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BeatsPerMinute

BeatsPerMinute BSN, RN

Cardiac

Critical Care, PACU

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BeatsPerMinute has 5 years experience as a BSN, RN and specializes in Cardiac.

BeatsPerMinute's Latest Activity

  1. OP.... HUGS!!! I feel for you... You are not alone. I have called 1-800-273-8255 before... had similar thoughts/feelings... I also called someone I trusted to be with me as I was brought to the ED and admitted to the psych unit. Felt afraid, guilt, shame, anxiety during the whole process and was worried that I would lose my job... however, it all worked out, and it was so worth it. Be proud of your accomplishments. You worked hard to get where you are. Allow yourself permission to rest... Take care of yourself first. EAP was helpful for me. EAP is often a third party resource so nothing should come back to your work place (it is generally in the best interest of the employee and employer to keep EAP a third party thing...idk if this is how all places provide EAP, but from what I hear, it is generally the norm in any business). My thoughts are that you should see your PCP and then inquire about FMLA. HR can provide FMLA info & resources. They also usually kept with all other work related policies if you are not comfortable going to HR. Your supervisor & co-workers do not need to know details. Even HR does not need to know "everything." Medical records are shared to health insurance companies for decision making in eligibility for FMLA, however your workplace only receives notification that a claim was made and whether or not you are approved. People take leave for medical reasons / personal illness / mental health / personal reasons (caring for family member), etc all of the time... Obtain and keep a copy of your workplace leave rules, FMLA, STD, internal request for time off (whatever is offered / available) protocols and policies for your reference , call the insurance company your job utilizes for these things, and inquire if and what you would be eligible for (this process generally goes more smoothly if you see a medical provider first)... follow the instructions carefully... Take the steps that you feel you should take. I hope this is helpful... pulling for you!
  2. BeatsPerMinute

    Advice on how to handle a situation at work.

    Can you share a little more about what this LPN has done or said about you? Give an example or two - it'll help me and others understand the context a bit better and allow for more helpful advice.
  3. BeatsPerMinute

    How can I figure out if nursing is right for me?

    It's a stepping stone for many. It's a start. It would help in decision making for long term.
  4. BeatsPerMinute

    Advice on how to handle a situation at work.

    Focus on looking for jobs, and consider going to HR. If you have not yet been terminated you can at the very least explore whether or not policies are being followed properly. It would be possible to internally transfer for you if things have not been followed by the book. Ask what your options are, and when you explain things be very matter of fact and in chronological order. Share what you have done to improve - show them first that you are willing to grow/learn and are a good listener. Do not go in ready to complain and put blame on others - that would only further hurt you. Come in from a curiosity perspective and sincere "I want to know what my options are."
  5. BeatsPerMinute

    How can I figure out if nursing is right for me?

    I think you are doing the right thing - you're easing into it and asking questions. I know that some people have jumped ship from their old careers right into nursing and (not always) but sometimes it has not worked out well. Continue to expose yourself to the field, shadow, and be mindful and open. Work on yourself as well - this statement is meant to be helpful, not harsh, I promise. Be honest with yourself on what you don't like and really dig deep into the WHYs, and see if it something that you can work around or is an absolute "there's no way I will do...." Ease into something that gets you excited. It always makes it easier to learn something new when you are excited about it rather than something you felt pushed into or something you "fell into" and from there discovered that you did not like it. Decide on the school later. One day at a time and one task at a time One thing thing that has been helpful in helping me on deciding where I want to go with my career is watching videos on youtube about that career. I can watch and learn about anything in a field that I am curious about: education, promotion, day to day tasks, challenges/harships, personal experiences (positive and negative). Listening to you I wonder if you'd prefer something more technologically sound - like a procedural area. Just an idea!
  6. I applied for an internal position that I grew highly interested after shadowing a couple of times and getting to know staff on that unit. My observations are that the staff like it there - people have stayed there for 10/20/30+ years and appear to enjoy it and work well together. There were other aspects of the work itself that have really captured my interest. Over the last several months I continued to talk to staff on this other unit to learn more about the job itself and what they like most about working there. It's a neighboring department and so my current unit interacts with the unit of interest often. I was encouraged by multiple staff members of unit of interest that I should apply. After giving it time and a lot of thought, I applied. I passed the initial screening, completed an informational interview, and then went through a formal interview that lasted several hours and was in three stages (2 panels and then a 1 on 1 with upper management). Near the end I asked about the next steps in the process and was told that they should be making offers over the next few weeks once they have finished the interview process. The number of positions open is unclear at this moment. Priority is finding a good fit - they have received a lot of interest however will only hire those who feel would fit in well - and so it could be only a couple, or it could be multiple - it just depends. I asked for feedback afterwards and was told that "I think you did very well" "pleased with presentation" "impressed." So, I am feeling hopeful. I did admit at the very end as we were walking out that I wanted to give my current supervisor proper notice, but needed clarity on when I should do that. I do not know yet if I will get the job - I just heard from one individual that she was told she was "being a quitter" when she had given notice when leaving - I don't know if this is truly what she was told, it is just what I had heard - Again, I haven't been given an offer yet though, either. I wonder if I should have avoided asking this question, but wanted to be transparent and honest that it was on my mind, and wanted to be professional and handle it well if I were to receive that sort of response. Maybe I should have familiarized myself with the process a bit better before asking the question. Or maybe I should have reframed the question. (I am a bit naive on this). I do notice that the unit is splitting up and/or fleeing. My impression is that people have become unhappy with the changes that the new supervisor would be implementing in the near future. Not all people, just some. The unhappy individuals are talking more loudly, more negatively, and the chatter is becoming difficult to tune out which is distracting me from just doing my job and focusing on patient care. Other reasons that I am no longer am interested in staying on my current unit include the lack of learning opportunities and skills have me less than excited about my current job. I love to learn and teach. Thoughts, advice, insight? Any feedback would be much appreciated. Thank you
  7. BeatsPerMinute

    Considering switching to Cath Lab (a non-RN position)

    That is what they used to do, unfortunately it hasn’t worked out well. From what I understand - they used to hire RNs, and turn over was high. RNs grew upset once they learned that their pay was less than CIS. And again, there were “issues” over who does what - I imagine if they were short CIS or RN, either side would feel burdened and overworked, and felt lack of help from the other, because of “that is out of my scope” or “that’s not my job,” like responses, leading to breakdown in teamwork, burnout and high turnover. It seems like retention is an issue everywhere, with the trend of hospitals trying to cut costs (hire fewer staff) and nurses leave bedside to travel, go back to school, etc... I haven’t seen RNs in cath lab in the 5 years I’ve worked at my hospital, no current postings for hiring Cath Lab - RN exists in my hospital either, so they cut them awhile ago. Unfortunately that has forced CIS to take on the traditional RN responsibilities, and that now contributes to CIS work stress and then over. Travelers are expensive, constant retraining isn’t making current staff very happy. So, they are trying this instead: hiring nurses to be CIS. CIS will train the RN to take on CIS roles and RNs will educate CIS so they’re more comfortable. We will all be paid the same. We will all work under the same set of rules. So far the staff have seemed happier with this set up. Again, Ive always like technology so I would be excited to learn CIS. I’m an introvert, bedside leaves me feeling worn out daily with constant interaction with many many different people all day long.. I don’t hate it, it just wears me out.. ICU was a good fit (same patients and MDs worked better for me) but high turn over, bad schedule, constant rehiring of new grads, (and babysitting overconfident new grads ...not paying attention to their vasopressor bags running dry... freaking out at every alarm...) politics, cost cutting (our supplies and resources were literally cut in half in all ICUs in my hospital and their sister hospitals), and other things pushed me away (it’s long story...). In summary, lots of unnecessary stress was added in a naturally stressful environment. Anyway, I wanna try something different. As for the lab set up- they SHOULD just hire more staff - RNs and CIS. But again, hospitals are more business oriented these days and proper staffing is an issue everywhere. What do? Again, I’m just concerned about maintaining an active RN license if I were to take the job. I am optimistic that I’ll enjoy the work, but you never know, maybe I won’t wanna do it forever and wanna return to nursing in the future. I’m a baby nurse with only 5 years under my belt. So I wanna know if keeping an active RN license possible if I do take this job. If that’s not possible, then fine. Or if I would have to take a nurse refresher course, retake NCLEX , etc, then that’s also fine. I just wanna know. Maybe I won’t ever return to nursing and stay CIS. Maybe it’ll turn out to be a better fit than nursing. Won’t know till I try it
  8. I have an interview coming up soon for a cardiac interventional (cath) lab position that I am really excited about. This particular position is a little different from what I have heard about most cardiac cath labs hiring RNs and am hoping to get a little clarity on a couple of things.. I have been a nurse for 5 years and work in a large teaching hospital (cardiac ICU and post procedure recovery for Cath/EP/IR labs). While working in the post procedural/recovery area I have been able to shadow in the labs and had so much fun being there. The technology in the labs is fascinating to me. The team is phenomenal. I talk to the cardiac invasive specialists (CIS) techs regularly and have been told by several that I should come switch over to work in the labs. I don't love bedside nursing and really think working in the labs could be a better fit for me. After thinking about it for a few months (and continually picking the techs brains) I applied for a cardiovascular invasive specialist 2 position. I passed the initial screening, met with an educator for an informational interview, and now a formal interview has been scheduled. I learned that if I were offered the position that my job title would change from RN to CIS. They do not hire "Cath Lab RNs" and instead hire RNs to become CIS (through direct training, formal classes, and eventually testing for RCIS certification). It was explained to me that they need RNs in the labs and want RNs and CIS to educate one another so that we may blend/share roles (to promote teamwork / avoid potential role conflict, such as "you are the CIS so you need to do this" or "but you are the RN and RNs do that, not CIS" sort of stuff..). It sounds like a great set up. I love to learn (and teach!) and so this all appeals to me, too. CIS base pay is better than RNs in my facility, so my pay would increase to match CIS with the title change (another plus!). There are call requirements, but the pay is great (and still beats the constant day-night-day rotating that I did for 3 years on ICU, lol). I feel like this may be obvious & silly to ask... but I am wondering that if I were to get the job, would I still be able to keep my RN license active since my job title would to change to CIS? If my RN license went inactive, is it difficult to reactivate it? I am a little naive on how this works and mostly ask to so that I fully understand what the job change would mean for me career wise. Any advice / other things I should take into consideration before deciding whether or not I should take the position if offered would be greatly appreciated! (In case its relevant, I have my BSN, CCRN, and work in VA state). Thank you!
  9. BeatsPerMinute

    Interested in IR nursing

    Oh and to answer your question - they have nurses in IR already and are looking to hire more into the department.
  10. BeatsPerMinute

    Interested in IR nursing

    I have an interview for IR coming up! I am excited! I hope to be changing specialties and moving to a procedural area. My background is critical care. I am very detail oriented, I like learning about how things work, do best having one patient at a time ( I get super focused on that person's care and enjoy that). I also find the technology fascinating, so the procedural area seems like it could be a good fit for me. I have shadowed in IR already and have a basic idea of what it will be like as a nurse in IR, but want to ask about people's experiences, and for tips transitioning to IR from critical care, any challenges to anticipate, etc, (IF i get this position ) Also, what should I expect for orientation? Do you have any interview tips?
  11. BeatsPerMinute

    What is "Up-to-Date" ?

    I use UpToDate all of the time! Wonderful resource for anything medical (diagnoses, medications, patient care management, etc) and as the title suggests, provides the most "up to date" (evidenced based) information. If you work at a facility that has a subscription to UpToDate you may be able to utilize it as a nurse. A MD resident told me about it and suggested that I talk to the librarians in our hospital - which I did - and they gave me an access code so that I may log into it at work, at home on my personal computer, an through an app on my phone. Highly recommend checking it out. Easy to navigate through, no ads, and is free.
  12. BeatsPerMinute

    Anxious, depressed, and might need to go to HR.

    Just wanted to say thank you guys for your continued responses. I read through them all before I go to work. It helps Will be keeping all these things in mind. Staying focused on my patients when I work. Have applied to a number of RN positions - already got some call backs for interviews. Excited & hopeful. Just gotta push through now. Gathering notes of the negative interactions & meetings with my manager with dates and any witnesses as I remember them. Will be mindful to document it as it continues... Also have my resume, previous performance reviews (which are positive), certifications, committee work and preceptor docs altogether. Prepping myself to go to HR - just in case... I am not optimistic, but if it comes to it, best to be prepared.. Management is ruthless. Each week is worse than the previous. Have a bad feeling. Idk what it is.. just that weird, gut feeling that something is gonna happen, that I do not have much time left to work with. Also just plain exhausted. Will check out the book, Stephaniej - thank you. Ruby Vee - no, we do not have a union
  13. BeatsPerMinute

    Anxious, depressed, and might need to go to HR.

    Thank you to everyone who has replied I have been feeling so stuck and unsure of what to do... the responses are really helping me see the situation & options more clearly, reflect, and move forward.. I will continue searching for jobs, document everything, and explore the HR option. When I go to work I will better practice guarding myself against the intimidation and just focus on providing the best care that I can for my patients. I will continue counseling and take better care of myself when I am not at work. I hate that I have let this affect me so much, but it is what it is, and I am learning from it. Please continue to share thoughts, stories and experiences - they are truly helpful and provide more ideas for me to work with as I navigate through the situation. Again, thank you all very much. I sincerely appreciate the advice and encouragement. Happy Easter!
  14. BeatsPerMinute

    Anxious, depressed, and might need to go to HR.

    I am tempted to secretly audio record these conversations, as odd as it would be. But that would be proof.
  15. I will try to make this as concise as possible: 2years on the ICU & in trouble with the supervisor who started at the beginning of the year. The new boss frequently pulls me into her office to talk about "concerns". She said other nurses have witnessed me doing things incorrectly, that my charting is wrong, the MD's are becoming less confident/trusting in me, and that I keep making mistakes. She drills me on why I did this or that on a patient I took care of 2-3 weeks ago (as if I could remember...). She has shouted at me in her office and in the hallways a few times. When I ask her why she is concerned, for more details on the situation she's concerned about, or when I ask to look at my charting with her (so I can see what this problem is, and fix it) her response is that she "does not have time" .. or she just changes the subject. She has told me that I had better fix my faults, however, or we were going to head down the disciplinary action road, and if things do not change: termination. I was shocked... My previous boss gave me positive reviews, commenting that I was consistently "cool, calm, and collected." He corrected me / pointed out my weaknesses when warranted, but with full explanation, and was always supportive & encouraging. I am certified / trained to care for any patient who walked into the ICU. I precept students and new nurses. I get along with my peers, even go out with the crew after work sometimes. I am on two different ICU unit committees. I am a focused worker. I do not understand what I am doing so terribly wrong. I tried to handle this on my own for awhile, (stayed late to chart every shift, triple checked everything, pushed myself harder and harder to ensure everything was 100% correct)... but the complaints from my supervisor continued and got worse, and now a couple of the charge nurses are following her lead... I eventually confided to 2 nurse friends I trusted. I asked them to review my charting and even "nit-pick" at my nursing practice / patient care and to help me discover these "faults" ...but they said that they had no concerns, as I am always critcally thinking, asking questions when uncertain. They even chuckled with how I practice things in a very "OCD" like fashion - constantly rechecking everything. One of the girls recommended going to HR. Nurse friend #2 disagreed, arguing that they saying on the side of the hospital, not the nurses, and that these things rarely work out well for the nurse. Fast forward: its been 4 months. I work tomorrow early morning, but am up @ 0130, unable to sleep again because I am dreading work, am anxious about work, and cannot stop thinking about work. I started applying to other positions...which breaks my heart as I loved this job until now and was good at it. I fear getting fired, and my confidence as a critical care nurse is dwindling. I have nightmares about me accidentally killing patients and wake up in the middle of the night in panic. Work never leaves my mind... it consumes me every single day.. Maybe I am placing too much importance on this - it just a job - I tend to be a worst case scenario thinker.. i would hate to lose this position.. I moved over 1000 miles away from home for this job. I started going to counseling last week. I am exhausted, sleep deprived.... I feel demoralized and torn down. My counselor actually recommended that I go to HR for this situation... I am afraid (never done it... I hear "HR" and think -> "HR is on company side, not on your side" -> "you're just gonna shoot yourself in the foot or get fired if you go to HR") I need advice... and would appreciate personal examples / stories, if you have them. I am naive, and something like this has never happened to me. Would you recommend HR? Were you afraid of going to them? Have you had experiences going to HR about something similar? What do I even say / where do I start? How else would you address the situation? Thank you much
  16. BeatsPerMinute

    Atrial kick and A-flutter

    Hm, I see. It is difficult for me to explain concisely and via online messaging (I teach better while drawing and pointing to pictures / videos). I also tend to pull a lot of information from experience. I am going to recommend youtube videos for more specific explanations on how it works - I learn a lot from viewing these myself - as they walk you through the pathophysiology of these things with images to complement their explanations.
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