WestCoastSunRN MSN, CNS

CVICU, MICU, Burn ICU

Member
  • Content

    496
  • Visitors

    7,296
  • Followers

    1
  • Likes

    492

All Content by WestCoastSunRN

  1. I would be very scared to work under someone like you. The way you talk here in these forums makes me think if you ever got the chance to make policy regarding who could and could not be a nurse, we...
  2. WestCoastSunRN

    PA curriculum

    But at least 1200 are real clinical hours. That is more than twice what other programs require. My program was going to require 1000 real clinical hours, and I thought that was good compared to many...
  3. I'm sorry you found yourself in this situation. I can't imagine how difficult that must have been. Regardless of whether she "needed" the suctioning (none of us were there, you were) you most...
  4. I wouldn't put myself in the 'should-suction-death-rattle' camp, but I will say that I think it really depends on if you really know you are dealing with terminal secretions. I have cared for people...
  5. WestCoastSunRN

    Regret Becoming an NP

    I think there is a huge amount of cost-counting that needs to happen when considering whether or not to pursue the NP role. I always wince at the thought of someone who became an NP and then wasn't...
  6. WestCoastSunRN

    PA curriculum

    Yeah, I hear ya. I will say - not to open up a DE debate - that I see a definite difference between a PA student with non-clinical background Vs an NP student with nursing background. But even then,...
  7. WestCoastSunRN

    Direct MSN/ CNS/ CNL/Advanced Practice Nurse

    If your end goal is to be in nursing leadership/administration, I suggest you get nursing experience. While there may be direct entry pathways to advanced degrees in nursing leadership, I cannot...
  8. WestCoastSunRN

    Are you discerning with your "likes"?

    I'm willy nilly when it comes to "likes". Sometimes I've been glad I didn't give a "like", as the poster later dove off the deepend in a thread. But then I think I'm putting way too much thought...
  9. WestCoastSunRN

    Getting yelled at by a doctor for the first time....

    OP, you did great. It's really a 'no no' these days to keep patients in the hospital when it's not medically warranted. I agree that you could have called him again and let him know what the new...
  10. So it's not really "official" in my unit, but we all have an understanding. Some of us have code words to indicate the need to leave the unit... but all of us are in agreement about not pooing in...
  11. Hi Nick, Great article! I fall right about where you do on this. There are times when some strategic suctioning can be very therapeutic... not only for family, but presumably for the patient as...
  12. WestCoastSunRN

    Beyond Bedside? Advanced Practice? Really?

    Firstly, let me say that I also consider assisting a patient with ADLs holy work. It is so humbling for both the giver and receiver of such care. Some of my favorite times with patients is when I am...
  13. WestCoastSunRN

    Male Nurse Disgusted by Female Nurses

    This has been my experience as well. I absolutely welcome men into nursing. Men and women are different -- with each gender having strengths and weaknesses. And I think it's easier to have a...
  14. WestCoastSunRN

    Beyond Bedside? Advanced Practice? Really?

    If the work environment is good (staffing, adequate professional support, recognition/pay, etc), then it can make a lot of sense to stay bedside. That said, the physicality of bedside nursing is no...
  15. WestCoastSunRN

    Beyond Bedside? Advanced Practice? Really?

    This. It's a beautiful thing, isn't it? Many times the reality of this work is that it is not sustainable for the length of a nurse's career. I can understand nurses who want to get into the next...
  16. WestCoastSunRN

    Have you literally prayed over your workplace?

    I havn't read this thread -- just this comment, so only speaking to this last comment. This is a good reminder that even asking can be insensitive. That said, I have been in situations where I...
  17. WestCoastSunRN

    Freezing During Critical Situations

    Excellent advice on how to practice critical thinking!! Love it!! I will be using this language with new
  18. WestCoastSunRN

    Care for the Older Adult: ICU or Not?!

    In a perfect world, the whole team will be trained in and willing to talk to patients and families. As this fabulous article pointed out, nurses are, by definition of their role and proximity, in a...
  19. WestCoastSunRN

    ER RN to BICU RN!

    Hi NurseMary! Welcome to burns! If you scroll down in this burn forum, you can find some good advice for the new burn nurse -- so instead of restating all of that, I'll just direct you there. But I...
  20. WestCoastSunRN

    RN with medical marijuana card

    I think it's naive to think you will come to any arrangement that the CBD is OK with your employer. This is what I call playing with fire, for sure. An employer would be foolishly putting themselves...
  21. WestCoastSunRN

    Nursing Spirituality

    It's unfortunate this thread went in the direction it did. I am a believer -- and actually prefer to keep that under wraps in many circles, including work. My faith absolutely informs every aspect...
  22. WestCoastSunRN

    Dilemma! Cardiac PCU or CVICU??

    I think it's funny that you think the pace at Level 1 CVICU will be too slow. I don't mean that snarky -- I think maybe you haven't spent enough time in one? If you are getting offered CVICU as a...
  23. WestCoastSunRN

    You don't need RN experience to get an NP job

    Oh golly. I think your coffee overlooking the Pacific is getting
  24. WestCoastSunRN

    Being hired into an ICU

    I hear you. I finally realized the NP payoff was just not going to be what it needed to be for it to make sense for me to pursue. I make good money and I love my job. I will still get my master's...
  25. WestCoastSunRN

    Needless Intravenous Connectors

    We use micro claves I think. Very low rate of Clabsi. We change them out every 96 hours or if needed sooner. We never (and I never have anywhere else either) use connectors with pressure