CCRN-CEN??? DO they make it worth it?
NOT just in the monetary sense, that is a topic for another day. BUT, just FYI, there are actual facilities and states that pay $/hour for being certified in your training specialty.
Today, consider the critical patients you care for on a daily basis and how safe or unsafe you feel in your practice. Especially when they are handing you the responsibility of even another patient when you can barely get out of the room of the current TTD (trying-to-die) patient.
DOES the place you work have formal guidelines for what constitutes a 1:1 patient? It is more than just treating a patient with an IABP or running CRRT or ECMO, or initiating a hypothermia, TPA, or sepsis protocol. These are the DUH factor, but how many other patients get paired or more? Every area with any standards should have policies that protect the patient with such guidelines. And safe staffing should be maintained.
Many organizations have statements and standards relating to what constitutes 1:1 care and 1:2 care and so on. They provide guidelines for what protects your practice and constitutes safe care delivery.
As your director or manager encourages you to be certified in your specialty by such entities (i.e. AACN or ENA), think about whether or not they honor the standards recommended by these organizations.
Give thought...should you have time, when the next shift you have the crazy busy night and you know you are just lucky if the patients all survive, much less get the care they deserve and the care you chose this profession to give. The night you are thankful to grab a sip of some refreshing beverage, maybe from the sink in the room (YUCK) if you are allowed, and again very happy to actually make it to the bathroom, some times that day or night. These are the times to just give it a thought. Is the certification worth it, if they cannot even HONOR standards for those TTD's?
Today, consider the critical patients you care for on a daily basis and how safe or unsafe you feel in your practice. Especially when they are handing you the responsibility of even another patient when you can barely get out of the room of the current TTD (trying-to-die) patient.
DOES the place you work have formal guidelines for what constitutes a 1:1 patient? It is more than just treating a patient with an IABP or running CRRT or ECMO, or initiating a hypothermia, TPA, or sepsis protocol. These are the DUH factor, but how many other patients get paired or more? Every area with any standards should have policies that protect the patient with such guidelines. And safe staffing should be maintained.
Many organizations have statements and standards relating to what constitutes 1:1 care and 1:2 care and so on. They provide guidelines for what protects your practice and constitutes safe care delivery.
As your director or manager encourages you to be certified in your specialty by such entities (i.e. AACN or ENA), think about whether or not they honor the standards recommended by these organizations.
Give thought...should you have time, when the next shift you have the crazy busy night and you know you are just lucky if the patients all survive, much less get the care they deserve and the care you chose this profession to give. The night you are thankful to grab a sip of some refreshing beverage, maybe from the sink in the room (YUCK) if you are allowed, and again very happy to actually make it to the bathroom, some times that day or night. These are the times to just give it a thought. Is the certification worth it, if they cannot even HONOR standards for those TTD's?
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