Med-Surg Roll Call - page 6

Hi all ... thought it was about time to have a Med-Surg roll call .... please repond by telling us if you work in med-surg .... how long you have been there and if you plan on staying in med surg... Read More

  1. by   yumaRN1990
    I am a med-surg nurse and have been since 1990. I have seen a lot of changes in that time. For a while we got only the pre and post surgery patients. Now we are getting a variety of patients and we are finding, at least here, the patients are all sicker than in the past years. We have a big influx of "winter visitors" and we are always very busy in the winter. But it has not slowed down to much in the summers either.

    Staffing is an issue with the shortage, and I have heard comments like, I don't want to work on med-surg the work is to hard.

    I am the resource co-ordinator (charge nurse) on days. I have a Med-Surg certification from the AMSN. I am also a certified Healing Touch Practioner and do treatments on patients who have pain issues or anxious.

    I am not sure how much longer I will stay in the med-surg department. I think I am ready for a slower pace.
  2. by   rita359
    Have been in med surg most of my 38 year career. There have been good days and bad days. Usual nurse patient ratio currently 1-8. Work 3-11 now and it is as busy as day shift with all the discharges and admissions. Hosp administration wants a 2 hour turn around time from time of discharge order written to admission of next pt. Makes it difficult to plan your time unless your 8 patients are staying your whole shift.

    Was certified in med surg nursing 2000-2005. Unfortunately, certification was not rewarded in any way at my hospital(recognition, pay). The only thing I got out of certification was personal gratification. After 27 years and with only a diploma education I could still pass the certification exam on the first try when college grads with experience could not. Was not enough incentive to try harder to get all the continuing education required for recertification. Maybe 3 med surg nurses at my hospital are med-surg certified. They do now get a luncheon or something.
  3. by   jrbl77
    i have been a staff rn on a medsurg unit for the past 29 yrs- low on senority totem pole- lot of old, long term employees. we work very hard with a rapid pt turnover. it seems as if we are busier every day. i too am not sure how long my body is going to allow me to work at this pace. i do love med surg nsg because you see a wide variety of pts. some we see more often than we would like to. all in all i work on a very busy floor and staffing is a big problem for us. no one wants to work as hard as we are expected to work.
  4. by   ladybug '69
    I've been a Med/Surg nurse for 25 years. I've always wanted to try something new. But this is my comfort zone now. I love working bedside. Call me crazy!
  5. by   husker-nurse
    Ok, I've worked med-surg for 5 years since school. Unlike most of the posters here, I can't say I love it (but I DO love my patients, and they love me). I work 11p-7a, full-time. Our pt load is usually 6-8. I agree that the diverse group of patients is a daily challenge and can be rewarding. I don't like the way most of the night staff is greeted in the AM by the oncoming staff; I think that they really BELIEVE that our patients are asleep all night! I cannot imagine doing any other kind of nursing at this time. I still feel that I have so much more to learn before moving into any type of critical care area. I applaud the new grads who feel confident enuff to move into these areas right out of school. I still get VERY NERVOUS on the tele floor. I work the float pool, so I work everything except ICU, OB, PEDS, and psych. By the way, I'm an RN, can be very pleasant, and try to treat others as I wish to be treated. I am especially fond of our CNA's (mostly) and treat them well. To those of you who love going to work every day, I applaud you. I get very frustrated with the politics of the hospital, and feel the need to continually stand up for the underdog; I'm not a favorite of management, but I manage to keep my job. Does anyone here know what a "nurse practice committee" does?
    Last edit by husker-nurse on Aug 10, '06
  6. by   DClark327
    I am a new grad RN. I am currently working on a Med/Surg unit for the past 2 months. I am having a hard time acclimating to the unit. I seem to shut down when thing get really chaotic. I just can't think when I have 500 things coming at me at once. I don't know what to do. I really want this to work. I have worked very hard to get to this point. I made it through nursing school with A's and B's and I passed NCLEX. I am very kind hearted and caring towards my patients.
    I have been told that they are giving me too high acuity levels (3's and 4's) for my level of experience. The experienced nurses try to help me when they can but they are very busy too. The CNA's on my unit (if we are lucky eneough to get one) are not very helpful either. Sometimes I think they don't respect me because I am a new grad and don't always know what the heck I'm doing.
    I am very frustrated. I may have to consider looking into other departments that are a bit slower paced but I don't want to be a quiter. Any suggestions?
  7. by   husker-nurse
    Jeez, D, so sorry to hear that things are so rough, I was there, too. It does get easier with time and familiarity and organization. Ask for help when you need it, accept help when it's offered, seek out new experiences, and have faith in yourself. You are smarter than you know. I know how frustrated I was as a new nurse, and I am amazed at how much confidence I've gained in my skills. Good luck!
  8. by   jrbl77
    Does anyone here know what a "nurse practice committee" does? [/quote] i am on the nurse practice committee at my hospital. we are just starting shared governance. nurses making decsions for nurses based on evidence based practices. still learning the ins and outs. we have only had 2 meetings so far.
  9. by   husker-nurse
    Quote from jrbl77
    Does anyone here know what a "nurse practice committee" does?
    i am on the nurse practice committee at my hospital. we are just starting shared governance. nurses making decsions for nurses based on evidence based practices. still learning the ins and outs. we have only had 2 meetings so far.[/QUOTE]
    Thanks so much for taking the time to post; I have been "assigned" to our committee, and am just wondering what, if anything, I need to know. I guess I'll find out when I get there!
  10. by   KK92RN
    we call ours a clinical practice council. it is a way to include the clinical staff in some of the administrative decisions that affect the hospital and staff and always affect your patients. ours has 9 separate commitees that address different issues for example...policies and procedures, customer service, research, code blue. they all address important issues that affect staff and patients therefore they place clinical staff as well administrative staff all on the council and decisions are made based on shared governance. we have had ours in place since jan of this year. we meet once a month and have had some real changes happen which affect everyone. i think if your facility has started this then they really care about the staff and the patients.
  11. by   Cerebrum
    Hello! I'm a new paper RN starting out on MEDSURG on Monday a little earlier than my orientation group. Starting to get nervous especially after reading many of the posts in the MEDSURG forum. It helps to know that many of the negative thoughts and feelings are common and almost universally shared. That's the great thing about this group, universality. I'm sure I won't feel this way when it happens to me! Have met my manager and preceptor. They seem nice and welcoming... Not much else to say since it has been expressed in some shape or form already... Wish me luck!

  12. by   joy1181
    New nurse here, began training on med-surg floor in July. I don't know if I will stay in this area ,but right now I am just taking it one day at a time.
  13. by   MedSurgeMess
    I have worked in M/S as a nurse for a year and as a cna for 2 yrs prior and I actually love it! The only other area of nursing that I would ever consider would be geriatric/ltc. At this time, I don't have any certifications, but hospital I work at would like it if I did......Just trying to get a little more education under my belt before doing any certs!

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