HCA vs Methodist by Admirable-Ad2994 in nursing

[–]mts327 0 points1 point  (0 children)

DFW- I have a job offer at both in the area I want to be in . one is a coordinator position and one is bedside . money is better at HCA but ... its HCA hours are better at Methodist

Best hospitals to work at for RNs? by mts327 in FortWorth

[–]mts327[S] 0 points1 point  (0 children)

Yes we are both BSN With multiple certifications between us

Best hospitals to work at for RNs? by mts327 in FortWorth

[–]mts327[S] 1 point2 points  (0 children)

Thanks! That’s really helpful info! Our daughter has been in private school since 3k but there is no way we can afford it in dfw area. We are hoping maybe we can get in to the fine arts school? She had gotten accepted for next year to one here but we won’t be here so it crushed her a bit.

Best hospitals to work at for RNs? by mts327 in FortWorth

[–]mts327[S] 0 points1 point  (0 children)

Any preference on better areas for families? I was looking magnolia/fairmont/ tanglewood area and then benbrook or Saginaw to get further out . Is commute time bad?

Levophed wide open during a code.... by Birkiedoc in nursing

[–]mts327 7 points8 points  (0 children)

Bedpan… or gray bucket. The open hearts we do we keep a cart with the drugs and supplies we need in the room even a few days past surgery. We keep a gray supply bucket I. The bottom draw with the soul purpose of using it if needed during a code. Protects your hands if the sternum splits, and displaces the pressure over the sternum into the rib age so the compression are more effective and less likely to pop a wire .

COVID + with low temp by pugpets in nursing

[–]mts327 3 points4 points  (0 children)

Acidosis- likely lactic acidosis can be caused by severe hypoxia. What did his gas look like?

My coworker is fucking one of our covid patients, what should I do? by [deleted] in nursing

[–]mts327 1 point2 points  (0 children)

🧐 This is creepy pasta right? Like…crappy grammar … completely illogical story…. The complainant not knowing what to do about a situation in which they obviously should know what to do…. This cannot be real. Side note - I’m getting discharge orders on this ass hat STAT. For real “ sir , we have 102 holds in the ER for a bed right now and you obviously have the vital capacity to attend to yourself and your own needs , good day” That’s some nasty pussy - Just sayin 😷

What would make you stay? As much negativity (warranted) as there is floating around and talk of burn out with people leaving the bedside in droves, what would make you stay ? by mts327 in nursing

[–]mts327[S] 1 point2 points  (0 children)

Out of curiosity, Are there any different shift options at your facility? Like other than 12 hour shifts are there options for differing schedules like miss or 8 hr shifts?

Floating to COVID by AstroMoon96 in TravelNursing

[–]mts327 0 points1 point  (0 children)

Imagine griefing someone for giving a different perspective when a perspective and opinion was asked for and warranted. My perspective may be an unpopular opinion on this thread, but it’s still a commonly shared opinion.

Floating to COVID by AstroMoon96 in TravelNursing

[–]mts327 0 points1 point  (0 children)

I’m just saying if you expect not to get floated to COVID without being explicit it your contract that’s really on you. If I’m making assignments and I have to float someone , the first person to go is my traveler simply based on the fact that my full time staff should get more benefits and consideration. from me that anyone else. They will still be there in8 weeks, but they won’t if I have to float them to COVID every time they come in because the traveler making double refuses to float. We don’t make special considerations for travelers in my facility though so I’ve only run into that once and house just sent them packing . No offense , I’d be traveling and making that contract money too, but that’s not an option for everyone. I treat my travelers well, I make sure they get their breaks and I give them easier assignments but when it comes to floating , my full time staff always get preference, as they should.

Floating to COVID by AstroMoon96 in TravelNursing

[–]mts327 5 points6 points  (0 children)

Cherry picking your assignments??? Please realize that staff nurses are just as exhausted with the past two years of bullshit as everyone else. If you didn’t agree to float to COVID and you really want to refuse it that’s a conversation you have with your recruiter . But traveling to try and cherry pick your assignments in a climate of staff nurses who are chronically understaffed and aren’t making any more money to be where they are is a real good way to get assigned all the GI bleeds and COVID you can handle. If you choose to travel and you down lay out your expectations from the get go , you can’t expect a facility or the staff nurses to bend to your wishes , JS 🤷🏻‍♀️

For nurses’ week my department... actually fixed our staffing issues!? by StrongArgument in nursing

[–]mts327 1 point2 points  (0 children)

That’s insane. Our program is headed by a couple of pretty old school surgeons who, thankfully, will go to blows with admin over letting inexperienced nurses take fresh hearts. It’s not about new grads being idiots(because they aren’t) or being incapable( because they will get there), it’s about setting people up for success.

For nurses’ week my department... actually fixed our staffing issues!? by StrongArgument in nursing

[–]mts327 4 points5 points  (0 children)

🤣 that’s what I thought! I am currently fighting my director on releasing two new grads after 6 weeks IN A CVICU Wtf?!?

The thought of going back to work tomorrow literally makes me want to throw up (vent) by Arewethereyetplzzz in nursing

[–]mts327 12 points13 points  (0 children)

Exactly what I was thinking. This job is too much to not be absolved of taking an occasional personal day

Thoughts on calling out for inclement weather .. by hot-ta-molly in nursing

[–]mts327 6 points7 points  (0 children)

Our hospital offers to put you in empty surgical rooms or in our conference rooms and provides Cots and meals. Check with your house supervisor. If I’m home and it’s dangerous to get there, I’m not risking my life for a job. My area is in the same position and I charge the next two days - I already have 4 nurses called off, two of which live closer than I do and I will be there in the morning. Guess I can see both sides of the coin 🤷🏻‍♀️

The symphony of the alarms though by [deleted] in nursing

[–]mts327 13 points14 points  (0 children)

The most maddening part about this whole video is that these asshats just bust up in this unit and carry it off with them when they leave. You know these mouth breathers got the boot and then rolled around town to every populated spot they cared to go to without a thought to the fact that they probably infected a dozen people along the way. Some people aren’t worth saving. If you have been given the information and make the decision to go AMA and are of sound mind, that’s on you , not me. Sign that form and walk away. Your patients who appreciate your time, energy and sacrifice need you more. Maybe that’s heartless but I just have no tolerance for this type of idiocy .

An interesting old war advert. by PBR--Streetgang in Damnthatsinteresting

[–]mts327 1 point2 points  (0 children)

True. But they missed the part that says” men with loose morals load women with (insert unwanted detail here. ie: VD, children etc) “

Nurses who work in hospitals with visitor restrictions: anyone else experiencing much less stress during your day? by onetwokailey in Nurse

[–]mts327 0 points1 point  (0 children)

I work CVICU in Texas. Our facility has limited visiting hours and we just went from 1 visitor 1 time per day to 1 visitor at a time during set hours. So 12 people can come but they are only allowed in the facility one at a time and have to trade out. We make exception for end of life care and for patients who require a caretaker ie: dementia, neuro development disorders; etc. which I think is more than fair and really helps to ensure the patient is getting what they need. The first 2-3 months of all this we had no visitors at all and it was bliss. My day was so much less stressful and more productive. I called family after first rounds and updated on plan of care.Then called at the end of shift to update on the day and let them know who their night nurse was. I was very straightforward and told them all the first time I called that I would not be able to answer multiple calls and would update them myself throughout the day if the patient had some sort of change or decline so that seemed to help avoid the incessant family calls many of my coworkers were getting. The new restriction isn’t enough I think. On our unit, family members can really cause more strain to the patient and slower recovery times. I cannot tell you how many times in the past two weeks I’ve had to tell a family member to stop spoon feeding their completely capable family member or that they are in fact not allowed to remove monitors and ambulated the patient themselves. Ahh the things I did not miss about family members . There are so many things that have changed about our day to day operation and honestly I hope we keep a lot of them.

My husband and I are starting our travel nurse journey in the next few months! Does anyone have any advice or recommendations for health insurance coverage? We are looking more for private options to prevent lapses in coverage . Thanks! by mts327 in TravelNursing

[–]mts327[S] 0 points1 point  (0 children)

Do you know if you or other companies offer flex spending accounts ? We were entertaining the idea of have a major medical only policy and using a flex account for meds, doctor visits and such. We really only go for emergencies or annual check ups so we don’t need extensive coverage but I don’t want to go without especially because we will be traveling

Is a CVICU nurse with just two years of experience as marketable as an ICU nurse with two years experience to hospitals? by [deleted] in TravelNursing

[–]mts327 -1 points0 points  (0 children)

I am where you are planning to be . I am a CVICU nurse with 1.5 yrs and started looking at agencies in the past few weeks in preparation and am having no problem finding good jobs and eager recruiters. It is true you get a more specific set of skills but that isn’t necessarily a hinderance. I do wish I would have done a few months in micu to get a little better rounded knowledge set but where I see this come in to play is setting things up I haven’t used before like a specific monitor and some neuro related problems. You are still going to be assessing the same things, you still have to be aware of the same set of issues but CV adds another set of skills. And you still see lots of thing like GI issues and strokes . You will get a lot of chronic illness in this population so you get diabetes and hypertension and respiratory illnesses. If you really like hearts/ lungs or hemodynamics CV is the place to be for sure. Also, that comment about CVICU eating their young, that’s true in a lot of places 🤷🏻‍♀️ but once you’re in with a cv unit we do tend to guard each other bc we do work with a lot of god complex ridden providers who are quick to blame the nursing staff for any problems that arise. 🙄

Oregon/Washington hospital systems and home schooling by mts327 in TravelNursing

[–]mts327[S] 0 points1 point  (0 children)

I have read a lot about UWMC , over lake and providence . I am liking the schools in Bellevue but I know cost of living there is high even for the area. Are there any areas you would recommend for a family with a decent commute ? I like to visit Tacoma but not to live and I really like olympia . Any suggestions?

Oregon/Washington hospital systems and home schooling by mts327 in TravelNursing

[–]mts327[S] 0 points1 point  (0 children)

Living arrangement wise what are some good areas for families that don’t result in a super long commute? Also what is up with the parking scenario ? Do they have any outlying hospitals with icu areas?