Latest Comments by MissM.RN

MissM.RN, RN 6,227 Views

Joined: Jul 20, '11; Posts: 169 (33% Liked) ; Likes: 125

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    I'm hoping for some advice about what type of work is best for a per diem/PRN job?

    I work full time at the bedside, so I would prefer something a little less physically demanding. I have heard about some colleagues working for insurance companies, but are there any other worthwhile options? I could continue working extra shifts at my job, but it's getting a bit exhausting. Thanks for any/all insight you might have!

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    I have two thoughts about your situation:
    1. nursing is a "24 hour role". no one nurse can be expected to do every possible ordered thing within 8 hours. i mean, if the patient doesn't have a productive cough, how are you supposed to collect a sputum for culture?
    2. urine culture and sensitivity on incontinent patients cannot be collected via urinal or bedpan. This order must be accompanied by a "straight cath x 1 for sterile sample" order. there is no way to collect a worthwhile, non-contaminated sample without it.

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    If you can deal with a cross-country move, look into NH and VT. new grad and ADN friendly. PM me if you need further detail. I relocated too and never for a minute regretted it

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    If you feel comfortable sharing, what is your location?

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    OP, can you relocate? if so, send me a private message. i can give you a couple of leads. if not, best of luck to you. the job market for everyone has been horrible since the 2008 crash!

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    DerAustin and amzyRN like this.

    OP, I echo what a previous poster said: I think it might be time to get your anxiety under control. That doesn't mean you couldn't be a great nurse though! It sounds like you are smart and have some insight. Nursing needs smart, humble people. On the other hand, I will offer that you're going to have to "wipe butts" and that is a hugely important part of nursing. Good skin care and pressure ulcer prevention is essential. I have cared for patients who became septic from infected ulcers, and sadly one of them died. Perhaps being a pharmacist would be more up your alley. Less direct care, still beneficial patient care. Good luck to you! I'm sure everything will work out for you in the end.

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    OP - yes! I graduated at a very difficult time for new grads to get hospital jobs. It was hard to swallow because I have a family, but I'm glad I did. The hiring process at my hospital was ok - long but reasonable. Recommendation letters/CNA experience/essay are musts. My best advice is to be patient and go where the jobs are. I was lucky that my hospital paid for my relocation, gave me a house they owned to live in for 3 months, paid for all of my training including ACLS, and even paid for the gas I used to drive up from my home state! This hospital agreed to hire me before I passed nclex. best of luck to you.

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    Faeriewand likes this.

    OP, you should be thanked for your advocacy and getting this pt to the unit where they belong. As a charge RN, I would simply not accept this patient to my unit, not assign a bed or nurse, and maybe even file a union "unsafe staffing" report.

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    OP, you should be commended for your care and honesty. there are some nurses that i know who would have said "eh" or perhaps didn't even notice the BP AT ALL or worse still, let an entire day go by without any vitals being measured.

    I too wish that there was a way we could just have 3:1 ratio and do all care. maybe one aide just to help answer call bells or help with max assist patients or turns.

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    JustMe54 likes this.

    Agree with both OP and previous posters. That job makes it seem as though you were working at a nearly-bankrupt psyc unit in a prison. oy vey! however, yes many new grads state that the work is "dangerous" when it really is the new grad who can't keep up in a full patient assignment. that's not dangerous - that's just the expectations of hospital nursing. i have a hard time believing that gloves were not provided (sorry I just do). my best advice is to try a doctor's office not in the same location as your prior two jobs, get some experience, then apply to a hospital after at least a year. good luck to you.

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    yesidid, whofan, and Dexterosa like this.

    WHY oh why is "journaling" a new thing in nursing? I find keeping your feelings and opinions to yourself is a lost art. I can't believe your employer (let alone nursing schools) is making people do this. Here's what I would write every day: "thank you, Hospital X, for hiring me". Here's what I would want to write every day: "wow, Dr. So-and-So is an idiot" or "these new dansko's are really tight"



    Best of luck to you, and congrats on being a new grad with a job

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    Can anyone give me their opinion on this: I've put a few applications out to BWH for staff nurse/floor positions and step-down/intermediate. while I heard back and received good feedback from two other rival hospitals, I have received nothing but auto-rejection emails from BWH. Tough to get in there for other people too? Or should I just move on?

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    OP, sorry you're going through that. 6 week new grad orientation for a 6 patient ratio? Unacceptable.

    Please do not judge yourself too harshly given that training and ratio. I refuse to work 1:6 and I am an experienced nurse. agree with previous poster that we always need to be prepared and can't be "too tired for a code" (or however she worded it) but still, staffing is key. I cannot imagine orienting and teaching some of my students/new grads under those conditions. How much meaningful teaching and bedside skill can be taught with 6 patients, two of whom are always confused/impulsive, two are circling the drain, and all need their medications and assessments done in a timely fashion? Best of luck to you. Hopefully you can land at a different hospital system in which cultivation of great nursing care is the priority over $.

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    Boston nurses, how long did it take (roughly) from the time you applied to a particular hospital job to the time you finally heard back from HR or the nurse manager? I am BSN/experienced. thanks in advance for any insight you can offer. it seems slow...hopefully i'm worrying over nothing

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    yes please! i'm guessing ICU would have to be 1:1 or maybe 1:2 at times. how does the nurse : patient ratio work out generally on other units?


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