Kellili 1,310 Views
Joined Jan 18, '12.
Posts: 9 (22% Liked)
I work for one of the big two, and I can be on my own after 6 months.(Small clinic, so only 1 RN per day unless one of us needs to tech for some reason) I will be there when the manager is working probably 90% of the time. She probably won't keep coming in when I work at the crack of dawn but will be there the majority of the day. It just makes me nervous to learn as I go. Is there a site I can read case studies and scenarios? I think that would be really helpful. As for your scenario above, I guess first I'd have to see what other issues they have. Alert/oriented? did they fall? stroke? how long since the last tx? uremic? Am I in the neighborhood?
I'm new to dialysis nursing, and have only worked a year of med-surg before I switched to the clinic. I am almost done with my 6 months, and then I will be the only RN. I feel very unprepared! I can string a machine and tech fine, but I am nervous about the RN aspects. I feel like I don't know when to make certain calls. The hospital was easier to me. Chest pain? MONA! Puking stool? NG! For example we had a pt that could barely get in the door and was just off, and his BP was in the toilet when it's usually high at start. Well I would've sent him to ER if it was me making the call. The manager (RN) was with me that day and she said put him on. So we do, his BP went up and he was fine. It appeared he had taken too much pain med and it dialized off. We have a patient that is a total hypochondriac that always has "chest pain". If you stopped tx every time, it would literally never happen. But what do you do? I also work with techs that just do what they want and have for so long it's very very awkward for me (the young new person) to come in and tell people what to do that have done this 20 years and know I don't have a clue. Ugh. Insight? Also, better to turn down a goal than give fluid in most cases right? We don't have critlines yet.
I have an interview tomorrow at Fresenius. I have an almost 4 month old that is EBF. Is it feasible to be able to pump with this job? I have 1 year med surg exp, no dialysis exp. I work nights 7p-7a right now, so this would be a big change. Clinic, not acute in a hosp. so what are typical hours? Any insight/tips?
18/hr is average for a new grad in E. TN. I don't know what experience will get you, since I haven't gotten that far yet. The cost of living is pretty low here. You would have shift diff as well if you work hours besides reg. days.
I'm still in school so I can't give you "experienced" advice on salaries and the best hospitals to work for, but I grew up here and love the area. If you are open to more than Knoxville and Chattanooga, the Tri-Cities area is nice as well. East Tennessee State University is in Johnson City and there are quite a few hospitals up there. I think the starting pay for a new grad in E. Tn is around 18-20 plus shift diffs, but that is just what I've heard. I'd assume you'd get more since you have experience and I don't think you would have a problem getting hired. The main hospital systems in the Tri-Cities are Mountain States Health Alliance and Wellmont. Knoxville's big ones are Covenant Health and Tennova. They both own a bunch of hospitals. There's also UTMC and Children's. I don't know much about the Chattanooga area. We have mountains and lakes and friendly people though, would love to have you! Oh and the cost of living here is really pretty low, so the salary drop shouldn't hurt too bad in reality. No income tax in TN either.
Our first semester was fundamentals also. Learning the nursing process, learning basic patient care like toileting, bed baths etc. First semester to me was easy. Second semester gets "real". We have had Fluid and Electrolytes, Respiratory, Cardiac and right now we are on GI. Congratulations on your acceptance!
Cute! I feel a little like that right now, and I'm only studying for my Fluids and Electrolytes exam! lol
Whats driving me crazy is that we still don't know which clinical site/days/time we will have this semester, and the first clinical day is the 31st! Lots of us work and have kids, so it really puts us in a bind to not know. We also have days sprung on us at the last minute when we normally don't have class. I don't mind going whatever day I need to, just please give me more than a day's notice! Even working in the hospital you have your schedule before the day of! It's a new program...I'm in the 2nd class. The first class graduates end of this semester, so the problem is really just growing pains/disorganization.
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