CardiacDork

Hey guys I need help with understanding an assignment in the health promotion course. This is specifically about the measurable goals for weight training and flexibility. Really unsure how to make these measurable. But I do have some ideas. can y’all please PM if you’ve taken this course and recall this assignment. Just need some guidance.

Do any NP's specialize in genetics? As I am shuffling through ideas of what my next venture is going to be, I look back as my childhood aspirations and I distinctly recall wanting to become a clinical geneticist (MD). This desire was fueled by the fact I saw a genetics MD, once or twice a year - due to my genetic condition. Thankfully, I never developed any serious complications. However, I remember how badly I wanted to be a genetics specialist. Well, I ended up being an ICU Nurse. (= I am projected to start NP school next fall (2020). My question is, any NP's work with genetic MDs? genetic clinics?

Has anyone made the transition from ICU to Nurse to Case Manager? If so; please give me some insight. You don't have to answer the following questions, but they serve as a good template of the things I am wondering. This is NOT a school survey; these are questions for my personal knowledge and awareness, as I want to make a diversely influenced and informed decision. What most do you enjoy about case management? What most do you dislike about case management? List a few things you absolutely miss from ICU nursing: List a few things you absolutely DO NOT miss from ICU nursing: How would you rate the overall stress level of being a case manager from 0 to 10? What are the largest stressors of case management? How would describe the stress of case management in relation to/relatively to ICU bedside stress? Would you say case management is less physically taxation than ICU nursing; why or why not? What is your BIGGEST case manager pet peeve? Have you considered quitting case management? Have you considered going back to the bedside? Do you work bedside part-time? If you quit case management tomorrow; chances are - WHAT would be the primary driving force behind your resignation? As a case manager, what sort of things could get you fired; as opposed to things that would get you fired as an ICU nurse? What floor do you do case management on? What's your highest nursing degree you hold? How did you end up in case management; were you running from bedside? it just fell upon you? you were curious? Share something with me that you just gotta share?

The only thing that I wondering about is that as a CNA, I’d imagine you’re responsible for a greater amount of patients. So I can just imagine more than a handful of possible scenarios where you’re accused of malpractice or violating the nursing practice acts, because say you did not properly document or notify someone of a change in condition - of which you may have been or not been ware of as a Change v. Baseline. Are you going to spend the night taking vitals, doing hygiene care, comfort care, AND be expected to possibly act within the capacity of an LPN for every patient? Sounds like a sticky situation to me.

The worst for me is: I am assessing my critically ill patient and the family calls. The HUC comes to the room to inform me the family is on the phone, I tell the HUC that the family can either try calling back in 15 to 20 minutes or better yet I will call them within the next few minutes once I’ve done all my safety checks. Here is what makes me mad. When the family says they’ll just wait. I tell the HUC, tell them then they may be waiting a while. I dont give a RATS A** I am not leaving the room to answer your phone call.

Just do PA school and safe yourself the trouble of nursing.

I don’t want dissuade anyone from their dreams but I should intensely shadow nurses and get to know what real nursing is all about. It would be a shame for you to regret leaving your current position. Nursing is HARD. Especially bedside nursing. What is your perception of nursing? If it is the Nightingale Fantasy, than you are in for a rude awakening. As a nurse you will have so much responsibility and so little authority. All the possible things that could go wrong, YOU will be blamed for. Housekeeping didn’t clean the room good enough? Your fault. Cafeteria screwed up a tray of food? You fault. Pharmacy is late with medications and your patients are in pain? Your fault. Physician doesn’t order appropriate treatments and you don’t catch it? Your fault. You catch it and inform MD? You fault for disturbing the MD. You are busy doing chest compressions on patient A, and are unable to tend to patient B? Your fault. (I’ve had families actually walk into the room of a coding patient and DEMANDS attention). For medsurg: You’ve got 7 patients to assess, medicate, and make comfortable. You’re being spread thin. Everyone wants something from you and usually at the exact same time. Radiology on the phone, family on the phone, patient needs to pee, other patient in pain, family member mad because patient isn’t getting pampered enough, doctor on the phone, and charge nurse keeps nudging you about a transfer or discharge because you’re getting a new patient in that room. ICU 2-3 patients. All possibly dying. You run run run run ALL shift. No pee no food no water. Family is pacing outside their room just waiting to complain or make comments about some small obscure observance they’ve made. They ask you why the patient is coughing every damn time they cough while the patient is on a ventilator (where they'll naturally cough). They ask you to suction every 10 minutes even though you’ve explained frequent suctioning can cause damage and irritation and you need to let them cough on their own. Oh the best is having a vented and agitated patient the doctors won’t order sedation for..... and if they self extubate it’s YOUR fault! Lol. I could go on forever. Cant forget the drug seekers. The ones that throw things at you (including urine) and all you names. Hope you enjoy nursing. ❤️

What is your opposition to getting a traditional BSN, working a year or two and then entering a masters program whilst working PRN or Full-time? I believe that although a nurse practitioner is a provider, they are still a nurse. A nurse is a nurse. You don’t learn to be a nurse in nursing school, you learn it in the role of a nurse. At the bedside in the ICU, at someone’s home as a home health nurse, in the trenches of the ED, in the public school system. I always find it unsettling when these people want to go from nothing to an NP, let’s skip learning being a nurse. Some will way, oh well you don’t have to be a nurse at bedside to learn to be a provider, that may be true. However first of all, from what I’ve gathered people already feel that NP education lacks - so just imagine the inexperience you’ll feel as an NP without a lick of intuition or bedside knowledge. However most importantly, NPs are still nurses. That’s what makes NP unique and different than say PAs. If if you want to be just a provider, then go to PA school.

Although a great career for some, I definitely don’t see myself being a CRNA. I do enjoy the cerebral aspect of ICU, and thus I believe I would also enjoy the theoretical nature of anesthesia - while despising the technical. I am not too excited to be putting in lines and tubes in patients all day. My preferences are patient education/speaking with patients and their families. Don’t have a liking for putting in IVs for example. Would much rather educate a patient about CHF.

It’s actually like a few days. ? I’ve been thinking about case management but I need my BSN but I won’t have that until the end of Summer 2020. End of Summer 2020 I’ll have over six years of experience, BSN, RN, CCRN. I’m sure the possibilities are endless. I’ll be in graduate school in Fall 2020. There has got to be something beyond this ICU. I know this is not the be all and end all of nursing.

I want to leave bedside. I need a break.

I do not know what has changed in recent months. I have always had a love-hate relationship with my job. I’ve always had a little bit of anxiety going in to work, expending the unexpected. Recently though this has taken a turn for the worse. My sleep is in ruins. I keep waking up, I only sleep 4-5 hours of interrupted sleep. My eating habits have worsened. I rely heavily on food for comfort, and it’s taking a toll on my physical health, further deteriorating my emotional state. I am constantly anxious and on-guard at work. Either I’ve come to realize how truly easy it is to commit a mistake, or I’ve become obsessed with making sure I do everything as perfect as possible. I cannot stand my manager. I cannot fathom him. He is all about the numbers, and picks favorites. Our unit is always the one that is floating and staffing for other units, other units have it easy. Other units don’t struggle the way we do to take time off. Our manager doesn’t approve time off until a few days or a week before the new schedule comes out, and he almost always tries to find a way to cancel your time off. Then we get stuck covering other units and their time off because we are all staffed to work the unit. We are self scheduled but I’m so over the schedule not coming out until the weekend before the schedule rolls out! That’s ridiculous. I am also constantly moved around and my work days changed. I have so much resentment, anger, and an anxiety. I keep fantasizing about quitting but then I hear how much more bad other hospitals have it with tippled ICU assignments and it scares me because the max right now we get in the ICU is 2:1 for all ICU assignments unless they are an impella. I am just so tired of the culture of bullies and back talk. Some nurses on days thinking they know everything and yet they are the ones that make the most mistakes. They are the bosses pet and I’m so sick of it. I’m also sick of covering for other units and being the b**** ICU of the hospital. I don’t know what to do. I’m so sad. I’m so angry. I’m so anxious. I need OUT!!! But I am also scared. I will be vested very soon, meaning their retirement contribution I will get to keep. I should have my BSN in August 2020. Right now I’m an RN, CCRN with five years experience.

Hi there psych nurses!!! ICU RN here with a little over 5 years experience here! For any of you that bridged from critical care or acute care to psychiatric nursing; Please tell me how do you enjoy psych nursing versus ICU/ER/MedSurg nursing? How is it treating and caring for patients with psych history in psychiatric facility versus the hospital? For example the patient that meth overdosed in restraints in the ICU? The suicidal ideation patient? Do you regret the change? Ever consider being a psychiatric NP?

I did. Joseph was starting an IV on his patient all gowned up in a CDiff room. This was confirmed by the charge RN. Also Joseph doesn’t have a history of not doing his fair share. Joseph is usually very helpful.

Listen, I just need to vent. I’m SO fed up with the petty a** drama involved in nursing. It’s so DA** annoying. I don’t get it! What’s wrong with YOU? Heres the story. I work in ICU. I checked out to my pod partner to go eat lunch. I’m eating lunch now. Charge nurse opens door *huffs & puffs*. Makes eye contact with me and leaves. Charge nurse comes back in five minutes. Charge RN: Next time you go eat please tell someone Me: I did, I told Joseph. Charge RN: Well please tell more than one person. Me: Okay sure. So I eventually wrap up my break and clock back in. I walk down the hallway and the charge RN signals at me to come to her, I comply. Charge RN: Were you off the unit a lot? Me: No? I checked out to Joseph once to go pee and once to get a drink. Then I checked out to come get lunch (((it’s 3AM, so that’s three times since we’ve been here and literally going to pee and get a drink took but a few seconds, and none of my patients even called))). Charge RN: Oh because while you were at lunch your call light was going off and I kept hearing it and you know I’m way on the other side but I came to the other side to see what was going on and I saw Maria just sitting there and I asked her to get the call light and she said “No I’m not getting it”. Me: Yeah well I don’t know what to tell you. FFW: I come out of utility closet and I see Maria sitting at her pod. I’m walking down the hall (behind her) and I see her shaking her stupid head side to side. Seriously? Am I under a prank? What TF**** is going on with people?