Latest Comments by Macbs4

Macbs4, BSN 2,930 Views

Joined: Sep 13, '09; Posts: 40 (35% Liked) ; Likes: 33

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  • 0

    I am currently working in home health, and considering a change to travel nursing. Is it feasible (sane!) to do travel nursing if you have pets? I have 3 large dogs that are my "kids".
    Are there agencies out there that are better at accommodating this situation? I would consider buying an RV to be my "home".

  • 5

    I like the idea. What I did was use technology. If you have a smartphone (or at the very least, email): Type a list of current meds, medical history, list of physician(s); scan in living will, POA, insurance info - then email all this to yourself and your backup persons with the title "DO NOT DELETE - (patient's NAME) Medical Info". It's with you everywhere you go. I've used this multiple times for a family member with many medical issues and multiple trips to the ER or doctor's offices.

  • 0

    Thanks everyone for all your honest and helpful feedback. You give me confidence in combining my nursing and IT skills to get an informatics position.

    Does anyone think the upcoming ICD-10 conversion requirements will open up more jobs? Would an ICD-10 certification help at this point?

    Thanks again for your input!

  • 0

    My career had been on hold this past year being a full-time caregiver. Now that I'm in the job market again, I'd like to pursue IT/informatics. Would like your advice regarding "my chances" of obtaining a job in this field based on my background and experience. I would like to avoid the costs of pursuing a masters degree or certificate at this time, but I'm not opposed to it if that's what it takes.

    I have a B.S. in Business Management and working in IT for 22 years starting as a programmer, and working my way up to positions as a business analyst, project manager, and department manager. I've worked in a variety of business environments - have worked on teams doing software conversions, new software implementations - you name it - just not in the health care environment.

    I changed careers in 2009 and have worked as a BSN RN for 3 years in med-surg. I do like helping people but the hospital environment is very stressful at times, and my body is tired after the 12-hour shifts.

    I would really appreciate your constructive feedback and suggestions regarding how to enter the informatics field.

  • 4

    Why do you want to be a nurse? That is the most important question to ask yourself regarding a career change.
    Look to making a change within your teaching career; if you stick with teaching, perhaps you can teach another (easier) age group, rather than high school students.

    The reality of nursing is that your first job may be working nights for a year. You will likely work every other weekend and every other Holiday if you work in a hospital. You'll work 12 hour shifts (which typically are 13-14 hours with minimal breaks and sometimes no lunch. You will find that despite your caring for your patients and families, the same isn't returned; people who are sick are not always on their best behavior.

    You're also going to go from "experienced" teacher to "newbie" nurse... it's a huge mindset change.

    Think long and hard about this change.

  • 0

    You didn't mentioned what area of SC... job opportunities are varied depending on where you live. LTC jobs seem more abundant here than hospital-based. Good luck to you.

  • 0

    Basically, if you passed NCLEX, the hospital already knows you're qualified as an R.N. (albeit a "new" RN that needs lot of coaching and training initially).

    So, the purpose of the interview is to find out if you fit into the "culture" of the hospital and the unit. Thus (as the previous post alludes to), you'll be asked situational questions that help the interviewer judge whether you "fit in". So, think about difficult/stressful situations you've experienced, how you've dealt with them, and what you learned from them).

    An important "situation" for a new grad is knowing when to ask for help. You're not expected to know everything as a new grad, so the hospital wants to hire someone that realizes when a situation is beyond your limited experience and is willing to ask for help.

    Lastly, write a thank-you note to all the interviewers, reiterating an important point of discussion and emphasizing your interest in working for the hospital / unit. Write the note the SAME DAY (bring note cards, envelopes, stamps with you) - even consider leaving the thank-you note with the dept secretary/front desk so it reaches them soon after your interview.

    Good luck with the interview and your new career.

  • 0

    I've never been in the military, but.... perhaps that's an option for you.

  • 0
  • 0

    I guess the answer depends on how much notice you plan to give your current employer?

  • 0

    I'm finally going back to day shift after working nights for over a year. I'm busy on nights with 6-8 patients-definitely not much sitting around. On days, there will likely be 4-6 Med-Surg patients.

    Any tips on how to organize the day shift routine and "stay afloat"? (I've searched the threads and found some helpful info ... but nothing real detailed on organizing the day).

    I recall the specific day shift duties are:

    • 3 meals a day (none on nights)
    • Surgery prep, pt's to OR in the early morning; postops in the afternoon
    • Procedures (xrays, MRI.... ) during the day
    • Dr orders to check off
    • Lots more meds on days, espec 9am
    • Dressing changes
    • Discharges to home / nursing homes
    • Multiple new admissions at times
    • Draw labs / IV starts for new admits /IV restarts for expired IV's
    • Update POC / Teaching plans
    • 3 blood sugars on days vs 1 on nights
    • Baths / beds on days vs PRN on nights (but 3-4 cna's on days vs 1-2 cna's on nights)
    • Deal w/ families, case managers/social workers, upper mngmnt making 'rounds'
    Geez! Any helpful hints if greatly appreciated.

  • 1
    netglow likes this.

    I agree with llg about your next steps. Take an objective look at your performance and I know you will discover things about yourself that you can improve. All new nurses (and even experienced ones) have room for improvement in particular areas.

    Regarding preceptors/managers, it would seem more beneficial to have a 5-10 minute session at start of the shift to set priorities/goals, and likewise have a 5-10 min session at the end of the shift to review the day and discuss accomplishments/issues. Perhaps you could include this in your action plan so that you get immediate feedback.

    I'm sorry for your troubles; hang in there.

  • 0

    I think you have to experiment 'til you find the right one for you.

    I tried Dansko at the advice of a co-worker - tried to break them in for weeks and my feet hurt. Right now, I wear TredSafe clogs - found them at Wal-mart. They're made for restaurant workers (nonslip), so I figured it would be good for hospitals. Especially after I slipped and fell on a wet floor at work.

    I also like Merrell shoes - especially if you have rather wide feet - no pointy-toed shoes for this chic.

  • 0

    Glad you like it.

    D=Diet, A=Activity, E=Elimination (Brief, Incont, Foley...), VTE=Venous Thromboembolism (i.e. SCD's, TEDs)

  • 3
    SweetOldWorld, gotlib, and ann4997 like this.

    If you do a search on this site for "brain sheet", "organizer", "time management" etc... you'll find lots of examples.

    I work on med-surg floor (nights), and went thru numerous formats before I found that a 4x6 note card for each pt works best. I have 7-8 patients at a time.

    Attached is what I use; I print it in advance at home. Saves me time writing at work. I buy the index cards in bulk at the dollar store.