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brandy1017 29,416 Views

Joined Jun 30, '02. Posts: 2,011 (67% Liked) Likes: 4,349

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  • Oct 16

    You don't, by any chance, seb1957, work at Wrongway Regional Medical center, do you?

    I work at WRMC and you have described the Administration there to a "T":

    Attachment 25079

  • Oct 13

    Where I am from, new RNs make about 23-24/hr. For years of education, tons of responsibility and headaches, RNs should be making WAY more than that. And CNAs and LPNs are also underpaid, especially CNAs. My bf and I were talking about this. Aldi's starts off at around 12-13/hr but nursing assistants start at 9-11/hr.

    That is so wrong on so many levels.

  • Oct 13

    Quote from klone
    Again, Magnet has no requirements for the type of degree held by floor nurses.
    I should have clarified that the two major hospital systems here specifically cite the reason for requiring a BSN (and subsequent push for masters preparation) is their Magnet Status. I still have my email from three years ago that says, "In an effort to..." Magnet may not have that requirement, but (some) of the hospital systems do. Those three letters can sure have an impact on calls for interviews.

  • Oct 13

    What about taking the small hospital job and remaining prn at the ICU job? They ICU would probably take you back FT, if it doesn't work for you. You would still have your hand in the ICU world.

  • Oct 13

    I thought it was a dilemma until I read that your coworkers at your full time job are bailing like rats off a sinking ship and asking you why you don't grab the escape route available. That speaks volumes. Your full time place of employment must suck indeed.

    I like the advice you got from several others to just switch to per diem at your current job and keep a foot in the door. You are very smart to look at long term goals (like state retirement) and not just run yourself into the ground for the fast money. I've said this many times: you can't buy your life back.

    Only one thing: did you say you were in the process of obtaining BSN and your current employer was covering tuition for you? What would happen to that?

  • Oct 13

    One word of warning on the appeal of a 'state retirement' .... not all states are fiscally sound and that state retirement may not be available when you get ready to retire. I know because I live in IL the state that will be in debt FOREVER to it's retirees - and we're actively renegotiating & reducing benefits. If you stay at the higher paying job, there's nothing stopping you from making 401k contributions (assuming you have one) or Roth IRA contributions (if you don't have a 401k).

  • Oct 11

    I hate this article and others like it because this endless discussion about opioid addiction has made pariahs and outcasts of genuine chronic pain patients. It has become trendy to immediately reject any notion of pain relief for "fear of addiction". While I do not condone pain pill misuse or over-prescription of medication, I absolutely rue the day this became a conversational topic in America. Why? Because I live with chronic pain. I am lucky to have an excellent doctor but I fear for those who can find no relief because of the few who abuse. If they don't have pills then they'll abuse something else...I'm not concerned with those decisions, but I am concerned with those who live in agony because they are denied legitimate treatment because of some draconian view that no one can received adequate medication because they'll become a drug-addled addict if they take opioids. It is coloring the way young nurses look at pain relief and I don't like it one bit. You've already seen the discussion on here where nurses are looking down on patients who request their meds.

    I just pray that I can have a day without pain. I'd like to wake up and be able to have zero pain, to stand for more than 5 minutes without my back giving out, to know what it's like not to be rolling around the bed in agony because someone accidentally knocked my chair while I was sitting in it. Until then I have to take medication so I can function. Don't take it away please.

  • Oct 10

    I'm wondering if it has more to do with the software used for applying for applications along with the need to report to accrediting bodies the "number of BSN"s - I don't think it has anything to do with a BSN having critical information that isn't included in the MSN. The profession of nursing has a hard time keeping up with the fast paced, ever changing world of nursing education and vice versa. I think what may happen is that at some point you will be asked if you have a BSN, and you will have to say "no" and that will be unfortunate, because you have a higher degree. If there is a job you really want with that requirement, my recommendation would be to circumvent by getting in touch with the actual person who will be your supervisor - so often if someone requests your application, you can get around the limitations of checked boxes.

  • Oct 8

    Quote from MunoRN
    And that's basically what Magnet is, a group of surveyors asking staff nurses if they're happy and well supported, as well as evaluating the characteristics at a hospital that would likely produce happy and well supported nurses.

    I would also agree that Magnet can be worthless to staff nurses, or quite useful, it all depends on what the nursing staff does with the opportunity. I've worked at places where nurse practice councils have deliberated about how to make their administrators and work environment sound better than it is so they can get magnet, because they think it's an award for them. Magnet is an award to dangle in front of hospital administrators to encourage them to do a better job, if it's not utilized that way by staff nurses and nursing councils then it's pointless.
    I used to work at a Magnet hospital. The whole point is that it is such a wonderful place to work, it attracts the brightest and the best.

    Which nurses get interviewed by the Magnet people about their workplace? Do they get to go up to random nurses and ask questions? No. The nurses to be interviewed are hand-picked by management. Of course they pick malleable new grads and coach them beforehand.

    Nurse practice councils, staffing committees, etc.? All hijacked and run by management. So the workplace looks egalitarian.

    The whole thing is a naked emperor.

  • Sep 26

    "I'm going to fix all of her problems -- and yours too -- with this." (Shows me his .357 revolver)

    Manager excused the behavior but called security. Security called the police who searched his vehicle and found several long guns and several handguns. He was arrested and carted off to jail . . . but was back visiting again by the end of my shift. And I had to take care of the patient the next day as well. Security guards hung around until shift change (for them) and then stopped accompanying him on his visits because "He says he's not going to do anything."

    Another time, I was caring for a prisoner from a federal penitentiary. I was young and stupid; he was in his 70s and dying. He had two guards. Special permission was given for his son to visit. Son is also prisoner at the federal penitentiary and came with his own two prison guards. I was concentrating on de-clogging a feeding tube with my back to the door when I suddenly found myself thrown to the ground with a very large prison guard on top of me. A home-made machete clattered to the ground about an inch from my nose. Turns out the son was eager to hasten my patient's demise, and was about to go through me to get to him. After it was all over, the guard who tackled me (probably about the age I am now) kept telling me over and over that after forty years in corrections, he had never been so frightened in his life. He had never been so scared, he had never seen anything like it. I was pretty shook up myself. We took a few minutes to debrief each other while we drank a cup of coffee (probably not the best choice of beverage under the circumstances.) I understand there were some changes in the prison's policies for hospitalized patients after that, but I couldn't say what they were. I finished my shift with the same patients, and my manager put a write up in my file about grace under pressure or courage while under fire or some such.

    I've never turned my back on a prisoner, a prison guard or any visitor that made me feel "hinky" again. Served me well in later years when some out of control federal agents threatened an NP with their firearms.

  • Sep 25

    Don't feel you are stuck anywhere... I went right into Pediatrics when I was a new grad and have been in the Peds world ever since in some capacity or another. Many of my friends who went the Med-Surg route got burned out quickly; it's not for everyone. I would still meet with someone from HR who might be able to help you be successful in another unit. Or start fresh in another organization that gives you the tools and resources to succeed, maybe in the Nursery to start out (very hard to hire into the NICU without nursery or meds experience in my opinion. Those babies are much too fragile!)
    Don't feel trapped. That 5-year mark is not written in stone anywhere. Where there is a will, there is a way. Good luck!

  • Sep 25

    Oh no, I am so sorry. It sounds as if you lost all of your confidence, which is probably why you are feeling so bad right now. We have all made mistakes, especially as a new nurse. The important thing is to try to find a mentor or "buddy" at work who can be your resource person during your shift if you have a question, or need support, or a 2nd opinion/another set of "eyes". Never forget that you are a part of a team. Trust me, teamwork can help lighten the load; it will also help you feel more sure of yourself through this learning period. To avoid other med errors, always make sure that you are checking and rechecking orders, patient, doses, etc. Ask another nurse to verify. None of us are above asking for help. Even the most senior nurse doesn't know everything and has to look things up or ask a friend.
    I don't know what kind of contract you are under, but it might be helpful to make an appointment with a representative from Human Resources who can help guide you on what your options are...first and foremost, patient safety should always be a primary concern for organizations. If you are not succeeding, that means that they have failed you during your orientation. Some places have year-long nurse residency programs that meet monthly so new nurses can vent and share stories and experiences. Trust me, there are many options available as a nurse. If you don't love bedside care, you can consider working for a pharmaceutical company or patient equipment company, you can consider Quality Improvement or database coordinators (many trauma and OB registries are managed by nurses) many choices. I hope you find your confidence. Good luck!

  • Sep 22

    Quote from RNingBSNing
    State Boards of Nursing will face a serious nursing shortage lightly, giving nursing schools and nursing educators little incentive to beef up enrollment
    I don't think that nursing schools not enrolling enough people is the problem. Some areas have nurses coming out their ears and not enough jobs to go around. I believe that we are graduating plenty of nurses; the short staffing problem lies with the hospitals who don't hire them.

  • Sep 19

    You are exactly right, and that's an important thing to remember.

    I recall being v. amused, when I was in a brick & mortar BSN completion program at the local state uni many years ago, by the behavior of the "generic," traditional BSN students (with whom we BSN-completion students were in some classes). They felt quite comfortable letting everyone know that they thought it was somehow inappropriate and unacceptable that they should have to be in classes with us (to the point of complaining bitterly and openly to the faculty about this), and they were extremely patronizing and condescending to us. You know, we're fresh and bright and smart, and we know everything worth knowing, and you all are just a bunch of tired, useless, old hags who couldn't possibly know anything useful (please note, I'm in no way suggesting that that description applies to nursing students in general; I'm just commenting on the behavior I observed from most of that specific group of nursing students in that specific setting). What they couldn't be bothered to find out before they got their panties in a wad about how terrible it was that they had to share a classroom with us, and how that was somehow damaging or diminishing their own education (I never really did figure that part out), was that many of the BSN-completion students were, in fact, the majority of the nurse managers from the various inpatient units of the local hospital system. That organization had decided to go to an "all-BSN" management model (this was many years ago), and all the ADN-prepared nurse managers were told that they had until X date to get a BSN, or else they'd have to step down from their NM positions. As a result, they all trooped down to the local uni and signed up for the BSN completion program. When we broke into small groups for the various classroom activities, we used to talk about how dumb and short-sighted this behavior was on the part of the students; and I would have loved to be a fly on the wall when that group of students graduated and started job-hunting -- and found themselves sitting across the desk, in interviews, from the same people they had been so nasty to so many times in class ...

  • Sep 13

    I have been a hiring manager. Sometimes we end up with 2 or 3 great candidates for a job. Then a hard choice has to be made. It is not a reflection on you. Rather, it shows you are a strong candidate to have made it that far.

    A friend of mine made it all the way to the final round of interviews for a position and was rejected. A week later, he was hired, as the the person who got the offer rejected it.

    I have also had this same experience when job hunting. IBeing in the top 2 candidates and not being selected.) Definitely follow up with thank you notes. And if you feel you had a strong rapport, then ask for honest feedback. Let them know you are still interested in future opportunities and touch base occasionally and continue to check for new openings there.

    In the meantime, keep looking. When one door closes, another opens. Good luck!