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PacoUSA, BSN, RN 36,084 Views

Joined Mar 25, '09. Posts: 3,505 (33% Liked) Likes: 3,371

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  • 2:04 am

    I had to revive this thread as I have worked in both med/surg/tele (msT) and cardiac/tele (cT) and can speak to both experiences.

    By far, I love cT much more. My unit has an on-site tele tech whereas my old msT unit was remote. The patients are different too, my cT unit has a lot more walkie talkies yet the msT unit had more totals and a wider variety of conditions ... but then again we got a LOT more dementia patients. That unit was known as the dumping ground so we used to see everything and anything. Once we had a patient come in with a diagnosis of "homelessness" ... I mean, seriously??? The one thing I love about working on a cT unit is that I no longer deal with ETOH withdrawal patients. Our unit specifically does not take them, and I am grateful. They are probably the patients I dislike to take care of the most for different reasons (2nd being the dementia patients that try to get out of bed very 5 minutes). I would love to eventually work in CCU or CTICU so I feel focusing on cT would be more beneficial for me and for anyone else with this goal.

    Another side benefit for me on working cT over msT is getting away from the micromanagement on my old unit. This is only specific to my experience tho. I now work under a manager not breathing down my neck and lambasting me for finding an alcohol pad under my patient's bed or for forgetting to label an IV site with date, time, gauge AND initials or for not placing a special 'wash hands with soap and water' sign outside a C. diff patient room. High turnover? You bet! Not dealing with this now is a huge breath of fresh air!

    Curious to hear from the OP and hear an update.

    ETA: I saw your most recent posts, OP. Looks like you're now in case management ... good for you!


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  • Feb 10

    I once had a patient who requested to have her feet rubbed before sleep. I flat out refused. She said other nurses did it (because they didn't have the courage to say no). I still refused. She happened to be one of the nastiest patients to staff I've ever encountered, so nasty that staff had to be rotated every day. The DON even screamed at her once out of frustration. It was my pleasure not giving in to her Waldorf desire, and at that point I couldn't have cared less about Press-Ganey scores!!


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  • Jan 22

    Had a patient once convinced she was taking Interpol for her BP ... Um, metoprolol ... no espionage here ...

    LOL


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  • Jan 22

    Had a patient once convinced she was taking Interpol for her BP ... Um, metoprolol ... no espionage here ...

    LOL


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  • Jan 22

    Had a patient once convinced she was taking Interpol for her BP ... Um, metoprolol ... no espionage here ...

    LOL


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  • Jan 21

    3 months? It will be a year if that before you even START to become comfortable in M/S. While I agree that 7-8 patients is a lot, you need to give it more time and prevent from looking like a jumper. I personally have more than 3 years in a similar specialty (having tele experience helps me work with less patients sometimes) and I am very comfortable with 4 patients. Once the 5th patient rolls around, it starts to get a little hectic. Never worked with more than 6 patients at once, the charting alone is ridiculous. Honestly cannot see how you can quality care for patients any higher than 4.


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  • Jan 21

    3 months? It will be a year if that before you even START to become comfortable in M/S. While I agree that 7-8 patients is a lot, you need to give it more time and prevent from looking like a jumper. I personally have more than 3 years in a similar specialty (having tele experience helps me work with less patients sometimes) and I am very comfortable with 4 patients. Once the 5th patient rolls around, it starts to get a little hectic. Never worked with more than 6 patients at once, the charting alone is ridiculous. Honestly cannot see how you can quality care for patients any higher than 4.


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  • Jan 16

    In an accelerated program, working full time is virtually impossible. As it is, it was hard with a part-time job of only 8 hours/week! But thank God, this is almost over!!

  • Jan 13

    In an accelerated program, working full time is virtually impossible. As it is, it was hard with a part-time job of only 8 hours/week! But thank God, this is almost over!!

  • Jan 11

    Good for you! I totally agree with your suggestions. Times have changed, and being a little more aggressive in networking is what will prevent you from being a new-grad-with-no-job-after-graduation statistic. I don't care who you are, if you haven't landed a job even after networking, you have either given up or you're doing something wrong. Aggressive does not mean rude or abrupt -- it means being charming and standing out, and that does not mean kiss-ass either. You need to be the kind of person that they want to work with, and show it.

    I was a little softer-spoken than you perhaps, but I managed to meet the right people and that ultimately led me to interview and land my first job (I was called and offered the position literally an hour after I graduated). I noticed some of my fellow classmates were trying to be aggressive during clinicals, jumping at the chance at being the one to get all the good opportunities to learn and observe skills, pushing everyone else aside so that they can be noticed. There is no need to do that, you just need to be good at what you do. I was one of those pushed aside by some of these people .. and here I am with a job and those that pushed me are still searching. Don't want to call it "karma" but it's a good example of what NOT to do.

    I hope many on here take your advice and proactively use it. Sitting on one's ass sending resumes out into the black hole known as cyberspace without meeting a breathing soul does not produce the same results as literally pounding the pavement.

  • Jan 1

    I am glad I found this thread. I am starting on a med/tele floor next week (going through nursing orientation right now) and am considering going to the ICU after a couple of years of experience on med/tele ... probably at a different hospital from where I am now (as I would like to relocate later). Interested to see how relevant my experience would be for the new role in critical care.

  • Dec 29 '16

    Quote from Anoetos
    If 50 is the new 30, I guess that makes 60 the new 40?
    [FONT=Franklin Gothic Medium]Does that go without saying then that 40 is the new 20??? ...

    [FONT=Franklin Gothic Medium]I would love to see the OP come back and report that she has become an RN ... ... you are NEVER too old to pursue your dreams!
    [FONT=Franklin Gothic Medium]

    [FONT=Franklin Gothic Medium]I'm also one who plans to be carted out, stethescope and all. I shudder sometimes to picture myself in retirement as sitting in a rocking chair watching and waiting for life to end. My idea of retirement is part-time work, and that hopefully won't happen until my 70's.

  • Dec 23 '16

    Quote from forestlover
    I sure hope my age does not work against me, but as the baby boomers age, doesn't it seem that they would prefer to see someone their own age come into their room to care for them, than a 20 something that hasn't been there, done that?
    I would have thought they would WANT someone around their age to take care of them - they can relate more to you. Additionally, older nurses appear to have experience even if they just graduated from school yesterday They don't have to know how long you have been doing this!

  • Dec 23 '16

    Quote from Night Owl RN
    Until reading this thread, I didn't realize there were so many over 60 new grad RNs like myself. It's truly inspiring to read all of these encouraging posts. I started my prereqs at 58, got a place on the waiting list at 59, got my LPN license at 61, got my RN license at 62, and will get my BSN in 2 months at 63. My LPN GPA was 3.0, my RN GPA was 3.4, and my current BSN GPA is 4.0. I was all set to start grad school but have decided to "retire" because I can't get a job in acute care. I was a finalist for an ICU internship at a nearby 658 bed Trauma 1 hospital until I showed up for my interview and they saw I was over 25. In my town, people with the power to hire, don't seem to appreciate smarts and vigor in old folks. For me, the salary is not even the issue--I just want to learn and gain experience so I can move into nursing areas that need more nurses. I've signed up with Red Cross and the Reserve Medical Corp to volunteer but haven't been called in the last 8 months. There is so much age bias out there and unfortunately, I can't make myself younger. Where are these jobs for older nurses that have been mentioned earlier? I'm ready to move there!
    That's age discrimination, a protected class. I would have filed an EEOC complaint against the hospital. I once filed a complaint against a major retail chain for refusing to consider me for employment because I could not work on Sundays. I claimed religion discrimination. The chain ended up paying me 10 months of back wages reflecting what I would have earned if I was hired ... and they were sanctioned, forcing the company to retrain associates on this issue. It was worth it.

  • Dec 22 '16

    Quote from paramedic-RN
    Lol I'm curious exactly what you said.
    Conversation more or less went like this ...

    ME: "What? Absolutely not! I don't do that."
    PATIENT: "My feet hurt, I'm in pain. You're saying that you won't massage my feet to relieve my pain?"
    ME: "Nope. Not doing it."
    PATIENT: "The other nurses have done it."
    ME: "You're dealing with me tonight. And I'm not doing that. Good night!" [shuts door]

    I used to be the type of person long ago that had trouble saying NO. Something snapped along the way, I guess I got tired of people using me and now it's not something I have problems doing. Especially this woman. And had she complained about my refusal it would be attributed to the craziness she had already established with staff. I was never approached about it lol.

    She was extremely demanding and was always on the call button. She would come out into the hallway and yell out "Where's my nurse?" (Mind you, she was isolation too), claims she's been waiting 20 minutes since the call bell was rung, when it was really 2 minutes. Always complaining about staff not giving in to her outrageous requests and ridiculous meal orders. I remember once telling her (had her multiple times during her 45-day stay): "If you hate it here so much, why don't you just go to another hospital? You have that option. We are not the only ones in the area." Her reply: "Because I'm here."

    The way I was with this patient mind you is definitely NOT typical of how I treat my other patients! That woman was a serious mental case. I've never had anyone else in my career so taxing in patient care.


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