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Speaking of, I just got promoted to full-time charge nurse/code blue RN.  It's just a different kind of time management and skillset, it isn't scary once you know what you're doing.
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Apr 21, 2019 11:48
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I think I prefer my old hospital's style where they didn't have dedicated charge nurses or code nurses, but instead would just have an appropriately trained icu nurse be assigned to it that day. So you'd come in and find out if you had a patient assignment or were charge/code, or all three depending on staffing. It spread it around and made the whole unit a little more prepared in codes and cognizant of flows both in the unit and hospital. Either way though, congratulations!
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Apr 21, 2019 11:55
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I am gone enough with military stuff that it will float around to staff nurses plenty. Our hospital treats charge nurses as entry level management and makes us go to leadership development courses and get extra training.
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Apr 21, 2019 13:47
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All the ICUs split code responsibility at my last place: ED went to first floor, trauma went to 2nd and 3rd, CV went to 4, and medical went to 5, 6, and 7. Usually the charge would go: ED, STICU and MICU had unassigned charges. CV only responded to the tele floor because charge took a full assignment plus it was a teeny unit that needed all of its nurses. Now there's a campus wide code/RRT nurse, plus at least 2 unassigned nurses in the unit. California is grand.
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Apr 24, 2019 19:49
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djfooboo posted:Speaking of, I just got promoted to full-time charge nurse/code blue RN. I got promoted to relief-charge not by choice but by seniority. It's a whole new level of stress because I still take patients. 
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Apr 26, 2019 01:22
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god dammit i just got my clinical assignment and they gave my group the worst time in the cohort for the third rotation in a row. now we not only don't have a day off to study between clinical and lecture like the last two rotations (the only clinical group in our cohort who doesn't), we don't even have enough time to sleep. it's seriously going to be like 6 hours between the two after accounting for commuting and hygiene. There's a shower at school and I'm seriously considering just sleeping in my car there to get the extra 2 hours of sleep. I've heard it's like this all over California right now, to the point that the state might put a freeze on new nursing programs because it's so hard to get clinical time that there's lots of students getting stuck choosing between sleep and getting access to a clinical rotation.
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Apr 27, 2019 03:25
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I'm at a point in my life that I need to decide what advanced degree I should get. There's a director of education position open that essentially requires a PhD that can be completed during your time in the position, or to look at going to DNP or CRNA school. a PhD seems completely not worth it unless it's for this specific position which actually pays quite well.... DNP seems to be a fools errand and a few DNP's I've talked to have some regret getting out of bedside nursing I only have critical care flight nursing experience, so to get into CRNA school I'd need to knock out a few years of full time ICU work, which is difficult to get into here in central Oregon. This is my rant for the night, god bless.
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May 1, 2019 08:27
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Nice and hot piss posted:I'm at a point in my life that I need to decide what advanced degree I should get. Why DNP > MSN? You seem pretty all over the place with what you're interested in. Those are three very different/distinct pathways. HELP ME WRITE A SCHOLARSHIP PAPER! I'm sure you guys have seen some whacky poo poo over the years that might help me with this prompt. "Provide your best DIY low-cost invention for a normalized medical device/equipment."
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May 6, 2019 18:34
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https://www.wnyc.org/story/inexpensive-aquarium-bubbler-saves-preemies-lives/ Not helpful, but I loved when I read about this story.
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May 6, 2019 20:49
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hobbez posted:"Provide your best DIY low-cost invention for a normalized medical device/equipment." "Publicly execute the ownership class of capitalists and healthcare profiteers. "
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May 7, 2019 19:36
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hobbez posted:Why DNP > MSN? You seem pretty all over the place with what you're interested in. Those are three very different/distinct pathways. Well the issue is that i really enjoyed my time conducting research during my masters program in public health. I would easily be happy grabbing a PhD and working in academia or any specific area that allowed for me to do that as a main focus of my job. The issue is that I can't commit to a full time on campus program, since I would have to move and the cut in pay from nursing would not bode well for the family. And the DNP route would just satisfy my current stagnation from where I'm at. I don't have a huge desire to go back into the e.d any more, not to mention the only e.d I would want to to at is a toxic environment where roughly 40% of staff are travelers....not specific to the nursing shortage since there are definitely qualified candidates just it's well known not to be a good place to work. So yeah, it's my "32 year old" life crisis if that's what you'll call it. I'm just ready to advance myself in some specific way and supervising a critical access hospital has been great, but there's no more room to grow
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May 9, 2019 17:14
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Get a hobby instead.
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May 10, 2019 00:13
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i hope to someday be one of those travelers working in a toxic work environment
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May 10, 2019 03:11
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any men want to share their experience with Maternity & Pediatrics rotations? I just had my first cycle of maternity; postpartum + nicu were great but L&D was just nonstop casual sexism from the nurses we were shadowing. all the patients I interacted with were perfectly pleasant but everyone but my shadow nurse was just waving the two men in our group off from everything. even my shadow nurse tried to wave me off from a patient she was covering for a nurse on break until I introduced myself in Spanish to the patient and confirmed she was ok with me being there. I felt like I was getting roadblocked to the maximum extent I contractually could be. this was a complete 180 from NICU, where every single nurse was enthusiastic about teaching and offering me tasks like daiper changes, swaddling, feeding, and doing assessments. e: oh and twice I got comments about how I wasn't going to work maternity and I should work ED instead.
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May 20, 2019 06:14
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My experience in L&D was the complete opposite of yours; patients weren’t enthused to have me but the staff was super supportive. Moral of the story is uh, unit culture is a land of contrasts?
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May 20, 2019 07:46
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Nine of Eight posted:My experience in L&D was the complete opposite of yours; patients weren’t enthused to have me but the staff was super supportive. Moral of the story is uh, unit culture is a land of contrasts? This was my experience as well.
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May 20, 2019 13:01
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Nine of Eight posted:My experience in L&D was the complete opposite of yours; patients weren’t enthused to have me but the staff was super supportive. Moral of the story is uh, unit culture is a land of contrasts? This was mine.
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May 20, 2019 13:25
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Fate made all my L&D patients nurses or teachers somehow. All were enthused to have me learning.
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May 20, 2019 16:48
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My OB rotation was a study in contrasts. In OB triage and on L&D, it was amazing, and (almost) everyone was happy to have me there. The SVD I witnessed was the child of two docs who didn't want any other physicians in the room aside from the OB (I can totally understand not wanting your colleagues or students in the room with you), but were fine with me since I was a nursing student. The poor husband got yelled at a few times by the laboring wife to "do what the nursing student is doing, you dummy," when I was supporting her legs and such, which I found amusing. There was one old battle axe on OB triage that had no interest in having a student and she was just the worst, but hell, every floor seems to have a few of those. On Postpartum, I did sometimes get the cold shoulder from some preceptors or patients. The preceptor pushback I never really understood, but just worked around it as best I could. As much as I may not have liked the way it felt sometimes, the way I see it, if a pt doesn't want me to coach them in breastfeeding or caring for their baby because I have a penis, that's their prerogative. I absolutely got more than a few "most men don't go into this area" sorts of conversations from preceptors, but once I told them that while that may be true, I was still very interested as I wanted to have the broadest possible knowledge base moving forward. Once I said that, the vast majority of them loosened up and were happy to teach me. I just tried to engage them as much as possible, and explain why it was important to me to learn as much as I could if they weren't engaging me right out of the gate. Marathanes fucked around with this message at 17:08 on May 20, 2019 |
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May 20, 2019 17:06
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When I was an OB patient, the male nurse I had was amazing, and the male nursing student was obviously super uncomfortable and acted pretty weirdly. The male nurse also taught the low intervention birth class I took and it didn’t seem strange at all. There are two male nurses who work L&D and three that work NICU, and from what I hear from my female nurse friends that work there, they are really great nurses and aren’t treated any differently by the staff. All depends on the culture of where you work.
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May 20, 2019 18:44
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Marathanes posted:I absolutely got more than a few "most men don't go into this area" sorts of conversations from preceptors, but once I told them that while that may be true, I was still very interested as I wanted to have the broadest possible knowledge base moving forward. Once I said that, the vast majority of them loosened up and were happy to teach me. I just tried to engage them as much as possible, and explain why it was important to me to learn as much as I could if they weren't engaging me right out of the gate. That seems like a good way to handle it; I'll give that a try this week. Last week I was kinda blindsided by it all after having such a great experience with patients and nurses both in NICU and Postpartum, so i just kept my mouth shut, focused on the patients and my learning and didn't react to any of it. I'm glad too; after cooling off I realize I also may have been reading more bias into at least some of the nurses' behavior than there actually was after I got the weird comments.
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May 20, 2019 20:13
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During my L&D rotations I got kicked out of pretty much every room when there was an opportunity, minus maybe 1 or 2 postpartum women that let me do an assessment to include the newborn. My hospital has a male OB RN who myself and the staff consider to be an incredibly competent nurse. He's a crusty old fellow with roughly 15 years of OB experience. I don't know what the culture was like prior to him taking a job here (since he's been in the facility about 5 years longer than me) but male nurses are fully welcome within our family birthing center. I can honestly say I've never seen a male student nurse though, but I can only assume that the culture where I'm at has no issues with a male OB nurse. I will say that when I was starting my position as a house supervisor I was (still are) constantly pulled into family birthing center to help out with all things antepartum, intrapartum and postpartum.
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May 21, 2019 06:27
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On my nursing Ob rotation I was told that I didn’t have enough compassion to be a nurse and that I should have gone to med school instead. My clinical instructor made me visit her office to watch a bunch of the cliched compassion videos that they have people watch in hospital orientation. It was really just that Ob nursing bored me. I love ob anesthesia though.
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May 21, 2019 20:30
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OMGVBFLOL posted:any men want to share their experience with Maternity & Pediatrics rotations? I just had my first cycle of maternity; postpartum + nicu were great but L&D was just nonstop casual sexism from the nurses we were shadowing. all the patients I interacted with were perfectly pleasant but everyone but my shadow nurse was just waving the two men in our group off from everything. even my shadow nurse tried to wave me off from a patient she was covering for a nurse on break until I introduced myself in Spanish to the patient and confirmed she was ok with me being there. I felt like I was getting roadblocked to the maximum extent I contractually could be. this was a complete 180 from NICU, where every single nurse was enthusiastic about teaching and offering me tasks like daiper changes, swaddling, feeding, and doing assessments. I'm a woman and I had such a bad experience with the staff during my L&D and postpartum clinicals that it makes it hard for me to believe that nice L&D nurses exist anywhere. Even the grumpiest nurses on med-surg units were nice to me.
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May 22, 2019 01:01
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I'm a dude. The abyss stared back.
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May 22, 2019 02:37
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trauma llama posted:On my nursing Ob rotation I was told that I didn’t have enough compassion to be a nurse and that I should have gone to med school instead. My clinical instructor made me visit her office to watch a bunch of the cliched compassion videos that they have people watch in hospital orientation. They were probably right because nursing is for dumb chumps who get paid in compassion feels instead of money. Now you’re in anesthesia school. Godo student. Edit: yes Roki I know you’re doing great in your socialist utopia
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May 22, 2019 12:40
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Bum the Sad posted:They were probably right because nursing is for dumb chumps who get paid in compassion feels instead of money. Now you’re in anesthesia school. Godo student. hahahahah beat me to it
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May 22, 2019 20:42
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Bum the Sad posted:They were probably right because nursing is for dumb chumps who get paid in compassion feels instead of money. Now you’re in anesthesia school. Godo student. you lose all your compassion when you become a supervisor you gain more hate and disdain for patients and nurses.
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May 23, 2019 03:06
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why arent the chud states as unionized is it just the standard chud-state anti-union laws or is there more to it
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May 23, 2019 04:38
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OMGVBFLOL posted:why arent the chud states as unionized Chud-state nurse: "We don't want a union! Unions are BAD!" Same chud-state nurse: "This is the fifth shift in a row where I haven't gotten a lunch break. Ah, well, maybe I'll have time to grab a snack on the way to my second job, that I have to work because I only make $20/hr in this chud-state."
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May 23, 2019 14:57
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Bum the Sad posted:They were probably right because nursing is for dumb chumps who get paid in compassion feels instead of money. Now you’re in anesthesia school. Godo student. True fact. I do WAY less work than I did as an Ed/icu nurse. Even the rotations that abuse us as unpaid labor aren’t usually that bad. Plus, I haven’t given a bed bath or cleaned up stool in two years.
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May 23, 2019 18:11
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Roki B posted:hahahahah beat me to it 😘
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May 23, 2019 18:21
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Epic Doctor Fetus posted:Chud-state nurse: "We don't want a union! Unions are BAD!" Yup, people in the south are dumb as gently caress.
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May 23, 2019 18:23
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A coworker sent me a link to a "Nurses with Cards" facebook group and oh boy, the population that checks off both boxes of the "very on Facebook" and "Nursing" diagrams is CHUD as gently caress. It's like 1000 Fox News grannies rolled into one. Every "diagnose this" thread further destroys any belief I had in giving nurses more autonomy. That's leaving off an EKG reading thread where 1/2 were calling afib a 3rd degree heart block.
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May 23, 2019 18:57
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Just got my preceptorship placement in the PACU. I think I'm the only person in my cohort to get a PACU placement, and while it wasn't my top choice (was hoping for ED or ICU), I am quite interested and looking forward to it. At least I won't have to deal with family members, and I wonder how the 'teaching project' we're supposed to do with our patients is going to work out. Any tips or things I should brush up on before heading in for my first shift there? I've spent a decent amount of time in the PACU as a patient, but as one might expect, I remember almost none of it.
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May 29, 2019 03:33
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Anyone work in IR? I'm moving there from SICU in about a month. Love ICU, but not sure what i want to do with school (not crna for sure) and want to make more money in the meantime and future. 4-10s + some not bad call sounds pretty great. Then I can move to a union hospital for a $10/hour pay bump in a year and never do nights again I hope.
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May 31, 2019 17:13
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Nights first usually in a seniority based labor contract. It's rare to go straight to days. And what's wrong with night shift?
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May 31, 2019 23:43
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Night shift best shift. I have a close friend who went from ICU to IR and back to ICU after a few years because IR was too boring. It’s lots of conscious sedation, minimal adrenaline rushes. Personally I would love IR because I really like participating in procedures, and you do get to use your brain a bit more than on a general floor, but it’s definitely not as exciting as ICU can be. I’m probably going to apply there when I’m done having babies since wearing a lead apron while pregnant sounds awful.
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Jun 1, 2019 00:06
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That's basically why I'm doing it, its a mix of what I like. Procedural stuff with the occasional critical vented patient sounds right up my alley, although I'm aware of the boring factor. That's basically what our SICU is anyway, our acuity isn't very high, so it's a lot of babysitting minor headbleeds, some good open hearts once in a while, and rarely some really sick actual ICU patients. I've picked up a few shifts down there so it isn't totally out of the blue. I can always go back to ICU if I miss it too much (but I doubt I will). Our unit keeps seniority as long as you're in the system, and no bridges have been burned so I can always apply when they're inevitably hiring again - our turnover is pretty high. As for night shift - I'm just super bad at it and it is 100% not for me. Loved the shift itself, but my life was a total wreck outside of it. Fully because I'm bad at it, and it doesn't fit with my family's lifestyle.
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Jun 1, 2019 00:18
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E.D is still my second favorite "specialty" to jump into, with flight of course being my all time love. That being said, we had an IR nurse who would moonlight in the E.D for some extra hours and to keep some clinical skills up to date. It seems like it's a solid job for someone who wants some obvious stability in their life...More of a "I'm on the downward trend of my nursing career but want to continue to work BUT I am done with anything high paced." It doesn't sound like a bad place if you wanna park yourself there for a few months/years to get schooling or stabilize your life and then migrate towards a different specialty that coordinates with what you want in a career. Also, night shift is an awesome shift to work in if you can manage the lifestyle and you get lucky with a blocked schedule where you work your shifts all in a row. There was nothing worse than when I was in grad school working 3 night shifts in various days of the week. Night shift Monday, then Wednesday and then a Saturday.. gently caress that bullshit. More E.D porn: E.R doc got slammed with a 4 person MVA, two with posterior hip dislocations, one with a pelvis fracture and another with a brain bleed. Got to sedate and reduce both hips with minimal assistance. There is seriously nothing better than the feeling of a bone popping back into a joint and giving that loud "clunk" knowing that you were successful.
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Jun 6, 2019 06:54
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