Latest Comments by CFitzRN

CFitzRN, ADN, RN 7,401 Views

Joined: Feb 24, '10; Posts: 400 (45% Liked) ; Likes: 487
RN Case Manager; from NC , US
Specialty: 7 year(s) of experience in L&D; GI; Fam Med; Home H; Case mgmt

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  • 1
    melissa.mills1117 likes this.

    Quote from Racer15
    Clinical research is another good one! I'm an infusion nurse for clinical research trials and make $75/hour. It's prn but there is a big demand for RNs if you can get your foot in the door.
    Whoa! That's really good. I'm guessing you have to be really good at IVs... I'd need some refreshing.

  • 4

    Also, don't forget Nurse Case Management. Like Julie above, I work with clients on a Medicaid waiver program, but I work with medically fragile children. I oversee their aide or nursing services, respite, assist with coordination for needs such as DME, home or vehicle modifications, etc. Case Management has been a perfect nursing job for me. I work from home 90% of the time, and see clients in their homes the rest of the time (every 90 days). It's a great job.

  • 2
    Morenaa7 and sevensonnets like this.

    I don't think you would bore anyone with your stories. This stuff is fascinating.

    The tall skinny thing in a dark open field in Minnesota is pretty freaky too, LOL.

    I love how this thread just keeps going... and going... and going...

  • 0

    I work for a Case Management agency contracted by the state. It is called RHA Health Services - look for it in your area.

  • 1
    Finally2008 likes this.

    i fall easily into this category and suffered greatly when I began my new grad position on the Labor & Delivery floor of my hospital. My inability to be perfect messed with my head really badly, and also made time management nearly impossible. I didn't realize my personality type was sabotaging my job but in hindsight it most certainly was. I am very grateful to say that God has provided for me many times over since then. I worked PRN in a family practice office, while working recovery for a free-standing Endo clinic, which was great. My next job was as a field staff supervisor for a home health agency - learning policy, writing plans of care, doing supervisory visits to clients' homes, teaching CNA level orientation, etc. Great job for me. That segued into the job I have currently - RN Case Manager for disabled children on a Medicaid waiver program. I work from home the majority of the time and see clients in their homes every 90 days. It's a lot of computer work and my assessment skills have become stronger (it's a whole different kind of assessment from the ones you would do in a hospital though). There are many options for nurses who may not be suited to hospital floor nursing. Case Management has turned out to be my thing, and I urge you to look into it. I wish you the best!

  • 0

    Honestly, that sounds like one of the first levels of hell. There are most certainly any number of other nursing jobs you can get.

  • 0

    Is there an overseeing doctor? Can you ask him to write orders for this OTC med for the men? Are the men not able to choose to use OTC meds themselves while in the facility? I have to say, I am very rusty with this because I do case management and have for a long time, so I don't know the policies or regulations with OTC meds in a facility like that one. You sound like a kind and compassionate nurse though.

  • 6

    I've read some comments but there are so many, I can't read them all. Instead I'll just say this: I could have written this post. I went to nursing school at the age of 42, after being a stay-home mom for 17 years. I sailed through nursing school, graduating with honors. Clinicals were sometimes scary, but mostly I got through fine. I landed a job offer in Labor & Delivery 6 weeks before graduation. I was thrilled. I passed NCLEX with 75 questions on my first try and I was done. I oriented on days (but was hired for nights). My first patient had a post-partum hemorrhage and it was horrific. Of course my preceptor and others took over and did what needed to be done, but I was blown out of the water. I kept at it, but I stopped sleeping. I was terrified on the floor. My coworkers were NOT supportive or kind. I would get in trouble for spending 20 minutes with a new mother teaching her to breastfeed. I would hesitate to give meds because I was paralyzed that I was going to OD someone. I was miserable and riddled with anxiety anyway, but then I started on nights. My preceptor told me I'd probably do better on nights because it was usually less busy (or at least, didn't have doctors and family members everywhere). It was okay, not horrible, and I think I would have eventually gotten it, but I was still not sleeping. I would come home after 13 hours and take a bath and try to sleep, only to "nap" for maybe an hour or two, then would be wide awake. I would freak out because I knew I had to be back at work at 7pm and I was completely exhausted. I was coming up on 90 days, and I knew there was no way I could keep doing this. I begged our nurse manager to find a position on days for me, but she said there was no way. I thought about transferring to days on another floor, but honestly, I felt like a miserable failure and I had fallen into despair. I had lost 25 lbs in 6 weeks and I was paralyzed with anxiety. Very unlike me, I made the decision to walk away. I have never felt more desperate or useless in my life. After a couple of weeks of thinking I had wasted years of my life, and then digging myself out of the pit, I started looking for work. I prayed a lot. Over the next few months, this is how it went: I did flu shot clinics for several weeks, then I took several PRN jobs in GP's and Pediatrician's offices and did that for several months, then I got a job as a recovery nurse in an endo office (they had a separate endo clinic) which was perfect for me, because the risks were very low, and then, after a few months of that, I was hired as a staffing supervisor at a home health agency. I got that job because I was told my intelligence and excellent communication skills were more important than my experience. I taught orientation to CNAs, I wrote policy (which took a lot of Board of Nursing research), I wrote plans of care for CNA-level patients, I did supervisory visits to CNA level patients, I interacted with pcp's and other health care team members for our clients, etc. I did that job for 2 years, and then for many reasons I won't go into now, I had to leave that job to home school my youngest son for a year. Once our school year was over, I thought I would never find another good job again, but within a week, I was hired as an RN Case Manager for a Case Management agency. I oversee the Case Mgmt for disabled children on a Medicaid Waiver program. It is a dream job. I work from home, I set my own schedule, I see my patients every 90 days in their home, I do all the annual work to keep them on the program, I make contact with their PTs, OTs, Speech therapists, DME companies, etc. I have been blessed beyond measure, but I believe God led me to nursing for another reason. I volunteer my nursing services at a free clinic on weekends, and I have been trained in obstetric ultrasonography and I volunteer in a pro-life pregnancy center a couple of days a month. Saving the lives of unborn babies has been the joy of my life. I guess I'm writing this to tell you that you are not alone, and you are NOT a failure. When you say "floor nursing is not for me" I know exactly what you mean, and I relate 100%. I am not stupid, and I am not a quitter. I knew I was in the wrong place almost immediately, and when it became clear it was not working for me at all, I had to walk away. I wouldn't advise everyone to just quit. In fact, there are many times I've regretted not pushing through the pain and fear and doing what I had to do to make it work. But at the end of the day, I found what I am good at and what is a blessing to me, and you will too. Don't give up.

  • 1
    Nurse Beth likes this.

    Can you elaborate on "writing gigs"? What sort of writing jobs can a nurse have?

    Thanks in advance.

  • 2

    Okay, literally seconds after typing my post above, I received the following email (mass email for Lent from Fr. Richard Heilman):

    "THIS DAY WE FIGHT



    Spiritually speaking, the devil is doing all that he can to catch us isolated and unarmed on the battlefield - no spiritual armor, no spiritual weapons, and no comrades in the heavenly realm to fight alongside of us. In other words, the reason evil is promoted so effectively today is because we're ignoring God's offer of supernatural strength and power and ignoring the mightiest of all allied forces: the Communion of Saints.


    C.S. Lewis wrote, "Enemy-occupied territory - that is what this world is. Christianity is the story of how the rightful king has landed, you might say landed in disguise, and is calling us all to take part in a great campaign of sabotage."11 The Catechism of the Catholic Church reminds us: "This dramatic situation of 'the whole world, which is in the power of the evil one,' (1 Jn 5:19; cf. 1 Pt 5:8) makes man's life a battle: 'the whole of man's history has been the story of dour combat with the powers of evil, stretching, so our Lord tells us, from the very dawn of history until the last day. Finding himself in the midst of the battlefield, man has to struggle to do what is right, and it is at great cost to himself, and aided by God's grace, that he succeeds in achieving his own inner integrity' (Gaudium et Spes, 37:2)" (CCC 409).


    Are you ready to do battle? In the movie, Lord of the Rings: Return of the King, Aragorn calls his men to throw down the gauntlet against the forces of evil. Let this call be ours:


    'My brothers! I see in your eyes the same fear that would take the heart of me! A day may come when the courage of men fails, when we forsake our friends and break all bonds of fellowship. But it is not this day. An hour of wolves and shattered shields when the age of Men comes crashing down! But it is not this day! This day we fight!' "

    Just found that pretty coincidental and thought I would share.

  • 2

    I really enjoyed this. COOL pictures too. I found myself nodding at a lot of your post. I absolutely do think that children are more sensitive to the supernatural. I also think fear is a beacon to demons, and children tend to fear a lot. I was a very fearful child too, and I experienced a lot of 'stuff.' But after living for 51 years and seeing my share of crap, and learning spiritual warfare, I have almost no fear anymore, except about things like my children dying or suffering, but not of satan or demons. I am Catholic also, very devout and practicing, and I have 4 sons. One of them is what I call a "sensitive." He has experienced more crap than you can imagine. I've read about some of the Saints, and how they were attacked (literally attacked - mentally AND physically) by demons during their lives. It is sobering, the thought of how real the spiritual realm is. It's not just stories in a really old book. We are fighting forces of evil and we need to know how. But I digress here. Anyway, thanks for sharing your compelling stories. P.s., my husband of 29 years went to Tulane University. I loved visiting down there; such rich history, such amazing people and places.


    Quote from Toastedpeanut
    I've been reading these for days & holding out. I'm gonna explode if I don't share.

    Before I became a nurse I worked at an ante-bellum garrison on the Mississippi River. I think construction on the place began in the late 1700’s. It was once used as a military hospital, and the engineers found buried Indian remains twice, along with a group of buried horse bones. We knew the history tied to this, it wasn’t a legend or myth or anything. Back in January of 1815 & the time around then, everybody in this part of the country banded together to stave off a final attempt by the British to take America via Lake Borgne & the Mississippi. A lot of the people who fought for the cause were Indians from the families who lived there long before post was set up. The bones that were found belonged to some of these families, so we involved the local tribe in the repatriation and general handling of these remains. The horses had been shot and buried by their owner, (who was either depressed or insane, I'm not clear which). Right after he slaughtered his horses & buried them, he hung himself. This was on the back part of the post, right by one of the canals that busted during Hurricane Katrina.

    I was sitting in my tiny office one day during a bad storm. This was right after the hurricanes flooded the post. Most of the employees were moved up river to another facility, as for now the repairs would have to be done… and it would take years. Well it was a holiday, but I didn’t have the day off because I had just started working & hadn’t accrued any time. I thought I was the only one in the building, but I heard somebody running up the stairs & breathing hard. The halls were dark & I was enjoying the sounds of the storm, but I went out into the hall to see if I could help, and there was nobody there. I knew what it was...

    You can just feel it all around you whenever you’re walking around the post. I called the MP at the gate & he said everybody had gone home early. The longer I worked there, the more history I learned. There was a late 20-something female who had hung herself in the tree on the front lawn of one of the buildings. The tree is still there today. I don’t think the one with the heavy breathing was female though. One of the wives told me in the ante-bellum house where they lived before the storm, there was a resident ghost. It’s just something even visitors accepted. A lot of officers rented out rooms in the two remaining towers, and they’d be woken in the middle of the night to the sound of armies marching. Nobody made a big deal though, because what can you do?

    Here are some old pictures of the post buildings:
    [IMG]http://allnurses.com/attachment.php?attachmentid=21291&stc=1[/IMG][IMG]http://allnurses.com/attachment.php?attachmentid=21292&stc=1[/IMG][IMG]http://allnurses.com/attachment.php?attachmentid=21293&stc=1[/IMG][IMG]http://allnurses.com/attachment.php?attachmentid=21294&stc=1[/IMG][IMG]http://allnurses.com/attachment.php?attachmentid=21295&stc=1[/IMG]

    I grew up & went to elementary school right across the river from this (the school was torn down in 1998 & made into a suburb - yuck!)... well part of this battle took place on the school grounds. You can still see the trench from google Earth. We found some musket balls/bullets, and other remnants from this period in time.

    Another story: When I was 8 years old, I was lying in bed at night, trying to fall asleep. I didn’t have a nightlight on, but my eyes had already adjusted to the dark, & there was a touch of moonlight coming through my window. I could see an ashen face in the hallway looking at me, kind of like she was peaking at me from the hallway. I thought it was my mom, so I called out “Mama?” Nothing. She didn’t change facial expression, didn’t move, nothing… just kept staring and smiling at me. Well I got so scared that I froze! After the minutes wore on, I gradually pressed my back against the wall & slid into the crack between my bed & wall. I mean, I didn’t wanna close my eyes for a second ‘cause I was scared “she” would be before my eyes in a flash. Somehow I managed to fall asleep after what seemed like hours. The next day I asked my mom if she’d watched me from the hallway & she said no. I remember feeling like I was mad at my parents for making me sleep in a house with a ghost, but I let it pass. Well one year later I was going through old photos with my mom & grandma, & I came across a photo from the 1910’s or so. I told them, “This is the lady who was staring at me from the hallway that time.” My mom looked at my grandmother in a shocked way. I had never seen this lady before, but they told me then & there, “This was your great-grandmother. She died in 1950.” We never really talked about it much, because again: what can you do?

    I remember being a lot more scared of things as a child, & I’m not quite sure why. Things like the woods (even that name freaked me out), cemetaries, old houses in the French Quarter & uptown… I always felt something. And as the years went on, I’m no longer very afraid of these things ‘cause I don’t feel like presences will hurt me. It makes me wonder if we really do “see” more things as children… are we more sensitive to the spirit world when we’re kids? I’ve also felt like I’ve been places before, but in a different body & a very long time ago. I started believing in reincarnation at a young age because of this, but my Catholic faith says that reincarnation isn’t real. So when we do have these feelings, are we experiencing something our ancestors felt? So many questions, but no answers. I don’t think science will ever be able to touch this.

    My first experience as a nurse: I was taking care of an elderly patient. She was hostile with everybody and always grumpy. Her daughters were with her most of the time, but she could no longer even carry on a conversation with them. Well her daughters went off to lunch, and I went into her room to give her some medicine. She was sitting upright in bed with the most beautiful smile on her face, talking to an empty chair. Again, I knew what this was...

    I didn’t tell anyone about it, but I knew she was talking to someone she had known a long time ago, who had since passed on. I really believe this.

  • 5

    I'm pretty sure I posted this somewhere in this thread, but in case it was missed, I believe I encountered a patient that was, at the very least, influenced by a demonic entity or possessed. As a nursing student doing one of my first clinicals (I think it actually was my first if I recall correctly), I showed up at the step-down unit and the nurse employees giggled when I got there. I asked what was funny, and the charge nurse said "oh, your assigned patient is interesting" or something to that effect. I looked at his chart and he was described as having borderline personality disorder. I was actually a little intrigued, as psych nursing was something I'd been interested in, although he wasn't admitted for that. Upon entering his room, he looked at me, narrowed his eyes, and said "oh, you're Catholic..." From my limited understanding of demons, they react most negatively to Catholic clergy and laity. I smiled at him and said "yes I am. How did you know that?" He claimed it was due to the cross necklace I had - which makes no sense because I don't wear a classic crucifix - I wear a Celtic cross. I could have been any Christian denomination. That was an interesting day, to say the least. He continued to make comments about me that he couldn't possibly have known. I made it through fairly unscathed though, I'm glad to say, and didn't have him as a patient again.

  • 0

    It's good that this thread has been revived just in time for the season of All Hallows. Please share your ghost stories with us!

  • 1
    CoffeeGeekRN likes this.

    Hey, I think it's pretty cool you've stuck it out for 5 years. I only did bedside care for a short time before I knew I was absolutely not cut out for it. I've been blessed in that I landed a couple of great jobs not involving bedside care (RN supervisor for a home health agency and my current job, RN case manager). There are some decent alternatives out there for you.

  • 2
    CoffeeGeekRN and TU RN like this.

    "I just feel like another number, not a person."

    You just described hospital nursing to a 'T' - at least my experience. I couldn't stand the completely depersonalized nature of it, like I couldn't ever just speak as a friend to a patient without getting in trouble for doing something I didn't have time to do. Really? When did nursing become this robotic, nameless, faceless task that has lost all sense of the personal and caring nature it once had? I just don't see that anymore, and it is a shame. It's not nurses' fault, either, it is the way hospital care has evolved. It's awful.


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