Latest Comments by rn_patrick

rn_patrick 892 Views

Joined Jun 27, '07. Posts: 13 (46% Liked) Likes: 69

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  • 0

    No don't do it. I was in a full time job with minimal to no clinical supervision and it was horrible, dangerous, and very ahrd to get up to speed.

  • 2
    Eagle2110 and LydieA like this.

    Started at 24, RN at 27, APN/NP at 32.

    I only survived RN school because of the life lessons before that. I was not ready for the intensity or the stress.

  • 0

    I was thinking of what sort of rate increase? 1.5x or 1.25x. I'm thinking my benefit package at my current fulltime job has to be close to 50-75% of rate including their 1/2 of SSI, PTO, and health insurance.

  • 0

    Sounds fair. They will tell you what to do. Not the first and not the last time this happened.

  • 1
    julesjameson3333 likes this.

    About 40 right now. Combination outpatient hours and in a team setting on in-patient. It really depends on where you work and what the expectations are especially on-call and if you have to round to do consults.

  • 0

    What happened that you went up 200 points in 9 days? That's a huge bump up in scores. Were you coming in from working an overnight when you first tested? That would be the first question if I was in the director's shoes.

    Secondly what is your GPA and your grasp of the material? Would your professors rate you as a strong student with a good grasp of the material? This if they even consider it would be key. Are you an A student or a C+ student? Are you seen as someone who struggles with the content?

    Is it three months starting now, or three months next year starting in Fall 2017 for whatever class you failed? Like Molemedic said they could fail you out completely.

    The other thing is your professor already went to the Director and got you a retake of the class. You followed chain of command which is very important in this field, and got your answer. If you are considering going to the director good politics is going to the instructor first and asking their opinion. You also may get the feedback of "This is your best offer, take it or get out."

    Finally the director's hands may be tied. For reasons of liability and equality the cut off is the cut off. It's in the handbook, it's written down. The schools policy might dictate what has to be done and followed.

  • 1
    mindofmidwifery likes this.

    Firstly, nice gift. When you said gold I was thinking a solid gold case like a Rolex Submariner, or a Omega Seamaster. Something in the 10-15K range. A quick search shows that this is a 100-200 dollar watch tops. It's probably gold tone or gold plated.

    So you know I actually understand the topic: I wore and broke 3 or 4 Seiko 5 Mechanicals (about $75 each), and had at home a vintage Omega F300 (about 300-400) that was too delicate even for my days off. I'm wearing a Casio quartz stainless watch with a stainless steel band for work now. Probably if I knew what I know now I would get a Citizen Ecodrive the base model with a steel bracelet (about 150). Nursing is a tough environment for watches.

    The stainless watches you can take a toothbrush and soap to and cavi wipes once in a while. No steam or boiling water though. Hot tubs are hard on the seals also. Do not submerge in harsh chemicals since the seals may degrade.

    Since this is a plated watch it will eventually have the surface finish come off. Also once the back is opened for the first battery change in 3-5 years all bets are off.

    Wear it to work, clean it once in a while, and when it starts to look shabby consider a model from above or any other stainless cheap quartz movements with a metal bracelet.

  • 3
    missdeevah, BCgradnurse, and Jules A like this.


    We may be from different regions. My Mother would say "If you believe that I have a bridge to sell you." Though the point is spot on. They are not going to hire 5 locums while they recruit, and it took them 5-6 months to recruit the last provider. You are right it's going to be a very ugly time, and I can be there burned out and making mistakes, and providing poor care or not.

    My last job I gave them 5-6 weeks and they cut me off at 4. I have to give 4 here, which is my plan.

    Also I agree with you and having read many other non-nursing career advice posts that if they needed to they would walk me out on a Friday afternoon with no regrets. I think we both have been nurses for a while and have seen that.

    Part of the details above was that it does not look like they are setting me up for that. Pulling my long term patient panel with no warning, and giving me a job that I can just be sacked from without all the other chaos going on would have me scared about being set up to be fired.

    I'm worried it looks like that to my old program that I worked in. Some of that is my projecting on them. They are seeing their program starting to be dismantled, and need the check and benefits. So they are looking at me sideways has less to do with me, and probably more that Counsellors are not as in demand as APN's.

    I was thinking more resentment from my co-workers for walking, putting them on unpaid mandatory OT due to being salaried, and coming back in for a few months 1-2 days a week "Bless your little heart for coming in to help us out..." The rate would have to be spectacular for me to consider it.

    I don't really need the money for now. On the finance boards we talked about the ACA and when it becomes TrumpCare or RyanCare if it happens at all. Starting next year I may have to jump into another job to get adequate insurance to protect my assets and my long term well being.

    I'd rather do the bucket list items with my sick friend. Thanks for phrasing it that way.

  • 0

    Hello Everyone:

    I've been working as a NP for 5 years now.

    I've been very successful in my current job which I have been at 3.5 years. My Manager is happy with the work I am doing. Three good performance reviews. I'm not super excited any more about being an RN or an NP. I do like the core of what I do which is patient care. I'm accepting of moving on to something else as well.

    I'm fond of my manager. 3.5 years is my record for length of a job. If they opened a private practice I probably would ask to follow them.

    The job overall like many NP jobs has picked up the pace in the last two years. We have many more Medicaid patients due to the expansion, and more local independent psychiatrists are choosing to not take insurance. So we are fully booked for about 2-3 months.

    There is a management consultant coming in to look at our processes soon as well. So change was or is coming no matter what.

    I've burned out twice in the last two years, I'm burned out now. I intended to give notice at the beginning of the year. Morale is really low, manager stated they are burned out also.

    I plan on taking a month or two off (I have savings and low bills) and then decide what to do next. I travelled as an RN. I am considering locums. I need the 1000 hours in the next 5 years to keep the cert and then keep my licenses.

    I also have a friend who has a progressive chronic illness and will be in a wheelchair soon. We wanted to do some travel together in the USA before they cannot walk. National Parks and things like that.

    We have been working on minimal staffing, and this week someone resigned. My Manager sat me down the next day and told me my job was going to totally and completely change and I was to hand off all my patient panel to another APN and the one who is resigning. I would be assigned going forward to in-patient psych and floor consults. On a good day it's a 6 hour job, on a bad day it's a 10-12 hour job. Told Tuesday, put into effect Wednesday.

    I have not made any major mistakes, or been sat down or written up. My manager has told me I did nothing wrong, we are going to have to change the schedules to survive at this time. I'm still on the group emails and I am still in the loop on the governance/leadership I do.

    We get and I have read many posts around here of "I made a huge mistake and they put me in a holding pattern what should I do?" Which the answer is usually start looking ASAP and jump before they ask you to resign. If that was the case I would not be writing this right now I would be job hunting.

    If my emails dropped to zero and they were keeping a close eye on me I would probably hope and pray to get to the first of the year.

    Here is what I could really use some advice on from those of you with more experience:

    1. I still want to leave. I'm still burned out. Am I horrible person for leaving?

    2. Should I stay telling my manager "You have me until..." I probably can stretch and do this job until april. I need to keep my earnings down for ACA coverage (under 30K). I have about 5-7 years of living expenses in the bank.

    3. Should I offer to do per diem for a while? Part time has no benefits under 32 hours starting in 2017. It might help them out, but then I get to see the other overworked co-workers of mine being annoyed at me instead of just leaving.

    4. If my manager promises to "Turn it around" should I believe them? "Oh we are going to hire 4 new NP's and a Psychiatrist for 2017. I don't think this will heal how I feel.

    If there is something else I am missing that you think of please let me know.

  • 55
    Carolid, mumarada, Froggybelly, and 52 others like this.

    Your reply is inappropriate and toxic.

  • 0

    Quote from demsboy007
    I am very sure HHC pays up to 30,000 towards your tuition, books included. You don't have to work for them at all while you are in school but you have to work in any of HHC facility for at least two years after you graduate. You may PM me and i will send you the name and e mail of the person in charge of the program. Good luck.
    What about for MSN if your already a RN? I went on an interview for one of their hosptials and had trouble getting a concrete answer.