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Peds, psych

Content by Murse1975

  1. Murse1975

    Wearing Scrubs to an Interview...?

    I've worn scrubs multiple times to interviews and it's never hindered me, unless of course, you're going for a non-bedside position. That being said, I always figured if I am doing a job that requires scrubs and they won't hire me for not wearing a tie to the interview, I probably don't want to be there anyway.
  2. I'm a house supervisor RN finishing up an MSN in Leadership and Administration. I was wondering what doors that may open up for me, but also, being completely honest... at times I am curious what this Masters may be able to do for me outside of nursing or possibly even healthcare as well and would be interested in any feedback. I've become a bit disgruntled with the constant cutbacks, staffing shortages, unsafe ratios, and constant criticism from pencil pushers who have never done a moment of patient care. This isn't retail, peoples lives are on the line and families are shattered due to trying to maximize profit margins. I'm struggling ethically here, and am not sure what to do, so I am considering all angles. Thanks.
  3. Murse1975

    Lpn & asn are are being phased out.

    Seeing a lot of this here in Indiana now too. No pay difference for acquiring one though, only marketability and getting into a different job.
  4. Murse1975

    What was your first Nursing job?

    Started out in a nursing home for about 2 weeks. Had already been working there as a CNA while I waited to take boards. LOATHED it. Not my clientele and absolutely NOT the company to work for by any means. Fortunately, the pediatric position I interviewed for while waiting to take boards called me two days after my license posted and offered me the position. I have been there ever since. LOVE it.
  5. Murse1975

    40 yr old with GED. Is a MSN even possible?

    Not much different here.
  6. Murse1975

    Calling in for no sleep

    While I don't like to be confrontational to other healthcare providers, I'm calling out this post. If it were YOUR family member in a critical situation, would you want the nurse who is so sleep deprived that he/she is having trouble focusing, grainy blurry vision, and reasoning that isn't terribly concrete due to fatigue? I'd much rather work a little harder to cover someones behind, especially if they usually don't miss work, than see someone have a bad outcome that was entirely preventable. This person did the RESPONSIBLE thing. Now, the "you had time to sleep" comment. Really? As an almost two decade chronic insomniac (200mg trazadone might put me down for 90 minutes, ambien for about 3 hours, and benadryl... yeah, might as well be eating Tic Tacs), let me tell you, having time to sleep, and being able to sleep aren't the same thing. I envy those of you who can sleep whenever, or wherever. It takes me at least 4-5 days to rearrange my sleep pattern to the opposite of what I am used to. Factor in also that people who work nights are dealing with the sounds of mowers, chainsaws, construction, traffic, loud music, and the other bevy of daily life things that any of you who don't and have never worked nights don't understand all. If you want to understand, I'd be happy to crank up my guitar amp and give you my best metal riffs for a couple hours when you've only been asleep for about 2 hours yourself, and do that every 2 hours until you have to go back to work, let's see how you feel then? Some people also have anxiety about the change of sleep pattern, especially if sleep is a problem for them normally, further complicating things. I called in last fall on my middle shift of 3 straight 12's for this exact reason, lack of sleep. Get off work at 0630, in bed at 8. Apartment maintenance knocks on door a little before 9 waking me, seeking a leak from the ceiling of the apartment below me, find nothing on initial inspection. I go back to bed. at 11 they're back with a plumber, find nothing again. Back to bed again. Within 90 minutes they begin ripping the ceiling out of the apartment below me with hammers and saws, and this continues until they knock off for the day at 5, 60 minutes before I have to work again. I got maybe 2 hours of broken sleep. Think that is safe to care for PICU level of care? Neither did I. Sometimes we also have to take care of OURSELVES.
  7. Murse1975

    Pediatric Nursing (pros, cons, and everything else??)

    I've spent my entire short (4 year) career in Peds as well, on an inpatient peds med-surg unit. Julius gives a lot of sound advice, though make sure to adhere to the policies and procedures of your facility, as well as following Dr. orders and DOCUMENT EVERYTHING. Peds is a love it or hate it field I think. It was very tough the first few times I had to stick a kid, especially babies, but when you get one that barely fights when you're trying to get a line in them because they're so ill, and in a few days they're back to being a normal playful kiddo, it makes it worth it. Also, know you're going to deal with some exceptionally poor parenting, especially nowadays with the "all about me" generation, as well as some heartbreaking issues. You're not going to get just ill children, but also physical abuse, sexual abuse, suicide attempts, psych issues, and the like. Can you handle these issues as well? Things to think about. Learn to get down to the kids level, and remember things about your childhood.. some simple tricks I've found effective that help kids is after any needle sticks, hold one end of the tourniquet let them pull the other back and snap you and ham up the pain a bit. "Payback" works wonders from turning tears to laughter. Let a kid squirt you with a saline flush syringe, and when you use a pocket penlight, let them "blow it out" like a birthday candle. You'll find little things that help you connect with kids, and know that some are so fearful or come from such an undisciplined environment that you're just going to have to muscle some things on them and it's going to be a war every time you do something with them, and that not factoring in issues like autism and such. If you can set up some shadowing on a unit, it would be beneficial. Best of luck!
  8. I'm with the rest, land a job and get some experience. Diversify a bit. Hone your chops. If you had a certain area you loved in school, pursue that fervently like I did, you might get lucky and catch a break, but get a job, unless it's in an area you know you'll hate, as it will ultimately reflect poorly on you based on performance most likely. I landed in pediatrics straight of school and have been there ever since, also working PRN in inpatient psych for extra cash. That's parlayed into several different job offers in the 4 years since. Keep your nose clean, be a team player, and work hard and you'll go far, but getting your basic skill set and critical thinking/customer skills up to snuff are your first tasks. Being licensed and being a competent nurse are worlds apart, and it's an ever changing and growing challenge. You may fall into something that you were iffy about and wind up loving it!
  9. Murse1975

    40 yr old with GED. Is a MSN even possible?

    I went back to school to get my RN in my mid 30's, I am now 41 and considering advancing my ASN to MSN. It can be done. You have to be willing to sacrifice and work hard, but you CAN do it. Don't let any one tell you that you can't. People told me the same thing after 15 years in the factories... I used it as fuel to keep the fire burning when I was worn down... prove them wrong.
  10. Murse1975

    Calling in for no sleep

    See comment below, pardon the posting error.
  11. Murse1975

    Nurses are truly underpaid

    First of all, let me say that you were going to deal with snarky people anywhere, especially when you work with a bunch of women. No offense, as I am a great admirer of the fairer sex, but it's the simple truth. There is always one ****-stirrer somewhere or someone who tries to screw others over (some men do it too). As far as pay, simple economics dictate that a place will only pay as much as they have to to keep staff. Even not for profit places are seeking profit no matter what they say. Nurse unions would be beneficial if everyone would ban together and flex our collective muscle. Facilities could be shut down in a heartbeat and then conditions will improve because they would have no choice. That being said, there are still good jobs to be had out there, though I think it would definitely aid your search if you progressed to becoming a registered nurse as that opens a lot more doors. There are still going to be brutal days, and co-workers who rub you wrong regardless of the level of education and the facility.

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