William2

Helps greatly! Some of them hours just suck as previous poster has said. I want all my shifts together and then I want my days off consistently and spaced. 6 on 6 off would be ideal.

Great help. I know they vary just like nursing hours. How about give some examples?

I'd like to know what type of hours are available for CRNA's that work in hospital and out such as a clinic or wherever they work that isn't a hospital. I'm looking to see what other people work around the states. I'm hoping to avoid a Mon-Friday grind. I understand the call is need however would love to mimic my nursing schedule of 6 on 6 off and 3 a week (on my non-weekend).

Divorce is my first thought because throw kids into the mix and who is going to be picking up that extra slack if the current state is pretty abysmal. Couldn't imagine that lack of support "until death do us part" if it were me. I doubt this person is willing to change either because it sounds like they are doing nothing and are okay with it by justifying their work week over yours as if you are a lesser equal. This quote always comes to mind [h=1]"Men marry women with the hope they will never change. Women marry men with the hope they will change. "[/h] Set some firm standards now or else.. I understand the need to vent, but cry? That's a bit much if its happening a lot don't you think?

That's harsh because we all know as soon as we go to the nurses station the phone rings, theirs another patient request/emergency, or someone is asking for help therefore you get delayed.

Might add that I've seen Versed for seizure control in addition to your seizure meds. I've seen quadruple strength versed, 250mg/hr infusion for this post EEG. PRN paralytic for dyssynchrony or high peaking IF sedation increases haven't helped. Precedex is a word you never use around one of our docs for sedation/agitation. Better have exhausted all efforts before suggesting it.

Asking questions is never bad and should be encouraged. If they didn't like it that's their problem and they should be prepared as a preceptor to answer them. No fault to you. This however... I know Zosyn runs for 4 hours. I also know give the dilaudid I needed to document a pain assessment, go to the Pyxis, get a vitals machine, document vitals, flush, push over 2-3mins,and flush. All that could take me 15mins. I know some meds can't be given close together, So I asked my preceptor if I should stop hanging the zosyn and get the dilaudid. She didn't answer me, so I just finished hanging the zosyn then took care of the dilaudid. I did not want to make a medication error by stopping the zosyn in 15 mins to give the dilaudid, but since she didn't answer me I just finished what I was already doing.' If it was me. I'd put the zosyn premix bag in my scrub pocket and go get that dilaudid. Push it slowly (mix in 10ml NS is my go to) while waiting on that log in to the computer, scan both meds, finish the IVP, and hang the zosyn. Combine tasks. You're over thinking. Its just an antibiotic unless they are on deaths door it can wait a little.

That's if they have that many assigned to them or they are all that unstable. If they are all that unstable, truly unstable, then assignments need to shift for that transport to take place In the ICU its just us we have to make do with the bodies we have even though the acuity is through the roof. That ICU nurse is taking that patient to CT, doing procedures in the room, making phone calls for consent, setting up supplies, and titrating drips in another room taking care of all aspects of that patient such as q2h turns, oral care, hourly urine output, cleaning up BM and managing that family and their phone calls/questions not to mention the new patient ED delivers while assisting their colleagues with whatever they need. It goes both ways. So for ICU staff or any staff on a medical floor going to ER to pickup a patient is a stupid idea. It will not work. Its a team effort or should be. If your ER lacks this or the lone wolf is encouraged because of personalities in this department in my opinion that job isn't worth holding.

I worked 730-730. I didn't know how much I didn't like it until I switched facilities and now work 630-630. It feels more "natural" to me especially in winter when I go to bed and most of the time its still dark out. Feels just like a day shift in some sense. Report can go long or **** it the fan as anyone knows though it feels still better than starting this process at 730 and leaving at ~8am or after. Being able to get off earlier is less of a determent on sleep I found and getting up for that shift I eat dinner at a regular time and then off to work instead of waiting for 7-715 to come to leave. I like it and wouldn't trade it. Going in earlier reduces anytime I want to spent outside if its summer or if I have errands to do. Its the best compromise for me.

You change the IV fluid bags q24hrs on your pressure bags? Something we never do..

I'm just not knowledgeable on how enlisting works when I already have my ADN, BSN with 4 years experience which includes Med surg/tele and ICU experience along side my part time acute pediatric experience. I am interested, but don't know how to choose a branch. My sibling just left the Navy after 11 years of service. That was my first go-to. But my route is different. I go to be an officer? And then what? Do I work in a hospital? Am I on a ship? Stationed overseas? My sibling picked a field then did both of theses, but recently married and didn't care to be aboard, but was limited to such. So, I'm just curious how this all works if someone could break it down on what happens. Is it easier to advance to CRNA while enlisted? Undecided at this point but its been a subject I've thought of for advancing my career.

While I do not expect a 100k Salary I know the ceiling of where I live is pretty low considering nurses with 30+ years make only $10/hr more than me. I don't expect it to change. I have 4 years of experience on various units from floating and ICU experience not to mention previous LTC experience as LPN. I have my BSN and some other certifications and working on my CCRN. After which I am deeply interested in moving to somewhere I do not have to work crazy hard to make the 75k I made this past year. Interested in suggestions. Someone mentioned earlier NM? AWay from East Coast and Southern States.

ADN and BSN has nothing to do with skill or knowledge and ICU. You learn from the same material. What you retain is your own. BSN may spend more time on it than ADN school, but the end result is both are nurses capable of working ICU if they so choose. The secondary learning starts day one of that job and continues and accumulates through experience. The nurses with 35 years experience of critical care are experts in their field more so than a doc that has been there 5. This is evident in my place of work. How ignorant. Any nurse follows orders and checks boxes its part of the job done anywhere. Until you work ICU will you EVER understand. Now you are just being a troll. Why are you even here?

Agreed.

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