Becoming an NP with little to no nursing experience?? - Page 68

at smaller hospitals in my area <150 to 200beds the nsg dept and nsg education depts often get cut out of funding as far as setting up 6 mos residencies for new hires and new nurses.

*** it is the same in my area. the smaller hospitals got together and work with a larger hospital and they do a regional nurse residency program for their new grads.

all hospitals follow evidence based pratices

*** clearly not.

clearly so, i stated that hospitals followed joint commission evidence based guidlines or attempted to comply with them. not every evidence based concept is supported or pushed by joint. not one survey i've ever been through have we ever been hit with issues concerning not having a nurse residency program.

Well, in 1991 when I got out of nursing school I got my temporary license on a fri (back then it was a 2 day written exam ordeal at my state capital in a convention center with 1500 of my closest friends lol) and went to work at my local ER on Sat where I was a tech and made the announcement that I had my temp, guess how much orientation I got.....here's the narc keys lets go count, this pt has this, that pt has that, the guy in room so and so has whatever and there are 4 on lobby to for triage. I'll see you at 7pm. I was it, nobody else, just me a CNA pulled from the floor and a really, really, really, really, really, awesome ER doc that was also the medical director. The doc got me through that 1st day. Things have really changed in the past 20yrs. Back then I took notes on the things I was coming across in the ER and went home after every shift and looked things up and researched it on my own. We didn't have smart phone apps or computers to look things up just a pile of every kind of drug book you could think of, PDR's at the nursing stated (floor and ER) and if you were really lucky to be working when the new PDR's arrived they would let you have one of the old ones. Now if I want to look up a drug, open skyscape, epocrates or pharmacopia, type the 1st few letters on my phone and there it is. Things have changed.

My hospital is part of a network of 13 hospitals/facilities. The pay for a new grad is 23.99/hr, which is $3/hr less than a sister hospital that is 30 minutes away, and is also less than a couple of other hospitals that are within 10 minutes or so of the sister hospital. Benefits are comparable to the sister hospital, and more or less as good as the other two hospitals not in the network.

Oddly enough, our Press Ganey scores are second highest of those in the network, and our hospital was recently scored in the top 5% of hospitals in the region in clinical safety and one of the best hospitals in terms of survival rates in the ED, while at the same time we have the highest acuity of patients in the ED of all hospitals in the network. Our rates of infection and pressure ulcers are low. And I'm not aware of other evidenced based practice being ignored throughout the hospital, but I haven't really followed what the other floors are doing either.

Are far as being treated as disposable, it does feel like that. In reality, the NM has ignored the concerns of more experienced nurses when it comes to the new grads practicing unsafely, and none have been let go for any reason whatsoever. The ones who have left are the experienced nurses who have had enough of the BS, leaving us with an ED full of inexperienced nurses, some of which are not open to constructive criticsism and are not open to learning.