dream'n, BSN, RN 8,798 Views
Joined Aug 28, '06.
Posts: 825 (55% Liked)
I would never risk my job or license for something so trivial.
My opinion is to take the OR job. Davita tends to hire quite alot, but the OR can be very tricky to get into. If you hate the OR, I think you would still be able to try Davita; but if you hated Davita I think it would be hard to get another chance at the OR position. Plus OR experienced nurses are generally quite sot after.
LTC facilities do not have the knowledge or staff to detox and provide substance abuse counseling to patients. They will need a behavioral counseling program for that.
This is not an ED vs Inpatient unit problem. The problem is STAFFING and that is due to administration/money. Most nurses in the hospital are working the hardest they can, ED and inpatient, but there is only so much a nurse can do at once. Everyone is running around doing everything they can, and if there was an appropriate nurse staffing cushion, this would not be an issue. Hell, there are nurses out there praying for jobs, but they're not hired. Put the blame where it lies; not the ED, not the inpatient units, but on the money-saving staffing initiatives by administration due to the American healthcare system. Nurses need to stop blaming other nurses and look at the root of the problem.
Things that bother me:
In a nurse's station with four or five unused computers, why does anyone have to sit down at the one I'm using, clearly marked with my scut sheet, my pen, my drink and my charting all pulled up and not finished? They take my spot, log me off (so I have to start over with any charting I didn't sign before the arrhythmia alarm jolted me out of my seat) and log in over me. Then when I return, they tell me "I didn't see your name on it." Why not just use the computer with the screensaver up and no ones stuff there?
This is the healthcare field. If you become a nurse, you will continue this but with some extra work added to it. New jobs are always uncomfortable and if you become a new nurse, you'll find that the stress and learning level on your first job will be outrageous compared to this.
Charge RN of 26 bed inpatient oncology unit: 22 pts. and expecting 4 direct admits for chemo, floor split between 2 LVNs and 1 new grad RN (just off orientation & not chemo certified) and a float RN (experienced but not chemo certified or use to oncology). Staffing is trying to get another RN to come in for expected admits. (Our normal ratio on days was 1:4-5). Don't recall the exact number but at least 1/3 of the patients getting chemo, which is the charge nurses responsibility, along with hanging all the blood products & IV pushes for the LVNs (both of which are numerous on oncology). I knew it was going to be an extremely busy day but...less than an hour into the shift the float reports a chemo spill. ������ In the middle of cleaning up said chemo spill new grad calls a code--had no idea her patient was going bad. We rarely run codes in oncology, most of our patients are DNRs. Thank God for code teams! Needless to say, it was a really bad day...
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