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emmjayy BSN, RN

ICU, CCRN
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emmjayy has 3 years experience as a BSN, RN and specializes in ICU, CCRN.

emmjayy's Latest Activity

  1. There's certainly irresponsible sharing of statistics and models, with no context given to the numbers and sensationalized language throughout. For example, my local paper breathlessly reported two days ago "grim forecasts" from the Gates Foundation stating that by April 8, we would have 25,000 people needing to be hospitalized with COVID in NYS, and "only 13,000 hospital beds will be available." As of today, April 8, we have less than 4,000 people hospitalized with COVID! Statewide! Give me an *** break. Additionally, I've seen a shift happening to obscure how underwhelming the reports of new cases and deaths are... in the beginning the news was reporting things like "5 new cases a day! 10 new cases a day!" and now are reporting new cases and deaths in percentages.... "Today, we have 75% more hospitalizations in {COUNTY} than we had 3 weeks ago." No kidding! We had 3 hospitalizations 3 weeks ago and now we have 25? STOP THE PRESSES, the apocalypse is here! Just... puh-lease. We all know that the average person consuming these panic-inducing reports isn't going to do the math or contextualize the numbers, they're just going to panic. It's irresponsible. It's the equivalent of screaming fire in a crowded movie theatre, and it should be illegal.
  2. emmjayy

    GCU RN-BSN 2019 Capstone

    So basically, the hours you work on your project each week count as your clinical hours. Honestly, I don't know of anyone who could possibly spend 10 hours per week working on these project components LOL, but I just said that that's what I spent and no one had a problem with it. I probably did spend 10 hours per week total stressing out and worrying over all of it! DON'T WORRY about the ISP. Just copy and paste the "learning objectives" that you think match each project and put an estimate of how many hours you will work on each component. Just make sure the hours add up to 100 and make sense compared to the size of each project. Hint - the weeks you do literature reviews really are quite time-consuming. You're not alone in your feelings about week 1.... I actually cried in frustration at least twice during that week. And I am the type of person who very easily understands assignments and has never had issues in school! That ISP is complete garbage imo, but just muddle through as best you can. The professors tend to grade very forgivingly, and my professor in the capstone course agreed with all of our complaints and basically gave my class a pass on the ISP because even she was confused by it.
  3. So.... I was laid off from my job in an elective procedural area a few weeks ago (I'm in NYS, for perspective). I was told at the time that we were going to get a massive surge of patients and that I would be redeployed back to the ICU from whence I came (I just left the ICU within the past couple of months). Cool, I don't mind temporarily going back to help with a national public health emergency. The days went by, the cases in my county ticked up at a glacially slow pace, as of today we have a whopping 350 cases in a county of half a million people. We have had 5 deaths. Our hospitals are bleeding money, the hospital I am based at is like a ghost town. We had 12 patients in our COVID ICU this weekend, 4 of whom transferred to a regular COVID floor because they were doing better. Our number of new cases is dropping daily. Statewide, the same thing is happening. The only hospitals that are swamped are those in the NYC area, and let's be real - those hospitals are a zoo to start with, given that NYC doesn't have enough hospitals to care for its population even on a good day. Meanwhile, we have our governor essentially fear-mongering about this. We have him seizing ventilators and considering DRAFTING healthcare workers to go work wearing trashbags as protection in NYC. We have people calling the cops on their neighbors for letting their kids play outside together, and snitching on those businesses that are trying to remain open to pay the bills and keep their employees from becoming jobless. This economy was due for a correction, sure, but this isn't a correction - this is a government-created crapfest that needs to end immediately. The media has VERY irresponsibly invoked panic in the general population, refusing to focus on the fact that the vast majority of known infected people recover without requiring hospitalization. Instead, we get news article after news article obscuring details - "27 year old, healthy man dies of COVID!" when said man was MORBIDLY obese. Or, "Healthy grandfather dies of COVID!" then admitting later in the article that healthy grandpa had "a few" underlying conditions. Cut the crap. In the words of FDR - "The only thing we have to fear is fear itself."
  4. emmjayy

    GCU RN-BSN 2019 Capstone

    WOW!! Sorry to everyone who asked me a question directly and I did not respond to - things have been kind of crazy over here, I switched jobs, then got switched back to work COVID ICU... just very hectic. I will try to answer folks now though 🙂 @TnG33 - I would 100% recommend GCU over Capella. Based on comparing experiences between myself and co-workers in Capella, GCU is way easier in terms of weekly posting requirements, etc. The nursing school I went to was affiliated with the hospital I currently work at, and the school/GCU had an agreement that my nursing school would push their students towards GCU for their BSN, and GCU would accept my hospital as a clinical site. Not sure how it works for folks who don't have this arrangement. For the preceptor, you just need an RN with a BSN to sign off on your work a couple of times. I asked a friend to do it for me. It was not a big time commitment for her at all. I worked full time during my entire BSN degree and had no trouble at all with it. Are you being required to perform an actual clinical experience such as you did while getting your ASN? I never had to do practicum hours in the "real world," I just counted the time I spent working on the course each week as practicum hours and said I did 10 hours per week for the 10 weeks. For my scholarly activity, I attended a meeting of a committee I was already on. I based my project on that committee's purpose (in-hospital resuscitation events). That way, the scholarly activity tied in to my final report. But really, you could attend grand rounds at your hospital, Schwartz Rounds, or just show up to any committee meeting and write about it - it doesn't have to relate to your research project. The scholarly activity was a very short assignment and I got it done in week 2 even though the write up was not due until Week 9 or 10. Yes, you still have DQ assignments every week regardless of if you did the scholarly activity that week.
  5. emmjayy

    Electrophysiology Resource Book

    Hi! I am not really sure where to put this thread, since EP stuff doesn't quiiiite fit with cardiovascular critical care, but this seems like the best spot! I am leaving my job in a medical ICU to work in the EP lab. I have plenty of skills related to administering and monitoring conscious to moderate sedation as well as dealing with emergency issues, but a HUGE weakness of mine is, well, electrophysiology. Which is part of the reason I wanted this job, so I could learn more related to this weakness. However, I would like to do some studying before I start the job next month. Does anyone have any books or resources that they would like to share related to electrophysiology, interpreting intracardiac rhythms, etc.?
  6. emmjayy

    GCU RN-BSN 2019 Capstone

    Cross your fingers for me..... I apparently screwed up and didn't submit some B.S. documentation in the appropriate folder with one day to go in the class and no option to re-submit.... so am now waiting on tenterhooks to find out if I am going to be allowed to graduate. I'm so angry and upset and worried about it all. Thought I was going to be done, but now may be facing 10 more weeks of nonsense and another $1.5k for tuition for a class that I have successfully completed everything on, just accidentally clicked the wrong button and uploaded the wrong file into the wrong place.
  7. emmjayy

    MICU Report/Brain sheets

    I don't know how to upload my sheet, but I like to know drips, lines, drains, vent settings, diet (usually a tube feed), skin issues, Tmax, blood sugar frequency, rhythm, lung sounds for previous nurse, last neuro assessment findings of previous nurse, and a space for ALL the labs (ABG's, CBC, CMP, ICA, coags, and other randoms like lactic acid, troponins, pro-BNP, etc.) - and multiple columns so I can trend the labs on my sheet instead of having to log in to the computer and look back to trend them. I keep the back blank to write down the patient's PMH/HPI/24 hr events, and imaging (date, type of imaging, results). I usually just write all this stuff down at the start of the shift and then never refer to it again but it does help cement it in my brain and gives me a starting point for when I report to the next shift (e.g., at the start of my shift the patient was on 50 of propofol and 15 of levophed, I got the prop down to 10 and the levo is now off). It's really a matter of what works for you though. If you are coming from med-surg, you probably already have a system that works that will just need a bit of tweaking. At the beginning you will be very dependent on your report sheet though and may even want to have one with boxes for each hour so you can annotate meds that are due, labs that need to be drawn, things that need to be assessed, etc. I also used an hourly box method to write down hourly I&O's/temps/blood sugars/etc. when I didn't have time to log in and chart them in the moment.
  8. emmjayy

    What does the floor really think of nursing students?

    I've had mixed experiences with the students I've gotten. Very rarely do I get a student that I enjoy and get to teach things to. Most of the time they are just lazy and on their phones constantly. I hate that and I will give any student who does that a really hard time (recently told one that she had the option of putting her phone away and learning, or exiting to the locker room until she could tear herself away from her phone while I wrote her clinical instructor an email about her behavior). I'm an ICU nurse so it's like... hello, come learn about this incredibly unstable patient that I am attempting to fix because I KNOW you've never seen anything like this before. I find that a lot of students in the ICU are "code-chasers" and don't really care to learn about what it takes to prevent someone from coding... they just want to do CPR. I love to teach about drips, EKG's, lines, pathophysiology, how to correlate lab values to patient's symptoms/meds, etc., but I hate it when I am all geared up and ready to teach and the student just sits there texting or scrolling through Instagram because the patient isn't actively coding.
  9. emmjayy

    Saying No to extra shifts, is it bad if you're new?

    Heck no, you should not work extra if you don't want to. I have been a nurse for 1 1/2 years and can count the number of times I've picked up extra shifts/overtime on one hand. I speak up about schedule abnormalities too, and absolutely refuse to be screwed over when it comes to holidays, being scheduled for shifts that I wasn't hired to work on, etc.. As a result, I am just as happy with my schedule as very senior staff are, while my peers are miserable and angry all the time. However, they let themselves be screwed over by management and never speak up for themselves, so they will continue to be taken advantage of until they realize their worth and go to bat for themselves. There is NO REASON for you to work when you don't want to and NO REASON for you to be constantly shafted when it comes to scheduling, either. Speak up for yourself and don't feel bad at all. This is just a job, friend. If you died tomorrow they'd have someone else to replace you within a week, so don't burn yourself out for a job where you are entirely replaceable!
  10. emmjayy

    Interested in IR nursing

    Awesome, thank you for this. I think it will help me to realize that I'm just giving them meds to take the edge off and make the procedure comfortable, rather than doing it to knock them out and keep them from self-extubating or hurting themselves/staff :)
  11. emmjayy

    Interested in IR nursing

    Anyone have anything to add to this? I have gotten burnt out, absolutely fried to a crisp on ICU and am applying to IR (among other procedural areas). I don't think I mind the sound of taking call, am familiar with sedatives, and am detail-oriented to a T. In the ICU, I watched over my patients through many types of bedside procedures, so I feel familiar with timeouts and documenting new lines/drains/etc. I've also managed plenty of reactions as well. The only thing that I am really worried about is administering the moderate sedation without the safety net of a breathing tube in case things go too far. I'm worried that my time in ICU has maybe desensitized me to what a good dose of midazolam/fentanyl is for someone who ISN'T intubated.
  12. emmjayy

    GCU RN-BSN 2019 Capstone

    Hey, all. I don't know if we have any other folks struggling through the GCU capstone course right now, but what the heck! It seems like the most pointless busy work. I was under the impression from other posts on this forum that we would be writing a substantial (20+ page research paper) but the final submission for the class is a 1,000 - 1,250 word paper plus all sorts of B.S. documentation of the 100 hours that we supposedly completed along with a journal and some stuff that our mentors are supposed to rubber stamp. I'm on week 4 of 10, praying that I can get through this with my sanity intact. I've definitely had some poorly designed and frustrating classes, but always seem to come out the other side with A's, so I'm hoping to keep this going for the next 6 weeks so I can graduate and say GOODBYE to continued formal education.
  13. emmjayy

    Social Media and Doxxing - Your Thoughts???

    I went through a crazy long process getting rid of Facebook... first I downloaded a complete copy of my Facebook data for my own records. Then, I went through and used a script to delete every comment/like/interaction I'd ever made (this took two weeks, even using a script!!), contacted every person who'd tagged a photo of me and asked them to take the photo down, untagged myself if they refused to remove the photo, used the script to delete every status update, downloaded all my photos and then deleted all of them, changed the contact information I couldn't delete to fictitious email addresses/phone numbers, and basically turned the account into a completely empty "shell" account. I then changed the name on my account and let it sit for awhile before I used the permanent delete option (e.g., don't log back in for two weeks and your access to the account is gone forever). The purpose of letting it sit empty with a fictitious name was to hopefully give FB the opportunity to perform a routine back-up of my account and hopefully over-write their saved copy of my full account with the empty shell account. I truly mistrust Facebook's use of my data and wanted to give myself as much of a chance to cut free of it as possible. This may seem sort of crazy (I can acknowledge that 😄 ) but during that process I learned just how much Facebook intrudes on your life. It is devilishly difficult to extricate yourself from the site, they purposefully make it tough for you to mass-delete things or truly control the privacy of your information. They save information on you that you really have no idea they were saving until you go looking to find out about it. I'm sure it's only gotten worse over the past couple of years, as well!
  14. emmjayy

    First-time ICU preceptor: any tips?

    Here for the comments. I have just been tapped to precept a student during their capstone placement just before graduation. This is not quite the same as training a new hire but is still kind of intimidating and overwhelming to think about, since I have been in the ICU for just over a year at this point! I do vividly recall what being a student in the ICU felt like, so I want to try to make sure I make the student feel welcome, explain everything that is happening, etc. I am a little nervous about explaining all my thought processes because I feel like much of what I do is instinct at this point and it may be difficult for me to slow it down and talk through what is happening. I am also feeling a little insecure now about my knowledge, because I will have to explain the why's of everything and I want to make sure I do a good job! It is going to feel a little weird, watching over my patients and watching over my student to make sure she has a good experience and learns a lot. I think I am going to learn a lot as well, since I will be brushing up on a lot of things to ensure I can teach them successfully. I think my strategy will be to encourage my student to ask questions and to have her first follow me and watch/ask/perform assessments with me, then start having her perform some of the tasks with my supervision while discussing why we're doing them. I'm really big on tracking and trending labs/vitals/I&O's as well, so we will definitely do a lot of that while correlating to the disease process we are dealing with and talking through what our next move will be. I never really realized how much thinking and knowledge goes into critical care until I had to start thinking about how I'm going to teach these things to a newbie!
  15. emmjayy

    Social Media and Doxxing - Your Thoughts???

    I hate social media as it exists on Facebook, Twitter, and Instagram. I think people over-share, are addicted to the attention they receive on it, don't think through the consequences of their (virtual) actions, and rely on it as a crutch to make themselves feel validated or worthy. As a nurse, I never post a single word about my job on a forum where I can be easily identified. Even here, I shy away from posting particulars about patients/situations. I used to be sort of prolific in discussing patients (no identifiers) on here, but reeled it back in when I sat back and thought about how I really have no idea who is reading my comments. I pretty much stick to commentary such as this, and commiserating about nurse burnout in the ICU section. I deleted my Facebook permanently about two years ago, don't miss it in the slightest or regret this action. I still have an Instagram account, but I don't even mention that I'm a nurse on it and mainly use it to post cute pictures of my dog and family when I feel up to it. I don't think that social media (esp. media that can be linked explicitly to the user) should be used as a therapy substitute, a platform from which to complain about your job at great length, certainly should not be used to discuss patients, etc. These are my values and I try to stick to 'em. Can't make anyone else follow suit, but I do highly recommend it for your own piece of mind! It's a crazy world out there, anything you can do to decrease the crazy you invite into your corner of it can only be a good thing!
  16. emmjayy

    Regret after starting ICU?

    I went in as a new grad, am almost a year and a half in, realized about six months ago that this is not for me. I am sticking it out a few months longer because I want to get my CCRN (scheduled in less than a month!!) and I want the pay raise my facility offers that comes with a certification. I am not the type of person who makes quick moves, though. I've always been more comfortable staying in the misery that I'm familiar with rather than moving into a situation that holds unknowns until I'm 100% ready. I have been looking around at other jobs for awhile, but am definitely going to stay put until I have my next step figured out. The one thing that has helped me feel less miserable is that I'm formulating a plan for getting out rather than just trying to push on.