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tokmom, BSN, RN 37,719 Views

Joined Aug 20, '09 - from 'Somewhere in the USA'. tokmom is a CMSRN. She has '30' year(s) of experience and specializes in 'Certified Med/Surg tele, and other stuff'. Posts: 4,649 (61% Liked) Likes: 8,583

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  • Jan 1

    Med/surg is a specialty and has it's own certification.

  • Dec 29 '16

    [QUOTE=shodobe;6672205]Almost 60 and still working like a fool. It also helps to have a skill in areas that are hard to staff, like me in the OR. I have 35 years in the OR that can't be readliy matched by a newbie, just because they make way less than I. I still outwork and outthink the youngsters and cover way more call than I should, like today. So obtaining skills that are hard to replace make you very marketable and hard to get rid of. Just don't lock yourself on that Med/Surg floor for 20 or so years because you CAN be replaced.[/QUOTE

    I find that comment a bit insulting. Since you have 35 yrs of OR experience, when was the last time you even worked a med/surg floor?
    Any nurse, anywhere can be replaced. I saw it happen to my friend. 20 yrs in OR, now scrambling to find a job. No real just cause. She worked a non union facility and one day she was let go.

    As for us Med/Surg nurses, like any SPECIALTY, keep yourself current on education and then some. Become certified. Get yourself involved in 'behind the scenes' work with the fluffy stuff as one poster called it. Make yourself known. Help develop policies..anything to make yourself invaluable. Does it make you invincible? No, but it helps.

    I have made myself a nice little niche on a Med/Surg floor, same as a couple of co workers. We are highly involved in the running of the floor. I have put myself out there to learn how my floor works to the point I do a lot of managerial stuff for my boss when he needs extra help. We are certified and we are always involved in committees.

  • Dec 28 '16

    Quote from RiskManager
    Bear in mind that NSO is just the insurance agent. CNA is the insurance company that writes the actual policy. NSO just collects the premium, passes it along to CNA minus the commission, and does some servicing of the policy. You have two real choices for the insurance, CNA or Liberty Mutual. You can buy the policies from other insurance agents, and you need not go through NSO or ProLiability, the agent for Liberty Mutual.
    So can we just google CNA an go straight through them an leave out the middleman?

  • Dec 25 '16

    Quote from delphine22
    I get frustrated when I have so many patients, I have no choice but to leave the basic care like toileting and bathing to the techs, while I chart and chase docs and call pharmacy and a million other things. Then the oncoming nurse asks about my pt's bottom or the color of his stool and I have to rely secondhand on someone else's assessment.

    Can't wait until I start next month in the ICU. I don't mind doing my own baths if it means I get to really know everything about pts myself.

    I worked with a nurse who refers to baths and toileting as CNA work. Totally blew me away. You can find out so much about your patient if you actually touch them beyond a simple assessment of breath and bowel sounds.

  • Dec 11 '16

    Quote from pinkpetunia
    Ok, I have put this off for 2 years. Grieving that I did not just jump in.
    I think I want to ride donkey down into the canyon for school. lol.

    If I do go back, should I do a 3 year RN to MSN? or just a BSN?
    Hey pink,

    What is your end goal? That should help you make a decision.

  • Dec 10 '16

    Over the years I have worked in large teaching hospitals to my now critical access of 22 beds. I was surprised how acutely ill my patients are and we have to care for them without all of the "ologists", resident docs, IV teams, code teams etc, We pretty much have one of everything when it comes to people. It has it's own challenges where we are forced to think outside the box. Every nurse that has come to work with us thinks they are going to be working in a small hospital and sort of kick back. Yeah right, lol. Same sick people, just less resources to depend upon. My skills have grown exponentially.

  • Dec 9 '16

    Do you see neglect that is reportable? The Department of Health is a great place to start as well. I'd at least see what your state WAC's have to say about your type of work place.
    As for your paycheck, I'd go back to payroll and have them explain your paychecks to you so you have better understanding of what they should be looking like.

  • Dec 9 '16

    I agree with you about nursing needing to have a voice. United we stand, divided we fall. I have started with my union and hope to network out to the state capital.

  • Dec 9 '16

    Over the years I have worked in large teaching hospitals to my now critical access of 22 beds. I was surprised how acutely ill my patients are and we have to care for them without all of the "ologists", resident docs, IV teams, code teams etc, We pretty much have one of everything when it comes to people. It has it's own challenges where we are forced to think outside the box. Every nurse that has come to work with us thinks they are going to be working in a small hospital and sort of kick back. Yeah right, lol. Same sick people, just less resources to depend upon. My skills have grown exponentially.

  • Dec 9 '16

    As for rigorous, I had two coworkers go through WGU and their capstone was 5-6 pages long and they complained!! Our weekly papers were 5-6 and capstone 36 pages!

    Another co-worker went to a state university and they didn't have to submit their papers to ANY plagiarism website. Not-a-one. That totally blew me away. Talk about free rein to copy and paste.

  • Dec 9 '16

    I too enjoyed the capstone and I'm proud of my paper. Going from 5 weeks to 10 would be less stress, but I have to echo flames. It really wasn't bad at 5 weeks.

  • Dec 9 '16

    I too enjoyed the capstone and I'm proud of my paper. Going from 5 weeks to 10 would be less stress, but I have to echo flames. It really wasn't bad at 5 weeks.

  • Dec 5 '16

    Have you sent any unofficial transcripts? I sent my officially. Actually they did the legwork for me, which was nice.

    I have made up my mind and will probably start this next February. They seem really helpful and that was echoed by one of my co workers who is a GCU grad. Our work had a job fair and our education dept has nothing but good to say about them. I do know they are on the more expensive side, but my work has education stipends up to 3000.00 per year and also offer scholarships. If I join ANA for a whopping 50 bucks a year, I get another 2000.00 dollars knocked off tuition. My co-worker, by the time she was done, said the program only cost her 4000.00. That to me is doable.

    Let me know if you do decide to go with GCU!

  • Dec 3 '16

    Quote from TriciaJ
    Nowadays you can't open a nursing journal without someone crowing about "work-life balance". I just roll my eyes. I do enjoy work-life balance now, working on-call at a minimally stressful job. But most of my previous nursing jobs ate my life. As long as hospitals keep pushing the staffing envelope, work-life balance is something many nurses can only dream of.
    I think nursing journals DO need to push work/balance mindset. You CAN have both. I find myself very balanced in my job, even though I do committee work on top of my normal 36 hours. My balance is not answering the phone on my days off, and making sure my off days are truly *off*.

    Nurses need to be cognizant of their emotional well being and if it takes beating it into their heads that they need to balance life, then so be it.

    I commend any nursing magazine that educates about burnout, over and over again. The word has got to get out, or the trend will continue.

  • Dec 3 '16

    Having gone off the ledge and away from the profession and back in again, I finally learned a few things about nursing in general and myself.

    1) if your unit sucks, then leave. I spent 16 years at my last job thinking it was bad everywhere, therefore I stayed and dealt with lack of teamwork and horrible staffing ratios.

    2) It is important for a nurse to take care of themselves. Exercise, journal, pamper yourself. My big indulgence is Starbucks for my Chai tea, lol. I also have crafts and gardening that I enjoy that take my attention away from family and work..

    3) Others stay sane by disconnecting from work, and yet some, like me, actually feel MORE engaged by doing committee work, and changing the work environment one project at a time. I always thought this mindset was sort of weird, but actually it is one burnout cure-all for a select few. I enjoy going toe to toe with managers during negotiations, lol. It's rather cathartic.

    So do whatever works.


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