Latest Comments by Been there,done that

Been there,done that 32,969 Views

Joined Aug 4, '09. Posts: 4,896 (73% Liked) Likes: 18,242

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  • 0

    Quote from bigorange123
    Thanks for all replies. I am the UAS( uniform assessment system) RN in home care. It is a charting system in New York city. Basically, my job is going to client's home and do the assessment according to my computer. I will not do any nursing skills like IV, IM, Wound change....etc. I will get paid $77,000 a year( salary base ). I am my own boss as long as I am able to get my jobs done. As for another hospital offer, the hourly wage starts at $40 per hour, and medical benefit plan is better.

    I am a foreign-trained RN. I was no luck to locate a hospital job because they all consider me as a new graduate in the US. Finally, I got an offer from mount saini hospital. But, the hours and flexibility in home care are very attractive to me! I know I will have a hard time to make up my mind!
    There is no such thing as assessment by computer. You will be recording YOUR assessment ON a computer. Your assessment of the patient, and their resulting needs will require excellent observational and hands on skills. You will be documenting thoroughly on all body systems.
    You are NOT just filling out a form, you are documenting your patient's physiological, psychological,sociological and spiritual status. Can you handle that?

  • 0

    So, you just want to take care of babies. Most women do, we are hardwired to nurture infants.
    You have no experience caring for patients and no idea what it is like.

    REAL nurses have concern and empathy ,for any and all ,people in need of our skills.

    Get back to us after you have had .. just a little.. hands on experience.

  • 2

    Quote from loriangel14
    We aren't allowed to have our phones out at work.
    Bingo. In my last floor nursing position ,use of a personal electronic you walked out of the door on the spot.
    If the nurse needs to research ANYTHING, it is done with the facility's approved references. Not on their DAYUMM phone.

  • 1
    sallyrnrrt likes this.

    Are you an experienced nurse? If not, do not start out in home care. You will be the only nurse assessing the patient. That takes experience.
    The oncology infusion position will give you specialty experience, with back -up and future opportunities with the hospital.

    Best of luck with your decision, let us know what you decided.

  • 1
    Libby1987 likes this.

    What is a smart phone? Is that anything like my flip phone?

  • 0

    Quote from voltenbas
    I'm a Home Health Nurse. I just got an email from the office saying I often come in too early (10 minutes) and leave too late (10 minutes). They cited an instance when I left 20 minutes late.

    Is the following response to their email too snarky?

    "I will make more of an effort to not arrive early to my shift and to not stay late. I will also call the office the next time me leaving at the scheduled time results in the vent-dependent, pediatric patient being left alone."

    Too passive-aggressive?

    I swear this company I work for is a joke. I don't think anyone in the office knows how anything works in the home.

    One guess who I work for...
    Ooh,ooh I want to guess! Maxim?

  • 1
    mindofmidwifery likes this.

    Way back in the day I was approved for a state program for LPN. All expenses paid and living expenses included. In 9 months.... I could have been an LPN. I declined, went for my ASN with a local community college.
    Cut the crap.. get your ASN asap.

  • 0

    [QUOTE=NurseGirl525;9229231]I was also wondering how you are to give report?

    I think they are nitpicking and if they did their scheduling correctly 10 min before or after shouldn't be a big deal.

    In nursing, extra time needs to be built into the schedule. Heck, even in retail I did it, as associates were often stuck late helping customers or doing whatever. I always scheduled my full timers 38 hours to help take care of incidental minutes and make sure we didn't hit OT.

    This is a management scheduling issue. Not the OPs issue. I'm surprised many of you don't see that. It's not like she's staying an hour over. It's 10 minutes. Obviously, whomever is scheduling has worked in an office their entire life and has no real world experience. That needs to be fixed.[/QUOTE
    There is no need to " give report" in the home care setting. I'm surprised YOU don't see that.

  • 12
    JustMe54, dishes, BrendanO, and 9 others like this.

    The company is concerned they will have to pay overtime. A snarky response is not necessary. In the future, do not show up early. If you cannot leave on time, due to patient safety issues, notify the on-call manager immediately.

  • 3
    WKShadowRN, Rocknurse, and BSNbeDONE like this.

    Your salary is not "rubbish"... money is the reason we ALL work, self satisfaction for caring for "vulnerable" people will quickly wane. As all patients are vulnerable, why not go to hospice?
    You cannot possibly find your fit in advance. You will not have your choice of job offers, find a job and learn from there.

  • 3

    You have come across elevators many times in your life. Hospital elevators are no different than any others.
    Why are you expecting special treatment now? No one has time to escort you. Either take the stairs or find a job without elevators in the building.

  • 0

    Wait until you interview. Wait for your offers.

    There is always room for negotiation. All they can do is say no.

  • 7
    Sammie7, poppycat, WKShadowRN, and 4 others like this.

    Quote from RDBSN16
    21. I want a family. He wants a family too. Just didn't know how it would look on my employment, how it would look to employers, etc. I know really the first 3 years is hard for a new nurse while they are developing their skills and better nursing practice.
    You have plenty of time to start your family. You only have one chance to get your foundation in nursing. Having babies will require your full time and attention, so will your first couple of years in nursing. Have you thought about how you would juggle a newborn and your career? It is very hard and costly to obtain quality childcare. Also very hard to leave the little critters with someone else, when you go back to work.
    Best of luck with your decision.

  • 0

    Quote from Shannon1297
    I have wanted to be a nurse for years, or so I thought, but now I just keep questioning myself. I am 19, and I was diagnosed with depression about 5 years ago. Since then, I developed anxiety as well, and I don't feel that I have treated or managed either very well. I recently went away to a university for nursing school, but once the program started I was overwhelmed with work and depressed. Having my first apartment, being away from home, and the endless amount of reading drove me insane. So, I dropped out and came home a week later. I know I could have given myself more of a chance, but with thousands of dollars on the line and such a bad state of mind, I didn't know what to do. I am a straight A student, but I feel prohibited by my inability to handle stress well. Now, I am taking classes at my local community college. I was thinking about either:

    A. completing my associate's in nursing at the community college then doing an RN to BSN program which would take roughly another 3 and a half years after this year (A total of 5 and a half years in school)
    B. transferring to a local university next fall and completing their nursing program, and I would graduate in 2 and a half years after this year.

    Overall, I am paralyzed by making the decision. I'm scared to go straight for the BSN at the local university because of my bad experience with the work load before, but I also want to get school over with. It is hard for me to even tell if I'm fit for nursing sometimes when my depression is this bad. Sometimes I can't tell if I am miserable with nursing school and the idea of doing it again or if it is my depression talking. I worry about my future a lot, and just want to make the best decisions for myself. Unfortunately, my parents are not very patient with how I feel and are sick of me being sad and indecisive. Any feedback is appreciated!

    BTW most of my stress stems from the amount of work and not necessarily the difficulty.
    An associate degree in nursing would qualify you to take the NCLEX for RN.
    As you are a good student, keep plugging away at that ADN. Any pre-requisites you earn will go towards that goal and other programs.
    Nursing may or may not be meant for you. Until you get your depression and anxiety under control, take it slow .
    I did not have what it takes to succeed in nursing school at the age of 19.

    Best of luck.. use your academic advisors, that's what they're paid for.

  • 0

    Congrats on getting back to nursing after a personal trauma, been there did that. It was a difficult process to return.
    You need to get this off your mind. You have been there 9 months now, you should have had a performance evaluation. If not, request one.