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frequentFLyER

frequentFLyER

Emergency
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frequentFLyER has 3 years experience and specializes in Emergency.

frequentFLyER's Latest Activity

  1. frequentFLyER

    Am I too young in experience to teach?

    Hello there! I am considering beginning an MSN-Nursing Education next spring but want to ask your opinion to make sure I’m not out of my mind. I have three years experience in a 1,400-bed (total) facility emergency room. We have high volume and high acuity so I do feel I’m exposed to quite a lot. I started at a level 1 trauma center recently and am paying my dues to get into the trauma bays. I am considering leaving this position to go back to my old ED at the PRN pay rate I get now but full time hours (we’re always hurting for people to pick up shifts so usually available) and go back to precepting there. I’ve precepted one new grad (15 week program) and a nursing practicum student. The reason I’m considering this switch is I want to get my MSN to teach, so I could start precepting again right away and learn more about it and sharpen my teaching skills. During that time, I wanted to start the MSN. By the time I’m done with it, I’ll have 5-6 years experience. From there, I was hoping to land an adjunct teaching job and get a couple years of experience in that while still working at the bedside which will then give me even more clinical experience and teaching experience toward landing a full-time teaching job. Does this sound like a reasonable plan? I know experience-wise I’m on the young side but by the time I get to a full-time gig I’ll be closer to 10 years experience. My favorite professor in nursing school was 10 years strictly ED and she was a badass that taught us a lot. I am unfamiliar with the market for nurse educators and would love some feedback. Thank you!!
  2. frequentFLyER

    Resources (books) for new grad in ED?

    Thank you, The Nurse Motivator! :)
  3. frequentFLyER

    Resources (books) for new grad in ED?

    I am a new grad in one of the busiest hospitals and largest ED's in the US (Florida Hospital Orlando) to give you an idea of volume. We have very high acuity patients. I trained from August to December last year and have been on my own approx. seven weeks. The transition has been ok but I am constantly chasing my own tail, trying to catch up, just doing tasks, etc. Everyone has said in time it will all click and come together. Even in these seven weeks I have seen improvement which is encouraging but I'm missing silly things I should have trusted my instinct about. I look up a lot of things but want a nursing/medical resource. I would like to know what some of the BEST resources are to help me learn even more? It's so busy there that there is no time to look up why we're doing something and by the time I get home I'm wiped. What are the best, current books you swear by that get more involved than glazing the surface of some of the scenarios we see? Thanks so much!!
  4. You guys would be so mad with the lab if they called every time there was a duplicate that was cancelled. They do a lot of cleaning up of doc's orders believe it or not. I totally get what you're saying though, keep you in the loop. Unfortunately I can see that happening with the GI hgb level. The med tech is supposed to let the phlebos know if they need the redraw for a critical. Some places have certain rules like you don't touch h&h's. If it's ordered you draw it, no questions. If it's from the ED they almost always call the nurse to make sure. If on the floor, usually if it's the same doc that ordered it again we make sure because he obviously knows he just ordered one. If he/she did and then a different doc ordered the same just minutes apart it'll probably be cancelled. That's what my lab kind of went by. I think they try to avoid calling the nurses because you guys are on the phone bombarded as it is with every other ancillary but sometimes bad calls are made.
  5. I'm probably going to get CAPS LOCKED for this but as someone that has been a phlebo/lab tech, current PCT, and current nursing student, I can tell you there's usually two sides to the story. I know a LOT of lab techs can be lazy. Some used to throw labels away to avoid drawing patients, scary!! However, sometimes when things are cancelled, it's because we can see that one doc just ordered troponin x3 q6 and another doctor ordered the same and you may not have your results just yet or be able to check those orders just yet. That means the patient is getting drawn constantly for no reason when each just wanted a trop level q6. Or when a doc orders something within another test...like a potassium at 1430 that is w/in the CMP due at 1445...so a lot of times our "laziness" IS trying to spare our self extra work but also trying to save the patient unnecessary sticks. Same with the PICC, we'll hunt you down because usually someone with a PICC means their veins are crap. BUT on the other side being in nursing I now see drawing from that PICC can slow a nurse down that is in the middle of passing meds and lab techs don't always realize all the things nurses do. I really didn't until I saw both sides. Lab techs also don't always realize how important some of those draws are to be ON TIME like vanco trough. I swear the lab should make the techs shadow a nurse for a few hours and vice versa so they each understand the schedules. Lab techs will see a nurse sitting at the station and complain they couldn't help but little do they know they're charting their assessments, etc.
  6. frequentFLyER

    Tncc as a nursing student

    How much is it to audit the course?
  7. frequentFLyER

    I give in, I'm a COB

    Some of my fellow nursing students would give you COB's a run for your money. I mean, they've been through foundations of nursing, they know nursing backwards and forwards. You all couldn't possibly have learned anything in your 15+ years. :-P On a serious note, I hope you lovely self-proclaimed COB's/Buzzards remember not ALL new grads think they know everything and are eager to learn what you have to teach when you take them on as an orientee.
  8. frequentFLyER

    Are the horror stories true?

    Thanks for the words of wisdom!
  9. frequentFLyER

    Are the horror stories true?

    What is your opinion on signing long-term contracts for a new grad program, why do you advise against it? Curious as I will be faced with that decision.
  10. frequentFLyER

    Daytona State College Nursing for Fall 2015

    Yes I'm in the program and was horribly nervous last summer also! Send good vibes out into the universe, it sounds like all of you are excellent candidates. They look at both GPA and TEAS so if one balances out the other you're still ok. The used uniforms sold are usually Cherokee but you can get Dickie's too. I don't think there are any super tall so you may have to order nursealicia17! :-P
  11. frequentFLyER

    CRNA Admission chances?

    I don't think the OP indicated hesitation in applying. They even said they're willing to discuss previous hiccups with a committee. I think they just needed a confidence boost that they have a shot! Let us know the outcome ONE-TWO--!
  12. frequentFLyER

    Florida Hospital New Graduate Critical Care February 2015

    For those of you that have applied, where did you find the CCNIP application? I don't see it on job boards except for experienced RN's. Any internal hires on here? Did anyone with an ASN get accepted into the CCNIP/ICU?
  13. frequentFLyER

    Daytona State College Nursing for Fall 2015

    Good luck everyone! Enjoy summer and don't spend it worrying. Expect letters probably around 6/25 for DSC. Be sure to attend Jump Start and orientation. It's good preparation and you can ask students and instructors questions. Bring cash, used uniforms will be sold for about $10 a set, saves a lot of money!
  14. I'm currently in an ASN program (have a Bachelors in Health Science for what it's worth) and am ultimately interested in critical care nursing specifically medical ICU. I am currently an ED tech. I have worked with both specialties (ED and ICU) among others and believe ICU is where I would enjoy most. Although it is difficult to gain an ICU position as a new grad, that's my aim. There are positions within the hospital I work for that are for multisystem ICU techs. I know it seems like an obvious answer but based on my goals, would it be most ideal to leave my position in the ED and switch to ICU or would it not make much of a difference? I've been in ED only since March so I wanted to get opinions before applying to ICU. ED has been great so if it probably won't matter I would stay put but otherwise I want to put myself in the best position possible.
  15. frequentFLyER

    Not a skip experience question, but Master's or no?

    I emailed University of North Florida on this matter because I was considering RN to MSN with my non-nursing Bachelor's. They didn't say specifically that they would decline someone that does the MSN but she did say "it will not give you much advantage" (in regards to their program) and would "not decrease the course load." She recommended simply getting the BSN.
  16. frequentFLyER

    What can I do to secure a job as a new grad?

    Thank you. I really appreciate the inside knowledge.