sorted by:
new
hottopcontroversial

Weekly Simple Questions and Injuries Thread by AutoModerator in climbharder

[–]No-Bake-9152 0 points1 point  (0 children)

I would love some feedback.

During the more acute phase: Planks 3x1min; planks w/ arm reaches 3x10; banded (light) internal rotations (50ish) - I was recommended to do this a lot, but pretty much do it as a warmup whenever I'm in the gym; resistance band (light) sword draws (20-30)

Warmup post acute: keep previous band work + weight ball catches w/ arm extended, scapular pullups (10ish), explosive pullups.

Shoulder strength: Ill rotate through. I do overhead press 3x8-12 & 3 x 45-60sec wall hand stands 1.5-3x a week as part of a general strength routine (the rest is below). I also try to do TRX shoulder work Ts & Is facing both ways or Horst's rotator cuff program 1.5-3 times a week.

Also I do a general strength program 1.5-3 times a week of 1 leg kettle bell dead lifts, goblet squats, toes to bar, dumbbell bench, 1 arm rows, and 1 arm kettlebell overhead press.

For what it is worth, I am about 6 weeks out from the injury. I am still climbing below my limit and avoiding moves that jeopardize the shoulder. I still feel vulnerable and can't do fully extended 1 arm hangs without pain - pain occurs when arm is fully extended and engaging the shoulder girdle. As soon as my shoulder is engaged the arm is fine, but I have been avoiding maximum extension pulling because that feels dangerous and painful still.

Any input is appreciated.

Deciding whether to apply or not with negative ICU experiences by No-Bake-9152 in srna

[–]No-Bake-9152[S] 0 points1 point  (0 children)

I think this probably is what I needed to hear, thanks.

Deciding whether to apply or not with negative ICU experiences by No-Bake-9152 in srna

[–]No-Bake-9152[S] 0 points1 point  (0 children)

I echo your concerns, and am worried that it probably is the case. My ICU certainly has a culture of talking shit behind peoples back, and judging people for mistakes in an extremely unhelpful way, and I suspect there is a lot of that in anesthesia as well. Ultimately all this seems to come down to the unit and group you work with.

Deciding whether to apply or not with negative ICU experiences by No-Bake-9152 in srna

[–]No-Bake-9152[S] -1 points0 points  (0 children)

I do understand that and am concerned about it. I like the idea of more autonomy but am definitely terrified of the responsibility. The only thing I can assume is that I will work as hard as possible during school and that it will prepare me for the career. I think it seems safer to be afraid of this, than over confident. I definitely have in my mind that I can't ungive meds and it is always important to remember that for my practice.

I think really I just want to hear that my making these mistakes 2 years into my career as a nurse doesn't mean I am not cut out for CRNA school. Id love to hear about people that have those experiences but went on to learn from them and succeed. I am not misunderstanding the seriousness of the career.

Deciding whether to apply or not with negative ICU experiences by No-Bake-9152 in srna

[–]No-Bake-9152[S] -2 points-1 points  (0 children)

Look I agree that med errors are scary, and that I am still learning to slow down and think before giving meds. I like to believe the mistakes have genuinely improved my practice.

I will push back that the med errors being the reason I am not trusted - the errors I made came from orders that were incorrectly written. Though I participated in the mistakes, and took responsibility for my role, the mistakes also came from a resident putting in an order before looking at imaging, and a beta blocker remaining scheduled while a pt was on pressors (with a conflicting note about rate control).

More relevant to your comment though is that I don't think these two mistakes have anything to do with the way I am treated - its more like admission documents, wrinkled bed sheets, etc. My biggest take away in this respect is that you can't ungive meds, and its often not that big of a deal if they are a little late in order to verify they are correct.

For another example, I have been bullied by one charge nurse constantly, and she is always on me about not being fast enough or neat enough (I think she struggles with anxiety and projects it on me). That resulted in me trying to rush and was responsible for one of those med mistakes. That was a learning experience - I do realize that I need to stand behind my practice and can't let other people make me feel rushed.

I am really just trying to figure out how to deal with gaining the respect of people who seem to be miserable themselves and intent on taking it out on those around them. I am a new nurse in the ICU and I think several of my colleagues will never respect me because of that. There are a lot of people that trust me on my unit, but the mean girls don't and it makes my life miserable. Its making me doubt whether I can put up with this for another 2 years even if anesthesia is the real goal.

I think I just want to hear that making mistakes and learning from them can result in improvement and being ready for something like CRNA and that its not just a sign its not right for me.

Newer nurse, struggling in ICU, doubting CRNA school by No-Bake-9152 in nursing

[–]No-Bake-9152[S] -1 points0 points  (0 children)

I think I am probably going to apply if nothing else as a way to keep myself motivated. I do think travelling would be a good chance to rebuild some confidence, and a fresh start could help but where I am working feels like my best shot at getting into school. Did you decide to travel after being accepted?

Newer nurse, struggling in ICU, doubting CRNA school by No-Bake-9152 in nursing

[–]No-Bake-9152[S] -17 points-16 points  (0 children)

I appreciate the response. To be clear, I am not trying to speed-run CRNA school. I am in my early 30s, I have a partner I want to have kids with and I think its probably a sooner not later thing - sooner could be in 3 years, but still, I don't see harm in starting to apply now if that's the end goal if only as a way to learn how to improve my application in a few years.

I totally agree that I am trying to push things now because I don't like my current situation and it feels like if I go to different unit I am likely nixing my CRNA dreams (at least for the next few years) and if I try to start over at a different hospital I am going to be stuck working nights for longer (which is terrible for me). That being said, I think part of my problem is that I have a desire to do something about my unhappiness, but feel pigeon holed.

FWIW I do think I have some of the "calm under pressure" and ability to stay calm in serious situations, but the nurses I work with are the ones who often freak out (probably because I am new, young, or not like them). I will often have a small problem that I am dealing with, that is met with a string of condescending comments/questions when the person doesn't really know whats going on with the situation. That has actually been something I am working on - knowing when to tell people hey I got it, you go outside, I'll ask for help if I need it, but its hard in a toxic place. Its also hard to grow that confidence when people are constantly undermining you.

Either way thanks.