Nurses eat their young - now I understand why. - page 4

by RN_Marie

29,608 Views | 158 Comments

I started working for a sub-acute LTC as the DSD last week. The DON and I hit it off because we have the same vision on what we need to do in order to solve the problems we current have. Early this week, we posted an ad for... Read More


  1. 12
    Gallatea,
    You may not realize it but you managed to insult LTC RNs and believe it or not some RNs do specialize in geriatric care. The reason LTC is not liked both in nursing school or in the nursing world is it is hard back breaking work and you better have good assessment skills and or learn them because you have no lab, xray or ward secretary you are the whole show and the resident load is intense.
    I started out in hospitals in tele and I took my first LTC job because I moved to a smaller town after my significant other's death and thats all that was available. I learned great time managment skills and have excellent assessment skills from being an LTC nurse. I do more management work now in my current position but my years as an LTC honed my clinical skills as well. You have a broad range of disease processes and tasks as well.
    Also saying that medical office assistants catch on faster and want less pay and RNs have big egos. To be a nurse you do go to college and have at a minimum two years of clinical time with an ADN degree and you do pass an NCLEX exam. RNs used to be in all physician offices and still are in some specialist offices even today.
    Medical assistants do a fair job for what they know but physicians hire them on the basis of that they are cheaper. (Physicians I know personally have told me this.) Nurses know much more even out of the gate being a graduate nurse in pathophysiology, medications, dosage, etc.
    After working LTC as an RN hospital work is a cake walk and working in a physician office would be boring for an RN.
    Just my 2 cents.
    Last edit by Psychtrish39 on Mar 25, '12 : Reason: spelling
    l3wilso, hollykristinxo, silverbat, and 9 others like this.
  2. 1
    Quote from OCNRN63
    I disagree with this. I had odd jobs as a teenager, but I was a "baby" when I graduated; I hadn't had another career previously, and I didn't have a previous job as an RN. Someone had to take a chance on me. Fortunately, I got the job in the specialty I wanted.

    I knew what work was. I'd been a nurse's aide, ad I'd gone to a diploma program that taught us what work as an RN was.

    That comment really irks me. It takes out a lot of people who want to be nurses and probably be great ones. And as far as the second-career statement, that could be looked at from another perspective. If you weren't satisfied with your previous career, how long will it take before you're unhappy with this one.

    I do agree with this situation that the OP is asking for an awful lot. Three days of orientation isn't enough for seaside nurse, let alone a new one.
    OCRN63, that was a different time and place that brought you up, if you get my drift. That time and place is gone forever.

    Took me 22 years before I got out of my previous career. I've got a kicker resume from it and references that go to bat for me too. Do not fear the accomplished, we easily see who has achieved in nursing, what we've achieved in our previous field. We respect that, the babies don't - they can't.
    Aurora77 likes this.
  3. 2
    Quote from Altra
    The first time I read this it somehow escaped me that the interview was to fill a charge position.

    After re-reading more carefully, I urge the OP and management s/he works with to reconsider hiring a new nurse with no experience for this position. New nurses need to hone their skills, emotional boundaries, and instincts. They have no business directing the activities of others, or serving in a resource role, when their own abilities have not yet been proven.
    Yes, please.

    Our RN charge nurse is FRESH out of college, and while she's very sweet, she's a bit of a dingus, and not much help.
    melmarie23 and chevyv like this.
  4. 1
    Quote from OCNRN63
    I do agree with this situation that the OP is asking for an awful lot. Three days of orientation isn't enough for seaside nurse, let alone a new one.
    Cut from the original post:
    Quote from RN_Marie
    I was tasked to interview for the position as I will be the one training them for the first 36-hours.
    She later mentions it's a 2 month training program.

    Like I said, wish it was in my area, this experienced but always eager to learn nurse would be all over it.
    beckster_01 likes this.
  5. 2
    Ha ha. I worked as a vet tech many years ago (highschool). Necropsy for vets? means mostly, toss 'em in the deep freeze until crematory picks 'em up.
    beckster_01 and Esme12 like this.
  6. 2
    Your ad ASKED for no experience and by golly, you certainly did get what you asked for!!! There certainly seems to be a touch of entitlement with a couple, but personally I think not being able to start due to a planned/paid for vacation is not that out of the water.
    melmarie23 and AmericanRN like this.
  7. 5
    I'd still cut the vet tech some slack. Many of the same IV medications used in people are used in animals. Some of the same principles would apply (e.g., dosing per weight, incompatibilities, pump management). I think the vet tech had some good marketing skills --and some good IV skills. I would give him/her a second look.

    Most new grads will not know core measures. I think the OP should lighten up a bit.

    As someone coming to nursing after much experience in other fields, I was shocked at the substandard working conditions and low pay scale that many nursing positions entail. (And I took such a position --where I was working as an RN in a SNF and soon as a charge at wages I found out were the same as for the LPNs--because I needed a job and had no other options.) I think once people become entrenched in the field, they begin to think that it's acceptable and normal. Most people (not in healthcare) work in jobs with better staffing, breaks plus lunches, adequate equipment, pay commensurate for the work and education. (And --I think the LPNs deserved the wages and then some -per their experience --but those wages were pretty darned low...grrr...the company could do it per the economy...)

    Part of me thinks the one new grad was a bit cocky for stating a high pay threshold... However, maybe some of us need a wake-up call. Don't you think nurses' pay should be higher (in many instances)? On the other hand, if the OP and her facility are unable to deliver the better pay amount, it will be better to find someone of a different (complacent) mindset.

    I have heard that the younger generations wish to have more of a life/work balance. It sounds like you are seeing it in some of these applicants (e.g., cruise).
    Last edit by RNfaster on Mar 25, '12
    AnonRNC, chevyv, Not_A_Hat_Person, and 2 others like this.
  8. 0
    Hmmmm, as someone with a 26 year previous career in dentistry, I'm dying to know what their "basic dentistry" knowledge is....
  9. 2
    Funny interviews

    I don't think it really matters in the end how well someone interviews......because I know some really shoddy nurses that have mastered the interview process. Also, I know some very good nurses that don't always choose the right words and have even shown up for an interview wearing jeans. I would just look at them as a whole, and try to have general relaxed conversation with them to see if they are someone who would fit in with the scheme of things and conform to your needs.
    MzSSDeSouza and Isitpossible like this.
  10. 3
    I imagine that that excerpt is from the vet tech's resume and I bet it is under the heading of Vet Tech. What's wrong with it? This vet tech who now has a nursing degree has to get his or her first nursing experience somewhere. I think the experience from the vet setting will likely help them.

    The vet tech should address translation of the veterinary skills in a cover letter and interview. I don't sense arrogance or cluelessness.

    Nice that you are offering a two-month orientation.

    I don't think any new-grad has a place as as charge nurse. I was made one two months into my first job at SNF/LTC. I was the only one with the RN title. Job market was dismal. I had resisted at first, but went along with it per pressure. I soon left that facility. There is nothing wrong with working SNF/LTC, but there is something wrong with working in an understaffed environment.


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