Kaybee0525

Thank you all for your insight and feedback! You brought up valid points that I may not have considered on my own. I am matriculated in a PHd program and my ultimate goal is to be in academia. It will take me a while because I still need to work. Moving forward, I'm planning on being honest with my nursing director and telling her my plans if the interview provides a job offer. Hopefully that will be before July, so the situation will seem transparent, and not look deceitful. Because I've worked at the hospital for 8 years, I'm hoping my character proves this as well, and my history of being a credible employee. Thanks again!

Hello everyone. I'm having a bit of a dilemma. I've been a PICU nurse for 13 years. I've worked at my current hospital for 8 years. I recently completed my MSN in Nursing Education. In March, the PICU created a 12 hour/week Nurse Coordinator job for me relating to our advanced dialysis therapies, Continuous Renal Replacement Therapy, and Peritoneal Dialysis (CRRT & PD). The medical director (lead attending physician) and I are having a hard time communicating and getting on the same page, mainly because she views this role as a "team" position, and believes she should influence my responsibilities, and set expectations, when in fact it is a nursing role, and I report to nursing leadership. Anyway, there is a pediatric CRRT conference in London this July, and this physician and I are going. The hospital is giving me $1800 to go from education funds. This is VERY VERY generous, and not typical. The nursing director granted me this money because of the new role, and because the conference only happens once every two years. I was also told if they don't utilize certain education money, it "goes away". This week, I received a phone call from a recruiter at a BSN Nursing program in the area asking if I would be interested in interviewing for a full time faculty position starting in September. I have accepted the interview and will go in 2 weeks. The current challenges with the physician and overall burnout in the PICU lead me to accept this interview. After so many years in critical care, I advanced my education in hopes to broaden my options and leave the bedside should the right opportunity come up. As I perseverate over the interview, my main source of guilt is: if the nursing school offers me a position, how do I go to London in July and accept the $1800 reimbursement from the hospital? (which I've already processed the paperwork for because my flight and conference fees are booked). I realize I'm putting the cart before the horse and being very presumptuous about the interview, but the timing of the potential new job is stressful. I would appreciate feedback if you think it is "wrong" or unethical to accept money and go to the conference if I end up taking a new job before July. Thanks for your time with this, hope you're having a nice week!

Where I work, a nurse who came to interview was found not to have a BSN, even though her resume stated she did. YES Human Resources verifies education and degrees, at any credible place of employment! The AD nurse was reported for license review, and the hospital might have pursued legal action against her because of liability if she practiced under fraudulent circumstances, but they wouldn't discuss that with the staff. Basically if my hospital said nothing, and she went and worked somewhere else who found out, my hospital could've been liable for not reporting her. Your credibility is questionable because you asked this question, and chances are you will have problems in your career if you continue to stay in the mindset of cutting corners, lying, and having no professional accountability. As for the BSN, do a literature review in EBSCO on how advancing nurses education leads to better patient outcomes. You do not know what a BSN program offers, or the benefits of it, so you shouldn't make assumptions (showing little professionalism and immaturity). There are many reasons why new nurses of today need to have a minimum of a BSN. Comparing yourself to an AD nurse who has an entire career behind him/her that includes years of patient care experiences is also not smart. Nursing is always advancing. Physicians, physical therapists, pharmacists, all need to have an advanced degree before they practice. Until nurses enter the profession at the same level of education, we will not get the professional courtesy we deserve because of our experience. I see nurses with 25 years in the field and an associates degree get dismissed during rounds, yet another team member (PT, OT, pharmacist) who is brand new gets listened to because of their degree. I'm not saying it's right, but nurses need to level the playing field in order to gain credibility. We can no longer ask that we are trusted, or believed to be practicing the best way. We have to prove it with advanced education and evidence based practice. I am an adjunct instructor at a BSN program, I have my MSN, and theory is a very small part of the learning objectives. Never lie about your credentials!!!!

Thank you meanmaryjean for your reply. We are all set with the babies, and use the set we have that can do small fills, but it's the kids that are a problem. If the baby that came to your unit was 10 years old, say 30kg, would you use the same system? What is the "warming tubing"? Is it made by Baxter? I suggested we just spike the dialysate bags and control the volumes with the buretrol, so your system may work for us. Thanks again!

Hello, I am a PICU nurse, and also the renal coordinator at a children's hospital. When pediatric patients have a new peritoneal dialysis catheter placed, they come to the PICU, and are ordered for cycles of CAPD. We call it "manual" PD, but the official termanology is continuous ambulatory peritneal dialysis. The hospital purchased a closed tubing system to do do this kind of manual dialysis, but it's designed for neonates. It is made to give the patient 100ml fill volumes. When we try it with bigger patients, it takes almost an hour to fill each cycle (>100mls), so the nephrologists end up putting the patient on the cycler much earlier than expected. Does anyone do CAPD (manual) on pediatric patients anymore in the ICU setting? Some children's hospitals wait 2 weeks while the catheter matures, flush it with one time cycle tubing, and then put the patient on the cycler, avoiding manual cycles. If you do CAPD on pediatric patients, what equipment do you use? I've reached out to Baxter and one other company that make supplies, but I'm coming up short with pediatric systems. Any information would be very helpful, thank you!