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stacylethani's Latest Activity

  1. stacylethani

    New peds CVICU nurse... so overwhelmed

    I’ve been a peds cardiac nurse for two years and started a new job in the cvicu in August. I’m off orientation in 4 weeks and feel so overwhelmed and not ready at all. I’ve had two evaluations so far and I’ve been told I’m doing really well and they’re very happy with my current performance. However I feel like i still don’t know anything! I had a new preceptor this last weekend and I felt like she disagreed with everything I did. It feels like nothing I do is ever the right way according to her and she really made me feel incompetent. I feel like I’m 12 steps behind where I was before. I’m so terrified of ICU honestly and I don’t know if I made the right decision by doing icu this soon.
  2. I’d say at about one year I felt like I could possibly handle harder assignments (that’s also when they started giving my harder ones) and after a month or two of those I started to feel much more confident. I’d say around 1 year-1.5 years I started feeling pretty good about my assignments and like I could handle most situations. And the thing is, if there was anything I wasn’t sure about, I’d just ask my charge nurse for help! I also started precepting about 1.5 years in and that helped my confidence as well! You will get there, just give yourself some grace. this is a hard job!
  3. Random question, do you think we don’t get enough training on basic emergency medicine/situations? For example, when you’re in a focused speciality, you know so much about your particular specialty but when a patient comes along with another issue do feel like you know enough basics to provide proper care? For example, I’m a peds cardiac nurse and I know a lot about my specialty but if someone is my family is having neurological issues, I’m almost no help. It feels kind of pathetic to be honest. Because of it, some family members like to make rude comments saying nurses don’t know anything and I’m useless when someone is having a medical issue because I don’t know anything. It’s so frustrating to be so belittled all the time, especially because I’m the only one in the family who is in medicine.
  4. I just started a new job on a peds cardiac icu unit. I've had two weeks on the floor so far (which I know isn't much). I'm feeling overwhelmed and kind of anxious. I've been a nurse for two years, coming from a peds cardiac medsurg unit, which helps a lot, however, all the ICU stuff is just kind of going over my head. There's so many lines/tubes/gtts and it's so hard keeping them all straight and remembering what they all do! CVPs, art lines, vents, CVLs, NIRS, oh my! For example, when my preceptor tells me to draw a blood gas, it takes me a minute to figure out which line/lumen I'm supposed to draw off of because there's just so many. I know that you'd draw gases off your art line and use that for bp's as well. I'm still taking care of the stable kids right now, so I want to get my understanding of these down before I move onto the sicker kids in my orientation. Additionally, I think my preceptor is a really good nurse, but I'm second guessing whether it's the best fit. My first preceptor when I started as a nurse was very very by the book, policy driven, and pushed me like crazy, which helped me become a good nurse! This preceptor is a little more laid back, lets me do a lot more on my own, has never pulled up a policy for me, and I feel like I have to ask her to explain what she's doing in more detail sometimes. She's a great nurse and has been a nurse in the cvicu for over eight years, however, sometimes I wish she just talked me through more things and communicated more/watched me a little more. It's interesting because I was a preceptor at my previous job and there's just a lot of things I wish she would do for me as a preceptor that she isn't. I don't know how to approach that conversation though without making it awkward. I just really want to be a good nurse on this unit and get myself in a good place before I end orientation in a few months! Any advice?
  5. Hi, just wanted to jump on here and talk. I recently left my old job (a job I completely loved) on an acute care med surg floor to start on a peds CVICU at a large hospital. I had to relocate due to family reasons/cost/etc. I really didn't want to make this move but it's just a better plan for me long term and it was something that was going to happen eventually. I was so in love with my previous unit and I started there as a new grad. It's been so hard, I know this transition is good but I'm so heartbroken at the fact that I left at all. I am so excited to go to ICU and it was always a goal of mine eventually but I'm so nervous (but also thrilled), since there's such a huge learning curve, I can't possibly know it all, and these are super super sick kids! I finally felt really good/comfortable (not terrified of work every morning) on my previous floor and then I left just a few months later, and now I'm starting all over again and it's so overwhelming. I'm just having a hard time adjusting to the new environment, new place, new hospital and I just miss my old hospital so much. I know it's going to be good, and CVICU was eventually my end goal but I just am so sad .
  6. stacylethani

    Seizure code blue

    I'm one year into nursing and the other night I had my second ever code blue, my patient seized and O2 sats fell to the teens, HR skyrocketed, she was apenic and blue. I called a code, and all I could think about was respiratory support. I immediately grabbed the bag mask to start bagging but her sats started coming back up and the seizure stopped. The code team finally got there and she was fine again. I didn't even think to make someone grab Ativan because all I was thinking about was that she stopped breathing, so I was so focused on respiratory support, I completely ignored the cause: the seizure. I feel so stupid and like I totally screwed up... the scariest part was that I was alone in the room the whole time because by the time the code team/docs/staff got there, he was recovering ������
  7. Over the last month or so, I've come home from work each day feeling distressed, discouraged, and frustrated with myself. I've made some mistakes, like forgetting to double check TPN and lipids against the patient's hard chart (all the electrolytes), I've walked out of a room and walked back in ten minutes later because I forgot to do something like check I/Os, I've forgotten to chart some I/Os (everyone is q2 I/O ~ cardiac floor). I just feel so incompetent sometimes and I feel like the other new RNs are doing so good and I'm not. I know confidence comes with time but at this point I've been off orientation for one month and I still sometimes (always) feel like I'm running around like a chicken with its head cut off. I'm constantly running from room to room all shift and all the other nurses are just chilling at the cluster. What am I doing wrong? How do I become better/more efficient? I feel so frustrated because I'm so busy all the time and I don't have time to critically think about my patients and their diagnoses! And its a peds cardiac floor, so these kids have complicated diseases! I just dont know what to do anymore and although I love my job, I feel frustrated with myself and discouraged.
  8. stacylethani

    New grad, peds cardiac, so lost

    I started on a pediatric cardiac med surg floor a few weeks ago and I'm feeling so lost and overwhelmed. I feel like 75% of the time, I don't even truly understand the kid's hx/admission reason because they have such weird/complex cardiac diseases and syndromes. AND, sometimes I barely have time to even comprehend what is wrong with their heart physiologically, because I'm just trying to understand why we are doing the interventions for them that we are and how to do them! I'm super freaked out that I won't notice signs of deterioration on these kids and that I'll miss something critical. I don't know what to do. I feel so frustrated with myself and so dumb all the time.
  9. stacylethani

    New RN in peds cardiac, FREAKED OUT

    I recently started my first RN job at a Children's hospital on a cardiac floor. I passed my NCLEX in 75 questions (still can't believe it) and I did well in nursing school (B+/A- average). Now, anatomy was the hardest class I ever took and cardiac is one of the systems I really struggle with. I've been brushing up on peds cardiac patho and cardiac drugs but I honestly go onto the floor and I'm freaked out all the time that a kid is going to deteriorate and I won't recognize the signs. I know I just started nursing and I'm only a few weeks in, however, I feel SO INCOMPETENT!! I feel like everyone around me is progressing amazingly and I'm still ten steps behind. I'm at my dream job right out of school yet theres been days that I just want to come home and cry, and I've only just started! I don't know what to do besides pray that one day soon I'll actually feel confident in my skills and abilities and not feel so scared of a kid crashing all the time. I feel like a crap nurse.
  10. Hi all, I'm a senior nursing student currently in my senior practicum at the Children's hospital where I go to school. I am currently on a med-surg floor and I had my pediatric clinical at this hospital on the oncology floor. I love pediatric nursing and I truly see myself in this specialty throughout my entire career! Today, I was talking to a nurse recruiter about the RN residency program at this hospital and she said that there's only four cohorts accepted during the year and that the last cohort took 25 people and that the upcoming one is taking 40. That's such a small amount of people!! I am so freaked out!! So, what I am asking is: 1) what can I do to make my resume/cover letters really stand out to this hospital? I have a CNA job currently on a postpartum floor (so I have experience with newborns), I had my peds clinical and practicum at this hospital, I have experience working with children with disabilities and with babysitting. I also am getting three letters of recommendation, one of them from my peds clinical instructor who works at this hospital currently. I also have 6 references for my application, 3 of which work at this hospital currently as well. Is that above and beyond enough? 2) what can I do during my practicum that will really make me stand out and shine above other students? What will show them that I am a great team player, am compassionate, and willing to work hard to take care of my patients the best I can? Thank you! Any advice is much appreciated :)
  11. stacylethani

    Random: best lotion for dry nursing hands!

    What's the best lotion you have found? My hands are so dry from constant washing. Not only are my hands dry but my cuticles are cracked and dry as well[emoji17] any suggestions for really great lotions?
  12. stacylethani

    Where's my planner nerds at?!

    I just bought an Erin condren planner and I LOVE IT!!
  13. stacylethani

    CLINICALS!! What to expect?

    I'm starting my clinicals this year and I'm so nervous. Can someone fill me in on what it's like and any good tips to know? I just don't know very much about what's going to be happening or what I'm going to be doing!
  14. I got a C in my A&P 1 and my A&P 2 class, and I definitely do not feel strong about my anatomy background. However, I got a B in my pathophysiology class! I understand patho much more than I understand anatomy (which makes no sense, but let it be)! I'm reviewing anatomy now over the summer. My biggest challenge is learning the bones and muscles. And tips or websites or videos would be so helpful and appreciated!!
  15. Talking it out with another person might help a lot!
  16. stacylethani

    Best planner for nursing school?

    What's the best planner you've found for school? Preferably a planner I can buy in store. I start clinicals this quarter and I know I'm going to have to be very strict with my time management!

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