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dream'n, BSN, RN 9,047 Views

Joined Aug 28, '06. Posts: 832 (55% Liked) Likes: 2,175

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  • Oct 23

    Quote from Lil Nel
    I strongly disagree with those posts that keep insisting that "floor nursing" isn't the issue. Yes, it is. I have been in this person's situation. No, I didn't go through nursing school with rose-colored glasses.

    But when I graduated, I besides knowing that I enjoyed psych and the NICU, I didn't have a strong sense of my place in nursing. Fortunately, there is a nursing shortage. So, if a new graduate nurses doesn't like his/her first job, there is NO REASON to be filled with anxiety and misery to stick it out. Quit! As I said before, using it as a learning experience. What did you learn are your strengths and weaknesses? I learned that I don't want to work with cardiac patients who can be fine one minute, and then decline in a matter of seconds. My psych patients may be on suicide watch, but I am much more confident in my ability to handle that situation. The latter plays to my strengths as a nurse, the former to my weaknesses.
    You are wrong. In most markets of the US, there is no nursing shortage. It is irresponsible to continue to perpetuate this falsehood. This mindset is behind many new grads feeling so disillusioned and gob-smacked upon finding out that the nursing job of their dreams is not available to them immediately upon graduation.

    Another aspect of this post: Do nursing schools no longer educate their students that graduating from school and passing NCLEX is only roughly the first half of their education? I remember it being made perfectly clear that my first 1-5 years working as an RN would serve as the rest of my education. The thought that one could, as a new grad, go into home health, school nursing, case management or any other independently functioning position was ridiculous. Personally, I do not ever want a new grad coming into my home to independently care for me or my loved one, nor would I want them making care management decisions on my case without ever having experienced real-life medical care.

    The abundance of new grads here who are unwilling or unable to tolerate floor nursing is a direct result, in my opinion, of the above issues: the nursing shortage myth that won't die, and the failure of nursing schools to properly prepare their students for the real world.

  • Oct 22

    Was there a deficit in this patient's care? Yes.

    Did you find it and get it addressed? Yes.

    Might it have been better for the patient to have received alternate IV fluids sooner? Perhaps.

    But you DID use critical thinking to determine that the patient's nutritional needs were not being met. Apparently that put you miles ahead of the physician writing the orders, and the pharmacist filling them. If you view this as your error, please help me understand why. I think you should be applauded.

  • Oct 22

    Sadly that is what loyalty will get you, zip, nada, nothing, squat. And some wonder why "Milennials" don't have "loyalty". Prime example here. Can't blame them. You deserve better; you won't get it where you work. It sucks. The Boomers tend to be loyal and stay a long time in one spot, extremely reliable and steady. But the rewards in return for all these qualities are few and far between.

    As for me? This is one X-er (almost Boomer) who will always have her eye out for the better opportunity, one that suits me and my needs, first.

  • Oct 22

    I've been a loyal staff member of the hospital I work for now for 24 years. They've been good to me and the manager I currently have is the one that hired me. I've moved around the hospital some and have good experience and like my coworkers.

    Like other places we have high turnover and being Florida out winter season tends to be busier. A local hospital chain pays very well and we lose a lot of younger people to them after they get their experience here. We recently lost yet another coworker and we're constantly short staffed.

    To deal with this they are hiring "seasonal pool" which is a three-month contract at about $15 more an hour than the average staff makes. They've started a float pool at $10 an hour differential higher than the rest of us. They also use travel nurses through different agencies at high cost and give them housing.

    Meanwhile those of us who are staff just got our evaluations and were told "we're under consideration for raises, but not sure it can be budgeted".

    When they get their heads out of the sand they whine "why can't we keep any staff?? We need to have a committee look at this. Let's give them some cookies."

    I promised my boss I'd stick with her until she retires in a year and a half and then perhaps I can get a nice well paying job. Too bad it probably can't be at my place of employment because rather than reward us they are paying new people so much money they can't fit us in their budget.

    Thanks for listening.

  • Oct 22

    Quote from jack1971
    I appreciate your comment. In my 40+ years I have never been called names like, "special snowflake" or "buttercup." I'm actually laughing. Yes, I did start this post. But I guess what I don't understand is the fact that if floor nursing is not for a nurse, then why is there something wrong with that nurse?? My posting was not asking to be ridiculed for any anxiety I may have toward taking care of 5-8 patients at a time. The posting was simply asking for any advice toward jobs that are available besides bedside nursing for inexperienced new nurses. Please re-read the title.

    You've really never told someone to "suck it up buttercup" in all of your 40+ years? That's what people with perseverance do anyways.

    I'm not sure if this is just another post where a person went all the way through nursing school with rose colored glasses on or not but nursing is matter what field is chosen or tried.

    I dont think "floor nursing" is the issue here.

    Why do you think dialysis or correctional nursing will be any less hard or stressful? That's diminishing to the nurses that work their tails off and and do these jobs justice (and their patients for that matter). I'm sure it took them more than a couple of months to get even remotely good or comfortable in their skills. You're missing the point.

    I suggest you go back and read your post...what was written beyond the title.

  • Oct 21

    Staff asking "Are you really busy right now?" I'm always busy. If I'm not, I will ask someone what I can do to help.
    Family members snapping at me when I am trying to concentrate on a task at the bedside.
    Family following me around in the hallway, telling me it's time do something or that the patient is in pain, while he is sleeping peacefully.
    Call light goes off. CNA is sitting next to me, scrolling on phone/Facebook while I'm charting like a madman. CNA continues to sit...I finally get up and go answer the light.

  • Oct 16

    We should all bow out,...on the same day. That MIGHT get someone's attention. No bleeding heart, what about the patients, malarkey. If "They who are not us" really cared about the patients, things would not be a bad as they are currently.

    Someone pick a National Bow Out Day,.....heck, I'll even volunteer to work that day and deal with the mayhem,...until my 16 hour work limit expires! That will give plenty of time for administration to become competent ICU nurses!

  • Oct 12

    Quote from Been there,done that
    We are not talking about patients and visitors going shopping , we are talking about PROFESSIONALS shopping with contaminated scrubs.
    I was working the scenario. The first thing I do is hit the produce aisle. I could see me leaning over the peaches to get the the best ones. My scrubs are going to brush against a boat load of peaches.
    Realistic or not, paranoid or not...I do NOT want to risk contamination of anything with funky scrubs.
    You know how many folks who live in truly filthy homes have leaned up against those same peaches, right?

  • Oct 12

    Quote from rjones416
    I think it's gross and pretty tacky to wear your scrubs in public. Do you really need to show the whole world that you're a nurse? It's like the guys who wear their military uniform for no reason.

    It takes two minutes to go in a washroom and change your clothes after work.
    The line for our employee restroom is at least 4 deep at change of shift. I'd have to take a change of clothes, leave it in my car, run out to my car to get them (.4 miles), run back inside to change (.4 miles) and then find a public bathroom in which to change. Too much work. If I need to run an errand on the way home from work, I'll run an errand on the way home from work while wearing my disgusting scrubs. Those who really have a problem with it can just not look.

  • Oct 12

    Quote from llg
    If you have a job that doesn't get cooties on your scrubs, it doesn't bother me. They are no dirtier than the clothes of other people in the store. However, if you've been working with germs all day and probably have some on you, please don't spread them throughout the produce section of your local supermarket -- or anywhere else for that matter.
    I'm pretty sure that I'm no dirtier than the visitors who sit in the patient room all day, allow their children to crawl all over the floor, hold said children on their laps after the child has crawled all over the floor, and then go grocery shopping on the way home from the visit.

  • Oct 12

    Quote from offlabel say the carts at Wal Mart are as dirty as clothes with hospital pathogens on them is catchy and hip, but it is just demonstrably false.

    I get a wave of nausea seeing people out in public wearing scrubs.
    I work with very little ID. I care for people who have been hit by trucks and have had strokes. I gown up before cleaning up that liquid tubefeed stool.

    Scores of people have put their hands on those carts. I do a lot of shopping at WM and Aldi due to the size of my grocery bills (7 people), and I've never seen the employees cleaning the carts. I've occasionally seen carts go into the bathrooms. I've seen looooooooots of children sitting in the basket, who presumably have diapers on and who don't wash their hands after picking their noses.

    I'm not trying to be catchy or hip. I truly believe that the carts are dirtier than my scrubs. Besides, sometimes we just need to run errands when it works for us. For me, that could be at 0100 after a shift.

  • Oct 12

    Whenever people try to make me feel bad from swinging by the store to grab milk on my way home, think about all the patients we discharge who have MRSA/VRE etc. Do you think they just stay at home, of course not. They are probably behind you in the check out line

  • Oct 11

    Quote from kaleilubov
    In Mexico nurses are looked down upon. It's such a shock to come to the US where the profession is more respected and pay is higher. That being said I still consider it to be a working class profession compared to that of a doctor. It is physical job not knowledged based.

    Only if you are a crappy nurse.

    Walk into a thoracic surgery unit, a cardiac unit, a neuro unit, a high risk L & D, among many other specialties, and try to do task oriented nursing only, and you will harm patients.

    Doctors of course have much more education than nurses, and I haven't seen anyone here try to equate our education or our scope to theirs.

    That said, I (and many other nurses who use their "knowledge") have caught mistakes by doctors which could have had fatal consequences. They are not Gods.

  • Oct 7

    So you became a nurse but you don't want to take care of patients. Weird. At least in the beginning of your career. Once you get to be my age, four years from retirement, it's normal to want to slow down. I guess different strokes

  • Oct 7

    The best way to avoid bedside care?

    Don't become a nurse.