Latest Comments by ThePrincessBride

ThePrincessBride, BSN, RN 39,724 Views

Joined Jun 13, '10 - from 'Somewhere'. She has '1 RN, 3 tech' year(s) of experience and specializes in 'Med-Surg, NICU'. Posts: 2,014 (60% Liked) Likes: 5,352

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  • 0

    Background: Have been on my unit for almost one year, working nights and every other weekend. A few day shift positions have opened up. On nights, I have more seniority than more than half of my coworkers, and many of the ones more senior to me have no desire to work on days, so I have a decent shot.

    Pros of stay on night shift:
    WAY MORE money (I will be taking almost 9k/yr paycut...OUCH)
    WAY better parking (no need to get on a bus...night shift parking is within walking distance)
    No management
    Fewer disruptions from pt family members
    Nice(r) coworkers

    Cons:
    Feeling socially isolated outside of work
    Tired all the time
    Health is going to hell

    Pros of going to day shift:
    Better sleep schedule
    Better work/life balance. I find myself wasting most of my days off because I am too tired to do anything else. Plus my boyfriend and family work more normal hours
    More learning experiences. I want to further my education someday

    Cons:
    Coworkers are...yikes
    Management and lots of patient family members
    HUGE paycut
    Undesirable (but manageable) parking


    I am a diligent saver and hope to save enough to shave 10-15 years off my prison sentence (lol), so the biggest issue would be the pay cut. However, I have a PRN job with the state where I can pick up pretty much anytime, and the base is 12 dollars more than my FT base. I KNOW if I worked day shift, I would be more apt to picking up more hours instead of the minimum.

    Another issue is that I am not sure if I see myself here long term. I hope to get a state gig in my specialty within the next year or so. Leaving after being put on days wouldn't be great, and I fear that I will get used to the nice schedule that I wouldn't want to leave to go to nights (with mandated overtime, no less) at another facility.

  • 0

    Quote from Boomer MS, RN
    For your information, here's a link. She is often quoted in nursing theory classes.

    Patricia Benner's From Novice to Expert
    2-3 years to become competent? Dang.

  • 8

    You have twenty-five years of experience and only make 65k/base? Where on Earth do you live?

  • 3
    Kitiger, Horseshoe, and Jules A like this.

    Quote from NedRN
    I'm presuming you are just at the beginning of a long career? It makes a lot more sense to contribute as much as possible to your employer 401 (not Roth) for maximum deferred taxes. That allows the money you would have paid in taxes (if you had contributed to a Roth) grow for the next 30 or so years. That is pretty huge, and should be more than the Roth benefit of less gain (lower deposit amount), but no taxes owed on any investment gain.


    I will say that it does behoove you to put aside already taxed income in an ordinary investment account for a lot of reasons: rainy day (illness perhaps), wedding, and house downpayment. You can take out up to $10,000 out of a retirement account without penalty for a first home (or remodel) - after that there is a 10% penalty before taxes are taken out (no taxes on Roth withdrawals). Another way to free up retirement money is a loan of up to $50,000 against a 401. But if you can be really disciplined every year, you will certainly end up as one of the "millionaires next door" and will be far better off than perhaps 98% of the country's retirees.
    Actually, if OP is at the beginning of his/her career, he/she is presumably going to only have increases in income and he/she may not ever be in a lower tax bracket again. Therefore, I would recommend contributing to the Roth as all the gains (which can be tremendous) would be tax-free.

    I also would only recommend using the Roth as a retirement account/oh no, **** is getting real fund. Not a second savings account. (There are high-yield interest online banks that return 1-2% in interest that would serve this purpose. You also can only withdraw the contributions...you can't withdraw the gains until after 59.5 or you face a 10% penalty.

    Also, I would NEVER recommend a 401k loan unless in dire straits (like facing cancer or something else as catastrophic)...a last resort. Not only are you robbing yourself of the gains that withdrawal could gain, you are also at risk of the 10% penalty if you are laid off from your employer and cannot pay the 401k loan back (in full) immediately.

  • 2
    Kitiger and Horseshoe like this.

    http://allnurses.com/general-nursing...t-1071123.html

    I wrote an article about investing and just maxed out my Roth for 2017 (though it won't be processed until tomorrow!).

    I work two jobs, one of them being in the government (my PRN job).

    From my FT job, I just upped my contribution from 25 to 27% for my 403b.
    For my government job, 10% of that check is automatically taken out and put into a government pension program. Then I have an additional 150 dollars/paycheck placed into my 457b.

    All of my investments are Vanguard, the gold standard. Index/Target Retirement funds (comprised of Index funds that regularly adjust allocation over time) and one low-expense Vanguard mutual fund.

    I don't purchase single company stocks. To me, that is pure gambling.

    I hope to be able to retire in 25 years, at age 50. Maybe 45, if I can swing it!

  • 1
    Here.I.Stand likes this.

    Quote from brillohead
    What is the problem with combining vacation days and sick days into just PTO?

    I guess I don't see the difference between getting two weeks of vacation and one week of sick time versus three weeks of PTO... some people need more than one week of sick time, some people don't need any, but this way EVERYONE gets the same amount of paid time off to use in whatever way they deem necessary for their particular situation.

    I get the impression in this thread that people see PTO as being "vacation time" and feel like they should be entitled to "paid sick days" in addition to the PTO. The problem with this line of thinking is that PTO is NOT the same as "vacation time" -- it is Paid Time Off, a combination of Vacation Pay and Holiday Pay and Sick Pay, all thrown into the same bucket to be doled out as the employee sees fit to meet their needs.

    Some people shouldn't get more time off just because they are sicker than someone else, or they have kids who get sick (or whose school closes for snowy weather, etc.), or they oversleep more than others, or they get hungover more than others. You use your PTO for whatever you need to use it for, and I'll use my PTO for whatever I need to use it for.

    I'm sorry that your kids getting sick means you don't get to take a paid vacation this year, but YOU chose to have kids, so YOU get to deal with the consequences. It's simply not fair for one employee to get several weeks of extra paid time off while another person has to work more for the same amount of pay. Do the work, get the pay. Don't do the work, don't get the pay. Having a child is not a "get out of work for free" card.

    And I say all this as a parent myself. While my son was younger, I worked at a different (non-nursing field) job that awarded me the flexibility to work around my son's needs. I also earned less than half what I do now at that job... but it met my family's needs at the time. Now that my son is older and basically independent, I'm working at a job with less flexibility as far as calling in at the last minute, but I'm earning way more money and I'm able to take several vacations per year.

    PTO is NOT "vacation time". Change that part of your mindset, and you will stop resenting that your sick time comes out of your PTO hours. Remember, employers in the USA are not REQUIRED to pay you for ANY sick days... be glad that you are working in a career that doesn't make you deal with a smaller paycheck just because your kid caught the sniffles.
    Problem is with PTO systems, often the hours accrued are less than that of sick /vacation hour system. Example: Hospital A uses PTO system. Hospital B uses sick/vacation system. Hospital A offers 3 weeks PTO while hospital B offers 3 weeks vacation PLUS sick time. If hospital A offered four weeks of PTO, then it would be equal...but it isn't.

    The rest of this post isn't worth replying to as I feel this mindset needs to be changed.

  • 8
    brido, LovingLife123, Lev <3, and 5 others like this.

    I agree that nurses are underpaid for what we do, but one thing I have noticed is that nurses in general put up with crap that others don't. While filling out a survey, a traveler nurse berated me for some of the negative comments I was putting in my employee feedback (we were having what I thought was a casual discussion), stating that "it was worse" where she came from and blah, blah, blah. So because working conditions are even crappier for nurses in other places, I don't have the right to voice negative criticism of my employer. Right.

    Also, nursing is a female dominated field, including social work and teaching, two fields that pay even less than nursing. My brother hasn't even graduated college yet and has accepted a job as an engineer making 77k with a 6% 401k match (dollar for dollar), opportunities for over time pay AND a 10k sign on bonus. My boyfriend, a CPA, is pulling just shy of six figures with amazing benefits (and only works 40 hr weeks, no weekends, holidays or OT). CPAs, while more diverse gender-wise, most management and higher paying positions are held by men. I, on the other hand, work two jobs and barely grossed 72k, working nights, holidays, weekends, with two highly stressful jobs.

    Part of the problem is the anti-educational attitude nursing as a whole holds. My brother's and boyfriend's professions require a minimum of a bachelor's degree...nursing doesn't. Much of nursing is against raising the standards (while grandfathering those already in the profession of course!). I have repeatedly heard disparaging remarks against those with BSNs online and in real life. It is frustrating and it hurts the profession as a whole.

    Nurses should've seen the writing on the wall when PHYSICAL THERAPISTS needed a doctorate and OT required more than a four-year degree. While I believe that PT/OT are important, they are not the foundation of healthcare. If those professions require extremely high degrees, can't nursing at least require a four year? There would be less of a glut as people would be less willing to spend four years vs. two years to sit for the NCLEX.

    As far as wage compression, I don't see that too often. New grads in my area start at 24/hr while the most senior nurses are making 45-50/hr (and rightfully so). In most professions, in order to see a bump in pay (such as 24 to 50), one must either job hop (which may not work in the more glutted areas) OR advance in his/her profession. Some bedside nurses will advance to charge or preceptor, but the role and expectations of the job stay the same, and newer nurses end up doing the same job and sharing the same responsibility as their senior counterparts.

  • 3
    RN/WI, TruvyNurse, and Rocknurse like this.

    I have my BSN on my badge. And why shouldn't I? I worked my ass off for that degree, so I might as well show it proudly.

  • 3
    saskrn, Kooky Korky, and rquinn0111 like this.

    ^^^

    "Only" 15 days? My job awards 10 days and that must cover sick and vacation time.

    I hope to leave my place of employment for that reason within the next year or so.

    My unit allows only five occurrences in a rolling twelve-month period. After eight, you are terminated. No exceptions.

  • 1
    Not_A_Hat_Person likes this.

    From what I've been told, the demand for nursing is cyclical, but one thing has remained true: wages have been stagnant for quite some time. It kills me to hear nurses were making 20/hr in the early nineties while I was offered less than 24-25/hr in 2015 (after searching nearly four months for a job). Nursing is very saturated, but in the next ten years, the demand in home health, LTC, and rehab nursing is set to soar as more baby boomers start to retire and age out of the workforce (including nurses in this age demographic) and care is moved out of the hospital setting to save costs.

    We are underpaid and overworked, but the beauty of nursing is that there is so much to do besides bedside nursing/shift work. I have been a nurse for almost two years, and in that short time, I have been exposed to so much and have taken care of patients as young as a few minutes old to patients in their hundreds.

    Very few careers have the diversity of nursing and the stability that it offers. My job is never going overseas and lay offs are less likely to occur in the healthcare profession than in business, etc.

  • 0

    I have had only one bad experience with an RT (in adult med-surg) and she happened to be in a direct entry NP program. Was always trying to tell me and other nurses how to do our job when she never worked a day as a bedside nurse!

    Every other RT has been amazing, and I couldn't imagine working in a NICU without one. They have taught me so much and I admire their depth of knowledge in regards to the respiratory system.

  • 1
    bhouse113 likes this.

    Nope. I got a measly six weeks while some experienced nurses received ten.

    I stayed at my first job in med-surg ft for eight months before becoming PRN.No one wants to stay it seems and the most senior nurse on nights has graduated fnp school. After her, the next one has less than two years of acute care experience.

    Quote from Nurse Beth
    It is a scary time to be a new nurse-and overwhelming. I'm curious about your observation that new grads have the same amount of orientation as an experienced nurse.

    In my community, new grads receive significantly longer orientation than experienced nurses. Is this not the case elsewhere?

  • 5
    RainMom, Rose_Queen, Neywel120, and 2 others like this.

    OR won't prepare you for the ED like good ole med-surg.

    Also, you haven't even been offered the OR position yet. Don't count your chickens before they hatch....

  • 16

    Well what does the N in LPN stand for?

    Of course LPNs are nurses. Anyone who says any differently doesn't know any better.

  • 10
    idialyze, pacu72, Rexie, and 7 others like this.

    Imagine our press ganey scores if this was more widespread.

    There are times I just want to give a patient a shot of whiskey.


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