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ICRN2008 BSN, RN

Infection Preventionist/ Occ Health
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ICRN2008 has 5 years experience as a BSN, RN and specializes in Infection Preventionist/ Occ Health.

BS, MT(ASCP), BSN, CIC, COHN-S

ICRN2008's Latest Activity

  1. ICRN2008

    When will being an RN stop sucking?

    I had a position that I loved for the most part. Unfortunately, the long hours did not fit with our family's needs. Now I'm in an hourly position where we are basically set up to fail and are given responsibilities at the very edge of our scope of practice. It's a very difficult situation most of the time and I have absolutely no support from my co-workers or management despite being brand new. I was basically thrown in there and left to find for myself. I've been in this situation before and was eventually able to prove myself. However, the amount of stress placed on my whole family because of this job make me question a career change. I honestly want out of healthcare at this point.
  2. ICRN2008

    Is there any nursing Job that is not stressful

    I think every nursing job is stressful in one way or another. I've worked both at and away from the bedside. When you work bedside, your shift is brutal but then you turn your patients over to another nurse and leave. Working in infection prevention or occupational health, I was on-call 24/7, was salaried exempt and had to get the job done no matter what. That often meant getting calls at 5 am and working 60 hours a week with no overtime. I also had to be interviewed by Joint Commission and OSHA surveyors. That's a different kind of stress.
  3. ICRN2008

    How Far Would You Commute for Part-time?

    I'm considering returning to work at some point this year, but I will not be willing to commute longer than 30 minutes each way. And no more than 2 days a week.
  4. ICRN2008

    To apply or not to apply...

    The previous response was great. I found the "Getting Started in Occupational Health Nursing" CD by AOHP to be super helpful, along with my local AAOHN chapter for education, networking and support. And, of course, the AAOHN Core Curriculum Be prepared to spend a lot of time studying at first (in your off hours) but I find it to be a quite enjoyable field. This is especially true if you have a good support network of colleagues you can turn to when you're new.
  5. ICRN2008

    National APIC conference

    Has anyone attended, and if so would you recommend it? Is it worth the cost if your employer is not paying? Our local conference is relatively inexpensive so I don't mind paying for it myself, but I would like to do something to boost my resume as I look to return to work after a year off with my kids.
  6. ICRN2008

    How to Return to Work after Raising Kids

    I've been out of the game for a year now, but have not worked full-time in 3 years because I've been home with my children. I've started networking with old colleagues and found that I've received a pretty positive response so far. Attending local conferences in your specialty and taking an old colleague out to lunch are great ways to start. Our local community college also offers a refresher course if you've been out for 5 years or longer.
  7. ICRN2008

    I'm not answering call lights

    When I worked the floors I found that rounding every 15 minutes to half hour cut down on the number of call lights for things that could wait, by at least 80%. I also made it a point to chart on the mobile computers near the patient's rooms instead of at the nursing station. We had one nursing assistant for the entire floor, which meant that each nurse got help for one out of his/her five patients It was insane.
  8. ICRN2008

    Hourly Rounding/pain management?

    Oh, and we had to document the IV site assessment hourly as well. This came after a few lawsuits for infiltrated IVs. We managed to do our hourly rounding, but we usually only had four patients. Even then, we were running around the entire shift and often didn't get any breaks.
  9. ICRN2008

    Hourly Rounding/pain management?

    In peds we were required to document hourly: Patient alertness, position and activity (ie calm, crying, etc). We had to do hourly pain assessments on all patients in pain, especially sickle cell patients on PCAs. We had to document IV VTBI and PCA injections attemps hourly as well. It was difficult to say the least, especially when we only had one CNA for the entire unit, and he/she was assigned one patient with each nurse.
  10. ICRN2008

    Allergic reaction to n95

    You can see if they can order a different brand for you, or if they have any PAPRs available. Most hospitals have at least one PAPR. Not taking TB patients would probably NOT be considered a reasonable accommodation under ADA, but finding another device that you're not allergic to would probably be deemed reasonable. First step in this process would be to obtain and submit MD documentation of the allergy.
  11. ICRN2008

    Dengue Fever

    There are many vector-borne diseases that are making a comeback. I just read a book about the Yellow Fever epidemic in Memphis around the turn of the century, and it certainly serves as a cautionary tale for us today. I know that many people are opposed to widespread spraying of DDT and other pesticides or draining wetlands, but in certain areas this may be necessary if trends continue. Scary!
  12. At the peds hospital I worked at, the rapid response team consisted of a critical care RN, critical care RT (many times our team from the helicoptor would come by), out team's resident MD, and the senior resident. A few times I had to call in the RRT because the resident MD was too pigheaded to ask for help. I once had a kid whose HR dipped into the low 40s while awake, and it took forever to get someone to order an EKG. That was pretty scary, but he did okay.
  13. ICRN2008

    Hep B titer

    I am still learning, having just started in infection control. I can tell you that our practice right now is not to do titers on new employees who have already gotten the series. Many times it will come back negative, but doing the series over again isn't necessary to maintain immunity. A few employees who have sustained needlestick injuries have elected to get the recommended booster injection. We still do a titer 2 months after the series is completed on those who are newly immunized against Hepatitis B. I was surprised to find out that there are still nurses and other health care workers who haven't been immunized.
  14. ICRN2008

    BSNs Need Not Apply

    I know that there can be minimum qualifications for hiring someone, but can they discriminate against someone because they have "too much" education.? I would think that if they made this a written policy as opposed to an informal practice they may be opening themselves up for a lawsuit. There has to be some way for new grad RNs to gain experience for advanced practice programs in such a way that it doesn't leave employers high and dry when all their new grads quit after a year. What about a lower-paying Post-BSN residency program that focuses on preparing nurses for grad school?
  15. ICRN2008

    ImmunoglobulinM problem

    PS I hope it's not urgent because you're taking an online test. Because if so, it's cheating to ask others for help....
  16. ICRN2008

    ImmunoglobulinM problem

    G stands for gamma, A stands for alpha, M stands for mu, etc. Greek letters