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EllaBella1

EllaBella1 BSN

ICU
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EllaBella1 has 5 years experience as a BSN and specializes in ICU.

EllaBella1's Latest Activity

  1. EllaBella1

    New RNs making more than experienced RNs

    This is why people job hop so much these days. The best way to move up the pay ladder is to stay at a hospital for a few years and then move on to the next. A lot of hospitals focus more on recruiting new talent than on retaining their current staff. It's a shame, but it's what happens. Also $23 an hour sucks. You should definitely go somewhere else.
  2. EllaBella1

    working while at NYU for ABSN?

    I felt like it was way too expensive for what I was getting. Classes were huge and lecture style, with very little guidance. I initially went to NYU because I wanted to stay in NYC after graduation since I'm from there originally. I felt that going to a school with a 'name' in NYC would help secure me a job after. In the end though I just felt like the amount of money that I was spending to go there was not at all worth the value that I was getting. I applied to a few CUNY programs, but ultimately decided to try moving away from NYC and did a 12 month program in another part of NY. I'm glad I did, because I met my future husband there and never ended up moving back. Plus I have a fraction of the student loans to pay back that I would have had if I stayed at NYU. 🙂
  3. EllaBella1

    working while at NYU for ABSN?

    I went to the University at Buffalo and did their 12 month ABSN program. It was great. Prepared me well, and Buffalo is a cool city. I'm very happy with my decision to go there.
  4. EllaBella1

    Blood Bank Nurse as a New Grad?

    That sounds super boring. I would skip it.
  5. EllaBella1

    Is leaving before hurricane abandonment?

    So. Let me get this straight. You commented on a two year old thread to tell a LPN in a nursing home who wanted to evacuate the Florida Keys before Hurricane Irma, (which decimated large areas of the Keys), that she was wrong for being concerned for her child's safety? If the facility was threatening her with abandonment (which it wasn't) I have the feeling they didn't do a Team A/B or make appropriate accommodations for her.
  6. EllaBella1

    ICU Nurse Fired For Refusing 3rd Patient

    I understand where she was coming from, and I do understand the problem of not being able to monitor your third patient adequately. But one of her patients was a downgrade, so it really wasn't a true triple. This situation arises in my unit often. Typically what I will do is get a tele box from central monitoring for my PCU/tele downgrade patient so that they are monitored by someone else. Then I can devote most of my attention to my ICU patients. Of course I don't know if this was an option for her. Until we have mandatory staffing ratios this issue will happen. I personally would not have chosen that moment to fight that battle.
  7. EllaBella1

    FL to NY RN

    I don't have the contact number, but I would definitely google it and call the NY BON. It took maybe 6 weeks for me to get my NY license.
  8. Just wanted to mention that if you have a legitimate prescription then you have nothing to worry about. You don't have to stop taking it. I was on Vyvanse when I did my last UDS for a job. All you have to do is bring in the prescription bottle and doctors info and they treat it as a negative result essentially.
  9. EllaBella1

    NxStage CRRT CVVH connection question

    Perfect, that's what I did. Thank you!
  10. EllaBella1

    NxStage CRRT CVVH connection question

    Random question- when setting up the NxStage CRRT filter, is the CVVH connection setup the one that comes pre-connected out of the package? I'm pretty sure it's the red tubing end to the green end. I know CVVHD is green to green and you have to make that change after opening the package. I forgot to double check before I left work today and it's gonna bug me until I go back if I don't find out. We don't usually run CVVH in my unit but I had a patient on it today, and my filter clotted right at shift change. Hoping I made the right connections on my re-prime.
  11. EllaBella1

    On Vacation - Would You Intervene?

    I was riding my horse at a horseshow once when another rider fell off and started seizing when she hit the ground. I jumped off my horse and ran over to her, just as a man and a woman from the sidelines reached her, as well as several onlookers. I identified myself as a neuro ICU nurse, and the man identified himself as a paramedic. The girl who fell was on her back, face up during her seizure and her airway was patent. The paramedic went to hold her neck to stabilize her cspine, and as he was about to do it, the women who had approached grabbed her forcefully and turned her on her side. We both protested loudly and told her not to move the patient, but she essentially screamed at us that she knew what she was doing and refused to listen. At that point I stepped back, and I have not identified myself as a RN in any situation like that since. It's crappy, but we're not licensed to practice independently in situations like that. It was a rude awakening to realize that the actions of a bystander who was 'helping' the wrong way would affect me and my license/livelihood.
  12. EllaBella1

    Leaving federal job for nursing school

    Ah, that's a tough one. Will you have to take on debt to go to nursing school? If yes, then I would say don't do it. Depending where you live your pay as a RN will probably be about the same as what you make now, and most hospital's benefits aren't the best these days. The scheduling flexibility is nice, but nights really wear you out after awhile too.
  13. EllaBella1

    Did I do the right thing in this code situation?

    First of all, you did great. Second, I 10000000% believe that it's ALWAYS better to call a code when you're not sure. I know you said you felt bad that it "wasn't a real code".. wouldn't you feel worse if it was and you didn't call it? A couple of things I would have done differently- I would have skipped the finger thing and gone right to a sternal rub. If he was kinda out of it, a little bit of painful stimuli might have snapped him back. I would have also insisted that someone write up a code sheet, not just notes. There should be code sheets on your code cart I'm assuming? You did CPR, even if it wasn't for long. It's important to document that the patient became unresponsive, CPR was initiated, and patient became responsive again. Assuming the patient wasn't on tele and didn't have any other monitoring at the time of the code- it's impossible to know what exactly was happening when it started. Also, did you check for a pulse after you saw the rhythm on the monitor? Remember, organized rhythm doesn't always mean pulse. I agree with the others that a debriefing would have helped a lot, but don't beat yourself up. It sounds like you did the right thing.
  14. I think I read that correctly that you have a year of nursing experience? If that's so then I would probably not go for a house supervisor position. I mean this in the kindest way possible, but it's just not possible to have enough experience to be a house supervisor in a year. You really need a very broad base of experience to be able to effectively help all of the different floors. At my last hospital we worked with a house supervisor who had two years of experience, and she was very nice, but not helpful to us at all when the you-know-what hit the fan and we needed backup.
  15. EllaBella1

    Exhausted; I want a way out.

    I know this is not a great solution, but have you considered getting a job with better insurance that covers IVF? We just had our son via IVF and paid about $8,000 out of pocket, and our insurance covered the other ~$18,000. Most of the 8k we paid was for the meds, which were covered but were way more expensive if we had gotten them through our insurance ( would have maxed out our lifetime limit on fertility benefits). We paid around 5k out of pocket for meds, and then 3k for our coinsurance for the procedure. My husband works for Apple and we have insurance through them- they have very generous benefits and excellent insurance, and I believe it's available to part-time employees too.
  16. Because I wouldn't link a future friendship to the former professional relationship at all. I do think that becoming friends with a former patient is a little strange, and I personally wouldn't do it. But if he truly feels that they have the foundation for a good friendship then I would think it would be a better option to pursue that friendship completely separate from their former roles as nurse/patient. Hosting an event with former staff members makes it fall more on the side of a professional boundary issue IMO, because it keeps them both in that caregiver/patient role. Now if it's going to be a one-time get together and he isn't planning on staying in contact/becoming better friends then that's one thing. But in that case then I feel like it's probably a better idea not to get together at all, mostly because it seems like the patient is more interested in developing an ongoing friendship. I know it's a little different since they met when he was a pediatric patient, but I do know a few nurses that I work with who have become friends with patients outside of work. This one nurse I work with takes a former patient to church with her every Sunday. She made it a point for management to know about this because she uses it to get every Sunday off. Management thinks it's great and they genuinely seem to enjoy this time together. Like I said, I think it's strange and wouldn't personally do it. But if OP and the former patient would enjoy the time spent together as friends outside of the patient/caregiver roles then who am I to judge?
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