DeLana_RN 9,374 Views
Joined Oct 6, '06.
DeLana_RN is a RN.
She has '16' year(s) of experience.
Posts: 821 (36% Liked)
Just to add one more comment...
When I worked med/surg-PCU years ago, I welcomed students - they eased my workload (8 patients!) and were under the supervision of their clinical instructor when giving meds.
Now, however, my workload is still very intense (just in a different way) and having a student may result in my having to stay another hour just to finish my charting. So I consider it a burden.
Also, students can certainly tell when they're not welcome (I used to be one!) and this is not fair to either them or the nurses they are assigned to.
I am also tired of having students dumped on me... I just don't have the time, and if I wanted to be a clinical instructor I would have become one.
Assign students to nurses who are willing to take them (this will probably require an incentive, so offer it!) and leave the rest of us alone.
Be very careful. Have you applied elsewhere?
Just because a unit has long-term staff does not mean the manager is good or even tolerable; they may have learned to cope in various ways, including brown nosing.
It is very easy to get fired as a new grad (or in nursing in general; much is subjective, the work load so heavy that they can find a reason if they want to.) They may not fire you, but force you to resign or claim you failed your orientation. Most likely, it would not be your fault... but might just be devastating to you anyway.
But everyone is different, you may have no problems at all with this manager - perhaps she'll just like you (and not others). Is it a chance you are willing to take? Only you can answer this. Good managers don't normally have a bad reputation.
Best of luck to you, please keep us posted.
((( Esme )))
All the best!
P.S. Thanks for sharing your great advice and wisdom; looking forward to more!
No, "most" eggs are not chromosomally damaged after age 42. At age 45, there is still only about a 5% likelihood of a pregnancy with a chromosomal anomaly.
"Conceivably", someone her age could have a "change of life" baby, naturally. I think.
The BILD article states that she is a single mother ("none of the 5 fathers [of her other 13 children] stuck around for long") and the quads were conceived abroad after multiple IVF cycles with donor eggs and embryos (using donor eggs is illegal in Germany). At least it acknowledges that there is no way someone that old and long after menopause could possibly conceive naturally (although she claims that's what happened with her currently youngest daughter who was born when she was 55; highly unlikely, but remotely possible).
I think it's clear the woman - and her doctor - have some serious issues (yes, Octomom and her irresponsible doctor come to mind...). Even if she lied about her age... well, she clearly looks 65. But I guess she passed the wallet biopsy.
I can relate. My mother thought I was too introverted to be a nurse, that I should work "in a lab or something - by myself" instead. Never mind that I absolutely hated the clerical jobs I had before becoming a nurse (which she thought would be appropriate or adequate/good enough for me). And never mind that I was in my thirties when I started nursing school!
Sigh... I can only hope I'll be more supportive of my own kids when the time comes.
Oh, yes, years ago when I was a new grad working on a med/tele-PCU with an 1:8 nurse/pt ratio our staffing at this for-profit hospital was so poor (few lasted long in that hellhole) that everyone was put on a mandatory "call" shift very other week - except you could "consider yourself called". Of course, they did not pay call pay; the basic pay rate was so poor (I would be too embarrassed to tell) that it certainly wasn't worth it; and of course we had no union.
But in this day and age? I'm shocked mandatory OT/call still exists. Run for the hills!!!
Just because you're nocturnal (an "owl") does not mean that you will do well working nights. I should know; staying up all night - no problem (I have to force myself to go to bed before midnight when I work the next day - day shift). But I found night shift much too disruptive for a "normal" life. Especially if you have kids... sorry, it didn't work for me at all. It felt wrong from the start - and I got in line for day shift just as soon as I could.
It's hard getting up at 5:30 a.m. - I hate it, really - but at least I feel like I have a life now. On nights, one shift really "ruins" two days, which the differential (not much in my case anyway) can never compensate for.
To each their own! But this owl will stay on day shift.
Excellent point! When I first started M/S I could not figure out why I did not have time to sit and chit chat with all the other nurses. Finally I saw another nurse enter into a room - just hand over the meds and not do any kind of initial assessment like I had been doing. You know, assess LS, BS, pain, ect.
I am just asking - when do you nurses with excellent time management skills do your assessments....or do you?
I can relate to a point. Yes, I was that bright-eyed new grad (15 years ago) that got burned... oh so badly in my very first job. And that was not the only time. And I learned the hard way that nurses eat their young and their own.
But: I never lost that idealism. The fire never burned out!
And it never will.
You just need to find the right setting and reach a certain point (age? wisdom? maturity?) where you won't let it get to your (anymore).
It really depend on a lot of things, including acuity and ratio depending on census (I may have 3-6 patients, but usually 5 or 6); how many admissions; team (some charge nurses help, some don't; same for colleagues).
On a very good day (very rare), I can leave on time.
On a good day, about 30 minutes over.
Most days, 30-60 min over.
Bad days, 60-90 min over.
Very bad days, 2 hours...
the worst days, > 2 hours.
I do get paid by the hour, and rarely get "real" OT (over 40 hours), but it does get old and wears you out!
30 minutes out of 12 hours is awful.
I know a nurse whose facility does not allow CPR... although they do admit "full code" patients. The plan is to get the patient to a hospital - or obtain the DNRO - before they crash.
My friend is very uneasy about this, as you cannot always react in time. She is worried about her license and has decided that, if it comes down to it, she will give CPR against policy. It's a bad policy and should be changed - full codes should simply not be admitted!
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