Content That Ms.MayaRN Likes

Ms.MayaRN 2,444 Views

Joined: Sep 5, '12; Posts: 30 (20% Liked) ; Likes: 9
RN; from US
Specialty: MED SURG, OB/GYN

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  • Nov 21 '12

    I'm from LI and while they are hiring, they seem to me, to only be hiring certain people and those with good referrals/connections.

    I tried so hard out here on LI and I didn't get anywhere.

    I just got hired at Bassett Medical Center in Otsego county. Try there, and it shouldn't be too drastic of a move for you because you're in Ulster for me it's kind of nerve wracking but I have no choice.

    Also, I tried countless times Albany and Suny Upstate but I didn't hear back from them.

    What I'm noticing bottom line is those with good connections and know people are getting in 80-90 %, or if they're internal employees it really helps.

    I even tried volunteering that would have worked but there were no open positions at the time. I tried the wrong hosp I should have volunteered in those with high turnover.

    All the best...

  • Nov 21 '12

    So, I finally got an interview with a hospital!! It's a phone interview, so I am a bit nervous. Has anyone else ever gone through a phone interview? What did they ask? I really need to be on point...I am a new graduate and in desperate need of a job!!

    I would appreciate any help!
    Has anyone specifically interviewed with Bassett Medical Center and get hired?
    Any tips?


  • Nov 18 '12

    Quote from hodgieRN
    I'm starting to here about vented pts being ambulated with the RN, PT, and RT. Do any of you practive this at you hospital? There's videos on Youtube, which is pretty wild. The pt has a walker with the vent on a rolling table.
    I think they only do that in specialized ICU departments located in Crazytown, USA.

  • Nov 18 '12

    I personally don't see anything wrong with applying for multiple jobs as they tell on there website to keep applying, thats what I've been doing. They know how bad new grads want a job, sure applying for something that you really want is all well and good but in my case I would like the OR in a particular hospital but I need two years of med surg experience so you better believe I'm applying all over. I need experience anywhere I could get it.

  • Nov 17 '12

    I felt discouraged for over 6 months trying to find a job. I went as far as applying all over the country, even in Alaska. The fact is, yes there is a nursing shortage, however that is only for experienced nurses. The great news is there is an oppurtunity for work, and I dont mean in a nursing home. If you are looking to relocate please message me for more information. I was blessed enough to be reffered to this hospital by a friend, and now I am working. Alot of my friends who have graduated before and after me, still have no offers, for over a year in some of their cases. I just want to share the love and pay it forward. This economy is hard, but if you really are determined something will come up. Good luck on the job search everyone, especially new grads.

    P.S: Alot of the nursing job fairs may not say if up front, but they only geared toward experienced nurses. I spent over 4 hours waiting in one, after being told they were interested in new grads that in fact they were not and to keep looking elsewhere. I am happy where I am and giving my all to a great company who took the chance to invest in me and provide the foundatioin for a career of advancement.

    If you are searching in your town, try craigslist....worth a shot.

  • Nov 16 '12

    Truth is the truth. I have heard this several times over, and even experienced people being hired for a position listed online. The manager still interview folks for the job, knowing it is already filled. Sadness people. Getting a job is very hard. Seize the day and go for your dreams, no matter where they are. I moved for mine and happy I did. Now many doors will be open. Its terrible companies dont want new grads....but then now I have my 1 yr experience and they want me???? I dont think so. I will remain loyal to where I was hired as a newbie. Yes its expensive to hire a new grad, but if someone is willing to invest in you, its only right you pay back that time in service. Unfortunately these companies dont realize nurses with 3-5 yrs experience will up and leave at the drop of a hat; not new grads...oh well....false advertising will continue and new grads being overlooked.

    P.S: Sorry for typos...

  • Nov 16 '12

    Quote from Ms.MayaRN
    I was working at a Hospital Level I trauma.

    My experience left a bitter taste about the nursing profession but I won't let it shape me nor change me.

    It is sad that some of our nursing leaders DON, ADON, NM, ANM are nothing but vultures and rotten poisonous snakes.
    I completely agree. I did not expect nursing to be all rainbows & butterflies. However I did expect them to be a little more understanding with a new grad, and also a bit more aware of the changes that have gone on in healthcare since they got out of school and to maybe use their brains a little bit when caring for a patient instead of relying on machines.


    Well put out some apps for nursing homes. I guess it will do until I find somewhere that is better eh? Who knows I might even like it.

  • Nov 16 '12

    I can't remember if afew on this thread posted they were working LTC but here's the latest of what I heard.
    I went on an interveiw a few days ago for an insurance company who offers a medicare advantage policy, they deal with LTC, SNF's etc. they are aware of the "revolving door" aka the high turn over rate in LTC,SNF settings of the nursing staff. They told me that that lack of continuity of care makes it difficulty to pay the resident's their benefits, aka the facility getting paid by medicare. So they inturn have to decline the payment for the services because they can not justify the stay with the breaks in care- this falls under the concurrent and retrospecitve reviews. These facilites, and may also include acute care, are shooting themselves in their whinning and moaning foot by firing nurses on a dime!! So what goes around is coming around!!!
    Just an FYI

  • Nov 14 '12

    Quote from SterlingArcher
    I'm a new grad on an ICU floor and most of our pts are on vents. I feel like many of my patients cannot seem to tolerate suctioning. As soon as I start using the inline suction they start gagging, desating into the mid to upper 80s, start getting frequent PVCs, RR goes into the 30s etc. After I am done suctioning, they stay like that for a while too which is even more unnerving. The ventilator will keep alarming afterwards with high tidal volume alarms as well as other alarms. I know this is normal since suctioning is very uncomfortable, but every time it still freaks me out. I pre-oxygenate with 100% and I always explain what I am going to do and what they might feel beforehand to minimize their anxiety. Is there anything else I can do to help them tolerate it better or help them return to baseline afterwards?
    What does your preceptor say? Have you talked this over with them or your charge nurse? How are you suctioning them? Do you apply suction on the way in? How long are you applying suction? How many times are you suctioning in a row? Do you use a bronchial toilet/instilling saline? Are these patients "awake"? How long is "a while" before the patient recovers?

    "I know this is normal since suctioning is very uncomfortable"

    Have you ever choked on food or water? I mean really choked? Or very nearly drowned in a pol/ocean/lake because you accidentally inhaled water? Have you Choked and coughed and sputtered because you couldn't catch your breath and thought you were going to pass out? That anxiety is because that patient, for those few brief moments, is choking in that suction tubing and saline that was instilled.

    That is what that patient feels. That "someone is sucking the air out of my lungs, I'm going to die" feeling....every time you suction them.....with or without saline. Some patients will experience bronchospasm even with minimal suctioning. Some MD's will order bronchial toilet with one cc of lidocaine to help prevent spasm. How much of the saline bullet/container are you using to instill to suction? It should only be about a cc or one squirt instilled for each suction attempt.

    The "high volume" alarms are because the patient is still coughing. Make yourself cough......put your hand in front of your mouth....fell that air rush? That forceful exhale is the high vent alarm. Even a sedated patient has a cough gag reflex unless they deeply sedated/paralyzed or neurologically impaired. The negative pressure alarm will also alarm when the patient takes that sucking breath to cough.

    I am curious as to how many patients of your develop cardiac arrhythmia, PVC's, with suctioning for that does not always happen and should rarely happen.

    Could those PVC's that you are seeing and the computer are reading actually be artifact on the monitor because of the up and down movement of the patients chest when they are coughing? Are you reading the monitor respirations that is at that point also counting the up and down motion of the chest when the patients coughs? Where is the pulse ox placed when you are suctioning....on the finger? Is the pulse ox also giving inaccurate readings due to artifact when the patients taps their hands during suctioning? Are those 30 resps present because when you suction you break the system "seal" and cause it to repetitively cycle like it does when the vet is disconnected?

    Sometimes it helps to give the patient some resps with 100% O2 to help them "catch their breath. But you should try to synchronize those resps to the patients. I do not know your vents but some vents actually have a 100% O2 button made just for suctioning that shuts itself off. Some vents allow you to silence the alarms so that during procedures like this that alarms don't alarm, which can alarm the patient, and quickly reset themselves.

    These alarms, monitoring tools are to help us in monitoring the patient but they are not always accurate under every circumstance. Who is the once that is anxious? You or the patient? Is the patient's anxiety amplified becasue they can see your anxiety? Patients are just like any living thing......they can sense/smell fear and anxiety a mile away. They figure if you are freaked out they should be as well.

    Have you asked your preceptor about this? What do they say?

  • Nov 11 '12

    I am wondering why your preceptor had one patient and you had the students........

    The oreintee/new grad should never have the students........I think you did fine but as you are still getting your feet wet you should notn have to monitor the students.

    IMHO....your preceptor was taking advantage of the situation and not doing their job.

  • Nov 11 '12

    Quote from camiluvsNURSING
    I have a question, this happened on my last shift.
    I am a new nurse and this is my 4th week in the Emergency. I have had a full load since i started. My preceptor will go help in the Trauma rooms when an ambulance comes in or help the female nurses he has a crush on and usually i'm by myself.
    A pt comes in through triage with numbness/tingling in his right hand has a hx of a TIA a month ago, no c/o pain and the triage nurse brings him to the room. I hook him up to the cardiac monitor, do a NIH stroke scale and swallow screen (no signs of a stroke and he passed the swallow screen) and do an EKG. I walk the EKG to the Dr.'s ask which one has this pt one of them took the EKG (which showed a 1st degree AV block) and signed it and gave it back to me. The Dr. (another Dr. not the one that signed the EKG) took an hour to come assess the pt. Then he calls a code stroke and i get questioned about the pt by my preceptor because he hasn't been around and he didn't know anything. He says i should have made the Dr. come sooner. He then says you better be glad the pt did not have a stroke (it was another TIA) or you would have been in trouble. Was i at fault? If so, how?
    *** Your preceptor sounds like a drama king/queen and is makig a much bigger deal out of it than it was. You should have made sure your preceptor or charge nurse and the physician was aware of your assessmet findings but sounds like you did just fine to me.
    FWIW you didn't do anything that would put your lisense at risk. There are some very misinformed nurses out there who think every time a medication is given late their lisense is at risk.

  • Nov 11 '12

    Our SICU only hires experienced ICU RN and new grads. There is no interest in hiring nurses with other experience. The hospital's experience with RN expereinced in other fields has been problematic. However back in the day (pre 2008) when the hospital had dozens on RN positions open all the time they didn't discriminate aginst RN with experience in other areas. So pretty much the discrimination we are seeing today aginst ADNs and nurses with other experience is a result of the glut of nurses. The glut of nurses is a result of the false and self serving "nursing shortage" propaganda put out by those who stand to gain financialy from a glut of nurses. The bad economy only moved the glut day up a few years but it has been building for a long time. What's even worse is that we nurses have been subsidizing our own destruction through our tax dollars. Health care companies have lobbied state and federal governments to create new nursing programs and expand exsisting programs with our tax dollars.

  • Nov 11 '12

    Do you work on either one?
    I read somewhere, that when it is faith based, they tend to treat nurses better. Is this true?

    I ask, because, I may have to consider a move, do not want to make it...but either that or get a job doing something else. Not sure how inexpensive the rent is up there, I cannot sell my place, so I will be stuck with two places until I know for sure I will like the job. Cannot remember which hospital in Orlando I was told to stay away from.

  • Nov 11 '12

    Wow. So many in Texas. Interesting.

  • Nov 10 '12

    Quote from Katie82
    We need to leave nursing to the folks who are ready to accept it as it is: hard work, poor working conditions, long hours, and underappreciation from management. The nurses who can't take the heat are dragging us all down...
    Why should ANYONE accept poor working conditions? In male dominated fields, crappy working conditions are well compensated. In female dominated fields, crappy working conditions are ok because "it's a calling."