SunnyVet14 1,849 Views
Joined Sep 7, '12.
Posts: 15 (27% Liked)
This instructor needs to be setting a better example of professionalism and RESPECT. It's obvious she is being unreasonable with threats and a poor facilitator of meaningful group discussion. Quite honestly, it sounds like she may be super stressed and/or overly strict. Instructors like these deserve poor exit evaluations and need to be reported.
Is there a policy at your institution for reporting verbal abuse? You need to follow the chain of command & talk to someone at the institution who can help. It is good to network with fellow students that were witnesses so you know if you have their support if/when the complaint gets investigated.
I have applied online for about 7 part-time med-surg positions at 3 nearby rural MI hospitals and all that I've gotten back is the standard "we're sorry but....please feel free to keep applying for positions of interest to you" EMAIL. My last career change was 8 years ago with hard copy application form and very little online involvement.
I do not have the shining star resume....ADN, no special certs, 16 years of combined CNA, LPN & RN experience in LTC, med surg (only 1 yr), home health and physician office QI(current).
I have seen a few handfuls of former colleagues/co-workers in my local area leave for non-nursing jobs. Our local hospital had affiliated about 4 years ago with a larger WI based company. There is a boom of ADN's going back for BSN's. The local community college offers CNA, CMA, LPN and ADN.
Ok, now that you know a little background, what are the hospitals of today looking for in RN's and their online resumes?? What does it take to get your foot in the door (literally)?
Yes, this will get easier each week into your time on the job. Absorbing all the names/faces of the residents is what I found to be the greatest challenge and the second was learning the routine. After you get familiar with these, your nursing skills will take care of the rest. It will seem to take longer than you would like, but keeping your wits,patience level and notepad with notes well stocked will be great assets to you! Congrats on your LTC job.
Leaving a position is like going through a divorce. Never easy. I've thought of it as 1 of 2 choices:
1. You can focus on the life lessons you learned in that time, visualize and describe your future of moving forward into a new job with new challenges, let go of the hard moments, etc. and write an unbiased, neutral, eloquent, goal- oriented paper of why you are resigning. (internet has many resources for this)
2. Feel like a victim of circumstance and total unfairness from uncaring/ unsupportive co-workers, luke-warm managers and write an emotional but truthful paper of why you can't leave soon enough.
In my experience with jobs that created such ambivalence, I write BOTH 1 and 2 type letters and give #1 to the almost former employer and keep #2 for my personal closure.
I was able to function on nights for a little under a year on a med-surg unit about 30 miles from home and a parent of a toddler at the time. I averaged about 5 hrs/24 hrs of sleep with occasional help of Benadryl. Loved the work & learned so much but eventually needed day shift and work closer to home.
I can say there was NO restoring my sleep pattern until a job change was made. I lived a double life of inadequate sleep on work nights and oversleep on days off despite routine because I wasn't able to overcome my body! If at all possible you may want to reduce days per week worked to put school higher on the priority list. Good luck.
I recall changing the Nitro, Duragesic, and Lidoderm patches on the 6-7 med pass. Also drew up the scheduled insulins and gave valproic acid syrup.
Mistakes are so hard to get past especially when it involves actual/potential injury. You sound sincere and empathetic, which are helpful qualities to have in LTC but your manager may be calling upon you to self-evaluate which is very scary for the newbie. Other CNA's or nurses on your unit may offer up some moral support. Don't under estimate veteran co-workers when you're in need of support! They can probably share an "I remember when" from their careers and how they navigated through it.
As a new CNA, I remember cutting a dementia resident's fingernails who would constantly rock back and forth in the shower chair. I felt terrible for weeks when I ended up cuttting into a fingertip! It wasn't serious enough to require stitches but this one was a bleeder (on ASA). Gauze pressure dressing and Band-Aid did the trick. I had the support and guidance of the LPN on shift but I still felt so bad. The LPN would specifically let me change the Band-aid until the finger was healed. I really respected the gesture to give me the chance to be involved in the healing since that's what nursing is all about.
Hang in there
I've enjoyed the many viewpoints on this thread. However, I feel this boils down to one simple thing.... "restructuring". This happens so much in the business world and that's what managed health care has come to be; business. Consumer/customer/client seeking a service from a provider. No longer is it: patient seeking medical care from a doctor or nurse. "Restructuring" is a mixed bag of change for every aspect of a healthcare entity: layoffs, cross-training, changed hiring practices, eliminating positions, merging positions, creating new positions, changed job descriptions, cutting costs, changing minimal credential requirements for professional licensed staff....I could go on and on.
ADN nursing is very much a part of healthcare and is experiencing this "restructuring". This brings about many hard,difficult choices that are far reaching for both employer and employee but most importantly why healthcare exists; the patient.
"Still, as I look back on almost two decades in healthcare, I'm satisfied that I made the right decision to get out before I had nothing left to give."
Congratulations on your new position! I admire your self-awareness and poignancy displayed through the transition
Usually the ordering physician automatically gets a copy of the labs, but it's best (as pinkiepink said) to ask someone in the know to be sure of the steps. Critical lab results have priority and most clinical settings have strict time guidelines for addressing them. As you get more exposure to the process, you'll know what to anticipate....like a low potassium (often seen in LTC because of some diuretics) will mean the patient needs assessment for hypokalemia and will most likely need a dose increase of oral KCL or started if not already taking.
You may want to assess the gauge and size of all blood collection devices (especially if it's a new shipment of equipment) used and the lumen of PICC, presence of any extension sets, etc... make sure they are large bore. For technique, slower draw more likely to keep cells intact. Hope this helps
Get's a little serious (and long) but I had to laugh when I wrote this to cope with the stress of job hunting....
As I sit in the kitchen of our home, I have a wave of sadness mingled with regret washing over my conscience. I have finally realized that my 16 year old nursing career is on comfort measures and expected to die soon! I think I felt it was coming but denial is just a natural coping mechanism. Is it too late to save it? What kept me thinking it would still be there and be healthy after quitting my last 2 jobs? I just don't know sometimes.
I talked it out with my husband this morning that we should expect this passing soon. In preparation, I tried to convey what the last several online applications flashing on the Human Resources computer screen would look like. The resume of a 14 year RN with only an ADN and BLS that didn't pursue any further education, specialties or certifications is like a resume that's in in a coma according to the HR dept. Other candidate's resumes flashing across the screen, such as the new grad with fresh clinical skills and insurmountable motivation or another veteran RN with ACLS cert, special endorsement of Oncology, OB, ICU, and Diabetic Education who is pursuing a Master's degree while working full time, are the picture of health in comparison to my resume at this time. A gentle shake of the head accompanied by a sigh and a few keystrokes later, the email gets delivered: "You were not selected for the position but please feel free to keep applying for other positions of interest to you."
As with any threatened, perceived and/or impending loss, one can't help reminiscing about the thing you just might lose, especially your first career. The days of the premorbid nursing career gave me the chance to contend in the world and make a difference in people's lives. We have strived together through the traumas of life and work. We have enjoyed travels to many clinical setting including the nursing home, hospital, home health and the clinic. It has withstood the resentment from wanting to stay home with a first and only child, the flood that destroyed our home, new home building, sociopathic bosses, parental divorce, disabled and ill spouse, pet death, parental deaths, bitter & damaging co-worker gossip, marital stress, a job with no off switch, PTSD from a rescue, and early to late effects of co-dependency from being part of two alcoholic households. Semi-retirement was announced a few summers ago due to ill health and to spend time with close family.
The nursing career had a code blue called during the husband's furlough a few months back and has not fully recovered due to lack of work. In fact, it's acquired circumstantial depression from the whole revival process. Even intermittent infusions of clinical data from obsolete NCLEX review manuals have not seem to make a difference. Much earlier attempts at health maintenance, such as mentioning & exploring schooling for BSN, a change in hours or clinical setting, and networking amongst peer, were unsuccessful. Gold digging charismatic inheritance thieves and a double mortgage were also contributing factors.
In spite of the recent near death experiences and a one year sabbatical, the nursing career is still alive with a thready pulse and functioning in a lower stress clinical environment. Even so, it's still necessary to begin last will and testament proceedings. The nursing career needs to appoint a DPOA to assume all decision making in the event it can no longer make reasonable and prudent decisions. The First and only named advocate is Jesus Christ, God Himself. The DPOA is now activated and the evidence for this is in the preceding narration. In lieu of flowers, money or gifts the nursing career requests as many thoughts and prayers to get through this difficult time. In the event of imminent death, the nursing career's wishes are that there be no funeral services and the survivors remember the good times and especially the life lessons learned to carry through to the next career.
A Lost Nurse
One of the hardest parts of HH is remembering you are in a person's home. They will usually act how they feel at the time and initial visits are usually the roughest. It's so hard to tell at the first visit if the client will benefit from HH, but they will often be more receptive at later visits.
I've been enjoying a year off from any professional obligations after 13 yrs of full-time clinical nursing. Needed a radical change to work on family issues. I really miss the priviledged relationship with patients and co-workers. Nursing is all I know since it was my first career. I'm hoping to venture into self-employment but afraid it won't satisfy my need to connect with people in the nurse/patient way. Has anyone else had to overcome this?
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