Providence RN Residency Program - September 2024 Cohort

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Hey guys! I'm starting this thread for Providence's RN Residency Program - September 2024 Cohort. Hopefully we can update each other on application processes, interviews, and job offers!

Applications open up on July 3! Good luck to all of us (-:

Specializes in New Grad RN.
Sergio Sandoval said:

1. ICU. 2. Cardiac Tele 3. Sepsis Tele. I'm hoping to land my top choice in the ICU department. It looks promising since they have 5-night shift positions available. Fingers crossed for a positive outcome for all of us!

Hopefully we get ICU so we can work together! I also don't mind getting into neuro tele.

For the sepsis case study, what assessments and recommendations did you list? I feel like I forgot to add some other stuff besides the antipyretics for the fever )))-':

Sergio Sandoval said:

I received the invite to meet and greet as well.

Is this meet and greet for Burbank St. Joseph? 😮

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BookishNurse97 said:

Hopefully we get ICU so we can work together! I also don't mind getting into neuro tele.

For the sepsis case study, what assessments and recommendations did you list? I feel like I forgot to add some other stuff besides the antipyretics for the fever )))-':

Is this meet and greet for Burbank St. Joseph? 😮

no for torrance!

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Specializes in New Grad RN.
BookishNurse97 said:

Hopefully we get ICU so we can work together! I also don't mind getting into neuro tele.

For the sepsis case study, what assessments and recommendations did you list? I feel like I forgot to add some other stuff besides the antipyretics for the fever )))-':

Is this meet and greet for Burbank St. Joseph? 😮

 I said that as a new grad, it's crucial to ask for help so I would call the charge nurse while remaining with the patient. I recognized potential sepsis and promptly initiated sepsis protocol: starting IV, obtaining cultures, starting the patient on broad-spectrum antibiotics, IV fluids, and managing fever. Continuous monitoring of vital signs ensured stability, with a plan to escalate to the doctor if BP dropped, possibly requiring pressors  support

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Specializes in New Grad RN.
Sergio Sandoval said:

 I said that as a new grad, it's crucial to ask for help so I would call the charge nurse while remaining with the patient. I recognized potential sepsis and promptly initiated sepsis protocol: starting IV, obtaining cultures, starting the patient on broad-spectrum antibiotics, IV fluids, and managing fever. Continuous monitoring of vital signs ensured stability, with a plan to escalate to the doctor if BP dropped, possibly requiring pressors  support

I love that answer! I completely forgot to bring up what the sepsis protocol would be depending on the hospital, starting IV, and seizure and fall precaution )-':

But I said pt could be septic bc of the UTI caused by the foley. But I acknowledged change in patients status, change in vital signs especially the HR, BP and Temp, UA and blood cultures before starting antibiotics so we could figure out what bacteria it is and how we can target it better. WBC, Lymphocytes, ABGs to check lactic acid levels, BUN and Creatinine to check if kidneys are becoming damaged, supplemental oxygen since the pt's O2 was at 92%, and then I brought up how my recommendation would be that we need to start aggressive fluid resuscitation to promote intravascular volume and organ perfusion, and vasopressors to increase BP and cardiac output, and then assessing level of consciousness because a septic UTI can cause confusion or delirium, and strict urine intake and output to assess for kidney perfusion.

My friend who had his interview today got the sepsis question, and he brought up possible mechanical ventilation! I wish I thought of that too )-':

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Specializes in New Grad RN.
BookishNurse97 said:

I love that answer! I completely forgot to bring up what the sepsis protocol would be depending on the hospital, starting IV, and seizure and fall precaution )-':

But I said pt could be septic bc of the UTI caused by the foley. But I acknowledged change in patients status, change in vital signs especially the HR, BP and Temp, UA and blood cultures before starting antibiotics so we could figure out what bacteria it is and how we can target it better. WBC, Lymphocytes, ABGs to check lactic acid levels, BUN and Creatinine to check if kidneys are becoming damaged, supplemental oxygen since the pt's O2 was at 92%, and then I brought up how we need to start aggressive fluid resuscitation to promote intravascular volume and organ perfusion, and vasopressors to increase BP and cardiac output, and then assessing level of consciousness because a septic UTI can cause confusion or delirium, and strict urine intake and output to assess for kidney perfusion.

My friend who had his interview today got the sepsis question, and he brought up possible mechanical ventilation! I wish I thought of that too )-':

That's a great answer. I hope we provided enough information to put our files in front of the Director.

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Specializes in New Grad RN.
Sergio Sandoval said:

That's a great answer. I hope we provided enough information to put our files in front of the Director.

Thank you (-': I hope so too! My other friend just finished his interview an hour ago, and he told me that they told him they'll be making decisions by the end of today, and we should start getting calls by the end of the week!

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Specializes in New Grad RN.
Mz_Ogee said:

I think we got the same case study. I mentioned the fever but I didn't say sepsis, I said shock due to the bp and pulse. Loooool. I knew I messed up that case study. I thought it was good. I'm hoping for the best. 

At least you said shock! Because it could also mean septic shock. I think as long as you acknowledged the change in patients status, interventions, and recommendations, you should be good!

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Specializes in New Grad.
Sergio Sandoval said:

Has anyone been invited to Torrence's meet and greet?

I had my interview earlier today and I just received the invitation for Friday's meet and greet.

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Holy Cross just called me with an informal offer. I got my 2nd choice (Neuro Tele)

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I also got the email for the meet & greet! I wonder how they're going to narrow down the list, I'm so nervous LOL. My answer for the sepsis one was so vague🤦🏼‍♀️, all I said was to monitor temperature, put them on oxygen and keep an eye on the A&O. 

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Mz_Ogee said:

Holy Cross just called me with an informal offer. I got my 2nd choice (Neuro Tele)

Congrats! 

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Mz_Ogee said:

Holy Cross just called me with an informal offer. I got my 2nd choice (Neuro Tele)

WOW! that was quick! congratulations! when did you interview?

 

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