Have you worked in both? Specializes in Pediatric Cardiology. : Director, Medical Surgical Nursing 553011082 Department: Nursing Administration Reports To: Vice President…: Full Time JOB SUMMARY The Director, Medical Surgical Nursing Services is a Registered Professional Nurse who is accountable for assuring the validity of the care administered to patients on assigned clinical areas… She graduated with an Associates degree in Nursing from Mercyhurst College Northeast in 2007 and lives in Erie, Pennsylvania in the United States. Medical-surgical nursing isn’t just a stepping stone for new nurses anymore. A lot of our surgeons prefer the ability to just be on one or two floor for their given focus, rather than running around the entire hospital all day. I've worked on all kinds of med/surg floors and my fav are floors that are strictly surgical. The Medical-Surgical Nursing Certification Board (MSNCB) provides this table of comparisons between the two certification programs to help you make an informed choice of which one is right for you. Buy; Abstract In Brief. The downside? Has 5 years experience. It was very different from telemetry. For example, a medical diagnosis of Cerebrovascular Attack (CVA or Stroke) provides information about the patient’s pathology. I'm so curious!! Notes/book is prepared for bsc, gnm, P.b or P.c. Instead of taking the patient to the OR, the surgeon will insert the line at the bedside, using the assigned nurse to assist with the intricacies of the procedure. Surgical tends to be divided into a few different specialty areas, depending on the hospital. I occasionally get people with DVTs who need a heparin drip. This is just not so in the ICU. Gain the knowledge and skills you need to effectively care for adult patients. Although this is certainly not true of all hospitals, med-surg nurses get help on occasion due to high ratios. © 2020 Ausmed Education Pty Ltd (ABN: 33 107 354 441). I would choose a surgical floor over medical any day. I work on a surgical specialty floor. In her work, she took care of patients post operatively from open heart surgery, immediately post-operatively from gastric bypass, gastric banding surgery and post abdominal surgery. Medical-Surgical Nursing Made Incredibly Easy is the practical, best informative book. Understanding Medical Surgical Nursing - Ebook written by Linda S Williams, Paula D Hopper. I much prefer surgical, since like past posters have pointed out, they come in and generally leave well but I probably would have chosen a medical floor if given the chance just because I didn't have experience in anything else. Education. It’s this time nurses spend with patients – monitoring … I can provide some input into surgical nursing. In some hospitals, med-surg nurses can call on technicians to handle many problems. For instance, a surgeon needs to insert a femoral line under sterile conditions. Give me surgical pts anyday. Starting out on a medical-surgical nursing unit is an excellent opportunity to get real experience working with patients dealing with a broad cross section of ailments. Content pulls from across all AMSN properties including our online library, publications, member community (the Hub) and podcasts. Nursing vs. Medicine: Salary and growth. I was just offered a choice between a post-surg unit and an oncology unit, and I have been agonizing over trying to make up my mind. 2. Medical nursing focuses on caring for those with illness and disease. I had a nice mixture of both telemetry and other general patients, and I learned a lot in my three and a half years working on this floor. Again, the nurse has to know how to work all of these machines without the help of others. Medical-surgical nursing has a very long history. I have gotten a few patients who went to the ED for whatever reason and ended up finding out they have a mass and/or cancer and they are admitted to our floor until an onc bed opens up (again..over the weekend). Navigate by topic area or search to refine. I don't even know if it's possible but I want it! And maaaan do I believe him now haha. (actually tbh, they're pretty good at my hospital--especially the residents). How about a Heparin pill, can that please be invented. What's the main differences between medical and surgical nursing in terms of a typical day and duties? I am so sick of drawing that stuff up! I work a specialty surg floor but we do get medical overflow pt (if a pt needs a bed and we have one, we get it regardless of their dx.). Review labs, orders. The History of Medical-Surgical Nursing. lots of us surgeons would rather send our sickest patients to your unit than to the ICU." In a large hospital you will find more specialized medical and surgical floors, but in smaller hospitals there is more of a mix depending on what units have beds available! Read this book using Google Play Books app on your PC, android, iOS devices. In addition to this, you'll be juggling patients on the call bell needing everything from pain medications (after surgery, patients HURT!) Our hospital has two surgical floors so our floor sees neurosurg, ENT, urology, and gyn while their floor sees vascular, bariatrics, and general surg. I just enjoy it more. Surgical nursing focuses on preparation and recovery from surgery. Nursing I agree with the points the previous poster pointed out. Tech, or Surgical Technician) assists the surgical team before, during, and after an operation. Since 1997, allnurses is trusted by nurses around the globe. Aug 17, 2019 - Explore Julie Fogarty's board "Medical Surgical Nursing", followed by 304 people on Pinterest. Specializes in Surgical/Stepdown, Home Care. I don't work on a ward, I'm a PACU RN, so my observations are just that-observations! You have to know which medication increases blood pressure, which lowers it and what settings are going to manifest that in your patient. A lot of patients will be very anxious and need more education/reassurance. They have a broad knowledge base and are experts in their practice. In some cases, med-surg nurses encounter patients that need q2h assessments. Our members represent more than 60 professional nursing specialties. Act as a patient advocate – consider patient safety as the top priority by supporting patients in knowing what is in their best interests. Main focus of my pts is pain control, pain control, pain control. After scrubbing in, surgical techs assist the surgeon by handing them tools and instruments. Some floors have a mix so you can end up with pts with medical probs and pts who are post op. Of course our surgical pts have medical issues but they are chronic, not acute. All of the metrics that are supplied have particular meaning and the settings are vitally important to how your patient fares. Throughout the years, it has become a specialized science and an exceptional field in that it hones nurses that have high critical thinking skills, ability to work well under pressure, and excellent management skills. related to cancer diagnosis), vascular surgery, bariatrics, and every other surgery is lumped into General Surgery. You become a master of multitasking as a surgical nurse. By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. You'll have admissions and discharges throughout the day because surgical patients usually don't stay long unless it's a major surgery or there are complications. Ha ha. RN Nursing > Advanced Medical Surgical Nursing. Brunner and Suddarth’s Textbook of Medical Surgical Nursing book is designed to assist nurses in preparing for their roles and responsibilities in the medical-surgical setting and for success on the NCLEX.. & end stage renal disease listed for transplant to post liver and kidney transplants (both live and deceased donors), donor hepatecomy and nephrectomy, Whipple procedure for pancreatic cancer, colorectal medical patients (crohns and colitis flares) and colorectal surgical patients (new ostomies, etc), gen surg patients (appys, choles, thyroidectomies) to a smattering of standard medical patients (pneumonia, uti etc). A medical diagnosis deals with disease or medical condition. The Medical-Surgical Nursing Certification Board (MSNCB), a partner organization with the Academy of Medical-Surgical Nurses (AMSN), is the credentialing board for Certified Medical-Surgical Registered Nurses (CMSRN) certification. ), but if for instance we have someone with cholelithiasis come from the ER, they'll go to the general surgery floor first. I have a special place in my heart for geriatric and pulmonary patients, so medical nursing is a great place for me. I enjoy surgical patients for the reasons the other posters listed (I can't tell you a lot about ortho, though). Usually, medical-surgical nurses wonder this, especially if they haven’t tried any other specialties since they graduated from nursing school. Specializes in Medical-Surgical / Palliative/ Hospice. For instance, doctors are almost always available on the unit. Yes, the ICU nurse has two patients – sometimes three – but those patients take up so much time that you are running from the start of the shift to the end. The earning potential for both is also higher than the national average, which was $36,200 in 2015. Surgical nursing, sometimes called perioperative nursing, is a nursing specialty that involves assisting surgeons in the operating room (OR). We hardly ever see medical patients and when we do they get transferred pretty quickly since the docs are lazy and hate coming to another floor to check on the pt! Written in the award-winning Incredibly Easy! You will give a lot of narcotics, pain is usually the biggest issue post-op. I worked a med-surg acute care floor directly out of nursing school. I'm kind of late to this thread. Sometimes one patient will have all of these problems at the same time. The department specializes in supervision of care of patients who get admitted with specialized medical and surgical conditions in their 5 wards including bronchoscopy room and burns unit. However, I always wanted to work intensive care. The specialty is proudly highlighted right in the credential — Certified Medical-Surgical Registered Nurse. What orientation periods have you personally had? Has 7 years experience. Has 2 years experience. I am glad I wasn't given a choice though because I think I would have hated it, haha. But also do plastics, trauma, vascular, etc. 2. Running to an emergency is just as vital as it is anywhere in the hospital, probably more so for ICU nurses. This site complies with the HONcode standard for trustworthy health information: Verify here. Why do you like medical vs surgical nursing or vice versa? 1. Medical-surgical nurses have advanced organizational, prioritization, assessment and communication … Thanks for your feedback! The book provides nurse and nursing student to informative knowledge to provide optimal patient care. I think I will choose post-surg, based on your descriptions. We range from lap appys to bladder augmentations to fempop bypasses, masectomies, prostates, bladder slings, hernias, amps etcetc.
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