay, some do it with extra PTO, etc. Precepting is hard, and (take no offense if you have) it sounds like you've never had to do it. Precepting slows down your preceptor, puts extra work on his/her plate, and adds a whole new level of responsibility which you can't even fathom if you've never precepted someone before. It is hard, hard work, and it costs the hospital money. They're literally paying two people to do the same job. If you paid one person $20 to mow your lawn, would you then go on to pay $40 for two people to do the same thing in the same time, except less efficiently? The only reason the hospital is willing to foot that bill at all is because they expect you to pay them back over time with your work. It's common practice here to pay people less during orientation (especially if they're residents, since residents require long term training) or they're PRN (because who even knows if you're going to stick around past orientation long enough and work enough hours to recoup their losses?). So don't look at it as you paying your preceptor. Look at it as, the hospital is trying to take less of a hit on training you, and they're compensating someone at an increased rate to do something tougher than what they normally do. Look at it as two separate parts.
  13. Awesomocity0

    Accelerated BSN

    Nursing schools are competitive, but they're not nearly so competitive that they would weed out applicants with stellar GPAs based on quality of schools where grades were received (excluding technical and pay-to-graduate schools). And if you're going to a cc near the area of the university where you're applying, chances are that they know and appreciate the standards of that cc. If your grades are good for your pre-reqs and overall (because it would definitely hurt if you had good grades in pre-reqs at a cc but went to a four-year school and tanked), I think you'll have a pretty good shot of getting in.
  14. Awesomocity0

    In desperate need of advice

    There are some fallacious statements in your initial post, like that 98% of people are hired guaranteed. Past statistics do not guarantee future ones. And when you factor in that more and more hospitals are forcing BSNs on ADN nurses and not hiring ADN ones at all, walking in as a diploma nurse is a death sentence. I had a co-worker who was a diploma nurse, and she worked at an urgent care clinic for five years because no hospital would take her. So you might get a job, but it might be doing paperwork. Do you really want to limit yourself there? And if you don't find a job, what are they going to do? Hold a place hostage until it hires however many other students to reach their 98% quota? Also, there's the problem of how you chose nursing. You gave yourself three choices and eliminated two. There are more than three choices in life. And fear of having a hard time getting a job shouldn't be the only driving factor (and is especially ironic if you're considering going into a diploma program, where you will have trouble finding a job, I'm willing to bet). I was the type of person that listened to my parents all the time, too, and at 24, I have already acquired a massive amount of regrets that I wouldn't wish upon my worst enemy. I'm working now to go back and do the things I wanted to do, even though my parents discouraged them. Should you listen to your parents when they say don't get a face tattoo? Sure. Should you listen when they try to discourage you from another academic passion? Absolutely not. If you're miserable at your school, transfer. I can also say this from experience. I transferred twice before I found a school i loved. Picking a school solely based on academics or aid is not always enough. For some people it is, but for others it isn't. My first two schools were in cities I found boring. I like being in an urban environment, and going to a top ranked school not in a metropolitan area was not a good fit. I walked out of both of those schools with stellar grades and disapproving parents, but I traded that in for being comfortable and happy, and I have zero regrets about that. Look into other options. I would not, under any circumstances, do a diploma program. An ADN maybe, but not a diploma. And honestly, since you're young with good grades, I have no idea why you'd do an ADN either. Just transfer to another four year school. How about a public one where tuition is cheap, you're likely to get scholarships, and you can take out loans for housing expenses? It'll give you an opportunity to get some breathing room from your parents, too, and see what it is that you truly want.
  15. Awesomocity0

    I am a real nurse

    Never, ever equate putting a stethoscope and tasking with 'real nursing.' You don't ever have to justify your work to other specialties. I started off my career in psych nursing, then switched over to PACU and GI. I do such a wide variety of tasks. In PACU I'm continuously observing and physically assessing patients and treating complications. In GI, I label specimens and stand by a computer to time out. I wipe butts. In psych, I spent a lot of time talking and even more time listening. Based off those obviously less-than-comprehensive lists, would I order my jobs based on how much of a 'real nurse' I was doing them from PACU to GI to psych? NO. That's ridiculous and demeaning. What makes you a nurse is doing for your patient what your patient needs at that time. If I don't time out, we could do the procedure without a consent, a note, give drugs that the patient is allergic to, or do the wrong procedure. Hello, sentinel events anyone? In psych, if you don't stand there and listen, your patient could literally kill him/herself. He/she could actively be having a panic attack. Your communication skills in psych are vastly superior to anyone else's. I believe that with all my heart. And your teaching skills are probably better, too. You can teach someone to give themselves insulin pretty easily, in most cases. Teaching CAMs and coping mechanisms requires trouble shooting and critical thinking abilities on such a high level that I don't think most people are capable of doing it. You can teach tasking easier than critical thinking skills. And you know what? Just yesterday, I had a patient who was having a panic attack in a room, and while the nurse in that room had no idea what to do, I came in and calmed the patient down using two CAMs I'm fond of. And because of that, she took less sedation, and had a better outcome and better experience overall. If you're a great psych nurse, you're more patient than I am. You're a better communicator. You're compassionate and humble and humanitarian. I salute you, psych nurses. I couldn't hack it, and if you can, I think you're just amazing. And anyone who thinks you're not a 'real nurse' probably has no idea what to do. Accept it and move on. Nursing is normally a thankless job, from our patients and unfortunately, usually our co-workers and fellow nurses as well.
  16. Awesomocity0

    'Diagnosing' co-workers?

    So a tech where I work was volunteering for a health fair, and she asked to borrow one of the unit's manual bp cuffs. She wanted to try it out on someone first, so she asked another tech to take his bp. He agreed, and I (don't judge) was nearby eating a candy bar. I watched her take the bp, saw the needle start ticking, and saw when it stopped ticking. She announced, "you have really great blood pressure 120/82!" He said, "that's lower than it usually is," and I asked, "does it normally run more like 132/84ish?"and he said it did. So then she asked me how I knew, and I said that it was just a guess based on the movement of the needle, which led to the awkward conversation of, "well no, you shouldn't go based off of visuals; you should still use your ears; yes I know I just looked, but I didn't have the stethoscope. You didn't hear it until 120? Let me give it a try. it's probably just the low quality of the disposable stethoscope. Yes, you can borrow mine, but let me try this one first." So I took his bp, and it was 132/84. Thinking I might be biased based off what I saw, I called another nurse, who without knowing our discussion, got the same reading as I did. We tried on someone else, and she had a similar issue. So now I'm wondering... does she have some hearing loss? Is it okay for me to tell her to get checked out? I don't want to think she can't take manual blood pressures otherwise. And have you guys ever run into a situation where you spot something medically about your co-workers and have had to tell them (or wanted to tell them) to get it checked out, because you suspected an illness or deficit? And let me add that I'm limiting this to NON-psych issues. LOL.