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BeatsPerMinute

BeatsPerMinute BSN, RN

Cardiac

CCRN, Critical Care, PACU, Cath Lab

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

BeatsPerMinute's Latest Activity

  1. BeatsPerMinute

    Reading list, suggestions please

    Answering both questions 🙂 I cannot say I have had your exact experience - the closest thing is to trying to learn a new language (Spanish, German, Sign Language, Japanese .. all with mixed results, ha). Everyones learning style is different. For me it is more effective to learn a new language if I mix all medias and do a little of each: reading, writing, listening, practice speaking. It all helps and reinforces the process of learning a language! Be OK with the fact that it may take some time and know that it will be worth it. Be consistent and have a reasonable plan. Know your limits, build the habit, track the progress for yourself to reflect on, and adjust your plan / skill building along the way, as needed. Youtube is helpful most of the time in learning pretty much anything. My favorite resource for learning a language is an app called HelloTalk. For your second question I highly suggest shadowing. I don't know what can better replace shadowing someone who is "on the job." You have the opportunity to build a connection with that person and they can help you step through that door. Also, in shadowing, you are examining intentionally, what it is you want to do and why. Best of luck to you!
  2. BeatsPerMinute

    Do Black Nurses Have a Different Experience?

    I can understand the perspective and strong emotions behind this - you need to be strong and push to survive in these situations. Let me just say that this mindset can keep one standing strong in the beginning , however is not sustainable - especially for your own self. Nor is it in alignment with where anyone wants to go in the long run. This is exactly what causes history to repeat itself
  3. BeatsPerMinute

    Low Stress Specialties

    explore. something that is considered stressful to you is something that another may feel very differently about. and vice versa.
  4. BeatsPerMinute

    I want to rant.

    I just want to rant. I don't care much about the negative comments, the "oh poor you" pity party, or the suck it up stuff I will probably receive from more experienced nurses. That I can expect to receive. Let's be real: nurses are hard on others. Sometimes they mean to be loving in the best way that they know, or through harshness, or through tough love. Othert times they are just mean. I have been a nurse since 2014. I have worked in the following areas: pediatric medical foster home, Cardiac ICU, Pre/Post Procedural care, and Cath Lab nurse/tech blend. I have been recently fired from my job in the cath lab after sleeping through alarms. During COVID-19, I was frustrated, because I thought it was my phone needing fixing - and there was little I could do. No one would be able to fix my phone in these times! What was I to do?? I was so fixated on that. Then I realized after buying a traditional alarm clock, setting my Fit-Bit watch alarm, along with my iPhone alarm, that I realized that I was just sleeping through my alarms , because I was just exhausted... mentally, physically. I was just done. I was on my last straw. And so I was fired. Along the ride of this: I had to find new housing because one roommate caught the 'COVID crazies' (she had actually convinced herself that I was out to get her, harm her / hurt her). Another housemate lost her job. I successfully found a new place in a highly dense/ metro area within the same day of receiving notice that my roommate no longer wanted to live with me. The incredible people I have in my life have helped me tremendously. Through the grace of God I have wonderful friends. My dad also was recently diagnosed with pancreatic cancer in this COVID time. I could not visit him - it would be unwise. It would not be smart to visit him nor any family members while I worked in a highly dense area / metro hospital - which had also adapted to COVID via reconstructing entire unit floors to receiving COVID positive patients. It has been a scary time.
  5. BeatsPerMinute

    Code Blue: Just Trying Figure Out What Happened?

    Critical care nurse here! Have some thoughts.. Just gonna throw random things out there. Interesting discussion! Definitely difficult to offer a good guess without lab values, test results, other useful data.. Shock sounds likely... cardiogenic shock? septic shock? More than one major thing going on? Hard to tell... I'd want to know her CBC, BNP, CMP, Coags, lactic, CXR, 12 lead, urine sample results.. and maybe a CT Maybe I missed it but how old was the patient? Fever shows up a little later in the elderly so if she already had a fever that'd lead me to believe she had a real nasty infection. Hypovolemia d/t: blood loss? GI fluid loss? renal loss? decreased CO? Vasodilation (shock) ? Acute renal failure? Heart hx/ poor heart function -> prolonged hypoperfusion to kidneys -> renal ischemia and cell death... Infection can cause ARF. Or maybe she had chronic renal issues anyway? Also platelet dysfunction occurs w/ ARF. Was she anemic? Could be a possible explanation for a stool check - maybe they wanted to see if she was bleeding. Levophed can really clamp down the vascular system... its often first choice pressor on ICU for low BPs, but I wonder if things should have been done in a different order or maybe a different pressor / BP support therapy would have been best to start with. Really depends on the patient and things can get quite complex. Very hard to tell without knowing more info. Anyway, interesting and educational. Curious what others think.
  6. 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.
  7. 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.
  8. 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."
  9. 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!
  10. 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
  11. 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 🙂
  12. 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!
  13. 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.
  14. BeatsPerMinute

    Interested in IR nursing

    Wow this is super helpful!!! Thanks:D
  15. 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?
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