gonzo1 18,385 Views
Joined Jun 8, '05.
Posts: 1,712 (46% Liked)
I've done quite a bit of agency and travel nursing ER. As a travel nurse you will be expected to get TNCC, ACLS, PALS etc on your own. Your travel agency is not going to help you. You are expected to hit the ground running and may only get a 4 hour orientation at each new location. Some places I got no orientation.
You will also have to have a physical before each contract, provide immunization records and get a pee test. You will become very adept at taking care of things yourself.
I suggest you get a copy/printer/fax machine because you are going to be sending records back and forth to agencies like crazy.
It was very educational and I gained enormous experience. It can be fun and it can be miserable. Enjoy the ride.
If my patients make it to 705, warm, pink and dry.
All the other things listed make it a great shift.
You did everything right. Look for a new job.
Can someone tell me how to block out a person that you don't want to see their postings anymore?
I'm so sorry you and your family had to go through this horrible experience. I hope you are able to find comfort and healing. Sharing your experience has opened up an educational discussion that will have positive impact on many. We still have so much to do to make healthcare better for all.
I think the patients whose lives have been saved by me, and most of my nursing friends, would say that nursing is a knowledge based job. I often forget how important our job is until something great happens with a really sick patient. The thing is, in our job we can be titrating several life saving drips, watching for lethal rhythms and checking for air leaks in chest tubes and other assorted things, while cleaning up poopy bottoms and emptying the garbage.
I think I make pretty darn good money too.
Our weekends are Fri, Sat, Sun. We have to work 4 weekend days per month. We mostly do self scheduling. I'm lucky enough to fulfil my obligation by working every Fri. So my schedule is Wed, Thur, Fri. It's the best schedule I've ever had.
Some nurses work Sun, Mon, Tues. Of course there are nurses who try to sneak out of working any weekends, but eventually they are caught and made to do it.
Holidays are every other year off. So if I work Thanksgiving this year, I will most likely get it off next year.
I was at a party recently and every nurse there had a tale to tell about other nurses being mean to them. However, I don't think being mean to each other is found only in nursing. I worked at an international company for two decades and it was a mostly female department, hundreds of employees and there were several that were horrible people. It's an universal problem.
It is possibly more evident in nursing because we rely on each other so much for help, as in changing patients, lifting patients, asking for guidance on how to take care of certain symptoms and so on.
I was once at a seminar where the speaker said his policy is to trust and respect everyone, until they do something to lose that respect. I have tried to incorporate that idea into my personal/professional life for years now, but find it hard to do at times because I was raised to trust no one.
I believe I have never bullied anyone and am a very helpful person, but who knows for sure. All I can say is that I have been bullied a couple of times and left jobs because of it. However, after I learned to use the coping skills and suggestions on AN I am now never in that position.
There are more than enough suggestions on how to deal with all these issues on this forum and having finally put them into practice I can say they do work, even for very timid people like me. Your world won't change until you make it change. As far as respect, I pretty much have always felt respected by the people that matter.
I do know some people who say they are never respected and the truth is they are respected, but they don't respect or like themselves and this is what they are really feeling. I feel so sorry for them because they actually are great nurses and good people.
Sometimes we have to heal ourselves before our world changes. It's something I have to work on very often.
I love them all.
JC reports state hand off is one of the unsafest times in pt care. For you to get a patient without report first is a gross violation. However, there are a couple of considerations. You have not assumed pt care until you get report. Make sure that you start charting, "report rec'd and pt care assumed at this time" on all your patients. That way when you don't get report you can chart, something like," pt rec'd into stepdown hallway. No report rec'd, pt on portable monitor. Will assume pt care after rec'g report."
If I were in this situation I would take care of the pt in the hallway, but the chart would reflect that no report was rec'd and pt care not assumed. This may protect you in court as the pt is being taken care of, but you have not assumed care. Since the pt is in the hallway they and their family will be asking all staff for help, and everyone will see what needs to be done and have to be involved in pt care.
If a pt codes in the hallway this will not be on you, if you follow ACLS quidelines, but rather on the hospital itself.
This won't last for long as pts and their families are going to be screaming. I would just go along with it for a while and make sure you educate yourself on JC standards of care as far as privacy and hand off and I don't know what else.
You are a brave soul for staying in such a position, cause I would be running for the doors as soon as my shift was over after having my first hallway pt. I have a feeling this will never actually happen. I have worked a few places where they said this was going to happen and it never has. Too many unanswered questions like how to use bedpan, urinal, hallway crowding and fire codes, no privacy and multiple privacy violations.
The only place you can guarantee sterility is in an operating suite. That said, I encourage the doctors to use sterile gloves etc because it never hurts to be cautious. They rarely say no.
This happened to me. I had to write a long description of how I worked and who I worked for and then get letters from the 4-5 agencies I had worked for. I was working with 4-5 different agencies and had been for about 4 years. Chase bank eventually said no, but a little mortgage company said yes. Of course I also had a fair amount in savings so that helped seal the deal.
We have been very happy with the little company that gave us a break.
Congrats and good luck to you. I'm sure you will do great
Thank you for sharing your experience with us. I'm sure that it will be helpful to many in the future as this is a question that arises alot.
Congratulations on passing and thanks for sharing. I've worked in ICU for 4 years and want to take it but was afraid because so many people say it's horribly hard.
You have given me the courage to do it.
Advertise With Us