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Bottomed out, BSN, RN 5,654 Views

Joined Jan 29, '12. Posts: 279 (24% Liked) Likes: 109

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  • Dec 9

    I'm from California and have been living/working in Los Angeles for the past three years. I started off as a new grad. This is my second career. I was living in San Francisco but went to school out of state because it was easier to do so. I came back to San Francisco after graduating but couldn't get a job up there so moved down here.

    Just to let you know, it took me eight months to get into a new grad program. I was able to survive because I was still working in my previous career. I met people in my new grad program who had been out of school for more than a year (and from California) and this was the first time they had gotten accepted. I also met people who were accepted right out of nursing school into a new grad program.

    I hate to be the bearer of bad news, but the reality is that the choices for new grad programs in this state are few and extremely competitive--what to speak of Los Angeles. The new grad program that I got into, I applied three times before I was accepted.

    There is no "best" hospital with a new grad program, although I would say some of the hospitals are better than others. Like others are said, the "best" hospital is the one that hires you! Here are the ones I know that had or have new grad programs:

    Keck Hospital/USC, City of Hope, Ronald Reagan/UCLA, Cedars (the first four are prob the most competitive), White Memorial, Centinela, UC Irvine (Orange County, not LA), Children's Hospital, Citrus Valley, Fountain Valley, Kaiser

    LTC and SNF is also another way to get your foot into the door. If you're itching to work acute, you can always transfer out.

    It is expensive in Los Angeles, as I'm sure you've heard. Make sure you come with a lot of money in your savings account because you don't know how long you'll be searching for work. The traffic is from hell, so choose your housing situation carefully. Plan for the worst, hope for the best. Good luck!

  • Nov 12
  • Nov 5

    Quote from DoGoodThenGo
    Some of you must be very young, as this sort thing is *NOT* new in nursing.

    Pick your group and there have (and still are) nurses that cannot be bothered and will make it known to God and the world. If pressed to provide care it can and often is in a very passive-aggressive manner.

    This list is varied and exhaustive.

    African-Americans

    Latino/Hispanics,

    Asians,

    Gays

    Lesbians

    Transgender

    The "poor", "unwashed"

    The homeless

    Drug addicts

    Alcoholics

    And so it goes....

    Best anyone can hope for is that in these modern times such persons can be isolated and frozen out by other staff. This and or being sat down and spoken to; however often that does not happen and even then the damage has often been done.

    Even with the supposed tight labor market for nurses here in NYC there are plenty that won't apply nor work in the municipal hospital system. If they do it would only be Bellevue (it looks good on a resume) and only for a short amount of time.

    When AIDS/HIV was in full crisis there were nurses who pretty much felt that those men were getting what they "deserved", worse they said so either within ear shot or even while caring for such patients. You had grown men literally crying as those witches (cannot use the other word here that is a better fit and rhymes), provided "care" with a strong dose of morality. It is worth noting that federal anti-dumping laws for patients came into being during the AIDs crisis. It was an attempt to put an end to the long standing practice of hospitals "dumping" the poor, minorities, or anyone else they didn't want to be bothered with at the steps of the nearest charity hospital.

    Again these biases still go on and can have horrible consequences: Hospital's reputation in the dump - NY Daily News
    And for some nurses, it probably is not a joyful experience to care for Caucasians. Why do we always assume that no one dislikes Whites? There's plenty of racism, genderism, agism, religion-ism, political-ism, etc. to go around.

  • Nov 5

    This thread isn't about hatred of non-Caucasian people, nor sexual minorities. It's about working with negative people.

  • Oct 28

    I've never heard of high dose insulin therapy for beta blockers. Its usually treated with glucagon and supportive therapy.

    High dose insulin therapy is usually reserved and well documented for calcium channel blocker overdose.

  • Oct 21

    nothing but a JOB.

  • Oct 17

    one thing i've learned after working as a grad for almost 9months is that...if someone is deliberately giving you a hard time or trying to embarrass you, **** them.

  • Oct 3

    So some NP applies for a position with less than 2 years nursing experience and a degree from Walden and she should make almost as much as a physician. That is a hard pill to swallow!

  • Sep 22

    I've hit a wall with my work and I feel very bad about it which then feeds into guilt and then hating work even more and so the cycle goes on. I work full time days outpatient, usually leave work on time, have fantastic co-workers, all the good stuff. I have identified no reason "Why" I should just feel uncaring anymore. I feel a patient complaint or request for me to do something for them that is beyond my expectations of "minimum requirements to get the job done" is a burden.

    I work with geriatric patients who get sicker and older and hurt more and more no matter what the crazy, expensive to the healthcare system interventions we do for them. I feel bad, but I feel like screaming if someone starts talking about their psychosocial issues or whatever else is going on. I used to be like, "Awe, let's see what I can do to help..." But now I feel like saying, "Oh spare me!"

    It's not a good space to be in and I want my badittude to vanish and the caring nurse to come back. Has anyone else hit a sudden wall like this? HElllllllllllp!!:uhoh21:

  • Sep 22

    EMS--slow walk----> Nursing -----RUNNING-----> EMS


    Annie

  • Sep 15

    If your facility is expecting you to be able to circulate in addition to PACU nursing, they need to provide the orientation that would properly cross-train you- it should not be something you should have to do on your own or pay your own money for. If the facility is unwilling to do so, it is one I would not be willing to work for. It's not a safe practice.

  • Jul 19

    1 year 3 months. And I never looked back

  • May 15

    Quote from Bluebolt
    I'm working in the LA area and have fellow nurses who are licensed CRNP's still working at bedside nurses in the ICU because they don't like the idea of the huge pay cut they'll take when they take their practitioner job. The medical groups you'll join up with don't care how well your nurses union got you paid as a bedside nurse, it's a whole different ballgame as a salaried CRNP.

    Also I know there are a lot of California nurses talking about how they have got great pay in California but I should shed some perspective on that for you. I've lived in The San Fran and the LA area in the past year, you need to earn $130,000 to $150,000 to live somewhat comfortably there with the outrageous cost of living. In the SF area you need $1 million dollars (literally) to buy a crappy 1000 sq foot 3 bedroom home that needs updating. In SoCal you'll need around $500,000 to $600,000 in a cheaper/higher crime neighborhood but your pay is significantly less in SoCal as well.

    I've lived and worked from New York/Connecticut down to Atlanta to Tennessee to Texas then all down the coast of California. I love California but don't let these high pay numbers fool you. A nurse making $90,000 a year in 85% of America is probably actually having a better and more luxurious lifestyle than a nurse making $130,000 in many places in California.
    I put a lot of thought about the lifestyle costs of working and living in California as an RN in comparison to other places in the country, and here is my quantitative analysis of the costs and benefits of working in Oakland, Califonrnia:
    First off, I am working as an RN with 3.5 years experience, base pay 71.25/hr, full benefits; base salary $150,000 a year, but due to overtime, I've already increased my income ceiling to date to about USD180,000 (working an average of 42hrs/a week). Trying to get to $200K (if I can leverage OT and work an average of 45hrs/week)


    This is a high cost of living area, but I found a COL calculator by CNN Cost of living: How far will my salary go in another city? - CNNMoney just to see if my pay justifies the COL (Includes an estimate for housing, food, transportation, taxes, etc)
    Here's what I found plugging in my region, and base salary of 150,000 (just the base, no overtime included):
    My base salary of 150,000 in Oakland, CA is equivalent to:
    ... Making 178,000/year in brooklyn (Approx $85/hr)
    ... Making 146,000/year in boston (approx 73/hr)
    ...Making 103,000/year in Atlanta (approx 51/hr)
    ... Making 119,000/year in Chicago (approx 60/hr)
    ... Making 122,000/year in Philidelphia (approx 61/hr)
    ... Making 111,000/year in Las Vegas (approx 56/hr)
    ...Making 190,000/year in Honolulu (approx 95/hr)
    ...Making 115,000/year in Miami (approx 56/hr)
    ...Making 87,000/year in Memphis (approx 43/hr)
    ...Making 103,000/year in Charleston (approx 51/hr)




    Browsing through the forum in the respective areas above, most RNs don't seem to make the income above in their respective region, with the exception of a few RN's in Las Vegas (correct me if I am wrong please, I'm always curious about pay updates in other parts of the country)

    The above may not always be true for all individuals, as COL may vary based on personal spending habits, but generally speaking, somebody living a middle class lifestyle should expect the COL estimates above.


    In summary, living and working in my part of California is generally more profitable than most (if not all other) parts of the country.


    In practice, I'm finding the above to be true, as I am able to substantially save up to 50% of my after tax take home pay. What does this all mean?

    I might have to pay more up front to live in Oakland, CA area with a slightly higher COL than many parts of our country, but the pay here outpaces the cost of living in comparison to what other RNs are paid elsewhere.
    As an added benefit, although owning a home costs more, the resale value of a home in this area is relatively stable. In the long run, even if I have to pay more for a house, the home will be worth even more when I sell it, leaving me more money for retirement and/or the option to roll it over to an even larger/grandious home elsewhere in the country.
    Lastly, you can't beat the weather.

  • May 12

    I think we may have worked at the same place! Call the company that sent you there. Review the contract and if you have no penalty for leaving, give a notice and get out the door. I've gotten a call 5 times about an interim position for an ADON position. They told me up front they expect the ADON to work the floor and do the rest of her duties. It's no wonder they can't keep staff.

  • Apr 28

    Yup, I don't think I would take another assignment at that hospital or Agency A.


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