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MotoMonkey BSN, RN

ED
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MotoMonkey has 1 years experience as a BSN, RN and specializes in ED.

MotoMonkey's Latest Activity

  1. MotoMonkey

    How Can I Boost my Resume ?

    One tip I would give to "boost" your resume would be to have a trusted instructor or someone in your college writing center look over your resume before you use it for any job. Having a polished, grammar free, well formatted, and professional looking resume will go far. Ask your instructors what your local job market expects on the resume of a new grad. I know that my new grad resume was very different from any other resume I had written because hospitals around me are interested in seeing what clinical placements new grads have had in addition to things like previous relevant work experience and applicable certifications.
  2. I was accepted into a DNP program prior to graduating from my BSN program. The school I was accepted to had never accepted a student without experience. They were hesitant and made it clear that I would be an experiment. I initially accepted my spot but ultimately decided not to matriculate because I felt strongly that I would be doing a disservice to my future patients. I have been working as a nurse for 10 months now and I learn something new every day. I also realize how little I knew about being a nurse when I first graduated. I feel strongly that It would have taken significantly more time an effort to prepare me to be an adequate provider at graduation. NP schools generally use the knowledge you've gained as a nurse as a foundation for which to build.
  3. MotoMonkey

    Am I on the right track?

    Like speedynurse pointed out. In a smaller hospital there are less staff to do all the different jobs and skills, therefore you will likely be required to be a bit more of a "jack of all trades." Also, while a community hospital may not have a Trauma designation, you never know what is going to roll through your doors. Joe in the community gets his arm caught in the mechanism of his tractor his wife doesnt know that your hospital isn't "trauma designated" she just knows that she needs to drive him to the nearest ED. I've heard many stories of the wacky things that end up rolling through community EDs.
  4. MotoMonkey

    Am I on the right track?

    First, congratulations on graduating, this is a super exciting time. I would take the offer that has been sent your way. It would be terrible if you turned down the offer in order to try and get something "better" only to not get anything else and be wishing you had taken the first offer. I don't see anything wrong with taking a first job in a community hospital ED. Personally I think residency programs are a huge benefit to new grads and can give them the support and learning they need to succeed. I understand the feeling of wanting to work in a level 1 and to do all the exciting things, but you have to learn all the little things too, all the skills and assessments that go along with being an ED nurse. A community hospital should allow you the opportunity to learn to deal with all the bread and butter work of an emergency room the abdominal pains, and the chest pains, the respiratory distresses, as well as things like nausea, vision problems, lacerations, diabetic emergencies. As an ED nurse you will have to know how to do it all, so for a first job I would take any opportunity that will teach you your ED nursing foundation because those are the skills that will help you progress in the future.
  5. MotoMonkey

    Empty ER due to Covid?

    Smaller level 2 hospital. Starting about 4 or 5 weeks ago our numbers of patients started dropping significantly. Nurses started getting sent home on day shift, or called off prior to the shift starting. We have also been putting nurses on call, though it was rare that they would get called in. In the last week or so our numbers have started to increase. We are seeing more of the minor complaints fill our waiting room again. And we seem to be moving into trauma season. In all I think we are going to continue picking back up, people are only willing to stay inside and socially distance for so long.
  6. I guess I wasn't so clear with my opinion. I would not reach out to any unit manager during this time of national crisis to ask about work opportunities. If there are job openings on the hospital website, apply and try to use your preceptor as a reference if they will allow it. If there are no open positions currently listed then I would just keep an eye on the website. Members of hospital management have a ton on their plate right now, best case you would be ignored, absolute worst case is that they would see it as a lack of social awareness that could work against you in the future.
  7. What do you mean by work opportunities? Like as a CNA, or work opportunities after graduation? If you are looking for a CNA or tech type position and they are available on the hospital jobs page I would just apply and make some mention of having done clinical shifts on the unit, maybe ask if your preceptor would be a reference for you. And I guess same goes if you are looking for job opportunities after graduation. If this was a few months ago I would totally encourage you to reach out to the manager directly, but I know that right now everyone , especially managers, have so much on their plate that they would either just not respond, or they would say to just go through the normal channels and apply online if/when a position is available.
  8. MotoMonkey

    Was my unsatisfactory in clinical unfair?

    As discussed above, instructors rely on the feedback of the nurses you work with to inform their understanding of how you are doing. You state that you can only have so many "bad points" and that this makes you borderline. What other issues have you faced in the program, is this more of a reoccurring problem than a one time event? How you described your instructor they sound very frustrated to me.
  9. MotoMonkey

    Nursing Students and Med Surg

    I think that schools put a lot of thought into the way they structure their programs. I think that as a student it is often difficult to see the intentionality behind some of these decisions. In short, yes I think it is acceptable.
  10. MotoMonkey

    Med-Surg nursing...required?

    Do the residency. The research is pretty good that residencies improve new grad nurse job satisfaction, feelings of competency, and retention. If someone is willing to hire you into their ICU, give you the training they believe you need, and support your growth as a new nurse, it would be silly to pass that up. People who still talk about needing a year or two of med-surg experience are often nurses who graduated at a time when there were no residency programs. If you were hired onto a specialty unit you were just kind of thrown in to sink or swim. That is not the way it works anymore in many areas.
  11. As a new nurse who was hired directly to an ED, my advice is always to try to get a practicum in an ED. If you can get a practicum in an ED you want to work in, that's even better. The ONLY reason I was hired to my ED is because I spent six months there as a student and busted my butt to make a good impression. Since that does not seem to be an option, I would look for new grad residencies in your area that hire people to the ED. If this option isn't available, then think about ways your prior clinical experiences can help you in the ED. Understanding, even on a lower level, aspects of ICU care and OB can be beneficial in the ED as you have no idea what is going to walk through the door. Think of how you can present these experiences to an interviewer in a way that conveys that you can apply this knowledge to the ED setting. At the end of the day, also prepare to not get an ED job right out of the gate. Look at where other new grads are being hired in your area, look at how those opportunities can prepare you for working in the ED in the future. It may be discouraging to not get an ED job right from the start, but you have a long career ahead of you and plenty of time to find your niche, even if the path doesn't seem "ideal" right now. As far as being upset about the OB rotation, you are allowed to feel upset or discouraged, but you need to still go into every one of those clinical days striving to learn all you can and being thankful that you have a clinical site to go to, if that makes sense.
  12. MotoMonkey

    WGU and Flu Shot Declination Pre-Licensure BSN

    While I understand that receiving specific school info would be helpful, you did ask for people, from anywhere, to weigh in with their experience.
  13. First off, congratulations on landing your job! That is very exciting. I am very much still a newbie, I am just coming off of orientation for my first nursing job, so I feel like I am still in the thick of trying to answer all these questions myself. During my first few weeks I tried really hard to keep a "brain" but the pace of the ED just moves too fast. If I kept a brain for each patient, I would go through a stack of paper a day. I also realized that all the information I needed was in the chart at my fingertips and the brain was really just a tool to organize and communicate information during a hand off, which would only really happen if the patient got admitted or at change of shift. With this in mind I started trying to keep notes on the patients I thought would be admitted so that I could give a better report. For me, this morphed into just writing out a modified SBAR right before I called the floor to give my nurse to nurse hand off. Writing out this information helped me to give a coherent report to the flood and helped me to feel like I wasn't missing important details, which can happen when the department is busy. Because I always give my hand off in the same way, with the same details in the same order, I now don't write out my hand off, I just look at the chart while im talking to the floor, and it seems to work.
  14. MotoMonkey

    NUR 112

    Nursing courses are largely not standardized school to school, and certainly not state to state. So I, for example, never took "NUR 112 Health Illness Concepts." Best bet for info regarding that specific class at your specific school would be to reach out to students who have already taken it. However, I can provide some basic study tips that I used in every nursing class. Take notes in class, read the assigned readings (if the amount of reading feels overwhelming then skim through the majority of the readings and focus more on the areas that you feel most unsure or confused about). You can also make flash cards or brain maps for concepts you are having trouble understanding. When studying try to set a timer for something like 20 or 30 minutes. During that time do very focused studying, no looking at cellphone, no surfing social media, just focus on studying. After the 20 or 30 minutes take a 10 minute break, then start another 20 or 30 minute timer and repeat the process.
  15. MotoMonkey

    Job Recruiter Help

    I hope so as well! Your thoughts on using the connections you make during your practicum to help secure a job on your unit sound like a good plan. In fact that is exactly how things worked out for me. I was hired onto a unit that does not generally accept new nurses because I had made solid connections and showed my work ethic while there as a student. It sounds like that recruiter is much more legit than the ones who find there way into my junk mail box. Despite your feelings that it may not be an ideal place to start your career, keep it in mind as you get closer to graduation. Having options for a first job is never a bad thing!
  16. MotoMonkey

    Job Recruiter Help

    Is the recruiter local and reputable? Was this communication written specifically to you, or was it a generic email that someone pasted your name onto? As a relatively new nurse I get recruitment emails all the time that are essentially junk mail. Most promise huge sign on bonuses and wonderful working conditions, though you can tell that its really just marketing to get people to reply. Maybe I am just cynical or pessimistic, but I am always weary about this style of recruitment. I would say that if it seems legitimate to you, still look into the recruiter and facility a bit before you go giving out personal details. To answer your other question, if you graduate in May, this seems like a decent time to start looking at what jobs are available. If hospitals in your area put on a new grad program, or nurse residency program, this would be a good time to make sure you know when the application cycle opens and closes. It may be a bit too early to start applying for jobs, since the soonest you could be licensed would be around June, depending on when you graduate in May and how quickly your school sends in information to the state so you can get an "authorization to test." Polishing up your resume and coming up with a plan for when and where to apply are all things you should be doing now, and not waiting until graduation.
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