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PacoUSA, BSN, RN 40,739 Views

Joined Mar 25, '09. Posts: 3,522 (33% Liked) Likes: 3,424

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  • Dec 25 '17

    I have to believe there are ICU's out there who would love someone with your experience in a shortened internship. There is an association of teaching hospitals. Find them online, and start cold calling. In fact, I'd suggest skipping HR and calling managers instead, possibly directors in a facility with multiple ICUs.

    Alternatively, you could continue to travel, work a few weeks to get a good reputation, and beg for ICU days with easier patients. Confidence that is not cocky goes a long way, especially after they know you. That might lead to a staff offer or even an extension at the same facility at least partially ICU. That's a longer road of course. You might also select assignments if they want step down or PCU float - good deal for both of you. More experience for you, and cheaper bill rate for them. Probably have to interview to find if this is possible so you could be wasting your agency and the manager's time. But a good recruiter could submit you with this sort of pre-condition.

  • Dec 20 '17

    It is difficult not to carp about poor writing, yet it is fascinating how often such snarks are also full of errors. First sentence by phill_rn has no verb, and this last clause is certainly difficult to parse meaning: "how much more a masters."

    No doubt a student of English will easily find fault with my writing, and perhaps even this short snarky post of a snarky post.

  • Dec 7 '17

    congrats! thanks for the update. what experience did you have previously? Good luck in the ER keep us posted.

  • Sep 23 '17

    First, your company should respond quicker.
    Second, you sound like a bit of a dramatic person.

    Get over it, its been 2 days. It sounds like they tried to help you, maybe in their own way. Every place and person has its own personality, you need to adjust to it as a traveller. If you cant deal with it in a positive way then maybe you shouldnt be travelling.

    If you want to quit, quit. You will be black balled most likely, by both your company and the hospital, and on the hook for a ton of expenses.

  • Sep 23 '17

    Quote from PacoUSA
    Currently working tele unit in California, we never have more than 4 patients at once as regulated by law. On med-surg units where I sometimes float, the ratio goes to 5 patients per nurse. The only difference is the telemetry box, which magically reduces your patient load by one. I recommend learning tele so that you can avoid 5:1 ratios, because I personally feel that there is a fine line in workload between 4 and 5 patients.
    Im going to second this. It is a huge difference going from 4 to 5 patients especially on day shift.

  • Jun 28 '17

    It is like any other line of work. If you can not secure, or easily secure, a job in your area, then you move to a place where you get a job. Nursing is still a better choice than English Literature, Philosophy, or archaeology, for example.

  • May 27 '17

    I didn't know how many patients you have is meant to be kept secret.

  • Sep 18 '16

    Please find something you are passionate about before you start. If school was a "nightmare" for you the first time, school is free and money is your motivation, you will not be motivated to learn and won't be much of a student. And you won't learn a thing. You have plenty of time to decide-- don't rush into a program just because it's free.

  • Aug 10 '16

    I'm an ER nurse, and male. You're very right that there is a double standard and it's NOT in favor of us guys. My suspicion is simply that us male nurses are quite aware of the possibility of being accused of sexual battery when we do those procedures. If I have a female patient and I have to do a straight cath or a foley, I will always ask for a female to be present. If the female nurse offers to do it, I'll make sure all the equipment is immediately available. This is strictly because I do NOT want to be accused of sexual battery simply because I'm doing my job. If I'm doing the task, all I truly care about is getting the task done efficiently.

    I have rarely (if ever) have heard of a male patient accusing a female nurse of sexual battery when doing straight caths or foleys. Furthermore, society at large doesn't view females/women as being sexual predators so there's a bit of a social bias built-in to the whole patient nurse interaction when the two are different sexes.

    Now then I will gladly do a straight cath or foley on a male patient on behalf of my female colleagues because things are starting to change a little bit and our policy is to have a chaperone of the same sex as the patient present whenever an opposite sex provider or nurse is doing any sort exam or procedure that could result in accusations of sexual battery. I do this because often it's just faster I do it as I don't need a chaperone when doing these procedures on male patients.

  • Aug 10 '16

    Personally, if I was committing to constant overtime, I would want to be PAID overtime for it. Picking up the occasional PRN shift at a second job is one thing, especially given that you're usually paid a premium for those jobs, but two regular part time jobs sounds exhausting and financially not worth it. If you've got the experience to be hired part time for both positions, you've presumably got the experience to be hired PRN for them (or for float pool).

    Multiple PRN jobs can work, especially if your finances can withstand the risk of not getting shifts at times. You usually get paid significantly more than FT or PT work, and in most PRN situations you are responsible for setting your own schedule and have few or no holiday weekend requirements, so the chances of both jobs expecting you to be there at the same time are much lower. The risk, of course, is that you aren't guaranteed hours and you're first on the chopping block to be sent home for low census, so it doesn't work if you MUST have full time hours to make the bills. But if you've got a cushion, it gives you a lot of flexibility and you can keep an iron in multiple fires, employer-wise.

  • Aug 8 '16

    On the upside at least it would be another edition to your resume and a good way to refresh some skills. Try it first before you decide either way. You may actually like it!
    It is pretty crappy for them to expect you to do this with such little training though and I totally get your frusteration.
    I was forced to float ti peds from med surg and I resisted it for the longest time and then one day I realized hmmm...I kind of like this. So you just never know. Good luck and give us an update.

  • Jul 22 '16

    Quote from IGOTMYBSN28
    I dunno why people keep saying to wait 24 hrs...smh! I had 8 friends take it. All of them did the PVT within 1 hour. And all of but one got the good pop up. I did it 30 mins after taking mine and got the good pop up. I don't want to be a debbie downer, but if it took your money...yea, that's not a good sign. But I could be wrong.

    Good luck!
    I dunno why people keep saying to wait 24 hrs...smh! I had 8 friends take it. All of them flipped a coin within 1 hour. And all of but one got "Heads". I did it 30 mins after taking mine and got Heads. I don't want to be a debbie downer, but if it took your money...yea, that's not a good sign. But I could be wrong.

  • Jul 18 '16

    You GAVE it your money - voluntarily. Nothing was 'taken' from you.

  • Jul 11 '16

    "Your eyes are so dark, you look like the devil. Are you going to make me possessed??" ( I work in psych!)

  • Jul 11 '16

    What's the rudest thing that's been said to me by a patient or family?

    A patient called me a black ___ (rhymes with 'witch,' but starts with 'B') and told me to "go back to Africa." I told him I was born and raised in the US, as well as the preceding six generations of my family.

    I also ended the interaction and turned his care over to another nurse who belonged to the same racial group as him. Life is too short to deal with people who stereotype me and do not want me around.


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