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chris21sn

chris21sn BSN, RN

MICU/CTICU
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  1. chris21sn

    Which states are you licensed in?

    Fun question! Which states are you licensed in? Im licensed in New York and New Jersey
  2. chris21sn

    SNF New nurse job advice

    If you do quit, I would advise you to not add that on your resume. They might question "why were you working for only a month." This might lead into other unintentional questions of "how is her work ethic" "how is her loyalty" "how is her stamina" So my advice? Try to keep working for as long as possible for at least 1 golden year. If doing an entire year is really not doable for you, I say just keep your job for now to pay the bills - then keep applying to hospitals. Be very proactive. Do at least 3 applications a day - mention your good points - and again don't mention this current job. Say you are a new grad, no experience looking for a position That's just my opinion. I tried my best to see it from your point of view! Hoped I helped a bit
  3. chris21sn

    Who enters orders in the hospitals you're at?

    Doctors and nurses. It'd be great if doctors did more inputting of orders. In the end it's usually doctors talking and the nurses putting in the orders. It's frustrating.
  4. chris21sn

    Already been told I shouldn't be a nurse (Rant)

    I was told in my last year of nursing school that I'd never succeed. She picked on me, yelled at me, made fun of me for an entire semester. She loved especially to make fun of me in front of my classmates. Many days, I went home and cried and cried and cried. But I graduated with cum laude, and landed my first job in an ICU. I make 37.50/hr at my job, and 46.50/hr at my per diem job. Now at my job it's almost a part two of what happened to me in my senior year of nursing school. I get made fun of and ridiculed constantly - I know I'm probably also gossiped about because I'm not up to par with veterans who have been nursing for 40 years. I receive all the admissions, all the discharges, all the confused patients while the veteran nurses sit down and chat and eat. I go without eating, having time to pee while I play catch up. How how do I get through this? I tell myself every single day that this isn't my forever. I'll go towards my goal one week at a time. Currently, Im trying to find a bigger hospital with bigger pay in a better ICU. I hope to be a crna one day, and if I ignore the nay Sayers --- just like my clinical teacher --- I'll be very happy. we will all show them right, op? So my advice? Ignore and keep pushing forward.
  5. chris21sn

    What certifications do you have?

    BLS ACLS Phlebotomy IV EKG Will be taking a critical care course next month Contemplating taking PALS :)
  6. chris21sn

    My hospital is paying for my critical care course

    Thank you so much!
  7. So my hospital signed me up and wants me to take their critical care course. Do I receive certifications from this? Will I be ventilator certified and receive my tncc? Or is this a separate thing? Thank you.
  8. chris21sn

    RN to CRNA

    Bigger hospitals are preferred! So does the ICU. They prefer higher trauma leveled hospitals, and SICUs. But it all varies and depends on the program, there are obviously some programs more pickier than others. Hope I could help
  9. chris21sn

    Breathe in, breathe out

    Warning: Just another vent session. Just wanted to to get this off my chest in a real quick post. Ive been struggling for the past 9 months at my job. I work at a telemetry floor, 24 bed unit. 1 aide on the floor. 1 unit secretary (if I'm lucky, and they aren't pulled), 3-4 nurses a night. The combination of nurses' ages tend to be late 20s/early 30s and the late 50s/mid 60s. We are very heavily understaffed and we tend to accept ventilator patient, drip patients, and multiple confused patients. Im not sure what I'm expecting by posting this here - I think I just want to vent a little off my chest. So here it goes: I'm pretty miserable and depressed at my job, many days I go take care of 7 - 8 patients a night, most of them "completes," a bit "entitled" and many, many very "confused" and "pain seeking." I know it's part of the job, but I've been feeling very (I guess) unwilling to come to work everyday. Depending on my group of nurses and aides that I work with it, I could have a decent night, or I could come home crying. Some older nurses tend to pick the "easier" or more "compliant" patients. They tend to give the new kids like me, the ones that are complete cares, want to run out of the hospital, pick at their picc line, scratch at their nurses. Many nights I'll be doing one discharge, and then accepting two admissions in one night. Many times I've been yelled at by aides if I could get help changing a patient. I think it it may be a combination of hospital understaffing, bullying, and just hospital culture that has cultivated during the years. i get it. I'm a new nurse, I need to "put in my time." However, if I see the veteran nurses with 4-5 "easier" patients while I have 6-7 "harder" ones, it does make me feel a bit miserable. I keep trying to tell myself it's good exposure, and this is just another stepping stone, but I feel like I might be reaching a tiny breaking point. Again, not sure what I wanted to receive by putting this out there. Maybe guidance, advice or reassurance that I'm not alone, or that I'm on the right path. I hope to to put in my golden year and try looking other places, in the meantime just hold on and pray and pray and pray.
  10. chris21sn

    telemetry vs med surge

    Hello I work 12 hour shifts, from 7pm - 730am. As a for patient safety, no I don't feel safe most of the time. I have to work twice as hard to make sure my patients are safe. I usually forego eating and talking on my days of work to ensure safety to my patients and my license
  11. chris21sn

    I'm having doubts about nursing... :(

    Jeez, a lot of the nurses on this forum has their undies a little too high up. Lay off her a little guys, jeez. She didn't kill someone here lol. I hope I can offer some advice from a different angle. I get it, I totally understand where you're coming from. We see nursing as this career where we are doing more of critical thinking and helping save lives. And we do that. But nursing encompasses a lot of poop. I understand that you were probably expecting something different on your first day - I totally get it. I didn't like med surg clinical myself when I was younger. You were probably hoping to see some medication draws, some nursing skills (foleys and colostomies!). You'll see it eventually! Don't worry about that. But you did mention that you found the nursing skills somewhat boring as well? Try to look into nursing. There are many avenues to follow. What is it you want? What are you looking for in nursing? Critical care? Outpatient? Babies? Community nursing? Elderly? And Usually it depends on your team whether you'll be dealing with lots of poop later on. So I wouldn't worry too much on that. As for me, I worked in the MICU/SICU and telemetry. In the ICU, I had two aides - one was very lazy and the other one was super helpful but always busy. More times often then not I had to do the cleaning (imagine cleaning vent patients by yourself and in your first year no less). My telemetry floor had one aide -- for 24 patients. There was this one aide who would always yell at me when I asked for help. There was another one who told me she thought of me as a daughter and always asked me every hour if there was something she could do for me. Let me also mention, I also have a rehab outpatient per diem job where I have yet to touch a single butt because almost every patient has their own personal aide and the other aides have only 4 patients each. It really depends on your environment. It's not too bad and it does get easier. Our job is hard, but this is when we have to learn to grow some b@lls, push up our sleeves and do what we can do. As someone mentioned above, and I totally agree - you don't have to love cleaning poop. You have to be "compassionate" or "empathetic" to love poop? What kind of (bleep bleep) is that? I have yet to find someone that purely enjoys this aspect of the job. Like the commentor also mentioned from above, That's totally fine and there are lots of avenues out there. You can probably find outpatients, psych floors, dialysis, same day surgerys etc. you can go into management, informatics. Also remember there will obviously be less fluids and cleaning in a healthy mother who gave birth the day before versus a cormobidity patient brain dead on a ventilator. Just look around! And sort of think of what you want to tolerate and how much this aspect really bothers you. Also there will be lots of negative people out there, yelling at you. I have experienced some nice nurses and experienced some straight up rude ones (as you probably have already experienced up there in the comments). It's up to you to on how you listen. Keep pushing towards your goals and nothing will stop you. Hope I can help
  12. I think the general public doesn't understand the the work that nurses have to do. The fact that many of these people are naive is really the downfall here. It does annoy me when patients and families just assume we are goofing off when we are on our computers. In fact, I have never had a time in my 9 months of work to dedicate an hour to eating. I usually forego eating or sometimes eat at the same time during chatting. It stinks
  13. chris21sn

    telemetry vs med surge

    I work on a telemetry floor. We are severely understaffed - but we accept all drips - amiodarone, cardiziem, dobutamine, heparin, insulin. We accept ventilator patients (the stable ones), tracheostomies. We are CHF based, but when we need beds or when the patient is too stable to go to ICU or the PCU is full it goes to us. We do all the things in the telemetry floor and the some. You learn a lot though believe me -- and as of right now, my usual ratio is 6;1, but times than not I receive 7;1 and 8;1.
  14. chris21sn

    Gastric Tube tricks no clogging

    I mix it with warm water, flush after and before. Another trick is pinching it downward, and pulling at the clumps. Sometimes I get carbonated drinks -- ginger ale --- and sometimes hot water. Another trick I found out is to get the irrigation system and pull back, all the while pressing down on the tube and squeezing at the clumps, and then push forward. I feel like this method is the method I do most and usually is what works the best.
  15. chris21sn

    What has been the most rewarding moment of your nursing career?

    Whenever I perform codes and am able to sucessfully vent patients. It's another sense of relief especially after performing 30 minute compressions on a patient and our work is payed off in the Icu, there are many codes - unfortunately some of them don't make it -- but the others I'm able to help --- those are the best feelings
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