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medical_zebra's Latest Activity

  1. medical_zebra

    Disabilities while being an RN

    It is legal in Washington, however, your job would probably not allow it. It may be an accommodation you can ask for, but it could hinder your capabilities at work. Maybe pick a nursing job that you would be less likely to make critical mistakes like a primary clinic....or just take it after work or on weekends. You should find a rheumatologist and discuss medication options. Plaquenil and low dose naltrexone seem to be helpful for many with autoimmune issues. You can join one of the many autoimmune groups on facebook and ask about options. I have autoimmune issues as well and currently cannot work due to cognitive issues, but have seen several job postings lately that I think I could safely manage so I'm going to try. If not, I'll be applying for disability.
  2. medical_zebra

    RN jobs options after declining health

    I notice it says you have case management experience. This is the route I was thinking of going. Do they ever hire nurses with less experience than the minimum requirements listed? If so, are there certain case management positions/facilities that are more likely to than others? Also, is per diem ever an option? If it was mainly remote work, how often would I still have to see the patients? Any wisdom you have to impart would help. The only other option I could think of was insurance reviews/chart reviews, but I don't know how to find those jobs.
  3. medical_zebra

    RN jobs options after declining health

    Thanks for reminding me. I did have a chance to clinical at an in home care practice for kids with special needs. I did feel like I was a bit out of my league because the kids had serious issues and I was stressed about having their lives in my hands, however, it seemed the staff there was not that great and there was training provided so this is something I could look in to again. Thank you.
  4. i'm so sorry that some nurses have decided to bully you about your choices (whether they realize it or not). i find many older nurses to be very rude. why you went in to nursing or when you got sick is irrelevant. all they had to do was answer your question! what's worse is, i too have a chronic condition, and know how hard it is to not have people understand your pain or trials so comments like theirs would really really hurt. life with chronic illness is really tough. i hope you are ok. (i shiver to think these people are taking care of patients with so little empathy). anyway, i have many new medical issues that i developed in my first year of nursing so i am in your shoes. i didn't do anything to deserve this and i really love nursing so it makes me sad. i'm borderline having to leave nursing if one of my symptoms cannot be controlled. in the meantime i've been networking and researching viable options: telephone triage, utilization review, case management, many types of outpatient clinics (primary, specialty, infusion clinics, endoscopy, urgent care, etc), school nursing (with a bachelors), nurse educator (with a certificate or bachelors), employee health, occupational health, infection control, public health, ....probably many more. case management generally requires more experience, but i have found some that are willing to train AND i have even found remote jobs (work from home) that are very similar to case management, but go by a different name...i can't remember what it was at the moment. often jobs will list required experience, but are willing to hire underneath that because of shortage or if you're just really awesome and they like you in interview. don't just expect that to happen, but maybe call the employer you are interested in and inquire about that. you can do nursing as long as there isn't a safety issue. also, one of the prior posters mentioned being upset by new nurses not wanting to work nights, weekends, sundays, etc.....there are TONS of jobs right out of school where this is possible and just because that particular nurse had to "earn her keep" on the crappy shifts, doesn't mean she has to piss all over other nurses who can find a way around it. i was hired immediately out of school in the OR for day shift without even having to ask for it...in fact that is the norm for the OR in my area. you know what it takes to have a happy quality life for yourself and you deserve it and you can make it happen. i'm sorry you got such crappy responses and i hope you are not in too much pain. ❤️
  5. medical_zebra

    Service Dog

    not sure it would work out, but you could try desk jobs like case management or telephone triage or work from home jobs.
  6. as long as you know you're safe to work, i don't think its anyone's business. this is your life....even if it did end up ruining your career somehow (highly unlikely) you not getting help can ruin your life. i see too many nurses sacrificing themself for this career. take a time out and get yourself the help you need. you are most important. you are the only person that takes care of you. we as nurses aren't much help to patients either if we aren't in a good place. i hope you get to feeling better soon!
  7. medical_zebra

    Should I disclose bipolar disorder 1

    it is none of their business and you as a nurse should be able to judge whether or not you can do your job professionally and safely with your condition and just leave it at that. it sounds like you have everything pretty well managed so i don't think you have to worry about them seeing you out of control and firing you. if that does happen, just move on, however if you can feel things escalating, ask to go home sick. they don't have to know it is a mental reason, just say you don't feel good and don't feel safe to do the job. if you know certain things trigger it, try to steer away from jobs that may cause that to happen.
  8. medical_zebra


    I am in the process of getting diagnosed with POTS too and I had to quit my floor job awhile ago. I have been researching this for awhile and found some options, b ut they are tricky because most places require more experience than I have, but it sounds like you might have enough and I often hear that just because they post a minimum experience, doesn't always mean they won't hire beneath that so its worth a shot. Here is what I found: telephone triage, case management, home health, remote jobs (most are similar to case managment), insurance companies or research, community health, clinic jobs, and dialysis or outpatient chemo infusion centers. My problem is that my dysautonomia (and who knows what else i have) has caused serious brain fog, so i'm not sure i can do anything until that gets better, if it ever does. Also, I only have 1.5 years in the OR so I don't really qualify for anything i've listed. It sucks. You should join the POTS and Dysautonomia groups on facebook. There are a lot of nurses in there actually. They're very helpful groups and i've learned so much. They even have local pages for your state to help with doctor reviews and finding testing centers, etc. Good lucky, I hope you don't have POTS 😞
  9. medical_zebra

    RN jobs options after declining health

    Hey ya'll. I only made it 1.5 years as an RN before I had to quit because of increasingly bad health. I'm only 34 years old. I worked 1.5 years in the Operating Room and 3 months in OB during my practicum, so not very applicable to many other nursing jobs. I don't have all of my diagnoses yet, my docs are still working on that, but whatever I have causes "flares" so sometimes i'm practically bedridden and sometimes I have severe brain fog and experience what seem like strokes where I don't know where I am or where i'm trying to go and am unable to reach for something and make contact with it, etc. (being bedridden happens relatively often, but the stroke like stuff is much more rare). On my "good days" i'm still really fatigued, can only stand for a little bit at a time before needing to sit and rest, very weak...like i couldn't help a patient ambulate (I can barely push open heavy doors), i get brain fog like messing up words and just not very smart anymore, i have trouble with time management, etc. (I have over 4 pages of symptoms, but these are the ones that really affect work). Originally I was considering some kind of desk job or remote work, but I couldn't find much that didn't require 3+ years of med surg or icu. Also, now with the brain fog, i'm scared to work because I don't want to hurt a patient or negatively affect their care...I could potentially mix up a chart, type the wrong word in their intake, etc. I'm hopeful that eventually this brain fog will go away, but in the meantime, what are the easiest possible jobs I could do that would be the least dangerous for me to be working? Are there remote jobs that don't require a ton of experience? Also, I need it to be per diem because of my unpredictable flares (I rarely ever see per diem listed in job searches). Are there certain job types that are more likely to have per diem positions? I have a feeling this will all end in total disability, but that takes years to get and honestly i enjoy working and want to work. it makes me so sad that i worked so hard to become a nurse and love it so much, i don't want to give it up. I would appreciate any info you could give about how to find one of these unicorn jobs that might work for me. (Btw I only have an associates in nursing and a bachelors in psych, prior experience as a charge bookkeeper and receptionist. I had wanted to get my masters in something nursing related so I would take suggestions for that too if there is something like maybe health admin or informatics that may work....but there's also no gaurauntee that whatever I have won't get worse and make that totally useless either).
  10. medical_zebra


    can you explain how much experience you had before get this role? that is what i am interested in doing, but I am brand new and want a realistic expectation about how long it will take me to get there.
  11. medical_zebra

    Pediatric OR nurses here?

    i'm brand new as a nurse and to the OR so i'm sure i'm no help, but i noticed you only had one response so i thought i'd tell you what i have observed so far. in my facility (large hospital) we do both. All the adult patients already have IV's in so the nurse doesn't have to do IV's. The pediatric patients are put to sleep beforehand and the IV is started in the OR by the nurse. With the kiddos, I feel like nothing is gross because they're just so cute and sweet, but with the adults there are a lot of things that gross me out haha. With the kiddos, you have to have a special way of communicating to calm their nerves. They are being wheeled away from their parents to a scary room with a bunch of adults who have creepy masks and there is a LOT going on for them. You have the have the energy and the skill to make this as easy as possible for them by doing special things for them. Also, you have to deal with the parents so it is like you have three patients....but in my experience so far, it is not bad....but it was when i had clinicals on pediatric med surg. I like that the pediatric patients are super easy to move to the OR table. Adults can be heavy, even if it is just their leg or arm. kids are also easier to prep the site. Adults can have large fat folds you have to get in between. Kids have different smaller equipment and medication dosages are different so if you already know the adult stuff, that could be a transition for you. For me, so far I like adults. With kids, there is a ton of extra pressure because you don't want to do anything to hurt them...not like you do for adults, but you get my drift. As a new nurse, I find all the new info to learn overwhelming so i don't want to have to worry about having to communicate in a special way for the kids and parents. I also don't like IV's. haha. I have noticed that the pediatric doctors are all very very nice so that is a perk. Hope this info helps.
  12. medical_zebra

    OR Residency

    Hey ya'll. I'm a brand new nurse starting an OR Residency. At the end of 6 months, I will be on my own. Sounds like a long time, but there is a LOT to learn. Can nurses who work in the OR give me tips on how best to prepare myself for independence? There is so much going on in the room that my head spins. Do I watch the surgeons, scrub and anesthesiologist to help anticipate what they will need or do I focus on charting and the patient? Do I need to watch the surgeries so I learn the anatomy and processes? I'm guessing your answer will be to watch them all...but I feel like i'm not helping myself by trying to do it all at once. What should I focus on first? What were things that you did that helped you catch on quick? Any advice is welcome. THANKS
  13. medical_zebra

    Tacoma Community College Nursing

    Clinicals start first quarter. I am not worried about them losing accreditation because they just got it not too long ago and I will graduate before they are reviewed again. They have implemented a new program so I cannot speak to that, but its supposed to improve the NCLEX scores so I wouldn't be too worried if I were you. They have too much at stake and will do everything they can to make corrections if there were anything putting them in jeopardy. I can't speak to the new entry requirements, but there are always orientations going on if you want to attend and get those answers. They should have it outlined on the website too. I wouldn't work during first quarter if I were you. Of course things have changed, but my first quarter was full of busy work and lots of stress because I was getting orientated to the program. It is very different than other college courses you have taken before. Lots of people did work though so it is doable. I do not have a nurse tech job, I worked a different job my second quarter. I was only comfortable with 15hrs a week and that job was extremely flexible. I do have several cohort members with nurse tech jobs. They all say the employers are flexible and do not expect much from you since they know you are a student. My friends work one day a week and that is fine with their employer. I am looking in to applying now that I am completely comfortable in the program and I'm sure of my ability to make the grades. There are several pass/fail situations every quarter so its not like you can rely on homework points to get you through. If you want, just put out your resume and then in your interview you can discuss your hesitancy with schedule and get a grasp of their requirements. If anything, it will be good practice.
  14. medical_zebra

    Tacoma Community College Nursing

    one more thing...don't forget you can apply to an LPN program and then transfer over to the ADN. It is a separate lottery and i heard its easier to get in. That way you keep moving and feeling like you're working toward your future while you wait for the ADN opportunity. Also, if worse comes to worse and you never get in to the ADN, at least you will have your LPN license to fall back on. See the advisors at the schools you're looking at and they will literally tell you everything you have to do. Don't stress!
  15. medical_zebra

    Tacoma Community College Nursing

    I am in my second year of the ADN Program at TCC. When I applied for the lottery, they weren't weighting numbers differently based off of "points" for having extra things like CNA licenses or extra classess, etc. I got in on my first try, I was very lucky, but a LOT of people got in on their first try. It is more common than you think. I know they changed admission criteria so I'm not up on what is required now so I can't help you with that. The program has its ups and downs. Teachers are good, they all have their quirks, but they are knowledgeable and care about their students. Sometimes there is disorganization, but I have heard from students at other schools that it is like that there as well. I think it is because it is hard to find nursing instructors, especially ones that aren't working one or two other jobs. Most of my instructors are all working other jobs so sometimes they are a little stressed. I have been told MANY times that nursing school doesn't really prepare you for the real world so a program is a program. Get in anywhere you can and get it done so you can test for your license. I think the reason that TCC's test scores are low is because they have an "adult learner" philosophy where basically they expect us to put in the extra work needed to prep for the NCLEX. We use an online program called ATI that has proven to be very effective with the NCLEX, BUT most of this is self study. They have it as assignments for a few points, but that's it. We have to spend the time in the tutorials and read the books, etc. They are not very clear on this in the beginning...I am just now realizing how much work I should have been doing lol. As students in this program, we are so busy we barely have time for this extra work. That is why you are probably seeing bad scores. Also, TCC is lottery with basic requirements, whereas other schools require higher grades, more experience, etc. So that factors in to it as well. ***TCC lowered their requirements because they realized that they weren't getting the best nurses. They needed more diversity and people with heart, not just students that were book smart. They're great at school, but not great at patient care. They didn't lower their standards becuase they had a bad program so that may change your perspective. I wouldn't let the low scores scare you away because its always up to you to do the work. They give you the tools. (I don't know much about accreditation though, you may want to look in to that, however the president of the program told us we are doing just fine and do not have to worry about losing the accreditation). After I graduate, I am going to enroll in an NCLEX prep course to review everything and spend a few weeks in ATI taking practice tests, etc. before even attempting the NCLEX. Also, it helps if you buy an NCLEX review book and use it as a study guide all along throughout the program. It helps get your mind used to NCLEX questions....its nothing like other tests you have taken before. It is very difficult to get used to. I'm finally getting the hang of it. There are TONS of scholarships out there just waiting to be taken. Start applying for those, you might find that your entire education is paid for. I have a few friends who have graduated TCC and they have jobs. I think what matters most is that the employer sees your efforts. After first quarter, you can start applying for nurse tech jobs. They pay about $17.50/hr. If you can get hired on there (which many of the TCC students do) you will find that they hire you immediately after graduation because they invested time in you and you know their ways. There is a shortage of nurses. Every clinical I've been to, I have heard them talking about being short staffed. Jobs are out there, just take all the opportunities you can to show you are making an effort and they will be interested in you. I would suggest you start using your CNA license and build up a good resume. That will help. Let me know if you have any more questions.
  16. medical_zebra

    Tacoma Community College Nursing

    I am VERY interested to know more about this. Where did you hear this? Where can I find out more about it?