Register a SA Forums Account here!
JOINING THE SA FORUMS WILL REMOVE THIS BIG AD, THE ANNOYING UNDERLINED ADS, AND STUPID INTERSTITIAL ADS!!!

You can: log in, read the tech support FAQ, or request your lost password. This dumb message (and those ads) will appear on every screen until you register! Get rid of this crap by registering your own SA Forums Account and joining roughly 150,000 Goons, for the one-time price of $9.95! We charge money because it costs us money per month for bills, and since we don't believe in showing ads to our users, we try to make the money back through forum registrations.
 
  • Post
  • Reply
Hughmoris
Apr 21, 2007
Let's go to the abyss!
I am currently in nursing school in Florida. I know right now that its pretty drat hard to find a job as a new grad. When I graduate, I'm willing to move anywhere to get that first job. My question is, how does it working in a different state than the one you graduated from and took the NCLEX in?

Can I graduate, pass the NCLEX and then start applying for jobs throughout the country? Or do I have to try to get certified in any states that I apply in, or how does that work?

Adbot
ADBOT LOVES YOU

Enigmatic Troll
Nov 28, 2006

I'm gonna be there! I got to see!

Hughmoris posted:

I am currently in nursing school in Florida. I know right now that its pretty drat hard to find a job as a new grad. When I graduate, I'm willing to move anywhere to get that first job. My question is, how does it working in a different state than the one you graduated from and took the NCLEX in?

Can I graduate, pass the NCLEX and then start applying for jobs throughout the country? Or do I have to try to get certified in any states that I apply in, or how does that work?

You should get your license in Florida because I'm assuming that's where you will apply to take the boards. If you get your license and the only job you can find is in, say, Georgia, what you do is contact Georgia's state board and ask for reciprocity (that they recognize your license). They should do so but will charge some fees and probably make you jump through some paperwork hoops. I think it works that way pretty much for every state.

Compo
Mar 30, 2007

Cats have been killed for less.

sewersider posted:

So I've been in icu for about three months now and god drat, I love my job. The other staff I'm working with are awesome, management by and large arn't total are wipes ( as much as any management can help it) and the range of cases has been great. I'm at a general icu in a major teaching hospital in Sydney, the unit is 25 beds all single rooms ( great for infection control) and is only a couple of years old. The amount of stuff I've been learning between ventilation, caring for intubated patients, haemodynamic monitoring, evd's and more has been just awesome. Daunting at first but awesome. I'm glad I didn't hold off getting into critical care, to be doing this stuff as a second year is great.

I'm just about in the same boat as you... graduated in May and started working in a general ICU in July (whoa it's been 6 months). I'd also recommend if anyone is interested in critical care to try and jump right in. I think the 2 patient load is perfect for a new grad, and the area offers limitless opportunities for learning. When I first started I was worried about being able to manage critically ill people and the associated equipment. If you are, try not to be. Your assignments when you start off orientation will not be the sickest of the sick people (at least not all the time). Now at six months, I am usually given one true ICU patient and one med-surg/ICU inbetween.

Keyz
Dec 11, 2007

open your heart

Apkallu posted:



On another topic: I'm a very logical, scientific oriented person and I am constantly dismayed by the amount of pseudo-science and amorphous 'woo' they keep bringing up. They are bringing a chiropractor to my psych class next week (this was not on the syllabus and I really don't see how it fits in at all.) Are other programs seeing a lot of this? My school's supposed to be research oriented, which is part of the reason I chose it.

I've noticed this in my psych class as well. Granted, we just had our second class today but it still feels like a lot of time is spent discussing hypothetical cases with religious/seemingly supernatural backgrounds.

Shrike41
Jan 7, 2011

Apkallu posted:


On another topic: I'm a very logical, scientific oriented person and I am constantly dismayed by the amount of pseudo-science and amorphous 'woo' they keep bringing up. They are bringing a chiropractor to my psych class next week (this was not on the syllabus and I really don't see how it fits in at all.) Are other programs seeing a lot of this? My school's supposed to be research oriented, which is part of the reason I chose it.

Yea we had an alternative medicine day or 2 every semester of nursing school. People coming and and talking about healing touch and crystals it was crazy. Now i'm an ICU nurse and have never used or seen any of this kind of stuff. The closest i've seen is once a week someone comes in with a harp and plays for about 30min.

Funny thing, one of the healing touch crystal peeps was old as dirt and stumbling all over the class room. About a week later I took my dog to the vet and she was sitting in the lobby with what looked to be a dead cat in a kennel. I guess the crystals couldn't pull that one through....

Battered Cankles
May 7, 2008

We're engaged!
I can't speak to crystals, but I've seen witnessed hundreds of moments of joy when Jim makes the rounds to check on everyone. He's never made a sound, but calmly acknowledges every person who acknowledges him. Every weekday, minus holidays. Jim is a beautiful brown Doberman.

We also had carolers in the halls, in Victorian costume, on Christmas Eve and Christmas Day.

Isn't this how your med telemetry unit operates?

Regarding "pseudo-science and amorphous 'woo'" think of it as an exercise in memorization. There will be more.

Private Label
Feb 25, 2005

Encapsulate the spirit of melancholy. Easy. BOOM. A sad desk. BOOM. Sad wall. It's art. Anything is anything.
Aww, yeah, my old hospital had a couple of adorable chihuahua dogs for pet therapy... I don't think they went down to the ICU much. One of my coworkers did music therapy a couple weeks a year (mostly around the holiday time). It really helps the patients, especially "repeat customers" (for me, it was usually GI cancer patients), to see something normal.

Generally the only type of 'alternative medicine' I would do myself on my patients was massage. My patients freaking LOVED me for it and it usually helped them sleep better. :)

...man I miss working in the hospital... :(

Chillmatic
Jul 25, 2003

always seeking to survive and flourish

Private Label posted:

Aww, yeah, my old hospital had a couple of adorable chihuahua dogs for pet therapy

I really loving hate this. I'm stupidly allergic to dogs and cats (and not in the, 'oh goodness, i have a single small sniffle, but rather, my face is red and eyes are watery and i wish i was dead) and it bothers me that people think that bringing a loving animal into a hospital is a good idea.

Baby_Hippo
Jun 29, 2007

A lot of people enjoy being dead.
I think pet therapy is AWESOME. My only happy memory from the ortho floor I worked on was this enormous dude with loving face tattoos turning into a little kid when the therapy German Shepard came to visit him. It was adorable.

Private Label
Feb 25, 2005

Encapsulate the spirit of melancholy. Easy. BOOM. A sad desk. BOOM. Sad wall. It's art. Anything is anything.

Chillmatic posted:

I really loving hate this. I'm stupidly allergic to dogs and cats (and not in the, 'oh goodness, i have a single small sniffle, but rather, my face is red and eyes are watery and i wish i was dead) and it bothers me that people think that bringing a loving animal into a hospital is a good idea.

Well, it's not like they force patients to pet the dogs or stick them in their face. Usually they use hypo-allergenic dogs anyway. The only other animals I've seen in the hospital are guide dogs and the scary police german shepards that would occasionally patrol at night (I worked in a really dangerous city hospital) but they were never in contact with patients.

Private Label fucked around with this message at 01:25 on Jan 22, 2011

Tann
Apr 1, 2009

Apkallu posted:

On another topic: I'm a very logical, scientific oriented person and I am constantly dismayed by the amount of pseudo-science and amorphous 'woo' they keep bringing up. They are bringing a chiropractor to my psych class next week (this was not on the syllabus and I really don't see how it fits in at all.) Are other programs seeing a lot of this? My school's supposed to be research oriented, which is part of the reason I chose it.

You got nothing on me- one of the lecturers is a homeopath and taught us evidence-based practice for a semester. That was fun...

Hughmoris
Apr 21, 2007
Let's go to the abyss!
A couple of questions for those who are currently a RN:

- How long did it take from graduation till you received your license?

-How long from when you received your license till you got your first job?

Private Label
Feb 25, 2005

Encapsulate the spirit of melancholy. Easy. BOOM. A sad desk. BOOM. Sad wall. It's art. Anything is anything.

Hughmoris posted:

A couple of questions for those who are currently a RN:

- How long did it take from graduation till you received your license?

-How long from when you received your license till you got your first job?


For me, it look 3 months... I graduated in December, then didn't take the NCLEX until the following March. Mostly because I was lazy and put off hard-core studying until after the holidays. It all depends on your state licensing board. You have to have the code-thing sent to you before you can sign up for the test itself, and that took about a month after graduation for them to send it (you sign up for the actual test before you graduate so when you do they can verify that you got your nursing degree).

I had my first job before I got my license, just after I graduated. My work was cool with having graduates who hadn't taken their boards... the only thing we couldn't do was pass meds/get meds by ourselves. And they gave us two tries to pass the boards or we were out (although I know of people who didn't pass many many times and still got to work there). It depends on the hospital, really, but start applying for jobs before you graduate. Most new nursing jobs pop up around those times anyway (May/December).

Shrike41
Jan 7, 2011

Hughmoris posted:

A couple of questions for those who are currently a RN:

- How long did it take from graduation till you received your license?

-How long from when you received your license till you got your first job?

I graduated on like may 9th. Got my OK to take the NCLEX on June 12th a Friday, took the NCLEX on June 15th that next Monday. Started working as an RN one week late on June 22nd.

And I had a job as an RN about 4 months before I even graduated in my ICU.

Iron Squid
Nov 23, 2005

by Ozmaugh
Anyone have a recommendation for a good drug guide for Android devices?

JAF07
Aug 6, 2007

:911:

Iron Squid posted:

Anyone have a recommendation for a good drug guide for Android devices?

Epocrates. The free version has a drug guide, some calculators, and a bunch of common tables/diagnostic guides.

http://www.epocrates.com/

Battered Cankles
May 7, 2008

We're engaged!

Hughmoris posted:

A couple of questions for those who are currently a RN:

- How long did it take from graduation till you received your license?

-How long from when you received your license till you got your first job?

My first interview was in January; I had accepted a position by March 1st.

I graduated about April 28, left my nurse aid job on May 5 started working as a GN on May 12, and my license is dated June 10. IIRC, 80% of my graduating class had jobs secured prior to graduation.

CNS posted:

When administering oral medication with the suffix of gtts, which is equivalent to drops, make sure that you do not confuse it with dropper full.

15 to 16 drops ( gtts ) = 1 cc = 1ml

If you have any further questions, please don't hesitate to contact pharmacy.

Apparently someone gave a patient 10 full droppers, instead of 10 drops, of a specified medication.


Edit: I found Epocrates on Android to be pretty frustrating. It won't update (progress bar does not move), and it won't run if it isn't uupdated. I have to delete and re-download once or twice a week.
Edit2: That gives me an idea for a sexy app though; like Google Goggles for pills, snapshot and identify.

Battered Cankles fucked around with this message at 16:35 on Jan 24, 2011

JAF07
Aug 6, 2007

:911:

mason likes onions posted:

Apparently someone gave a patient 10 full droppers, instead of 10 drops, of a specified medication.


Edit: I found Epocrates on Android to be pretty frustrating. It won't update (progress bar does not move), and it won't run if it isn't updated. I have to delete and re-download once or twice a week.

:psyduck: That's worse than the girl that needed a drawing of how to insert a foley. How the hell do these people graduate and get licensed?

Regarding Epocrates, I've read reviews in the app store complaining about that, but I've never had it happen to me. Though, to be fair I haven't updated the actual app in a while because of those reviews, and because the beta edition on my phone has more functionality, I think.

Allegedly the most recent build has fixed those issues.

McFlurry Fan #1
Dec 31, 2005

He can't kill me. I'm indestructible. Everybody knows that

Lady Demelza posted:

Good luck! Mental Health and Learning Disability are the two branches of nursing that I absolutely could not do, and I admire anyone with the patience for it.

I'm still too scared to leave my job for nursing training, especially as the NHS is going through this upheaval. The news keeps on about what doctors think, but do any UK nurses have an opinion? It's a heck of a lot of extra responsibility for doctors, but it is going to have an impact on the rest of the staff if the doctor is taking on additional work.

If there are still any UK goonurses here, what is it really like working on a general ward? I hear all sorts of horror stories about how there's 1 nurse to 15 patients, it's a dumping ground for the elderly nobody else wants, and all the equipment is broken, because resources go to more specialised and 'sexier' departments like ICU.

The the moment, the RCN (the nursing union) seems just to be going along with cuts - like no increments etc., but i dont think anyone is sure how the big stuff like ending PCTs is going to affect nursing.

Ive worked on many different general wards, as a qualified nurse you are likely to have between 7 and 12 patients, maybe more in some areas. With a support worker to assist of course. Which isnt too bad really, mornings can be hell if you have a lot of dependent or demanding patients, but generally they wont be critically unwell patients. As for being an elderly dumping ground, it varies according to department really. Obviously most patients are elderly (even on ICU), and that usually means there is a lot of social stuff to sort out on top of getting people medically fit, which can make admissions drag on and on.
And yeah more resources go to ICU, because specialised equipment is more expensive and you need more of it. You just dont need half of the equipment ICU use of a general ward. Ive never had a problem getting equipment on any ward ive worked on, it would be nice to have a few more IV pumps, but they just arent necessary. A few more staff would be nice, but they'd have to be decent and there arent that many of them around.
I like general wards, you have to be ridiculously organised and be able to prioritise well, but it can be very satisfying.

blackguy32
Oct 1, 2005

Say, do you know how to do the walk?
So was there a consensus on whether getting your CNA is worth it? I don't think my school requires it but how good would it be to put on a resume, especially since I am definitely thinking of applying to be a Student Nurse Tech once I reach that point, or would it be meaningless to put on there?

I learned that after my first few degrees that experience matters, so I am wondering if experience as a CNA is actually worth anything.

Private Label
Feb 25, 2005

Encapsulate the spirit of melancholy. Easy. BOOM. A sad desk. BOOM. Sad wall. It's art. Anything is anything.

blackguy32 posted:

So was there a consensus on whether getting your CNA is worth it? I don't think my school requires it but how good would it be to put on a resume, especially since I am definitely thinking of applying to be a Student Nurse Tech once I reach that point, or would it be meaningless to put on there?

I learned that after my first few degrees that experience matters, so I am wondering if experience as a CNA is actually worth anything.

To get into nursing school? I don't think it really matters. My school was more focused on the grades and your perception of nursing ("why do I want to be a nurse..."). I'm not sure anyone in my class had a CNA license. As for getting a job, it might be easier if you had it but the CNA job is all the things you're going to learn in your first class in nursing school anyway (vitals, how to walk a patient, bed baths, etc). When I was a student I was able to get a job passing meds and taking care of residents in an assisted living, just by being a nursing student (always wondered if that was illegal for me to pass meds with no license though).

I say, if you have the time, go for it- it never hurts to get experience, but I think it's not going to hold you back at all if you didn't.

Donkey Darko
Aug 13, 2007

I do not lust for blood or death. I prepare for the warrior's call.
UK Nurses! I joined the RCN as a student member a few weeks ago, and I've just started receiving Nursing Standards through the post. I hadn't signed anything to say I wanted them, and I'm definitely not paying for them.

The RCN website doesn't seem to have any information either, so I thought I'd ask here before I bothered ringing them.

Iron Squid
Nov 23, 2005

by Ozmaugh
Some fat chick from Oklahoma says she wants to be a psych nurse "so she can mess with the patients". Then she added that if she was working in a prison, some of those convicts wouldn't get their meds because of their crimes.

Our whole class hates her.

Digger-254
Apr 3, 2003

not even here
It always makes me sad to hear how hard it is for new grads these days when just a few short years ago it was cake... :(

WhatDoTheyKnow posted:

I currently work for a hospital in the Central Supply & Processing Department. I absolutely love the work environment, but unfortunately, its too busy there for me to get a chance to talk to the RN's and Surgical Techs there. I would really like to work in the OR and just have a few questions about the two positions.

Is it true that to become a Surgical Tech, that you dont need a degree?

What are the pros/cons of being a Surgical Tech vs a Surgical RN?

What type of education would you need to be a Surgical RN?

Is it better to get a four year, two year, or two year online degree?

Sorry if any of this has been answered before. I didnt really see anything that answered these directly. Thanks in advance for any help!

Surgical RNs are getting phased out pretty quickly. As was mentioned earlier, there's nothing they do that a Surg Tech can't do for half the price. Between the techs, the PAs, and the CRNAs, an extra RN has become redundant. If you want to assist without fearing for your job in the future, become a Surg Tech. Circulating OR nurses are pretty much glorified secretaries. Doesn't mean they're not vital to the success of the business at hand, they most certainly are, but that's pretty much the extent of it and most of them will tell you the same. It's a pretty chill gig, nothing wrong with that. But that brings up another problem: the OR is so specialized that once you're in, you're pigeon-holed. Not in the same way as say, pysch or maternity, but almost absolutely. You use almost zero clinical skills, unfortunately. It's a good "retirement without retiring" strategy or if you want a comparatively easy paycheck, though.

If you're positive the OR is for you, Surg Tech would be cheaper, quicker, and have a more stable future. Or hell, just go for the gold and become a surgical PA or CRNA and really get your hands dirty. :)




Now to sell my profession: I've been ICU for almost 4 years now. Two in a cardiology ICU, the past one and a half or so in surgical/trauma ICU, and I pick up extra in the ER. Got my CCRN and starting pre-reqs for anesthesia (bedside's been fun but it's time to move on). Anyway, this is definitely a biased opinion, but if you're not ICU or ER, you're a babysitter by comparison. A very well-organized, hard-working, intelligent babysitter, but still a babysitter. I'm not trying to be mean, sorry if that offends anybody, just being blunt and a little simplistic for time's sake. So don't let it intimidate you, no unit would ever just throw you in there! You'd be a panicking headache at best and a massive liability at worst. Actually, you'd be both, so an extensive preceptorship program is really in everyone's best interest. As others have mentioned in this thread, it's awesome. You'll do and see things no one else ever will, even within our own profession. And once you have a couple years experience you can get a job pretty much anywhere, go back for your CRNA or CCNP, or move up into any of the intensive, better paying (and extremely cushy) types of specialties (PICC teams, IR, cath labs, etc). Step up as fast as you can, you won't regret it!


Also, pet therapy, music therapy, holistic medicine, etc are all perfectly fine and legitimate as long as they make the individual patient feel better (for whatever reason. It can be hard sometimes but try not to judge), don't encroach on other patients, and stay the hell out of the way.

Digger-254 fucked around with this message at 18:55 on Jan 27, 2011

Tufty
May 21, 2006

The Traffic Safety Squirrel

Digger-254 posted:

Also, pet therapy, music therapy, holistic medicine, etc are all perfectly fine and legitimate as long as they make the individual patient feel better (for whatever reason. It can be hard sometimes but try not to judge), don't encroach on other patients, and stay the hell out of the way.

Yeah, this is something that I've had to work on. At the place I volunteer I've had service users mention that EFT for example really helps them with whatever it is they're suffering from. I have to bite my tongue and just go with it, keeping in mind that if it's helping them in some way (even if it's just placebo and relaxation) then it's not my place to go all skeptic on them. As long as nobody tells me that they've stopped taking their anti-psychotics because tapping their forehead while chanting works better then I'll be keeping quieting.

Ohthehugemanatee
Oct 18, 2005

Digger-254 posted:

Anyway, this is definitely a biased opinion, but if you're not ICU or ER, you're a babysitter by comparison. A very well-organized, hard-working, intelligent babysitter, but still a babysitter. I'm not trying to be mean, sorry if that offends anybody, just being blunt and a little simplistic for time's sake.

I'm an ICU nurse too, and I hate this kind of attitude. We're pampered specialists who are completely dependent on our technology. Take that away from us and we'd poo poo ourselves faster than our patients do. Don't knock the folks who work in the lower-tech fields, and don't call them baby sitters when most ICU nurses I know panic at the thought of having more than two patients. We can only handle the critical stuff because we have the luxury of technology and the lightest of patient loads.

Private Label
Feb 25, 2005

Encapsulate the spirit of melancholy. Easy. BOOM. A sad desk. BOOM. Sad wall. It's art. Anything is anything.

Digger-254 posted:

If you're positive the OR is for you, Surg Tech would be cheaper, quicker, and have a more stable future. Or hell, just go for the gold and become a surgical PA or CRNA and really get your hands dirty. :)

I don't know- I've heard the opposite. I was told a lot of the hospitals around MI were getting rid of surgical techs because it dilutes the RN concentration (and when you want a magnet hospital, you need those RNs/BSNs). And there's been research done that suggests using an RN is safer in the OR because of more critical thinking skills and clinical experience.

Edit: Speaking of OR though, how many times have people seen RNFAs? I'm pretty interested in doing something like that in the future, but there's not a lot of schools for it, I know.

Donkey Darko
Aug 13, 2007

I do not lust for blood or death. I prepare for the warrior's call.
I'd rather have a trauma/ER nurse with me than an ICU nurse if the poo poo hit the fan, tbh.

Digger-254
Apr 3, 2003

not even here

Ohthehugemanatee posted:

I'm an ICU nurse too, and I hate this kind of attitude. We're pampered specialists who are completely dependent on our technology. Take that away from us and we'd poo poo ourselves faster than our patients do. Don't knock the folks who work in the lower-tech fields, and don't call them baby sitters when most ICU nurses I know panic at the thought of having more than two patients. We can only handle the critical stuff because we have the luxury of technology and the lightest of patient loads.

I've picked up in step down and telemetry when I'm desperate for cash and it's not panic-inducing, though it is annoying and frustrating and makes me miss my unit something fierce. Which sorta brings up another point: we can step down if we want to pick up some easy extra time, they can't step up because they'd probably get someone killed. Two patients is only a "light load" if they're not really ICU patients.

I could agree with the technology and meds point, but again, it's all things we do that they can't. I'd wager it takes a lot more quick critical thinking skills in the ICU and more time management skills on the floors/OR. I'm not saying we can fly around and save the world outside those walls, but I am saying, for example, that since there's no dedicated code team at night in my hospital, if a patient crashes anywhere outside an ICU or ER we have to book it over there and run the code while the floor nurse records (on a good day) or stands out in the hall and cries (on a bad day). We can (and do, if we're broke enough) do their job, we have to fix their messes, and there's no way for them to reciprocate those roles.

Of course, I'm only referring more to general med/surg, tele, etc floors. I don't think I could walk into the psych, pedes, or maternity wings and breeze through, those are specialties unto themselves that you have to really want and work toward. Hell, we never see pedes or moms and just sedate the hell out of any psych patient that gets unruly; we give him his meds if we can and he can go back to treatment when we're done with him. Most ICU nurses couldn't do ER because yeah, we admittedly do live in an ivory tower high above those messy trenches. It's not an attitude I like or a weakness I want to share, which is why I started picking up time in the ER rather than the floors. However, I don't kid myself, I'm ICU first and it shows. I take a good amount of flak for it but whatev, it's good-natured (and well-deserved) and I roll with it. They're pretty happy to have an extra trauma RN most nights, though. :)

Anyway, I'm not trying to offend anyone or say such-and-such RNs are useless. Quite the opposite, we need all kinds to make this system keep limping along. And I would never expect someone to step up into a role they can't handle, that wouldn't be fair at all. But by the same token, I won't feel bad about not trying to equate better time management skills with more training, more responsibility, more knowledge, and overall better "keeping people alive" skills, either. They're just... not on the same level. If I'm wrong I'll be happy to admit it, but I've yet to hear a convincing argument other than the time management/patient ratio things.



edit: Know what? Nevermind. I can't seem to express this without sounding belittling or hostile and I don't want to throw off an otherwise 100% positive vibe thread. I was hoping to attract some fresh new ICU nurses away from the whole "two years of med/surg to build my skills!" myth but I'm afraid I've come off as a snob instead. I'm gonna leave all that in the hopes that it explains my point of view a little better, but if not, I sincerely apologize for any offense caused. Congrats to all you new grads, hope you find the right fit for you :)

Digger-254 fucked around with this message at 05:48 on Jan 28, 2011

Private Label
Feb 25, 2005

Encapsulate the spirit of melancholy. Easy. BOOM. A sad desk. BOOM. Sad wall. It's art. Anything is anything.
I was gonna stay out of this argument, but...

Digger-254 posted:

We can (and do, if we're broke enough) do their job

Ouch!

Digger-254 posted:

But by the same token, I won't feel bad about not trying to equate better time management skills with more training, more responsibility, more knowledge, and overall better "keeping people alive" skills, either. They're just... not on the same level.

This reminds me of nursing school. A bunch of my classmates thought nursing wasn't "nursing" unless it was using hardcore equipment and having "keeping people alive" skills (aka using equipment). I guess I don't understand- same level of what? Nursing? I guess floor nurses then could say the same thing about community health nurses, yeah? They're not using any sort of machines or keeping people alive (directly), so they can't be on our level. I guess what I'm getting at is that as long as we're making a positive difference in people's lives, it's still nursing.

And it's true- you don't have to go to Med/Surg first, they told us that in nursing school, and people got jobs right away in the MICU, NICU, step-down, etc. You just could have said it that way :)

Donkey Darko
Aug 13, 2007

I do not lust for blood or death. I prepare for the warrior's call.
My nurse friends keep saying "ICU Nurses are all elitist bastards who think they are better than everyone else" so well done for kinda proving them right? I shall look forward to my dealings with ICU/HDU on my placements.

I was also told that ICU nurses aren't the worst for ego, oh no! That prize goes to the Midwives.

Silentgoldfish
Nov 5, 2008
A guy I used to work with in Emergency moved to midwifery and his stories make even mine sound tame - his groups of "methodone mums" make most of our patients sound manageable!

As far as ICU goes, I remember working on wards as a student and having to deal with so many problems of ex-ICU patients who'd had their vitals sorted but were missing what seemed like all the top layers of skin from their backs due to absolutely terrible pressure care.

On the other hand when I was on the wards I never had to deal with situations like at triage the other day, where a dude walked in whose friend said that he'd been bitten by a dog and when he took the towel away the bottom half of his face fell off (he looked like Dr Zoidberg!).

Bum the Sad
Aug 25, 2002
Hell Gem

Ohthehugemanatee posted:

I'm an ICU nurse too, and I hate this kind of attitude. We're pampered specialists who are completely dependent on our technology. Take that away from us and we'd poo poo ourselves faster than our patients do. Don't knock the folks who work in the lower-tech fields, and don't call them baby sitters when most ICU nurses I know panic at the thought of having more than two patients. We can only handle the critical stuff because we have the luxury of technology and the lightest of patient loads.
If I don't have an Art line, a continuous 12 lead, a Swan-Ganz with a CCO/SvO2 Monitor, and as many ABG's as I can through at the machine I'm loving lost.

Digger-254
Apr 3, 2003

not even here

Silentgoldfish posted:

As far as ICU goes, I remember working on wards as a student and having to deal with so many problems of ex-ICU patients who'd had their vitals sorted but were missing what seemed like all the top layers of skin from their backs due to absolutely terrible pressure care.

I know it's hard to imagine this being possible if you haven't dealt with it directly, but when a patient is sick enough, we can't turn them. Because turning them would literally kill them. There's a ton of reasons why this could be the case, but suffice it to say that it becomes a matter of priorities. Skin =/= Life. We try to get them on a specialty mattress asap but even that's a dangerous maneuver that requires a few hours of restabilization afterward. In a Level 1 or 2 hospital it's pretty common. We don't take some sort of perverse pleasure in being negligent and we're very well aware that most floor nurses probably think we're awful, uncaring machines but that's not a priority to care about, either. You want unjustifiably bad skin care? A fresh admit from the majority of US nursing homes should fill that slot for you. (edit: Not by fault of the staff, but the administration. Too many patients, not enough staff isn't an acceptable situation in any institution.)


These sorts of misconceptions are kinda what I'm talking about, but it's more than that, too. For example, an increasing number of hospitals are starting to require BSNs to work in their ICUs and ERs. We often get better pay. We have better upward mobility. ICU travelers get better assignments and compensation. We're in higher demand. A hierarchical view of our profession isn't some unique, revolutionary idea I'm proposing in this thread to put people down; it's pretty well accepted and acknowledged in the real world. If it makes it easier to label me a mean, elitist jerk for bringing it up, fine, I'll have to live with that. But just because things are different doesn't necessarily mean they're somehow equal. I've heard LPNs make similar cases against those dang high and mighty RNs but yeah, whatever.

It's not like ICU is immune to this anyway; we get it from CRNAs and RNPs. Not in some hostile, in-your-face sort of way any more than we treat floor nurses like that; it's just an accepted reality that there's no point debating unless you're trying to make yourself feel better. This whole thing is like if I was trying to compare myself to a CRNA. Even after you toss out that they have an MSN, how could I? Sure they have better equipment, more knowledge, access to more drugs, more autonomy, more training, and are involved in significantly more acute situations than I can imagine. But... I have a higher patient load and do more bedside care? They're cheating because they have all that extra stuff? How could they leave this patient in the same position for more than 2 hours, don't they care about skin?? Well at the end of the day we're both nurses so we MUST be the same! ...ugh, I dunno, sounds like a lot of flailing around that I just can't do. I don't make excuses, I'm just not on their level. And that's not offensive to me. I take it as a challenge to do better.

Anyway, at this point I feel like I'm just apologizing for hurting people's feelings over and over. Which seems impossible not to do in this sort of discussion but I'm probably just too blunt. Again, I apologize for that, I'm certainly no diplomat. It is what it is, wish I could have explained myself better.

Digger-254 fucked around with this message at 22:32 on Jan 28, 2011

nordavind
Mar 25, 2008
Stop being a condescending jerk, we get it, being an ICU nurse is hard, and everyone else in the nursing profession is beneath you.

It's true that working the ICU is probably more stressful/harder than many other places, but the way you are presenting it makes you look like a douchebag. Which is a shame since I'm sure you have a lot of useful knowledge for a lowly nursing student like me, but you should really think about how you're coming across.

Silentgoldfish
Nov 5, 2008
Look, I wasn't trying to get in a pissing match over which sub-specialty was more complicated, I was giving an example of the different medical things you have to deal with in lower acuity areas. If you really want to compare though, I work in a trauma ER and one of our really sick resus patients would be more complicated than anything that makes it to ICU because by the time they get up there they're either more stable, or dead.

A number of nurses I work with have gone to work in ICU for a change and almost always come back because they're bored up there.

Digger-254
Apr 3, 2003

not even here
Ugh, an ER vs ICU pissing match is never pretty, you're right: better quit while you're ahead :)

Zing! It was a joke, relax. <sigh> But alright, alright, I get it. I'm a condescending jerk who clearly has no idea what he's talking about. Like that other dude said, we're all nurses, it's all the same, join hands, etc. Moving on...

McFlurry Fan #1
Dec 31, 2005

He can't kill me. I'm indestructible. Everybody knows that

Donkey Darko posted:

UK Nurses! I joined the RCN as a student member a few weeks ago, and I've just started receiving Nursing Standards through the post. I hadn't signed anything to say I wanted them, and I'm definitely not paying for them.

The RCN website doesn't seem to have any information either, so I thought I'd ask here before I bothered ringing them.

I remember getting one as a complimentary joining gift, though it was only one. I think.

Just had a rough day on palliative care home visits, lets just say there were a lot of tears and paperwork

leb388
Nov 25, 2005

My home planet is far away and long since gone.
Does anyone have any experience in psychiatric nursing? I think that may be a field I'd want to go into. I worked as an aide for a year in a dementia unit, so it's not exactly something new for me, but I've never worked in a strictly psychiatric hospital or clinic.

Adbot
ADBOT LOVES YOU

Private Label
Feb 25, 2005

Encapsulate the spirit of melancholy. Easy. BOOM. A sad desk. BOOM. Sad wall. It's art. Anything is anything.

Digger-254 posted:

This whole thing is like if I was trying to compare myself to a CRNA. Even after you toss out that they have an MSN, how could I? Sure they have better equipment, more knowledge, access to more drugs, more autonomy, more training, and are involved in significantly more acute situations than I can imagine.

Sounds like someone wants to go to medical school. :ssh:

Digger-254 posted:

Ugh, an ER vs ICU pissing match is never pretty, you're right: better quit while you're ahead :)

Zing! It was a joke, relax. <sigh> But alright, alright, I get it. I'm a condescending jerk who clearly has no idea what he's talking about. Like that other dude said, we're all nurses, it's all the same, join hands, etc. Moving on...

I'm a chick btw. You do know what you're talking about, since clearly you're an ICU nurse. We're not saying that. But yes, you sure are condescending. We all (literally) can't be high and mighty ICU nurses, and your argument makes it sound like anyone else's nursing isn't worth doing unless they're knees deep in equipment and patients (again, same level of what?). The stereotype lives on...

  • 1
  • 2
  • 3
  • 4
  • 5
  • Post
  • Reply