RNperdiem 25,566 Views
Joined Dec 5, '06.
He has '14' year(s) of experience.
Posts: 3,963 (55% Liked)
When the OP states that her husband and family cannot help her, I wonder why childcare has to be her problem alone rather than a family problem?
Yup, it is about expectations. The term "dream" in this context is a vague term. Often it is used as a word interchangeable with "fantasy".
My sister did do this to pay her way through school. Unless you absolutely have to work nights to pay the bills, I would not recommend it.
The trouble my sister ran into was that the day techs at the inpatient mental health facility were usually late. Work was supposed to end at 7 and she had to get to clinicals for 8 and she could not leave until she had handed off care to the day techs. The stress of rushing out after a long night of work was hard.
The manager was no help when she complained about the lateness. The manager knew my sister was in school and would be leaving for a new job in a couple of years and the latecomers were long-term employees.
What made it possible was that two of the night shifts were 12 hours on weekends, and the other 2 8-hour shifts were during the week. My sister had no pets, children, social life and wore scrubs 7 days a week for 2 years.
General medicine day shift is brutal. The workload is barely doable on a good day, and crushing on a bad day. They are hiring new grads into a day shift for a reason, and that reason is staff turnover.
Peds is harder to break into. The department is smaller and there are fewer jobs. Most hospitals in my area don't even have a peds department. If you work nights for a while, you might adjust better than you think. Falling asleep between 10-11pm puts you closer to a night person (I can barely make it past 9pm) that a lot of people. Give it a try.
If that 4/10 pain is from a patient lying in bed, and I know the physical therapist is on the way, I would give the stronger medication.
A lot also depends on the department you work in.
I work in surgical ICU where the patients are monitored, the surgery is recent, and the pain can be intense.
What would be in your best interest? What is the job market like for new grads in the part of New York? He will then be deployed? Where? Would this mean another job search, another move etc? It seems like you would be the one making all the job sacrifices in this picture.
Getting experience as a new graduate is the foundation of your future career.
The first step is to not take on any additional debt.
I work with a couple of nurses who have the debt level you have. They work 48-60 hours a week every week. They always work overtime to help pay the debt.
In your workplace, if you are able to self-schedule, take advantage of any night or weekend differentials to boost your pay. I don't have debt, but weekend, overnight, overtime pay is the best!
A second job per diem is another option, agency work etc. You won't be eligible for these as a new grad, but they can be useful in the future.
Are you financially savvy? A lot of young people starting out are not.
Luckily, financial knowledge is something anyone can learn. Dealing with this kind of debt is going to take work and discipline.
Last names only is a bit unusual these days.
In my earliest days of nursing I did run across the occasional elderly African-American patient who always went by Mr. or Mrs. Lastname. Even socially, that is the name they were known by. My mother worked for years with a business associate who was only known as "Mr Curtis". Mr. Curtis had known the disrespect meted out to him during segregation in the south. Calling a man by his first name, was a power move and a way to put a person down.
I don't know about your coworker, but I would be more concerned about her easily set off temper. In a department where we are supposed to work as a team, this is a worrisome trait.
A day of work is a whole lot less predictable than a day of school.
Imagine if you took a swim class where you were taught the theory of motion, hydrodynamics, body mechanics, and swim stroke techniques. You only had a few hours a week in the pool- in the shallow end with an instructor right there.
Once you passed your certification, you would be a fully qualified swimmer. Dive in the deep end and get swimming!
Nursing was once taught as an apprenticed trade. The student would work long hours in the hospital learning by doing.
This was the diploma method of nursing school.
To become more professional, nursing was moved to university and community colleges. A more theoretical approach with more emphasis on science, research, and a deeper understanding of why things were done the way things were done.
The trade-off was less hand-on learning for the student. The idea was that the hospital would pick up the training role when the student graduated and got their first job.
The schooling overlaps too much for both at one time. The education, certification and jobs are completely separate. Nothing is combined, you will have double the cost of the education.
I love nursing history. Interestingly the way Florence Nightengale is portrayed says as much about the time as about the person.
I think if there was a movie being made today about Florence Nightengale, it would show more the political activist, non-conforming woman, statistician that she was.
The people at the office might like you, but they are not the ones hiring you.
Unless you are looking at a very small organization, the Human Resources department does the hiring and they were not there when you shadowed.
To get anywhere in HR, applications are all on computer. Unless the right keywords and qualifications show up on your application, your application will be deleted like it never existed.
Most outpatient nursing jobs are more demand than supply. Lots of highly qualified nurses will apply, so the competition is strong. If you are a new grad, you might want to look into the less popular nursing jobs.
I can only think of one nurse I know who left nursing. She remarried, went back to her home country and opened a beauty salon.
I see this as a senior nurse tactic to manipulate people.
Praise here, cut-down there, confidence undermining there and you have a sort of power. It is a shabby game to play in front of a new person with fragile confidence. She loses power if nobody care about her opinions.
If she starts spouting off some unsolictied opinions on other nurses performance, it is time to remember something you have to do right now. Don't volunteer to listen.
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