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klone, MSN, RN 79,040 Views

Joined Apr 2, '03 - from 'Oregon'. klone is a L&D. She has '10+' year(s) of experience and specializes in 'Women's Health/OB Leadership'. Posts: 11,457 (55% Liked) Likes: 27,916

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  • 4:07 am

    The evidence definitely matters, the bigger question is what the evidence actually is. Shift lengths greater than 13 hours are clearly associated with an increased risk of errors, near errors, and other adverse effects of fatigue, however there isn't conclusive evidence that a 12 hour shift schedule produces more risk and fatigue overall particularly in settings where 24-7 staffing is required. The most cited 'evidence' against 12 hour shifts comes from a Geiger-Brown that supposedly found "3 times" the risk of errors in 12 hour shifts, although a closer reading of the study shows this figured on a "per shift" basis which of course is not an equal opportunity for error, when corrected for an equal amount of time (errors per hour for instance), the risk is actually slightly less for a 12 hour shift schedule.

  • 4:04 am

    I'm not trying to police morality, I'm trying to keep patients, visitors, and staff safe.

  • Jun 26

    I am interested in teasing out the results of salary versus gender. I remember thinking there was enough information in this survey to be able to do heads up comparisons without confounding factors such as overtime or second jobs skewing the results.

  • Jun 22

    If you continue to have no luck, maybe consider working at a small rural hospital with OB? I know medsurg nurses have to cross train often and that's how I heard of a few nurses getting their foot in the door.

  • Jun 22

    There is no way a hospitalized patient can "sleep in". They are subjected to a constant barrage of hospital personnel that interrupt them.
    I was recently admitted overnight. I HATED required someone else to assist me in any way, shape or form.
    I would NEVER trade my health and independence.. for anything.

  • Jun 22

    What a strange perspective. To wish yourself into some type of illness in order to sleep and push a call bell?

    I think the day a hospital-worthy illness hits you, you will see the folly of your envy. Sleeping 24/7 is highly overrated by healthy folks.

  • Jun 22

    Quote from Emergent
    Are you serious??? Do you actually equate a flippant remark with bullying?
    I didn't say anything at all about bullying. Where did you get that idea? I said that I find the term "baby nurse" extremely offensive and disgusting. No one has ever called me that. But if someone did, I would tell that person to never call me that again.

    I also said that this is why people complain about NETY. The term "baby nurse" is a good example of how an older and more experienced nurse might humiliate a younger, less experienced nurse. It could be part of bullying, but I wouldn't equate it with bullying.

  • Jun 20

    Just an idea, but have you thought about moving?

  • Jun 20

    Have you thought about moving?

    Plenty of areas of the country where they'd love to have nurses with experience, even older ones. We can't get any experienced nurses to apply here. We hired more than ten new grads this year... our nurse manager says we only had one experienced applicant recently and she took another job. We hired one with experience - an older nurse, more than 20 years of experience - last fall and she left after three months. We are having to hire tons of travelers at critical staffing pay to fill the holes, and between the travelers and the float pool, my unit is still regularly down five or six nurses.

    There are jobs even for older experienced nurses... but they are not in super desirable places.

  • Jun 19

    I also bristle a bit when the term baby nurse is used to refer to an inexperienced nurse. Words are important, and using a term that essentially infantilizes an adult healthcare professional is a no-go (in my humble opinion). Plus, I always think of baby nurses as nurses who take care of babies.

  • Jun 18

    The next step would be to write yourself up. You did not follow medication administration protocol.

  • Jun 16

    Sooo I just got offered the job! Guess it just goes to show that you can never truly decipher what someone means over email lol. I'm so surprised tho.

  • Jun 16

    all I want to say is some of you as sitters got lucky to have sleeping patients. We cant even get sitters for the patients who desperatly need them ! No one would be bored with the patients we get needing sitters.

    So I contribute to the actual question, anything done not work related is usually not policy. Evan had a gal written up for doing nursing homework...

  • Jun 16

    She was also pointing out the error on your part in a less than gracious way for a reason. It is a roundabout way of letting you know that she does not appreciate it when people don't pay attention to detail. I would not expect that people who make mistakes in the application process are given second chances by this hiring manager. Hope that all of us are surprised, but I would not expect the best if I were you.

  • Jun 15

    I'm afraid I have to agree with klone and Caliotter. The language used
    strongly suggests that you are not in the running for the job. Could be so
    many reasons for this, but... I have been in the same situation and been
    handed the same language way more times than I can count.

    We could be wrong though, you never know. Still, I'd keep
    plugging on and looking.