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HeartsOpenWide 25,610 Views

Joined: Jul 13, '05; Posts: 3,068 (25% Liked) ; Likes: 2,033
"Birth Center" Staff Nurse; from US
Specialty: Ante-Intra-Postpartum, Post Gyne

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  • May 19 '14

    Our situation at my hospital is dire for nightshift. Our deliveries are down and we've had 2 nurses leave. Our managers say they will not be replaced because we don't have the deliveries to justify (nevermind all the triages, Maggers, observations, 24 hour urines, etc we do) more staff. Currently I am scheduled for 3 12s a week with 4-6 12 hour calls a month. I get called in almost every time. We are paid like $1.50 for call. I can't remember the last week I haven't worked atleast 48 hours. I miss acuities

  • Aug 4 '12
  • Aug 2 '12

    You are gonna get a variety of answers. For me, I love 12's but IN A ROW. I cannot function too well if I have my days split when doing nocs.

    I usually do the last days of the week and the beginning of the next (Thurs, Fri, Sat, Sun, Mon, Tues) and knock out my two weeks in a row and be off 8 days. Never have to use PTO.

    You won't know what works best for YOU until YOU try it. Much luck and congratulations on the awesome pay raise!

  • Jul 31 '12

    right now, all you have is an "web interview" (which is usually psycho/social testing to determine if you are a good "fit" for the facility/unit (usually takes 30minutes-1hour to complete). until you receive an actual job offer that you "accept" you really have no reason to even mention your trip.

    after your web interview, i'm quite sure a telephone and/or a in-person interview will be scheduled. during your in-person interview (which i hope you get to have ), you need to ask some important questions: how long is orientation? what will orientation consist of (computer based learning, amount/length of preceptor-orientee time, time learning new equipment, is additional time allotted to orientation/training, if needed, etc.) among other things. the answer to these questions will give you an idea as to whether or not you can expect a positive outcome regarding your trip. if your unit is currently short staffed and in dyer need of nurses on the floor, an extension to your training schedule (even 1 week) may not be easily accepted.

    note: if a decision is made (job offer) based only upon a web interview alone i would "question" the job, unit, facility etc. and would suggest you make a visit to the facility/unit to shadow a nurse for a few days (at your expense) before accepting the job.

    after being offered a job/hired, you will need to schedule some time (face-to-face meeting) with your unit manager/director and/or nurse educator (who may be handling your training schedule) to discuss your training schedule and your travel commitment. your management team does not need to know the trip is "non-refundable" or where/why you are going on the trip, they only need to know that you have a previous commitment with flight arrangements already made and you would like to be able to schedule your training "around" this week long trip (hopefully it is not longer than one week). as another side note, if you are offered the job, i would suggest that you never miss a day of work, other than this trip, during your orientation/training or make any other changes to your training schedule. prepared, just in case, if you cannot make adjustments to your training schedule to accomodate your trip.... have a plan b in place (i.e. someone you can sell your ticket to...or place on ebay...)

    best of luck with the web interview and a job offer.

    enjoy your trip!!

  • Jul 24 '12

    Well from what I have heard, they are pretty basic. Dosage and calculations, conversions, etc. I dont think its anything to sweat over but you might want to review if you arent feeling super confident. Good Luck

  • Jul 8 '12

    I am shaking my head at the news that poll after poll show americans want higher taxes! Astounded, really. Must be the 49% who pay no income taxes at all. And whose business is to assume that those who can afford a cadillac plan can also afford to pay more. That irritates me.

  • Jul 8 '12

    Can it be done? Maybe. Here's what you have to look at:

    Does your husband make a decent living that it's possible to live off of?
    Can you cut some living costs (sell the new car that has huge payments, not go out to dinner or the movies, turn the thermostat down this winter, eat food that's on sale at the store, pack your lunch, use refillable water bottles instead of buying more water, etc....)
    Are there any scholarships, grants or anything that you qualify for?

    I am going to school full time and my husband works. We have one child. We have actually lived off of his salary alone for 13 years. I know how to live cheaply and will continue to do so while in school. I got a full scholarship from my Honors program due to my grades in pre reqs, which is a big help, but we could have managed without it. We drive slightly older cars so that we don't have payments, we pay for everything up front, and we live frugally.

  • May 7 '12

    Quote from classicdame
    I don't think it was intended to NOT recognize nurses, but to recognize the whole health care team.
    The rest of the healthcare team gets to have their weeks. I don't get stuff during RT week or PT week or SW week or Housekeeping Week or pharmacists week or any other employee in the hospital's week. But how DARE nurses think they should get their own week!

    It's just like when another discipline doesn't want to do something, nurses are told to be team players, but nobody gets told to be team players and do part of our job. But they sure don't mind suddenly be part of the team when they can get their free popsicle during nurses, oops, I meant hospital week.

  • May 7 '12
  • Apr 24 '12

    A 6mo who is ill with RSV cannot rehydrate on his/her own. She needs the IV to rehydrate. And yes, the tourniquet is necessary, especially if dehydrated, and especially with chubby infant limbs.

    I think that a pacifier with some Sweetease might have been a better option to try than water.

    The dozing-in-and-out was probably a stress response, "shutting down" in response to the IV starts.

  • Apr 24 '12

    Quote from sschwartz018
    My question is shouldn't we have given the baby a break to rehydrate? She could take in fluids just fine- (she had RSV so she could take in fluids it was just difficult because of her congestion). I think a break after being restrained is protocol right?? We were in there for about an hour and only took off the restraints for about 2 minutes total.
    A kiddo whose fluid deficit has progressed to the point of dry mouth/no tears/decreased urine output -- NEEDS IV FLUIDS. A break to attempt to rehydrate orally? Does this fit into the urgency of the planned interventions?

    I also think you're applying principles of restraint used in adults for behavioral purposes to an infant, and they just don't apply.

    Crying does not in itself harm infants -- otherwise the human population would have died out a long time ago.

    This sounds like the basis for an indepth discussion with your preceptor or unit educator.

  • Apr 22 '12

    The only way I would recommend a new grad moving straight into specialty area, even L&D, is 1. the specialty is her/his passion and 2. the orientation will be extensive and supportive.

    While L&D is a law unto itself in many ways, after several years of precepting all kinds of people in the L&D, I'll say this: experienced ICU and post-surgical RNs have the easiest time making the transition. Why? They have solid assessment skills, they have a good grasp of basic nursing scope, skills, and time management, and they are comfortable in their own skin as a nurse (trust own abilities to prioritize, speak to physicians, initiate chain of command as needed, work collaboratively within the unit setting, and have the backbone to deal with ancillary departments that may or may not see the childbearing unit as a priority).

    Certainly, one can get every bit of this experience in the women's center, and many of the qualities I just listed may be ones you, as a more mature individual, already possess. If so, great! I'm precepting a 25yr old new grad right now that is going to be an amazing nurse, but she still allowed herself to be ejected from a patient's bedside by an US tech who didn't prefer to have an audience. She's had 12 weeks on mama-baby and gyn. She'll get 14 weeks in L&D, after which she will go to nights and be paired with a mentor with 20+ years of labor experience. She will complete AWHONN basic, NRP, PALS, and ACLS during her dayshift orientation. From an academic standpoint, I know it's plenty. Whether it'll be enough real-world experience, I guess we'll see.

  • Apr 17 '12

    Three days of orientation I like my license way too much. I agree ask for more and then run for the hills!

  • Apr 17 '12

    3 days for a new grad or for anyone is not enough!

  • Apr 17 '12

    Crazy? No.

    Prudent.. yes.

    No one can learn the routine, policies and procedures in 3 days.
    It is a set-up for failure.

    I would still give it a month or two.. while looking for something else.
    Good luck