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chris21sn BSN, RN

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chris21sn has 4 years experience as a BSN, RN and specializes in CVICU, CCRN.

chris21sn's Latest Activity

  1. chris21sn

    Has anyone ever let their CCRN expire?

    I totally agree with you, and to answer your question: I have no idea. That's what our crna program head wants. Whatever they want, I'll give haha
  2. chris21sn

    PACU nurses being floated to ICU?

    Might be a reach, emphasis on the “most part”. LOL In any case, we need help. I’m not going to be taking care of 3 vented, proned, paralyzed, sedated patients, while PACU nurses sit pretty on their phones waiting for a case to come out. At least they should have the audacity to take the easiest patient or at least act as a helper/PCA.
  3. chris21sn

    Has anyone ever let their CCRN expire?

    Unfortunately I have to keep my mines. In crna school and they require us to keep it. Some coworkers of mine’s, same boat as you. They let it expire. I totally understand your issues with it.
  4. chris21sn

    PACU nurses being floated to ICU?

    Personally, in my hospital they are allocating PACU nurses to ICU. PACU nurses are considered, by my understanding, competent with ventilators, drips, lines for the most part. Considering the circumstances (I'm in North Jersey, 5 miles from Manhattan), it is best to use the staff to their fullest potential and actually help one another. Our ICU try to give the PACU nurses the least heaviest assignment. The other day I had three ventilators with three paralytics. The PACU nurse had one vented patient and another with a nonrebreather. If one has the skills, I don't see the harm in helping lessening the burden of care on the ICU health team. Just my two cents. There was a PACU nurse before complaining she didn't want to be exposed to the Covid, and that she would rather be the waiting staff in case any emergent case came to the OR. And I'm sorry that attitude - does not help anyone.
  5. chris21sn

    IMCU - Can someone tell me about it?

    To be blunt, no. IMCU is not ICU or critical care. IMCU is similar to a PCU, some can also compare it to even a more 'high-acuity' type of telemetry floor. IMCU is a stepdown for ICU patients, a place where high-acuity patients may be observed in cases where they might need to be stepped-up into a higher acuity floor - an ICU. A good way to determine the acuity of a floor is to see the nurse/patient ratio. The higher the ratio, the less severe the patient, and the less severe the floor. A good example - my PCU in my hospital has a 5-1 nurse/patient ratio. In comparison the tele floor has a 8-1 nurse/patio ratio. PCU is more critical than tele.
  6. chris21sn

    Becoming a Critical Care Nurse

    hello. currently I'm in a crna program and I can see you're interested in becoming an ICU nurse and also a crna? (I saw one of your posts said, crna? sorry if I misunderstood? LOL) answering your question - you can sit for the ccrn exam after about 1500 hours. meaning about 9 months into your first year as a full-time nurse, this DOES include orientation hours (if you're the main nurse). as for your second question...how to get that ICU job: I would really recommend starting on a medsurg, tele, or pcu first. I was about 23 when I became a ICU nurse and got accepted quite easily. I had about 1 year tele experience under my belt. I worked hard on my tele floor, received drips, chronic vents, ekgs. I even got my critical care course - which is a ICU led course which teaches you all about ICU type of patients. it was quite smooth transitioning into ICU. while you're hired at a hospital, all certifications such as acls/bls/pals will be paid for. so I wouldn't worry about it too much. if you're not wiling to go to tele first, (Which I totally get. I was impatient when I was younger) id recommend being a pca, or like you mentioned getting some sort of externship. id also recommend as you said getting a acls certification, iv course, ekg course, just to prove that youre a go-getter. I was actually able to grab an ICU position straight out of nursing school at 21, but I had to resign because of personal issues - and decided that going the tele route was more suitable for me. but like I mentioned, I got an acls cert., iv course cert., and ekg course. I had a good GPA, good recommendations from my teachers, and I had also volunteered as a hospice center prior. so it was smooth getting that ICU positon. anyways as for the crna portion question? (again, sorry if I misunderstood the question) currently 25, and I got into a crna program. I worked 2.5 years, passed 100/125 score on the ccrn, became employee of the month, got good recommendations, received open heart patients (the sickest type of patient), shadowed crna for about 40 hrs --- then started applying got into my dream school hoped I helped. any issues, let me know
  7. chris21sn

    Why did you choose to be an ICU Nurse?

    Why? I wanted to be a CRNA. LOL So I took the mandatory ICU experience requirement I recently got accepted into a CRNA program. I'm very excited to start my journey. But I don't regret going into ICU. I have learned so much. I have developed so much competence and confidence.
  8. I recently got accepted into a CRNA Program. I am set to start in May of 2020. I am so excited and scared at the same time. Is there anything I can do to better prepare myself? Any books I should read? Thanks!
  9. I recently got accepted into a CRNA Program. I am set to start in May of 2020. I am so excited and scared at the same time. Is there anything I can do to better prepare myself? Any books I should read? Thanks!
  10. chris21sn

    Tips for AACN CCRN review ?

    I used the Barron's and Pass CCRN Q bank. I read the entirety of Barron as well. I made outlines for each body group (NEURO, GI, PULMONARY ETC). and then reviewed them each day for a month. I bought their SAE tool, and bought their online review -- mainly for the questions! Any questions fill free to DM me
  11. chris21sn

    Want to work in ICU

    Nope! My hospital paid for my critical care course, and I was a mere telemetry nurse at the time. And I do believe there is one online that you can pay for as well.
  12. chris21sn

    Open visitation in the ICU

    We recently just changed the hours, and it has angered a lot of staff. We are now open 05:00AM - 23:00. 2-3 family members at time, no children younger than 13 may come in. Food and drink allowed
  13. chris21sn

    New Grads in the ICU

    My ICU doesn't hire new grads straight out of school. Whether they have med surg experience or telemetry experience, as little as 1-2 experience, they need to have something. We just recently hired 1 new grad fresh from school - and at first was very weary, but she is very bright and very energetic to learn more. They also gave her to a very experienced preceptor, so my ideals have changed. With the right amount of guidance, they can do well. I can see she is trying very hard - harder than most nurses with 40 year experience on our floor.
  14. chris21sn

    Want to work in ICU

    Yeah, I understand. If you look up - "breathe in, breathe out" on my topics page that I wrote in 2016 - I went into detail about how I was bullied in my telemetry job (severely bullied - hence the reason I stayed only 9 months and left right away to go to ICU) Honestly, to many jobs it will look bad to try to get into a ICU right away especially considering you had a 1.5 year absence. If you leave for long expanses of time they consider you as a new grad again. I don't think that necessary difficult as well. There are many people that have been accepted into ICU as a new grad...Again, my advice still stands. Make yourself stand out - get ACLS, get a Critical Care Course, do some ICU shadowing. Show them that your absence did not hinder you.
  15. chris21sn

    OG tube securement, or NG?

    We secure OG tubes with intubated patients. Nurses on our floor do either or. For me? I prefer securing it to the ETT tubes but the Respiratory Therapists hate it, so many nurses secure it on the cheek with tegaderm. I notice that it is better secured on the ETT (so that's what I usually do) - especially if the patient is pushing it out with their tongue.
  16. chris21sn

    Want to work in ICU

    Hey! It definitely isn't who you know. You can do it I didn't know anyone. I had the right experience - I had about 9 months experience in a telemetry unit - high acuity CHF floor - that accepted all drips and chronic ventilators. I sold myself - I took the ACLS, I got my Critical Care Course - I even per diem'd in a rehab floor that accepted chronic ventilator - and then after 9 months I looked and I was persistent and I think I went to about 8 interviews, and easily snagged 3 acceptances. You can do it !

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