brandy1017 25,782 Views
Joined Jun 30, '02.
Posts: 1,956 (67% Liked)
The young ones advance the clinical ladder because they see dollar signs; the older ones no it's a big scam so aren't in a hurry to join the herd. I don't think its worth the time, energy and stress of all the busy work to get and then keep the one time raise. Our facility has a demotion clause in the agreement, basically you jump thru all these hoops for a one-time tiny raise which they then hold over your head for evermore. They give you a raise but reserve the right to demote you and take it away! If that's not the most disrespectful thing I've ever heard of. Only in nursing would you get a raise with the threat of a demotion in the same sentence. The smart ones refuse to climb the ladder when they are being treated with such blatent disrespect. They want you to be certified and join nursing organizations but with your own money of course, their so cheap they even refuse to reimburse you!
Good quality tennis shoes and custom orthotics help me. Additionally taking low dose elavil for migraine prevention actually took away my occasional foot pain while walking. Now I'm pain free!
That is what caller ID is for!
I think in some situations, the stress response is really PTSD. Where because of a prior bad experience (crashing patient, etc) any patient or situation that reminds of that time when you felt scared, trapped, overwhelmed brings up those feelings again. I know that was the case for me and given the high acuity of patients these days that extends beyond ICU to the step down and even regular floors, we are all at risk of developing this kind of stress reaction.
I used a self-hypnosis tape I made to overcome this stress reaction. Sometimes people need therapy or even meds to help them remain calm. I was surprised with how many people suffer from this that never showed it. They'd tell me how anxious they were and they seemed so calm or I'd find out someone was on a betablocker to deal with their "performance anxiety".
So many nurses suffer from anxiety, stress and depression that if you suffer from it you should seek help whether that be therapy, meds, hypnosis or just support from coworkers, all nurses, or family. Work doesn't have to be filled with dread and anxiety. There are things you can do to get over this so work can be an enjoyable experience again. When your in the midst of stress or anxiety attack all you see is fear, you forget all the good things, your team, your ability, your knowledge and skills. You have to remind yourself I can do this, I've handled this exact situation before and it turned out ok. My coworker will help me or the MRT team is there to help!
Even before we had the MRT team the ICU staff where I worked was always very helpful and I would ask them to refresh my memory over chest tubes or if I had a question or concern. I could call and someone was always very friendly and willing to help. I never felt put down or criticized when I called on their assistance and in the beginning I did it a lot. Now I'm the resource person on the unit!
Ruby Vee what happened to that poor women? Did she ever recover? How sad that he killed her dogs, that would have certainly hurt her and decrease her will to live! Too bad he couldn't be charged for animal abuse and mental cruelty to his wife! Well I imagine there is a special place in hell waiting for him!
I remember the two day all day affair of nursing boards back in the day! And you only learned if you passed, not how well or poorly you had done. Months would go by while you were working and waiting and if you failed you could lose your job or at least be demoted till you passed. Talk about pressure! I passed but a couple coworkers didn't, one lost her job and had to go to a different hospital, the other worked as a HUC/CNA till boards were passed.
It's wonderful you have a dream, no one's trying to kill your dream. We are trying to protect you from drowning in debt, a mortgage without a house, that a person could be trapped in for decades and if not paid off would find their social security garnished. In America we always stress having a dream and going to school to attain it, but where is the emphasis on how to finance your dream? Most don't even get basic financial planning education in school today, which is great for the bank's and private lenders who have you on the hook and great for the overpriced expensive schools that offer that carrot of a college degree. It's not that simple. You need to be educated financially to protect yourself and avoid a financial catastrophe!
Congress has been changing the rules over the decades and especially with the 2005 Bankruptcy Reform that took away consumer protections and bankruptcy options from all student loans and the private lenders jumped to provide high priced, dare I say predatory loans, adjustable to 18+, capitalize and increase while in deferment. You need to know basic financial knowledge because the rate of the loan determines how quickly a loan will double in size if in deferment. Example, if you do not make payments and interest capitalizes while loans in deferment at 3% it would take 24 years to double in size, 6% it would take 12 years, but at 12% it would take only 6 years to double and at 18% in 4 years your loan will have doubled! You can look it up, its called the Rule of 72!
If you watch Suze Orman you will find many people with student loans of $100,000, even sometimes more $200,000 and don't make enough money to pay them off, then they are in default, which disqualifies them from many jobs, find their wages garnished and tax returns taken and can even have their license to practice withhold. If your license were withheld as a penalty you could not work, not just RN's, many jobs require licenses even beauticians and massage therapists.
Personally, I think a DNP is overkill and a MSN FNP would be good enough. I do believe experience, networking and personality will trump DNP vs MSN FNP when job hunting. I don't believe you will be paid more for a DNP and FNP typically are paid half of a primary MD so keep that in mind when considering total student loan debt.
Plan to have to be willing to move to get a job and having to network and send out letters/resumes to doctors or organizations you'd like to work for. Some school programs require you to find your own preceptor which if you are outgoing you could tailor make to the best person/specialty, others just give you whoever they can find. Just some things to think about.
How much do you owe on student loans and especially the private loans? $10,000 or 100,000? What are the interest rates of your loans, particularly the private student loans which usually are adjustable and can go upwards of 18%?
I would get your private student loans paid back before pursuing more education and taking out more student loans. Private loans are the worst debt out there, worse than even credit card debt or gambling losses. You can declare bankruptcy for those, but not student loans and if you die and someone co-signed they would still be on the hook for the loan!
You need to be proactive and network to get a job as an FNP. They are not as easy to come by as RN jobs used to be! Once you've got the private loans paid off and an emergency fund, then start taking some classes part-time and try to pay as you go and avoid student loans as much as possible. Stick with public govt loans but be aware that graduate govt student loans interest will no longer be deferred instead will be capitalized causing the loan to grow while you're in school!
Count yourself lucky, where I work you don't have a choice. You have to get the shot or be fired. The only exception is if you can prove you had guillain barre or an anaphylactic reaction. A committee then decides whether to accept your Dr's excuse or you lose your job. And if you are accepted you have to wear a mask at all times for the entire flu season!
Of course many people will tell you a flu shot is like taking vitamins, safe for everyone; and downplay the risks of paralysis and tell you it's your moral duty to get the flu shot. Funny how so many fellow health care workers are concerned about the various sundry duties a person must due to be a proper upstanding nurse! Don't you know you have to give up the right over your own body and what you put in it for this noble job!
I've taken care of several people with guillain barre from a flu shot, if it's so rare why have I seen it so often? FYI if you are older than 50 your risks are higher! Also Bells Palsy is linked to the flu shot as well, not as serious, but certainly physically upsetting!
That said many on here will post that you are ignorant and not a good nurse if you are against the flu shot or simply want to have the choice of what you put into your body. You will not find a sympathetic audience here on this issue, sad to say!
Common sense she should have gotten vitals before calling the dr, still I can't help seeing this as a power play on the dr's part over past issues and he appears to be a very arrogant dr that becomes angry when you simply call him about a patient. Some dr's just don't want to be bothered and want to take it out on the nurse instead! Also some Dr's are so cheap they don't want you calling the answering service because they don't want to pay for the service. I don't think it is a good idea for a Dr to have that much power esp over the hiring and firing of hospital workers. So much for team work and mutual respect! I wouldn't want to work for a hospital that would fire a nurse just to please a Dr!
The family complaints also sound ridiculous esp blaming her for the patients heart attack and renal failure. She had nothing nothing to do with that!
Thankfully in all the years I've been a nurse there were only a few bad apples (Dr's) that would yell and be nasty because you had the nerve to call them about a patient! Most of my experiences with Dr's have been pleasant and respectful. But surgeons have a reputation for arrogance and being difficult to please and some for having a God complex.
Yes, some people who had had the flu shot have developed GBS. So have people who haven't gotten the flu shot. The fact that people who develop GBS after receiving the flu shot do so at about the same rate as people who haven't had the flu shot suggests strongly that the flu shot does not increase your risk (let alone, God help us all, "cause" GBS, as you state). People claim all kinds of reactions to vaccinations to the US vaccine compensations board -- just as people claim all kinds of side effects to other kinds of medications. The fact that someone experienced a health problem after receiving a vaccination or taking other kinds of medication does not, by itself, in the absence of some kind of pattern among lots of people over time, mean that there is a causal relationship between the vaccine or medication and the negative outcome. It really hard to imagine that you are an actual nurse and can't understand this stuff. Did you manage to get through school without any study of infectious disease or statistics??
And the rate is no higher among those who have received the flu vaccine than it is among those who haven't had the vaccine. There was one year, 1976, that there actually was a problem with the flu shot and GBS (which was admittedly tragic), and, although there has never been a connection with the flu shot any other year, some people are still maintaining the myth that there is an ongoing risk.
The plural of anecdote is not evidence.
I really dislike the use of the word forced. Nobody is going to run up and jam a needle into you or tie a mask on your face. It is simply a condition of employment, which the employer has the right to both set upon hire and change as change is deemed necessary. If you choose not to meet the conditions of employment by either not getting the vaccine or not wearing the mask, then you no longer meet the criteria for continued employment. You can still make the choice to refuse the vaccine and refuse the mask. The employer has the right to provide consequences for it.
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