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I really don't want to study for my ONS certification but my course expires in a few months so I must ...
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Apr 7, 2023 17:26
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just take the test it's not that hard (or at least it wasn't 5 years ago)
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Apr 7, 2023 21:55
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pyknosis posted:just take the test it's not that hard That's reassuring, but I've been known to be stupid so my mileage may vary.
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Apr 8, 2023 12:17
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not relevant
combee fucked around with this message at 05:05 on Feb 16, 2024 |
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Jun 21, 2023 00:06
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chin up, six months is the new two years
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Jun 21, 2023 00:18
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i had two patients die on the same shift recently. they were both on comfort care so it wasn't like, out of the blue or (god forbid) my fault, nor was it the first time i'd had a comfort care patient pass on my shift, but god drat that is a lot of death in one day.
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Jan 8, 2024 02:31
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Cactus Ghost posted:i had two patients die on the same shift recently. they were both on comfort care so it wasn't like, out of the blue or (god forbid) my fault, nor was it the first time i'd had a comfort care patient pass on my shift, but god drat that is a lot of death in one day. Yeesh, sorry to hear that. Hopefully it was the last shift before some days off.
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Jan 10, 2024 02:22
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nope first shift of three lmao
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Jan 10, 2024 02:58
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Nvrmnd: http://www.endofshiftreport.com/2015/07/a-colleague-of-mine-related-tale-of-pt.html djfooboo fucked around with this message at 02:27 on Jan 26, 2024 |
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Jan 25, 2024 16:41
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I'm considering a mid-life career change to nursing. I have a useless BA, and I've been working medicine-adjacent office jobs for the past ten years (publishing, education). The jobs are fine, but the pay is poo poo, and I've always wanted to be on the other side of it. I have a ADN program about 45 minutes away and an accelerated second-degree-BSN program about 10. I'm leaning towards the former; it's twice as long but half as expensive, and it sounds like a lot of places will pay for your BSN once you're employed. Assuming I get into either. I'm gonna take an A&P prereq over the spring just to see if I can even wrap my head around going back to school at 35. Anybody here have a similar trajectory?
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Feb 16, 2024 02:19
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i was a little younger when i struck off down that path, and i took chemistry first to dip my toes in, but that was pretty much my trajectory. the ADN program had a lottery and the ABSN program accepted me on the first try and i was anxious and hated my job so i pulled the trigger on the absn and went into debt. i dont regret it but if i were a more patient man i probably could have saved $100k e: also in the area i was living in, you couldn't get a hospital job with an ADN, which factored into that. not that it made a difference, as i'm now working in a different area in a rural hospital alongside a bunch of people with ADNs Cactus Ghost fucked around with this message at 02:29 on Feb 16, 2024 |
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Feb 16, 2024 02:26
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Lester Shy posted:I'm gonna take an A&P prereq over the spring just to see if I can even wrap my head around going back to school at 35. Anybody here have a similar trajectory? I finished my BSN at 32. I make very good money now and I never have to worry about finding a job. Nursing is very very hard work and somewhat anxiety inducing. If you can deal with that I'd say it's a good choice.
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Feb 16, 2024 02:37
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I'm somewhat anxiety-prone, but part of what spurred this on is the fact that I spent the past 7+ years taking care of my elderly parents. It was nothing close to nursing, but I feel like my caretaker-anxiety muscle got a pretty good workout. Before that, I wouldn't have even considered nursing. I'm probably still too squeamish, but everybody says you get over that quickly.
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Feb 16, 2024 05:18
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what did caring for your folks involve, if you don't mind me asking. cause if you were wipin butts and catching puke for mentally-altered terminally ill people you've seen 90% of the most emotionally and olfactorally taxing stuff med-surg has on offer
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Feb 16, 2024 07:17
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Cactus Ghost posted:what did caring for your folks involve, if you don't mind me asking. cause if you were wipin butts and catching puke for mentally-altered terminally ill people you've seen 90% of the most emotionally and olfactorally taxing stuff med-surg has on offer I’ve only ever worked ICU, but I’m guessing the ratio is similar in m/s. However, that 10% of different sights/smells/emotions is pretty brutal.
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Feb 16, 2024 13:47
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Poop, puke, a LOT of pee (setting an alarm for every day at 3AM to get up and empty a catheter because they wouldn't give us a bag big enough to last through the night) chemoradiation and its complications, enough lifting to last a lifetime (I lost a significant amount of muscle after they passed). Nothing too hardcore, I wasn't cleaning wounds or anything like that, but I've had about a year to decompress since they passed, and the thought of going back and doing similar things for people who aren't my parents, where I actually get to leave at the end of a shift, doesn't sound so horrible. Edit: Maybe a stupid question, but is scholarly activity ever considered in nursing applications/jobs? I have about a dozen peer-reviewed, PubMed-indexed papers to my name. Can I bring that up in applications/interviews or will they look at me like I'm a space alien? Lester Shy fucked around with this message at 14:45 on Feb 16, 2024 |
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Feb 16, 2024 13:51
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Lester Shy posted:Poop, puke, a LOT of pee (setting an alarm for every day at 3AM to get up and empty a catheter because they wouldn't give us a bag big enough to last through the night) chemoradiation and its complications, enough lifting to last a lifetime (I lost a significant amount of muscle after they passed). That would look great on an application I think. You may not have a chance to bring it up in an interview but I think a lot of programs (especially ABSNs) ask for your CV, and you could mention your publications there. Nursing academics love publishing, like any other discipline. I graduated from an ABSN at 29. About 3 or 4 semester of pre reqs prior to that. Personally, I’d reccomend the BSN route. Leaves the door open for advancement in the hospital or to go to grad school if that interests you. Also, ADN -> BSN has always just seemed like such an unnecessary time sink. You’re going to repeat a ton of content I’d imagine, ADNs are RNs just like their BSN counterparts, it’s just the credential you end up with at the end of the day that limits your mobility from there.
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Feb 16, 2024 15:29
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I did an ABSN and eventual MSN NP program. I think I would have been financially better off if I had done an ADN and let my work pay for the BSN by having less debt. Of course I also would be better off if I hadn't gone for my MSN, but that should eventually pay off I hope.
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Feb 16, 2024 15:33
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Lester Shy posted:I'm considering a mid-life career change to nursing. I have a useless BA, and I've been working medicine-adjacent office jobs for the past ten years (publishing, education). The jobs are fine, but the pay is poo poo, and I've always wanted to be on the other side of it. I'd recommend taking a look at the local clinics/hospitals that you'd try to get a job at, and see if they have a requirement for BSNs. Also, a 45 minute commute for the next few years is no fun. I started nursing as a career-change when I was 28. I earned my ADN, and worked as a patient tech on a med-surg floor for the last year. After graduation, I transitioned into a nursing job on the same floor. I then did an online ADN->BSN program that was a cake walk. I did the ADN program because my hospital hired them, and it was the quickest path to me making money. You'll have to explore what works for you. Good luck!
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Feb 16, 2024 22:28
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Get the bachelors.
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Feb 17, 2024 03:27
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e: never mind
boquiabierta fucked around with this message at 17:39 on Feb 19, 2024 |
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Feb 19, 2024 16:51
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Roki B posted:Get the bachelors. At the end, this is what's important, not necessarily because you're going to be a "better" nurse, but it opens up a ton of doors for you, and in some situations you can't even get hired by specific hospitals without it. ADN is in theory fine if you want to get your foot in the door and need to start making money, but the rhetoric I've heard is that going to school, even online, while working is annoying and taxing. If you can just get all the poo poo done before you become a nurse it's one less headache you have to worry about while suffering as a nurse.
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Mar 18, 2024 15:22
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Any advice for finding an online nursing refresher course?
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Mar 26, 2024 12:01
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boquiabierta posted:Any advice for finding an online nursing refresher course? https://www.sdstate.edu/nursing-continuing-professional-development/rn-and-lpn-independent-study-refresher-courses this is what I've seen posted, it's online and gives you a decent amount of time to complete it. I want to say that each state board of nursing has different criteria regarding what is acceptable for refresher courses? I would say if that's the goal of re-instating your nursing license, check your BoN first and see if this program is compatible.. Your state BoN might even have a list of approved courses. the one I listed is directly on Kansas's board of nursing website, Colorado has a few as well: https://www.coloradonursingcenter.org/nurse-refresher/rn-refresher/ So yeah, check out your state board of nursing, google something like "*INSERT STATE HERE* board of nursing refresher course" and you should find what you need... just make sure it's good for your state board.
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Apr 15, 2024 02:02
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Nice and hot piss posted:https://www.sdstate.edu/nursing-continuing-professional-development/rn-and-lpn-independent-study-refresher-courses Thank you, I appreciate it. I don't actually need to do a refresher course for my license -- I've maintained it actively -- but I've been out of practice for five years and just for my own comfort and confidence I think I need to refresh.
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May 3, 2024 16:37
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boquiabierta posted:Thank you, I appreciate it. I don't actually need to do a refresher course for my license -- I've maintained it actively -- but I've been out of practice for five years and just for my own comfort and confidence I think I need to refresh. Ohh I gotcha, hopefully my rambling may have stumbled you on to something good
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May 21, 2024 16:42
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November's going to be two years at this job, my first hospital job. medsurg. This is probably the first time since i started taking prereqs parttime at the local JC that my next step isn't clear to me. For years now the next step has been right in front of me and it made a lot about life simpler. Idk, anyone else doing the Nurse Peter Pan eternal bachelor thing? how tf do you decide when to move on? where to go? It's weirdly kinda overwhelming.
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May 21, 2024 22:31
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Cactus Ghost posted:November's going to be two years at this job, my first hospital job. medsurg.  medsurg gang rise upIf all options were available, what would you like to do? I did 1.5 years in medsurg then went to the ICU. ICU was awesome, especially coming from medsurg. I did that for a bit then went into informatics because I'm a nerd. Nursing is awesome because there are soooo many different domains you can work in.
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May 21, 2024 23:38
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Cactus Ghost posted:November's going to be two years at this job, my first hospital job. medsurg. I have the same questions even though I'm a little further along in my career. I did the medsurg thing, I got into oncology, became an educator (not for me), then I moved states and now work oncology outpatient. Right now I'm finishing my MSN and working on my OCN. After that? Who knows. Maybe I'll just be happy working 4 days a week with the cancer patients since admin is absolutely not for me. But I really don't know.
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May 21, 2024 23:45
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Also having the same questions here, although I’m earlier in my career (RN for a year and a half now). Currently in med surg and not enjoying it - not digging rotating rosters, and often feel disappointed that I can’t give good quality care cos I have so many competing priorities at the same time. A friend asked me to consider whether I don’t like the ward/area or if I don’t like being new and stressed out. It’s hard to say. I’d like to focus on one patient at a time and look after them well. Maybe PACU? I just moved hospitals though so I should probably get through probation first. The team and my manager are good; we’re just massively understaffed but I assume that’s a global nursing issue at this stage.
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May 22, 2024 14:44
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combee posted:Also having the same questions here, although I’m earlier in my career (RN for a year and a half now). Currently in med surg and not enjoying it - not digging rotating rosters, and often feel disappointed that I can’t give good quality care cos I have so many competing priorities at the same time. A friend asked me to consider whether I don’t like the ward/area or if I don’t like being new and stressed out. It’s hard to say. It is not global. You are being lied to. Many union locations are doing quite well right now.
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May 23, 2024 17:02
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PACU can be good depending on what your hospitals rotation is. I'm still in ICU at this point, 5+ years now. But I also work rapid response which isn't as thrilling as you may think but it's a good time. For those that went to informatics after, what did that look like? Was it positions within your hospital or the software distributor? Just wondering what that transition is like. I'm on a prepaid leave plan (work 4 years at 80%, 5th year off at 80%) so I'm looking to work elsewhere next year. I might try clinical groups at the university again but they've changed their curriculum so much that I'm.not sure if there's going to be a position for me.
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May 23, 2024 17:17
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DeadMansSuspenders posted:For those that went to informatics after, what did that look like? Was it positions within your hospital or the software distributor? Just wondering what that transition is like. I was a superuser when I was bedside then transitioned to a clinical informatics team at a neighboring hospital. Later, I landed a role as an Epic builder for a different health system. Both were great gigs if you enjoy working with technology, some people don't. Let me know if you have any specific questions. If you're interested in informatics then I recommend you reach out to the informatics team for your organization (if you have one).
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May 23, 2024 17:54
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Cactus Ghost posted:November's going to be two years at this job, my first hospital job. medsurg. For me the next step was getting my PCCN while I figured things out, then moving units to a more acute cardiac step down. Turned out to be about 200% more useful in my day to day practice than my ADN to BS, and the useful parts of that were mostly the spanish classes and classical music appreciation.
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May 23, 2024 19:02
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I went to OR after 13 years of ICU and I learned that OR is where nurses go to be happy.
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May 23, 2024 19:14
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Roki B posted:It is not global. You are being lied to. Many union locations are doing quite well right now. this. The shortage of nurses in a hospital is (mostly)/directly attributed to someone in the c-suite who decided to say gently caress your staffing ratios. They will thank you with a pizza party for increasing their bonus.
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May 24, 2024 09:55
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I wouldn’t be surprised. That said, I’m in Australia so the situation may be a little different
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May 24, 2024 12:42
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Hughmoris posted:I was a superuser when I was bedside then transitioned to a clinical informatics team at a neighboring hospital. Later, I landed a role as an Epic builder for a different health system. Both were great gigs if you enjoy working with technology, some people don't. Thanks, I will do that. We had a nurse from my unit go to informatics a while back but he's kind of annoying so I was avoiding asking him directly. I'll talk to someone else in the department. I'll chip in again here if I have any specifics. On another aspect of nursing - has anyone in here had experience as a flight nurse / medical transfer? I had a former colleague of mine that enjoyed it - it was more of a casual gig for her. Just looking to hear about some experiences.
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May 26, 2024 04:41
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DeadMansSuspenders posted:
edit: figure i'll just give an overview and if you have follow up questions I can just go from there. This is coming from my experience and what I know in the air medication transportation industry but I'm sure that all programs are different in their own ways. -I've been flying for a bit over 3 years now. You are an air ambulance technician, so if you have any concept of EMS/Fire work it's of a similar nature. You'll be flying in either a helicopter or airplane that's custom fit to provide patient care with a ton of equipment (monitor, ventilator, IV pumps, bunch of meds and equipment for a various form of medical complications/injuries). Work schedules vary depending on the company, but a lot of the programs I know do 24 hr shifts in some variety of scheduling. My company does a variation of 3-5 days in a row, 24 hour shifts. I'm scheduled for 8 days a month and the pattern in which I work is largely based on my request for days off during the month. -Prerequisites for the gig as a Nurse: 3 years of Emergency Room nursing or ICU nursing. Getting into the field is, in my opinion, tougher than it is to get into most RN bedside positions. Many companies will require an in person interview, and then a few simulations where you're have to explain what care you'd give and your through process of going through a call. You may also be required to take a test, score a specific percentage on said test just to advance. -Programs generally seem to fly Nurse/Paramedic, but there are programs that do a variation of staffing specialties. RT's will fly, neonatal nurse practitioners will fly with specialty care teams etc. If you're over in Europe and a few other countries I want to say that it's usually An MD/Paramedic. -Days are busy, sporadic and unpredictable for a good portion of your time in the job. Flights come in at any time so training, sleeping and everything is done whenever you can. I just got off a 4 day hitch where I was working with my partner completing education certs at 3 A.m and doing general base duties one night because we got stuck flying between 8P.M-5A.M every night for 3 days in a row... So my last night I essentially flipped to a night shift schedule. 12 and 24 hour programs are way better for keeping somewhat of a normal lifetime schedule/routine. We have a pretty robust fatigue policy however, so if we find ourselves getting tired we have the ability to "duty off" for a set period of time where nobody is allowed to call us for work operations. After 4 days I'm loving wrecked unless we run into maintenance downtime or weather downtime. There are programs out there that you don't do much, and you'll have more downtime than you know what to do with it. -Your job is primarily going to be doing interfacility transfers from one hospital to another. A large volume of our patients come out of critical care hospitals, community hospitals and clinics and going to specialty resource centers. So think: Grandma who lives in the town of 3,000 people just stroked out and needs to get to a neurospecialty hospital, that's 5 hours away. They'll call us, we fly to the hospital, assume care over the patient and then throw em in the air asset (helicopter/fixed wing) and fly to our destination and take the patient into the hospital and transfer care. During that time you and your partner are the one's solely taking care of the patient. We have protocols for a large swath of medical complications and utilize those to initiate and continue care based on the patients conditions. So think "independence" but still adherence to a protocol with the ability to provide the appropriate care. The range of patients will be something as simple as osteomyelitis that needs to see ortho specialty, to a full trauma open skull fracture patient who's in neurogenic shock, to patients on balloon pumps and whatnot. Lotta stuff can fly so you'll see a lot of cool stuff. We take newborns all the way up to the 90 year old mummies. -the smaller but cooler portion of the job is doing scene calls. So the back car wreck on the interstate, or the hunter that shoots himself in the leg on top of a mountain and can't get down, or the farmer on 300 acres who falls over dead doing farmers poo poo. Oh, lotta agricultural accidents too. -You do anywhere from 45 minutes of patient care to 4+ hours depending on how far you're traveling. I feel like this job is 70% logistics and planning/contingencies and what the next move is and how to accomplish it, and then 30% medicine. Obviously if it's a scene call, you're doing a majority of the work or whatever the ground EMS units haven't completed and then doing all the rest of the care/monitoring while you're flying. A single flight mission can take anywhere from 3 hours to 10+ hours based on a variety of things: such as distance from sending to receiving, if you're going by helicopter or plane, the distance to and from airports, patients complexity and packaging time, and other unforseen factors. -I would say to stick to companies that put an emphasis on safety and education if you're interested. Air medical transportation is a big for profit industry, and even if your base is doing higher volume calls, the cost of doing this business is expensive. While the FAA/CAMTS (think Joint commission for air ems) have a lot of regulations in place regarding safety for the patients and crewmembers, there are still companies out there that will push missions to generate revenue rather than looking at overall safety. Things like: Pressuring pilots to take flights even with bad weather, equipment not being fixed properly to not having a proper fatigue policy and you're just flying on a fried brain. Crashes do happen in this industry, but it's just like all other forms of air travel, it's super rare just based on the amount of flights that happen on a day to day basis. But when they do, they're catastrophic. I would say that things are getting better, but I believe last year the FAA was going to shut down some for profit companies because they had multiple crashes in a specific timeframe... Look into the company and see what their safety record is like, and if you can talk to some people who currently work there, ask em about safety because we love talking about it. -Pay: it's not great? At least in my opinion for the amount that's required of us. I feel as if EMS in general doesn't pay well unless you're fire based, and the general rhetoric seems to be "If you wanna make more just work more!" There's a lot of people I feel that want to do this job, so salaries tend to be lower. I think hospital based systems pay generally better. I'm sure I missed a ton, but happy to answer specifics if you have any. Nice and hot piss fucked around with this message at 18:02 on May 27, 2024 |
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May 26, 2024 15:04
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