smithRN16

I will be making rhe schedule, auditing OASIS and communicating with doctors

Ok, so here goess my dilemma. I currently work on a cardiac stepdown floor and am looking for an opportunity for a career change. The reason I am lookkng for another career path is because i want a better schedule to work around my kids school. I am also looking for another job because I love taking care of the sicker pts on my floor and want to continue my nursing practice. I have interviewed for a couple of hh jobs, one of them being for a hh shift leader position. The other interview is for a MICU/SICU job at another hospital. The interview for the shift leader went well today and i feel like I may legitimately have to make tge choice between the two offers.The hours are m-f 8to5 for the shift leader job and im afraid that while it will cut down on some babysitting that it will also mean that i will never be able to attend any school functions or trips with my kids. Also any doctors appts would bevery difficult yo make as well. Is there usually major issues with being there for functions working a 9 to 5 job? Any advice or input is greatly appreciated. I dont want to waste my or their time and certainly dont want to make the wrong choice for my family.

So here goes. As a new grad,I was hired into the CVICU at a level 1 trauma center which is also does cabgs and a ton of vascular surgeries.I have been in orientation now for about 11 weeks and feel like I drown everyday I go into work. I believe, at this point, I am so overwhelmed because I have had 10 preceptors and every one of them tells me to do my charting differently, or organize my day this way or that. I am exhausted. I really dont even know which way to turn. I realize there are some things I could have been more proficient with had I started on a floor. However, cvicu is my passion. Even after wanting to not even show up, I love taking care of these patients! I have learned sooo much over the last 10 weeks, but feel like at the and of the day I am failing miserably. Orientation is over in a couple weeks and I am scared/looking forward to it.Sometimes I feel like once Im on my own it will be easier since I wont have so many different people looking at my every move. Please if anyone has any advice, pearls or any input, feel free. If I really dont need to be in the icu i dont want to waste another day. But I also know how much i love taking care of these patients and really do try my best.

Thanks for your input! There is not a residency program but orientation is 15 to 16 weeks. So by not catching on fast enough you mean out of orientation? And let go you mean fired completely or reassigned

Okay so here goes, I was at clinical the other day and had overheard that an ICU nurse had been "relieved of her duties". I did find out that it was because they weren't a safe nurse for the critical care setting and that they may have an opportunity to work on a lower acuity floor if there was opportunity. Now here is the scary part! I am going to be starting in the ICU out of school at said facility and I am terrified I may be deemed unsafe. I have no intentions of this happening, but still the sirens were screaming in my head after I heard this. So has anyone heard of/seen this happen before? are there usually more that one instance that gets someone moved from the icu setting or is it one really bad mistake? I mean what kinds of things deem an icu nurse unsafe? any help is greatly appreciated!

Ok so here is my two cents. It is obvious you are not dumb. That test is rediculous. I do not know personally, but I have reviewed prep tests and content plans. I am getting ready to graduate nursing schoool which is sort of irrelevant. I have done ems for about 8 years and when I first took my licensure exam, I FAILED EVERY SECTION! I was so beat down I waited almost a year before I took the test again. I knew deep down I was more than qualified and intelligent to pass that test. I was sooo disappointed in myself. I mean there were people who passed it that I know were way dumber that I am, not to toot my own horn. After I recovered, I did alot, I mean alot of self examination. The first thing I can tell you is to absolutely stop beating yourself up. It is a test. It doesnt mean you suck as a nurse if you dont pass it. There are plenty of nurses who are damn good ones that dont have anything but RN behind their name. So first of all know that. Now, you are already an RN. In an icu. The most specialized we can get as RNs. You are obviously dedicated to your craft and would do anything to gain that crlcrn status. Did you ever stop to think that you are doing too much review and are not slowing down.....wayyy down to concentrate on the core content that im sure you know like the back of your hand? I have seen my fellow students fail horribly, by more than one question, I can guarantee that. If you are willing to consider what I have to say, slow down, concentrate on the core content and build from there, making sure that wvery extra piece is just as solid as the core material you know. Then own that ****. You have busted your butt to get where you are. You have spent the money, cried the tears and burnt the midnight oil. Now all you need to be a ccrn is you! The next time you go to take the test, forget the three previous" failures" they were learning experiences. So before you even register to take that test, know you are a ccrn! Know it and own it! That mentality saved my ass and I passed with flying colors, above average in all sections. I know you can do this, your family knows you can do this, so go freakin do it!

Haha amen to that and I am glad you could tell me this before I go and make an ass of myself and know that the people I "know" now may not be exactly who I meet coming on their shift. I understand it though because I've been on the other dide of it with rooks coming on the truck. Man Im excited as hell though I dont care how mean they are! And donuts yes, donuts!

Thank you for your reply. It is alot to consider and I may wind up requesting nights at first. I think you have to be an rn in the cvicu for 1 year before you are even considered to take a fresh heart there. And I appreciate the confidence. I will test for my ccrn after 2 years that is if she hires me for this position. But if not then after I get hired bexause this is where I am goung to work I dont care how long it takes. Sid you take alot of crap as a new grad woeking in a specialty unit

Ok, so here goes. I am an emt with 8 years experience and have applied to work a dayshift position in the CVICU. I am very aware there will be a huge learning curve even with my experience. I am not afraid of it though and am honestly looking forward to taking care of the patients in this ICU in particular. I was taken aback though when my instructor basically said that other nurses will be ******* to you because you didnt start in a lower acuity area to learn your "nursing basics" honestly i dont care what they think,but would like to know why this is. And secondly working dayshift is something my family needs and working with the group there would be my dream job as I have worked a few shifts there as a nurse intern (pct). Please I am asking for your thoughts as to is it too much??? Is dayshift that much more rediculously hard than night shift especially in the ICU and are there any interview tips I should consider before my interview?

Sorry about that it is a subject specific exam

ok so they have a study guide specifically for the final exams or is it just for the exit exam

I have just taken the last test for my med surg class and am seriously relying on my final exam to pass the course. Our finals are from HESI and we have to get a score of 850 to pass. I need any and all advice in how to prepare for this test!