NightNerd

NightNerd MSN, RN

CMSRN, hospice

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About NightNerd

NightNerd has 10 years experience as a MSN, RN and specializes in CMSRN, hospice.


Latest Activity

  1. The ever increasing nurse to patient ratios. I had a med-surg job in 2021-22 where the norm was 6:1, frequently one or no techs for the 28-bed unit, and I hit a wall. I was no longer able to give the nursing care I felt good about, even some of the t...
  2. I think I could - but I'd also probably get plenty of questions "wrong" because NCLEX scenarios are so very different from the real world.
  3. How much is too much?

    Don't quit. Unless there is something scary wrong with the job, don't quit. I can sympathize with the difficulties of adjusting to a new job, but you have to give yourself time to acclimate. If you don't, each new role will overwhelm you and you won'...
  4. Does being addressed as "Nurse" annoy anyone?

    The only reason I don't like being called "Nurse" is that it means I'm at work and haven't become independently wealthy yet. Otherwise, as others have said, it's among the nicer things my patients have called me over the years!
  5. To the first bold - that is extremely dependent on where you work. My benefits are not good at all, and still I am lucky to have them over some that I have heard others describe on this website. My pay is fine, not outstanding but livable where I am,...
  6. How can a nurse sustain a healthy and happy relationship?

    How many days off do you get during the week (I'm assuming four if it's still 12s)? Do you feel you have more energy on those days? If so, would making specific plans for quality time on those days be helpful? Working off-hours can make it more ...
  7. How much I pick up affects my yearly evaluation?

    It's messed up that she would even think that's an acceptable thing to include in your review. If you're fulfilling your required hours, boom, that should be it for meeting expectations. Anything else is above and beyond. I agree with the sugges...
  8. I regret the three year sign-on bonus I took every day. If you take that contract, you are already going to get far less than that $20,000 due to taxes. The interest thing is fishy as hell. And *every* weekend? You wouldn't even get two off per year ...
  9. @TryingtoThriveRN my non-bedside job before was in research nursing in a government setting. I think I wasn't prepared for something that much slower paced and calm, if you can believe it, and was more trying to get away from my (then) current job th...
  10. Bedside Report

    You are not the only one annoyed by this. My facility is also cracking down on this and it's making me bananas. Bedside report on 6 patients takes a helluva long time, and I'm finding that when I come around at 7 AM to give report, they're not ready ...
  11. I got a call back to interview for a nurse coordinator position, which will coordinate treatments for outpatients with endovascular infections. It sounds like it's in a newer department within this hospital system, and I'm super excited for it based ...
  12. Home hospice CM questions

    @dosamigos76 thanks, I didn't think about admissions at first, I'm sure that can be time consuming! @CrochetNurse154 thank you for all of the great details! That is a lot of good stuff to know and consider and will definitely be in mind for the ...
  13. Home hospice CM questions

    Heyyyy all, I've got a second interview with a home hospice agency that I'm kind of jazzed about. Since I've only worked inpatient so far in my career, I have questions: 1) What is a reasonable case load? They quoted me 12-15 per nurse. 2) ...
  14. ETOHer...(and other slang)

    Had a coworker get spoken to for using the term "died" (in hospice care! Not even to parents or family - to other staff members). He said he might as well start saying they crossed over with John Edwards.
  15. No CNAs

    We are getting to this point in my hospital with 1:6 ratios for nurses and sometimes just one tech for the floor. I don't blame our techs for moving on one bit, as they are not well compensated for the work they are doing, nor is their work valued by...