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jlv613

jlv613 RN

Critical Care
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jlv613 has 6 years experience as a RN and specializes in Critical Care.

jlv613's Latest Activity

  1. jlv613

    Took Ibuprofen for 2nd Vaccine

    I did take it after, however, it was only one hour after vaccine administration... hardly feels like it is after since it was so close to when I got the shot. It was last week that the CDC recommend not premedicating and using NSAIDs and Antipyretics sparingly.... which is why my head is spinning... I didn't know at the time I took all the ibuprofen!
  2. jlv613

    Took Ibuprofen for 2nd Vaccine

    Thank you... in doing more research I feel better about it.. I absolutely appreciate your response. this is what concerns me... that I could've blunted a more robust response with memory cells. I couldn't really find much literature that supports the blunting or shows it doesn't blunt the effects.
  3. jlv613

    Took Ibuprofen for 2nd Vaccine

    I had my second dose of the Pfizer vaccine 1/9. I was terrified of the potential side effects. One hour after administration, I took 600mg of Ibuprofen. I continued a regimen of 600mg q6h for the next 36 hours. Despite being bathed in ibuprofen, I still had symptoms of malaise, nausea, headache, chills, and body aches. I am terrified that I ***ED up. That I blunted my immune response. My crazy, neurotic, busy, fearful brain is ruminating on this. Perseverating. I called Pfizer to inquire.... they couldn't say one way or another. I've interrogated the pharmacists at my hospital... asked physicians.... no one can really say with any certainty. I am scared that I ***ED up my only chance at being vaccinated by drowning myself in Advil. has anyone else done what I've done? Any thoughts? Help!
  4. jlv613

    CVICU vs SICU. Help!?!

    Thank you!!!!
  5. jlv613

    CVICU vs SICU. Help!?!

    I've been working in an SICU in a county hospital 50 miles from my house for the last 15 months. I was practically a new grad when I started (I had only worked in Home health and outpatient dialysis). I completed an intense critical care training which was a total emotional rollercoaster. I worked nights for a year. Super brutal. I knew it would be tough for me (I'm definitely not a night person). Sometimes it would take me 90+ minutes to get home in the morning because of traffic. Finally, in April I got a position on the PM shift - 3-11. Way way better. I feel human again. Sleeping at night. No traffic (though still about an hour each way).... about a month ago I had an interview at a local private HMO hospital for a CVICU position. I dragged my feet since I had just started the PM shift and was getting my bearings and didn't really have such a drive anymore to look for another job like I had when I was miserable working nights. But I went to the interview anyway. And it was pretty cool. Less than a mile from home. Same shift. Same amount of hours. Way better pay. So when they offered, knowing I didn't really have heart experience (I told them I had heart exposure - I had just begun orienting to the open hearts on my SI unit) they still wanted to hire me. Of course they expect me to do a lot of studying on my own. So I accepted. Duh!?! Right!?! but................ I went to give notice to my current manager. She told me I'd likelg hate the new place, they're very strict, they'll float me, it's all seniority based, my personality is more of a county type than private fancy hospital (I kinda agree), I'll get bored doing just hearts, they don't have the same possibilities of learning new disciplines since they're not a teaching hospital...... she actually worked for the same institution for a number of years before her current position. And it gave me pause. so here I am....2 more days at county. Already doing all my paperwork to start the new job a week from today and totally worried. My current manager expressed how disappointed she is in my decision to leave, how she raised me, how ill never have as supportive of a manager as her..... and it's not super hard to make me feel guilty. Because she gave me a chance. Trained me in the icu. Stuck up for me when my unit didn't believe I could make it. She fought for me. And im having serious doubts. People have told me that the new place is very strict. Very organized. (Not a bad thing. ). Not a teaching hospital. They fire people more easily. You can't get away with the stuff we get away with at county (not necessarily a bad thing). I mean the money and commute make so much sense. But I am sad to leave the trauma I had at county. The variety of patients. Working with residents from all disciplines. Getting so much training and education. Having worked so hard to get some semblance of respect on my unit. I feel like I'm more county... I'm gritty, got a potty mouth, not super great with authority .... love the teaching and demographic of a county hospital. This is new job will make me super efficient in hearts. But will it translate? What if I want to go back to a trauma icu? Will they take me? help!?'v
  6. jlv613

    Help!?! New to SICU. Cried second day. Terrified

    Wow! Thank you so much for the time and thoughtfulness you put in to your reply. It has definitely improved since my second day, however, I still find it quite challenging... But I like it... at least I think I do. And I've even come to appreciate my preceptor... she still kind of scares me.... but she is good... and I feel foolish for being so reactive so fast.... This has been incredibly challenging in ways I couldn't have possibly imagined... and I feel like if I can survive this I can survive anything! So, for now, I'm sticking with it... I'm showing up, taking notes, definitely asking tons of questions, and doing my absolute best! I will keep you posted. Thank you for all the kind and sage advice.... I always appreciate the feedback and support!
  7. jlv613

    Help!?! New to SICU. Cried second day. Terrified

    I can't even begin to tell you how helpful this is and how grateful I feel to have your support and encouragement. I return to the unit Saturday with my secondary preceptor. I've done some good self care ... gone on long runs, slept late, did laundry, did some soul searching.... I've written a list of questions, written some personal objectives, and written how I think I learn and what will be helpful for me... I"ll keep you all posted on my progress. Again, thank you for all the kindness and encouragement!
  8. Im on the fence though about going to management....I don't want to cause rifts or rock the boat. Do you think maybe the clinical educator? Thank you! I can totally appreciate people telling me I have to keep it together. And I really appreciate the kindness and encouragement. I'm really my worse critic - I'm incredibly hard on myself - and I want desperately to feel supported and encouraged here. It's such a fine line between getting thrown in the deep end and being coddled. I just hope I didn't set myself up by already crying! Ugh - hard to let that go. I totally wish I had a more gentle preceptor. But since I don't I feel like I need to find a strategy to make it work with the one I have.
  9. I can't begin to tell you how grateful I am for your kind words and encouragemen, Esme12 . Yes, it is a terrifying place. And yes, I should definitely let go that I cried. I am only human. I didn't know exactly where to put this post, I haven't had a long history of posting and interacting on this website mostly just reading. But it feels so good to seek encouragement and guidance and feedback here. And yes I would absolutely love to chat privately if that's an option.
  10. I posted this in the wrong area so posting here, too! bring it on nurses!! I need soem serious help and guidance: 0Hi All, I just started a clinical care training program at a county hospital. It's a 13 week program with a mix of didactic and clinical time. There are about 35 of us in the program. The majority of the people are new grads... some have a couple years or less experience in a different discipline. I graduated in 2015 and started working in a chronic outpatient dialysis clinic in addition to doing some registry work. I've never worked in a hospital. This job basically fell in my lap... I never had huge ambitions to work in a hospital and never ever imagined I'd want or be in an ICU. My self esteem is such that I would never think I have the competence or ability to do what I consider such advanced and sophisticated nursing (God, just disclosing this opens all kinds of invitations into my broken thinking). So while I am super grateful for the opportunity I have also entered this with a somewhat paralyzing amount of fear and trepidation. I have just completed two days with one of my two preceptors (my primary preceptor). First impressions: she absolutely terrifies me. She's fast, talks fast, does fast, moves fast, has a thick accent that is sometimes challenging. She's incredibly intimidating. She's abrupt, abrasive. She's a "take no prisoners and take no ****" kind of gal. She's knowledgeable, experienced, proficient. She is required to precept and she openly disclosed to me she avoided it for years. She's impatient, particular, and hard around the edges. Yesterday, my second day on the unit, we were in conversation... I can't remember the exact content of the conversation, but whatever it was she told me I responded with, "I don't think I'll be ready for that." She quickly shut me down, told me that is the wrong attitude, told me I should reconsider if I want to be in the ICU, told me the NM would flip out if she heard me say that. I, in turn, began to cry. I felt so small. So embarrassed. So weak. So incompetent. So useless. And so incredibly lost. And I was thinking, "****, i'm the girl that cries. I don't have what it takes to be and ICU nurse... my second day and I'm already in tears. I'm too sensitive, too vulnerable....." Now, in all fairness, while by and large her personality and mine clash, she does show me certain things, she pushed me into a room with a fresh heart patient straight from OR to see how that all looks (I didn't understand a thing about what was going on at all)... but I feel like her expectations of me might be a little unreasonable. I don't do super well with the "tough love" method. I freeze. I buckle. I don't have enough of a foundation to feel confident and secure. When i worked in dialysis long enough to feel my footing I was not so sensitive to being challenged or yelled at.... but here, I just don't have a clue. I'm overwhelmed... I feel like a nursing student again. I feel like I'm being set up to fail. I don't know how to prioritize. I don't know **** about the meds, the procedures etc.... And I noticed today that we haven't gone exactly according to the orientation program schedule of what were supposed to be doing Day 1 and Day 2. She had me charting yesterday - in Epic.... my god, none of it is intuitive and she would yell at me for forgetting things or tell me I'm charting too little or too much and I don't really understand where I'm supposed to get into detail and where I don't need to get into detail. I 'm getting mixed messages. I don't feel comfortable or "safe" with her.... I mean emotionally. I know she's not there to coddle me. And I can appreciate that I need to put in the work, too. I get that. But I look around at some of my peers in the program with me and their preceptors seem so much more gentle, more patient, soft spoken.... Should I not be expressing my fear? Should I reconsider the ICU? When is enough time to know it won't work? She did suggest I write down questions/concerns we can discuss next time. I go back Saturday and will be with my other preceptor. I've met the secondary. Truthfully, she doesn't seem much better. .... but I'm open to see what happens Saturday. I can't help but imagine the secondary will already know I've cried.... God, I'll take any feedback or guidance or help.
  11. This is a reasonable question. And I appreciate you asking. I was always afraid of hospital environment. But I would go on these binges and start applying to hospitals just to see. I was shocked when I was asked to come in for an interview. When they offered me the position I felt like it was such an incredible opportunity. Although I initially intended not to work in a hostile, I felt like it was almost divine providence that an opportunity like this presented itself and I'd be a fool not to take it. And the more time I spend in the classroom setting critical care nursing in the more excited I become. It's just been daunting on the floor. I don't want to go back to dialysis. I felt like I was very limited. However, I loved the patients and I loved the patient interaction and the continuity of care. Icu feels like it will open doors for me that otherwise wouldn't of been opened on my current trajectory.
  12. Hi All, I just started a clinical care training program at a county hospital. It's a 13 week program with a mix of didactic and clinical time. There are about 35 of us in the program. The majority of the people are new grads... some have a couple years or less experience in a different discipline. I graduated in 2015 and started working in a chronic outpatient dialysis clinic in addition to doing some registry work. I've never worked in a hospital. This job basically fell in my lap... I never had huge ambitions to work in a hospital and never ever imagined I'd want or be in an ICU. My self esteem is such that I would never think I have the competence or ability to do what I consider such advanced and sophisticated nursing (God, just disclosing this opens all kinds of invitations into my broken thinking). So while I am super grateful for the opportunity I have also entered this with a somewhat paralyzing amount of fear and trepidation. I have just completed two days with one of my two preceptors (my primary preceptor). First impressions: she absolutely terrifies me. She's fast, talks fast, does fast, moves fast, has a thick accent that is sometimes challenging. She's incredibly intimidating. She's abrupt, abrasive. She's a "take no prisoners and take no ****" kind of gal. She's knowledgeable, experienced, proficient. She is required to precept and she openly disclosed to me she avoided it for years. She's impatient, particular, and hard around the edges. Yesterday, my second day on the unit, we were in conversation... I can't remember the exact content of the conversation, but whatever it was she told me I responded with, "I don't think I'll be ready for that." She quickly shut me down, told me that is the wrong attitude, told me I should reconsider if I want to be in the ICU, told me the NM would flip out if she heard me say that. I, in turn, began to cry. I felt so small. So embarrassed. So weak. So incompetent. So useless. And so incredibly lost. And I was thinking, "****, i'm the girl that cries. I don't have what it takes to be and ICU nurse... my second day and I'm already in tears. I'm too sensitive, too vulnerable....." Now, in all fairness, while by and large her personality and mine clash, she does show me certain things, she pushed me into a room with a fresh heart patient straight from OR to see how that all looks (I didn't understand a thing about what was going on at all)... but I feel like her expectations of me might be a little unreasonable. I don't do super well with the "tough love" method. I freeze. I buckle. I don't have enough of a foundation to feel confident and secure. When i worked in dialysis long enough to feel my footing I was not so sensitive to being challenged or yelled at.... but here, I just don't have a clue. I'm overwhelmed... I feel like a nursing student again. I feel like I'm being set up to fail. I don't know how to prioritize. I don't know **** about the meds, the procedures etc.... And I noticed today that we haven't gone exactly according to the orientation program schedule of what were supposed to be doing Day 1 and Day 2. She had me charting yesterday - in Epic.... my god, none of it is intuitive and she would yell at me for forgetting things or tell me I'm charting too little or too much and I don't really understand where I'm supposed to get into detail and where I don't need to get into detail. I 'm getting mixed messages. I don't feel comfortable or "safe" with her.... I mean emotionally. I know she's not there to coddle me. And I can appreciate that I need to put in the work, too. I get that. But I look around at some of my peers in the program with me and their preceptors seem so much more gentle, more patient, soft spoken.... Should I not be expressing my fear? Should I reconsider the ICU? When is enough time to know it won't work? She did suggest I write down questions/concerns we can discuss next time. I go back Saturday and will be with my other preceptor. I've met the secondary. Truthfully, she doesn't seem much better. .... but I'm open to see what happens Saturday. I can't help but imagine the secondary will already know I've cried.... God, I'll take any feedback or guidance or help.
  13. jlv613

    ISO International Partner in Crime

    Hi US RN in OZ. You kindly commented on my interest in pursuing my license in Australia but I have limited capabilities on this website due to my newness to it - i.e. I can't sent a private message. I definitely want to talk to you more about endorsing my license to Australia as I'm stupidly overwhelmed with the whole process. Its seriously ever so daunting. Please let me know how I can contact you. My email address: Jennifer.vaisman@gmail.com Thank you!!!!
  14. jlv613

    US AD RN wants to move to Australia

    By any chance did you pursue the Australian license? I am looking to do so and am in almost the same boat as you. I am overwhelmed and confused with the process. I am having a hard time getting definitve answers. I also have an ADN; I will be enrolling in an online BSN program starting Feb 1, 2017, however, I wanted to start the APHRA process as it would appear it can take quite a bit of time. Please let me know the outcome of your endeavors! Thanks, J
  15. I am an american RN wtih an ADN. I'm considering applying for my nursing license in Australia. I am a bit unclear about the requirements for Australia. Does anyone know if an ADN RN will qualify? Thanks!