Nurse ABC 7,883 Views
Joined Jan 4, '12.
Posts: 439 (42% Liked)
Our hospital for med-surg units people are hired for straight nights or days and only weekends or only through the week. The weekend nurses get paid a lot more money (like $7 more/hr). Then if you need a day off you request ahead of time and they try to schedule it in. Holidays are rotated. The weekenders choose to work weekends to get paid well and the weekdayers are happy because they know they get every weekend off. Everyone is happy! Not all hospitals will approve of such a thing but it does work great if they do!
Congratulations on your new job! I think it's a great idea to stay per diem at the hospital. It gives you a back up if you decide school nursing isn't your thing and keeps your skills fresh. If you decide after a while you love school nursing and don't plan on ever returning to the hospital, it's fine to give that up if you don't need the money. Good luck!
We all make mistakes and you will make more! I bet you'll never make that particular mistake again!! Your patient is fine so try not to beat yourself up. You're a good concientious nurse or you wouldn't be so upset. Time and experience will help you catch things but you will never be perfect so be glad when your mistakes don't cause permanent harm!
I would avoid being a surgery tech unless being screamed at by surgeons doesn't bother you! When surgeons get stressed the techs are the first ones they start to take it out on. You need a strong backbone for that job. That's why I left the OR-they don't pay me enough to get screamed at daily or to walk on eggshells and I was a circulator so I didn't even have it as bad as the techs!
I think I'd enjoy being a teacher's aide more than what I do as well. Less responsibility, less stress, more included as "part of the team". I'm a school nurse so I have one of the so-called best nursing jobs. Great schedule, less stress than hospital, etc BUT still not always treated like the professional I am. Teachers run the school and because I'm not a teacher I'm not really one of them. I get left out of a lot of things. The custodian and cooks get more appreciation than the nurse. Teachers have an odd relationship with the nurse. They love us if there is blood, vomit, or lice. However, they act like their job is more important and they have the right to tell us what to do. They get annoyed if we aren't immediately available because we happen to be using the bathroom or trying to grab a bite to eat. I enjoy working with the kids but am tired of feeling like an outsider and not getting the respect I deserve. I've tried several different nursing jobs and have never been truly happy with any of them. I just think I don't like being a nurse. I do enjoy taking care of people and making them feel better but I'm tired of the abuse I have to put up with to do that whether it's from doctors and patient's families or teachers and parents. My plan is to get out of nursing as well whenever feasibly possible.
I've has the same thing happen in more than one instance. If I truly question the validity I get the parents involved. I also make sure the child knows it's not safe to take meds if they don't need them. This always took care of any problems with the fakers. That being said, there are asthmatics that can feel symptoms coming on such as chest tightness [I]before [B]they show other symptoms. I'd rather them have their inhaler before it progresses to wheezing. My own daughter feels tightness and shortness of breath without wheezing. You're right to err on the side of caution.
I have been a school nurse for 12 years. I've been a nurse since '92 so I've come and gone from school nursing over the years. I've worked full-time, part-time, and subbed as a school nurse. If all my experiences (or any) were like tallgirl's I may not have ever left. I want to work where she does!! If you look through this board you'll find lots of answers to your questions!
Overall it's a good job, less stress, nice to be in charge of your own office, nice to have all the weekends/holidays/summers/snow days etc off. If you have kids it really is ideal! I do enjoy working with kids and making them feel better.
No job is perfect however. You will take a pay cut most likely. It may be huge. Only you can decide if it's something you can live with or make work somehow.
School nursing has it's own stressors but nothing like the hospital. If you thrive on making life and death decisions this job is not for you. It can be quite boring and monotonous at times. Lots of paperwork, charting, checking immunizations, and entering stuff on the computer. That stuff doesn't bother me too much.
I feel more like a social worker sometimes. There are more poor children whose parents don't provide what they need than you can imagine so you will have to encourage parents to take their kid to the dr, get immunizations that are required and then threaten social services or exclusion to get them to do it sometimes. This is very frustrating.
You will have many teachers that try to tell you how to do your job. Many will not respect your opinion. Many think you should just do as they say. You have to learn to stand your ground. You are the only medical person and sometimes they just don't get why you freak out over stuff like low blood sugars or a dizzy child that just got hit in the head but they freak out over vomit and lice and don't understand why you don't. There's A LOT of lice. It truly never ends.
A typical day involves seeing kids for illness/injury (many just want out of class or to go home so they fake it), passing meds, blood glucose monitoring, etc. We are also responsible for making sure kids have the correct immunizations, Medicaid billing, care plans, teaching staff, educating students on issues like dental health/hygeine/puberty etc, screenings, staff wellness programs, getting dr orders needed, and other things.
I always suggest subbing to get a taste of it before jumping in full-time. I think it's worth a try because you may love it!!
I am a school nurse who went back to the hospital two different times after working as a school nurse (i had been out of the hospital for over 10 yrs the first time). However, no it is not considered the acute experience hospitals want. I was basically treated like a new grad both times.
I would be very hesitant working independently as a school nurse without any experience though. I had 1 1/2 yrs hospital experience before working as a school nurse and there were times I felt like I still didn't have enough. You are the sole medical person in the school so you have to have excellent assessment skills and be able to handle emergencies on your own with little to no orientation. You will get things like broken bones, concussions, tube feedings, nebulizer treatments, asthma attacks, insulin pumps, catherizations, child abuse, and many other things you are expected to know how to handle from the first day. However, this is not considered acute care because in the hospital you need to know how to do IV's, interpret labs, collaborate with dr's, hang blood, and a zillion other things that you don't do in a school.
If I were you I'd try to find a hospital job to get your experience. If jobs are scarce then a school nurse job will at least give you nursing experience of some type which is better than unemployment. Even without experience the school nurse job would be doable. You should call the nursing programs to see if they would accept school nursing as the type of experience they want. I kind of doubt it since as a NP you're going to need more of the hospital type knowledge but I can't say for sure-it may depend on the area of NP you want to do. If its community health it may work in your favor. Good luck!
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