Latest Comments by KelRN215

KelRN215, BSN, RN 61,209 Views

Joined: Oct 19, '10; Posts: 6,678 (59% Liked) ; Likes: 14,375
Complex Care Manager from US
10 year(s) of experience in Pedi

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  • 0

    Quote from pdarlyn1
    I plan on moving to Boston because my husband got a new position there. How long did it take your friend to get her license?
    I believe she said it took several months.

    Do you have a BSN? If not, getting a hospital job in Boston will be difficult. What kind of position(s) are you interested in?

  • 1
    bleafcna likes this.

    Sister Callista Roy is a professor and nurse theorist at my alma mater and I still don't remember anything about her model.

  • 0

    I worked as a nurse's aide for a summer during nursing school. I had a new grad job secured on my #1 unit prior to graduation but I'd also done 2 clinicals on that unit so it was my connections that got me in. I had no desire to work as an RN in the hospital or on the floor that I had worked as an aide on. I only worked there because it was close to where I grew up/lived for the summer during college. As soon as I graduated, I got the hell out of Dodge.

  • 3
    CallMeSally, elkpark, and klp2006 like this.

    What kind of program did you attend where you learned everything you needed to know for nursing in the first 2 years? My first 2 years were mostly core classes and then pre-reqs like A&P, chem and Microbiology.

  • 2
    sallyrnrrt and TigraRN like this.

    I think most of the craziness you're describing is from your family life and not nursing school. Once you're working as a nurse, your kids will still have studying, homework, sports, there will still be laundry and dishes, etc. You will presumably have to work weekends once you are employed as a nurse so you may have some days off during the week while the kids are in school that will grant you a little bit of down time.

    I don't have kids. I spent all day yesterday in my pajamas and plan to do the same tomorrow since my area is expecting a foot + of snow and I rearranged my patients so that I could work from home all day. So basically, it's all relative.

  • 0

    Quote from Dreaming on the beach

    Hubby's job is very stable, no possibility of a job move, almost zero chance of being laid off. But if we moved, I think I could find employment in any of the areas. My job only contributes insurance and play money.

    I kept it vague originally to gauge thoughts on the picking process because IRL it causes quite a reaction in nurses when I ask and they base their thoughts on their feelings about the specialties.

    But the areas I am looking into are WOCN, palliative care, and lactation consultant. Totally different areas but if my boss came to me today and said my new job would be in any of those three, I would be delighted, sign up for the certifications, and start tomorrow. But I can't decide which. Due to the pt population of my floor, I regularly deal with all three areas and perform the work regularly with wound care being the largest and lactation the smallest part. (Yea I know that's a really strange floor)
    Which one of these do you consider to be the most limited? Because I can tell you all 3 have a place in home health. In your OP, you said only 2 can be anywhere. I'm guessing it's lactation consultant because wound and ostomy care and palliative care most definitely have a place in Home Health. I worked with 2 nurses when I worked inpatient pedi who went to do home health MCH visits. Both are now certified lactation consultants still working in home health. 1 even has her own business where she sees patients privately.

    For me I'd pick palliative care but that's because I'm not interested in wounds, ostomies or lactation. I think all 3 of these positions would offer a fair amount of flexibility. Are these positions actually posted/is there a reasonable chance you could be offered them? I think, in general, you already have to be certified to get lactation consultant or WOCN jobs so if it was you vs someone with certification/experience, that person might win out.

  • 0

    Quote from pdarlyn1
    I was tested in Hawai. I don't have a job yet. Is there a lot of competition to get jobs? what kind of pay and benefits are available?
    Yes, there is a ton of competition and you need connections to get into most of the Boston hospitals. Almost everyone I know needed a connection to get in. Definitely don't move here and think "I'll just get a job once I get there" unless you'd be happy working in private duty nursing or a SNF. Salaries are generally higher in Boston and lower in the suburbs. If you live outside of the city, though, be prepared to spend ~$300/month or so on parking (unless you want to work permanent nights).

    If you're licensed in Hawaii, why do you want to move to MA? We're getting like 2 feet of snow tomorrow, on March 13th.

  • 0

    Quote from JRay813
    Sorry for further clarification, I live in the state of Florida, which from what i read follows the same laws as federal labor laws. Also I am a salaried employee right now
    By law, they do not have to pay you OT. As a salaried employee and a "learned professional", you would be considered "exempt" from the FLSA.

    That is not to say that you can't negotiate for more pay but your employer is not required by law to pay you more.

  • 0

    Quote from Mary3010
    So basically you could be having night/afternoon shift every day in the week.

    I suppose the body is trying to get rid of the toxins - that makes sense.

    That sounds good! So does that mean you could also work in emergency? Like can any nurse jump from one ward to the next e.g from paediatrics to accident and emergency for instance or can they only have similarities e.g dealing with children with paediatrics to maternity or neonatal (in a way they are connected).
    I am not sure how it is in your country but in the US, nurses are educated and licensed as generalists. I have only ever worked in pediatrics but I could switch to geriatrics at any point in time if I so desired (I don't). A pediatric nurse can leave pediatrics and obtain a new job in the ER (one of my best nursing friends did this a few years back) but within a hospital, a pediatric nurse generally wouldn't be floated from inpatient peds to the ER. When I worked in the hospital, no one floated to the ER unless it was a float pool nurse who had been trained in the ER. The ER had on-call nurses for if they needed help.

  • 0

    Quote from Mary3010
    Thank you for your help!!!!

    Can you only combine nursing and education in schools or can you combine them in other areas such as:

    -Doing nursing a couple of days in a week and teaching nursing at a university/other institution the other days

    -Doing nursing some days and teaching people about health related things on other days (or during those nursing days).

    -Do nursing in a hospital and teaching the patients as well (maybe a pediatric nurse could do that for school children).

    I'm not even sure if you could do those combinations but they're just ideas I had.
    Thank you so much!!!
    Teaching is a HUGE part of nursing. Not school-type teaching, though. Nurses in every field teach their patients. They teach about medications, about disease management, about follow-up needs, about symptoms to report, about well child care, etc. Teaching was the biggest part of my last job as a home infusion liaison. I taught parents things like how to administer tube feedings, IV antibiotics or TPN to their children.

    In order to teach nursing at the university level, you generally need a PhD or some other form of doctorate.

    I am guessing that you are not in the US, based on your use of the term "Accident and Emergency", but a nurse in pediatrics would not have time to teach her patients as if they were in school. Children who are hospitalized for a long time will get tutoring. This was arranged by the Child Life Specialist in the pediatric hospital I worked at.

    When I worked in the hospital, I was expected to work 50% days and 50% nights as well as every third weekend.

    There are positions that are day only, Mon-Fri- of my 5 nursing positions, 4 have been these types- but these positions require experience. Everyone needs to pay their dues first.

  • 2
    dudette10 and Here.I.Stand like this.

    When I was a manager in a home health agency with a large PDN population, our nurses did accompany children on their Make-A-Wish trips. The nurses were paid for the hours they worked while there and the agency paid for their FL license or arranged something with the Florida BoN. I'm not really sure because I know, from my last job at a national home infusion company, that nurses in Florida need orders from a Florida MD to provide home nursing care. I am honestly not sure who covered the nurse's travel expenses- Make-A-Wish, the agency or the family.

    All of this should be arranged through the agency that places you in this patient's home. DO NOT try to arrange this yourself with the parents. No good can come from that.

  • 3

    Quote from knj04a
    Not really sure why it would matter about that no one knows me and I have nothing to hide!
    You may not think so but I doubt you'll find anyone to specifically chime in and say "yes, I work on this floor. My name is Betty Smith. I've been there for 10 years and I recommend you stay far away" or anything like that. People like to preserve their anonymity around these parts. Who knows, nurse managers from those floors could be lurking around and could talk to each other and figure out who the nurse they both offered a night shift position to is.

  • 0

    Quote from Sour Lemon
    Wouldn't this vary by state? The overtime laws in my current state are different than the ones in my home state. It took some getting used to.
    There are both Federal and State specific laws. The ones that apply to each situation are generally the ones that protect the employee more.

    OP, are you paid hourly or salary? It's not clear to me based on your post.

  • 1
    bjwojcik likes this.

    Quote from Katieexi3
    Well 5 grain is equal to 323.995mg. That's where I am stuck. You can't give a fraction of a tablet lol
    Indeed you CAN give a fraction of a tablet. We cut tablets all the time in pediatrics. You can't give this particular fraction which is 0.93 tablet so you'd end up giving the whole thing. In the US, Aspirin is available in 81 mg and 325 mg tablets. In other countries, it is available in 75 mg and 300 mg tablets. Perhaps the ordering MD is from a country where the typical adult dose is 300 mg. If so, have the Pharmacy call him and explain that in the US, the typical adult dose is 325 mg and ask him to change the order.

  • 0

    Quote from Premiee82
    It's just a $$ maker and you don't get any extra && by having it. If the places want BSN so badly, then the hospital needs to pay for it.
    Actually, no they don't. If a hospital wants to hire BSNs only, they can do just that. There is no shortage of BSN prepared nurses applying for these jobs. It's an employer's market, they can do what they please. The onus is on the prospective employee to research what their desired employer(s) require and to meet those requirements, not for the employer to change their requirements. In areas of the country where there isn't a surplus of nurses or at community hospitals where new grads aren't begging for employment, ADNs have an easier time getting hired.