HisTreasure, ADN, RN 10,289 Views
Joined: Apr 27, '04;
Posts: 821 (17% Liked)
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BSN student; from
10 year(s) of experience
Is your hospital currently hiring PCTs? As a student you may be able to be employed as a tech which will bring a lot of useful experience and opportunities to learn. You will already have a working knowledge of the technical aspects behind phlebotomy and tele which will prove invaluable once you start skill labs and clinical. Your employment as a tech may also count towards your overall tenure at the hospital once you become licensed which may help you get moved into an RN position of your choice or give you preferential standing if you apply for a BSN residency program at your hospital once your pass your NCLEX.
After your first semester you can probably challenge the CNA exam and get certified. This will be useful if you want to work LTC or perhaps rehab. There is a lot of value in going that route, as you are the first line care giver and the time management aspect of floor nursing will be lessons you learn early on. There is still a likelihood of future employment as a nurse, especially if your facility is associated with a larger hospital system that you can transfer within, should you so choose. Working in acute rehab I was able to better mentor the CNAs, especially the student nurses or those who showed an interest in completing school in the future. CNAs are able to form a closer working relationship with both the staff and the patients, as they are longer term. Maintaining multidisciplinary relationships and perfecting your bedside manner are important skills whose importance should not be overlooked or underestimated.
To think outside of the box, I know a gentleman who finished his pre-reqs then took an EMT course in the interim between pre-reqs and waiting for his time to start nursing school. He would do 24 or 48 hour shifts while in nursing school. The pay wasn't what he hoped but he said the experience was invaluable all around. The schedule was also a good fit for his education and studying. He still works pre-hospital on a volunteer rig a couple of shifts per month for our town. He's a great guy, planning to go for his PA in the next few years since he does have an interest in the medical model and feels he can be a better provider coming for both an EMT and nursing background.
Worst job was as a child care associate. I loved the kids- always had a tender place in my heart for them, always will, however, this center was poorly managed and inadequately maintained. I didn't know about child-adult ratios at the time but I knew it wasn't right for a 17-year-old to be left solely in charge of 6 toddlers for any long stretches of time. Sometimes the main teacher would be floated to another room and I would have the whole 2-year-old room from nap time until around 4, 4:30 when kids started going home and the rooms could be combined. The director was mean and nasty from day one, and the last straw (or close to the last straw) was when I witnessed the main teacher withholding lunch from one particular baby for the third day in a row for "misbehaving." I thought it was cruel the first time it happened, but by the third day I realized she just didn't like the little boy and would use any excuse to abuse him. I reported her to the director, who in turn wrote her up on suspected misconduct and the teacher started being really mean to me but at least she left the little boy alone. I quit a week later.
I'm no longer in Atlanta. I'm back in NY. I have to update my info. However, if I were still in Atlanta I wouldn't bat my eye at an hour's drive because most commutes are at least that, especially if you have to take the Perimeter during rush hour. Back here an hour is a big deal.
I have a job opportunity for a private client about 1 hour away. Part of it thinks it would be great because 3 shifts would be over $800 a week but I would be commuting 6 hours a week, which I'm not sure I'm too excited about- especially in the winter. How far is your/would you commute to do a private case?
$24.31 for low tech/adults, $33.71 for high tech pediatrics. No benefits and no taxes taken out (independent). However, I rarely work PDN. I work in ALF as a supervisor making $20.50 with benefits. It's not the highest pay I've ever seen but it pays the bills, especially as an LPN. When I work agency I make $22-23/hr. In the end, however, it's not how much you make, it's how much you spend. I have CNA friend ecstatic to make $15.50/hr and are living quite well.
Emesis and flying sputum. Emesis engages my gag reflex EVERY time, even if I eternalize it; and adult sputum with the open trachs that they insist on coughing across the room and everywhere in-between. Really, dude?????
I have been prescribed diazepam as a muscle relaxant for some time. I prefer it to others because I don't have a lot of the negative side effects I had on other musculoskeletal meds and I am able to function and actually work, which I NEED to do. Yesterday I went to an "interview" for a private case for a baby who is still in NICU. It sounds like a nice case to have every other weekend. Anyhow, Mom asked for a copy of my BLS for HCP and when I reached into my purse to get my wallet my pill bottle for diazepam fell out unto the floor. Dad picked it up and (WHY?!) looked at the label before handing it to me. Neither parent said anything at the time and said they would call me to set up a time to meet again after the baby came home. Today I received a text message that reads: "What mental illness do you have that requires use of valium?" I couldn't stop the tears from laughter. I replied simply, "none, that I know of." I haven't heard back. I can tell now, this case will not be a good fit.
Sometimes, if you want good help, you need to go a bit out of your way. If it's affordable, and won't be a major inconvenience to the family. Most things you listed are not major inconveniences to many people, but I guess it would depend on the family and their individual needs and resources.
With that said, we always provided a Keurig, K-Cups, snack basket, mini-fridge with bottled water and juice inside, microwave, TV, digital cable, Wi-fi, Netflix password, glider with ottoman, etc. to the nurses. Not a huge deal to us, but we chose to be in a situation that warranted having nurses in the home, and thus, we prepared adequately to provide a warm and welcoming workplace. Yes, the home is a HOME, but it's also someone's workplace and we wanted our nurses to want to come to work. We budgeted for the extra snacks on the bill, the faster internet, and the extra microwave and fridge in the home. We didn't notice a difference in the electric bill, but then again, when you're running a vent, compressor, feeding pump, and charging backups around the clock, you probably wouldn't notice the small bump in usage from a MICROWAVE. And honestly, I never heard the microwave over the compressor. EVER. How could you?
Perhaps, and I don't know this family's story so this may not be possible, you can discuss your concerns with your agency to see if there are reasons WHY this family is being so unaccommodating? Is there a negative nursing history? Are they fearful of possible distractions? Are they just woefully ignorant in regards to how difficult staying awake in these conditions can be? Do you have the rapport to bring it up to them in a non-threatening way? Personally, I think access to WIFI isn't necessary, but I do think it's standard, at least in these parts. It's not difficult to setup a guest account and post the credentials for the nurses to use. When or if you feel like it's being abused or misused you change the password or lock it down fairly easily and quickly. Idk... I feel bad. In my humble opinion, this family is not working in the best interest of their child. Good nurses often seek good cases where they feel appreciated. It doesn't take much to show a nurse that you appreciate their worth...
I am a doula and this... this... Just. Thank you.
I really like you SDALPN! You have this PDN thing DOWN!
I had a mom rearrange an entire feeding schedule so that the last feed of the shift ended at least an hour before the end of the shift so that the child would stool before the nurse went home. Seriously! I had a mom upset with me because her child aways had a bowel movement after my shift ended. She said she was tired of cleaning his "s***" and that's what the nurses were for. First she was going to extend the shift an hour but we nurses couldn't accommodate the later start and/or later end, so she changed his feeding times (and that was OUR fault, also, since we had lives outside of her case). Poor angel had dumping syndrome.
I have been chatty in the past and it has backfired. I knew so much about the family and their lives, their financial struggles, their marital problems, and dysfunctional in-laws, that I felt comfortable, and almost obligated to talk about what I considered to be benign personal stuff: pets, kids, husband's new job (at the time), the trials of car shopping or house hunting... It was all used against me in one way or another while I was on this one particular case. That mom just had a great way of taking a snippet of a conversation and regurgitating it back in a very unsavory way. I decided to buckle up my upper lip. Soon after she asked me to leave the case because I became "cold, distant, and unsociable." No, I was just tired of having something I may conversationally and organically mention during an hour drive to the specialist about the rude car salesman I encountered over the weekend becoming an opportunity for her to lament about how much money I was making off of her son and my priorities being out of whack because of the types of vehicle I was researching.
On the flip side, I did ask questions about family life, hobbies, other obligations, and general interests of the nurses who came through my home. I asked, not to be nosey, but to learn about what may or may not be taboo. I try hard not to step on toes, to be considerate of others, and I am extremely non-confrontational, so if I know that you spend your weekends I church I will feel comfortable expressing myself fully in my own beliefs and I won't EVER ask you to work a Saturday or Sunday (based on when I know you worship). Likewise, if spirituality is something you aren't comfortable with the I will limit my speak, music, religious activities during your work shift to make sure your environment remains comfortable for you. Additionally, I like to give small tokens for a job well done. If you tell me that you LOVE French vanilla lattes, then you may come in to work on a random Tuesday and find a $5 Tim Horton's gift card attached to the communication book with a "thank you" note for all that you do, or if I know that you have kids and your daughter is really into The Disney Princesses right now and you love to garage sale, I would feel completely comfortable offering you (free of charge) the princess costumes that I planned to donate to my mom's garage sale that my daughter has outgrown but are still in perfect condition. Stuff like that...
I had to leave the group after less than an hour of browsing. I am on foster parent support groups and one is for foster parents of special needs/medically fragile children. That's going to have to be good enough. My initial thoughts when I was added was "wow, this sounds like a great group to be in, and I'll get some insight into what's working/not working in other SN homes with working parents, health concerns, students, etc." which isn't really addressed completely in the groups I currently belong to since so many of those foster parents are stay-at-home parents or work part time only. I'm working per diem (but usually done in two doubles and a sporadic single to get full-time pay) and I'm in school full time. We were going to wait to go back to fostering but that would mean waiting YEARS until I finish my Master's and there is a great need for medically specialized homes here and an even greater desire to go back to it so we're doing it now now. We just have to find a way to make it work. I hoped the group would help with that. Super disappointing. I *did* get a great document that is essentially a "manual to our home" that a parent made, when imported into Pages was gorgeous and will make a great template for something to give to the nurses coming into our home (with many modifications, because I tend to be a bit more laid back than most) so it wasn't all bad. But, bad enough.
I was invited to join a group on FB for parents of children with special needs. This group was back-to-back inflammatory messages about home nurses, LPNs vs RNs vs Sucky NEW RNs, etc. It was so distressing I had to leave the page in tears. I don't understand! I've worked as a PDN and still do, occasionally. I have had nurses in my home in the past and I plan to again in the near future. I have had my share of "not-so-great" coworkers and "not-so-great" nurses working with my foster babes but I would never go on a site and tell NICU moms awaiting discharge, already concerned to "watch out for those horrible home care nurses" or "Maybe you can try it without nursing, you'll be better off..." or "get cameras. Most likely the nurses you get won't even be properly trained."
I don't know where I'm going with this message. I just feel sad. So many upset parents! I understand people are more verbal when they're dissatisfied, but geez... *sigh* I feel horrible that there is a group of nurses that disgusted with nurses.
That's best left to the supervisor. If the nurses discuss it with her, she may resent the nurse or think there is more to the talk than really is. Let the supervisor be that person. Plus it allows the supervisor to experience things as they are vs hearsay.
I am totally not saying everyone involved doesn't have a reason to not want the case... But... Has anyone just stopped and talked to mom? Asked her what her concerns are and if she wants to talk about it? Assured her you were there to help her child? Honestly. Not being adversarial here. Just a thought. Maybe she is dealing with postpartum depression. Maybe something nasty happened in her past. Maybe she is feeling guilty that she has in some way caused her child this situation. I am absolutely behind you if this has all been done, but it's just a thought.
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