Lainie B 1,514 Views
Joined Dec 2, '05.
Posts: 14 (7% Liked)
Your post really brought back recent memories of my past year. Yeah, I felt my documentation wasn’t good enough either, I was always stressing about being behind and ‘covering myself’.
I worked the night shift, and after giving report to the next nurse I would try to catch up. Problem with nights, though, is most of us are ready for sleep NOW. And to sit down at a computer after running around for 12 hours, then sitting down, is almost impossible because I would be fighting to keep my eyes open.
I would have no choice but leave, and my charting would be half-*** done. I would be expecting to be called into the office, to be ‘called on the carpet’ for poor charting. I would reason ‘I’ll come back tonight and finish the charting’ (but rarely had the time to do that either). And it’s been over a year now, and I haven’t been called in. I still have shifts that I have to jockey my time over giving patient care or putting my “peeps” on hold and catch up on charting. Invariably I put off my charting because the patient should always come first. Then, depending on my level of exhaustion, I try to chart. But I definitely have days when my charting is ‘abbreviated’. I absolutely HATE it, but it’s something I have to choose in order to keep up my health. But always, I take care of the patient. Of course, if there are important events that I know might have to be covered on paper (falls, sentinel events, Dr Rapids) I never forget to chart on them. But everything else has to fall in line with 1. The patient, and 2. My level of exhaustion and how much more can I give.
It all came to a realization that my superiors do have better things with THEIR time than nitpick our charting (or lack of better). In this economically-strapped world, our superiors are ALSO pushed to do more with fewer resources, so they are over-whelmed too.
My advice is: Chill. If your patients are OK at the end of your shift, you've done your best and can leave without feeling bad. Good luck.
I've read about what the salaries in HI are, but would be interested in your opinion of the COL in HI (compared to mainland)
Mainland-wise, I am used to Texas C.O.L., especially Austin, Houston and Temple
I stayed at The Arbors, which is walking distance to work, and reasonably priced. As a SWF I felt it was allright and I wasn't too worried about security. I also liked that it was across the street from the gym (The Summit). But if I'd had more $$, I would have picked The Bridge apartments, gated, and also next to the gym
Economics and budget cuts force MORE stress on staff. This applies to not only nursing but everyone. So at least I know that while my supervisor is putting pressure on us, someone above her/him is doing the same to them!
I remember reading this last year when I was in the LVN program, but I can't quote where I saw it. Levels of pay (higher to lower) were:
1) contract / travel nurse
2) LTC nurse
3) hospital nurse
4) clinic nurse
Travel nurses have alot of things to deal with, from lousy assignments to unsafe settings (though they can also get great assignments)
LTC nurses generally have high patient ratios (I had 16-32), but the patients tend to be more stable. What I hated was the high volume of charting these pts required.
Hospital nurses, it seems to me, have more flexible work schedules and better perks (PTO, benefits), but they also to deal with patients that can turn quickly.
Clinic nurses often have close-to-stable M-F 8-5 hours (some exceptions, of course)
Though I'm sure others can add much more, I would say that the higher the pay, the higher the stress and less-than-favorable working conditions.
Are any of you in teaching hospitals that have experience dealing with nursing students? What would you suggest to the instructor to make it a more positive/productive experience for EVERYONE involved?
question: what setting do you work in & how do you rate your health insurance?
i live 50 mi west of austin. my first job after graduation has been in ltc; at the job interview, i was assured "yes, we have health insurance effective 90 days after you start". now that i'm enrolled, i found it to be what i call "wal-mart insurance". it pays some, but the insured pays the lion's share of the cost. i call it a joke. does other settings have better health benefits, or is it just my facility?
what would be a good recommended job for a new grad?
hi sarah, keep up the good work studying!
as a lvn grad aug. 07, i found in texas small towns that ltc jobs are more plentiful. i also found out when i put my resumes out that many hospitals (even in austin) will not hire new grads. i worked as a tech at a hospital while going to school, but when i graduated, they said, 'thanks for your work, but we don't hire new grad lvn's'
personally, i was ok with in in the end, cuz ltc in the dementia unit is less stresful. and i reason that being in school is stressful enough, i don't need more!
I'm Laine, new grad Aug 2007 and a 2nd career 55 y.o. who applied for both Rn & LVN programs, but the RN was full, so that's why I'm LVN. I've applied for the Rn Bridge at CTC Killeen & taking Microbiology this semester (ugh!).
If anyone has words of encouragement getting through Micro, send them this way!
Would you believe...a TAX COLLECTOR?
I had a nice office job... but volunteering with the local EMS gave me the desire to do something that made a difference (and be compensated for it)
New Grad 8/07 - getting that first year's experience behind me:spin:
I'm considering a move to San Antonio, but searching this website, I don't see alot of comments....anyone know the outlook?
OK, so by now Grad, you have gotten through the first day! Tell us how did it go? (I understand about the older part; I did the same)
age 54 - Second career here! Even tho I qualified for both RN and LPN programs this past fall, I chose the LPN 'cuz I need the $$ soon. When we read all about the 'older patient' believe me, I'm feeling some of the future! Because my birthday is 8/14, I started at age 54, and will graduate at age 54 on 8/10.
"if you don't use it, you lose it!"
hi! i'm laine, and just starting the next chapter of my life. i just wondered... am i the oldest student nurse?
after 27 yrs in a pink-collar job, my department evaporated. so instead of looking for another (just like the other), i mused over my past experience as a volunteer emt in our used-to-be small community. i enjoyed it (although not the hurry-up, load-n-go part). i then made the choice to enter into the health care profession.
do you know any student nurse older than 54???
i met a retired nurse last year that told me she was 56 when she graduated, so i was inspired! my kids are grown, the ex is out, and i have the best opportunity to start anew. i even was able to transfer college hours from 35 years ago! (except sciences).
the only drawback though, is the studying. i believe it is true that the older you are, the harder it is to retain things. i've found that classes over an hour are more than i can take!
thanks for reading - allnurses.com is great!
- laine from texas
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