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NoctuRNal_UnicoRN ASN, BSN

ICU, OR, Periop
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NoctuRNal_UnicoRN has 3 years experience as a ASN, BSN and specializes in ICU, OR, Periop.

NoctuRNal_UnicoRN's Latest Activity

  1. NoctuRNal_UnicoRN

    Richmond area ?

  2. NoctuRNal_UnicoRN

    Richmond area ?

    I appreciate your feedback! I actually applied to and was about to start the shadowing experience for CVICU at HCA but COVID shut down hiring for new employees and they said they couldn't onboard me ๐Ÿ˜ญ I have been super bummed ever since. I was finally going to get to do something different at a facility with great reviews. My offer before COVID matched what I had previously made, considering their differential, and I was OK with that for starting out down here. I had to resort to being a traveler because no facilities are hiring staff, or it's very limited. I haven't traveled to any HCA facilities because they aren't accepting travelers either. ๐Ÿคจ I keep checking, and I did find a staff option at the Parham location, but as you mentioned, Forest is more desirable and I may just continue to travel until Forest is hiring again. I wish we could rewind and just do 2020 over again.
  3. NoctuRNal_UnicoRN

    Richmond area ?

    Hello! I will be looking for work anywhere within an hour of Richmond, come spring. Most of my nursing experience is in ICU. I also have some pre/post op and OR experience. I'd love to bridge over to CVICU at some point for something new and different, and I love hearts, but it's not a deal breaker if I don't get into one soon. My experience is more suited to a SICU. After doing some light research, I think I am interested in Henrico Doctors Hospital. Anyone have any insight into starting wages around Richmond/Henricos for someone with 3+ yrs experience? Is Henricos a corporate nightmare with the RN level system? Is the SICU and/or CVICU a good place to work with good experiences? I am happiest with drips, vents, lines and drains. I'd love to hear about anything that anyone has to say about all the local hospitals. Thanks!
  4. NoctuRNal_UnicoRN

    Is it like this everywhere now?

    Yep. Daily occurrence. Worse most days, actually, because new MUSTS are added weekly or previous musts are changed. This is why many nurses leave the hospital, bedside, go back to school or leave nursing. It's too much. Everything happening each week is too much. Humans are not meant to live and work in these conditions.
  5. NoctuRNal_UnicoRN

    Expiration date checks on supplies

    Sounds like an incident happened with expired products? ๐Ÿค” That's unacceptable. If you're an RN, that is also a senseless waste of your patient care time, when this task could be delegated to a tech or other support staff. Even if you are a tech/CNA it is still misappropriating the use of your time and skills. My facility is not that crazy, but on night shift (maybe once a month/every other?) our patient care techs will go through rooms and weed out expired products. Although they probably only do it because one of our docs take all the expired products and donate to the African village he frequents. I wouldn't do it. When they asked why, I would explain that I was short staffed and trying to care for patients during an unsafe assaignments. ๐Ÿค“
  6. NoctuRNal_UnicoRN

    Notified of call before being on call

    The policy should have clearly defined what is to happen during call situations, which it obviously didn't, considering it "couldn't be found" by the manager. I would guess that the manager knew their actions could be considered inappropriate, but wanted to fluff her authoritative feathers hoping you'd take the bait without questioning her. It is appropriate to call someone before their shift, if parameters are clearly defined and expectations are understood. At one facility I work for, we are notified an hour before our shift if we will be getting put on call, or at the other facility we assume pre-arranged call schedules. Most people are awake an hour before their shift, so this is acceptable. If possible, they will notify us up to two hours in advance, but are only required to do one hour. It prevents staff that commute long distance from hitting the road and then having to turn around (it is a rural area so many people commute long distance, and winters here are long and treacherous with frequent road closures and unplowed roads). There may be more than one person on call, so a person is able to inquire whether they are 1st in, 2nd etc. This is especially important during holidays with low census and our annual Christmas gift of increased patient to nurse ratios. We want to know if we are safe to stay in pajamas until lunch time or if we need to be dressed and ready to go by 0700. There is a certain algorithm used to determine call rotation, and most people keep a general idea of when they could reasonably expect to be placed on call. Call runs for the scheduled shift only and starts respectively with call pay. We can be notified of being on call an hour beforehand, but since call and pay start at say 0700, we cannot be called in until 0700 or later. This basically eliminates the need to notify the call person to be there right at 0700, because staffing would know they were needed and would never make the phone call to put the employee on call. Once called, we have either 20 minutes to a half hour to get there depending on the facility. So, if we're called in at 0701, we have until 0731 to punch in at the one facility. It's expected that our charge nurse and the potential call staff will communicate at the time of on call status about the likelihood of getting called in. The call person should be made aware of whether they are first or second in, if there are pending surgical patients etc. and when they are expected to arrive to the unit if so. This gives staff an expectation and level of comfort while on call. There are some other minor details about our call, but the point is that everyone needs to be on the same page and there should be a clearly defined policy describing expectations.
  7. NoctuRNal_UnicoRN

    Caption This Cartoon Nurses Week Contest

    "Oh that's just Jim, he's hiding from administration again. He didn't agree with all of the new policy changes."
  8. NoctuRNal_UnicoRN

    Caption This Cartoon Nurses Week Contest

    "We didn't get a restraint renewal and the air occlusion alarm tipped him over the edge."
  9. NoctuRNal_UnicoRN

    Cartoon Caption Student Nurse Day Contest

    "This is one of those moments textbooks couldn't prepare me for."
  10. NoctuRNal_UnicoRN

    Make a Meme Nurses Week Contest

    "I don't care you better page them for the one that starts with "M" because I've been at 10/10 since yesterday!"
  11. NoctuRNal_UnicoRN

    Doctors Say the Darnedest Things Nurses Week Contest

    RN: "I just need discharge orders and we're all set!" MD: "I don't know how to do that can't you guys put them in for me?"
  12. NoctuRNal_UnicoRN

    Make a Meme Nurses Week Contest

    "I want everyone's whiteboard updated before the mandatory meeting in five minutes!"
  13. NoctuRNal_UnicoRN

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    We have nurses like this in both the hospitals I've been in. They are referred to as "SWAT" nurses. The acronym can mean different things. They are essentially a resource nurse, or circulating nurse, that goes to all floors and provides any needed assistance or patient transport as necessary. They are the ones we call if we are short on time and need an IV placed, or need a patient sent down to CT or what have you. Usually they need 2 years of critical care experience before being SWAT. One of the reasons for that is due to their obligation to respond to code situations or a rapid response call, and because they are a resource to any nurse in the entire hospital and must be competent in their knowledge, skills and medications etc. They are a very useful resource to have, but not all places require the amount of time and experience needed to be a competent resource nurse. Tragic preventable situation. I am thankful for safety systems we currently have in place, even if they can be time consuming, but clearly no system is ever fail-safe.
  14. NoctuRNal_UnicoRN

    Create a Meme - WIN $250! Nurses Week Contest 2018

    "No problem Charge, but I'll be expecting a differential for training an intergalactic klingon."
  15. NoctuRNal_UnicoRN

    Create a Meme - WIN $250! Nurses Week Contest 2018

    "Welcome to Enterprise Hospital. Let me be your guide."
  16. NoctuRNal_UnicoRN

    Cartoon Caption Contest WIN $250! Nurses Week 2018

    "I'm not even mad, that's impressive."