Back on med/surg after 15 years

Nurses General Nursing

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There are a lot of questions regarding older nurses getting back into the hospital so I thought I'd start a thread about my experience. I used to work on med/surg and also a tele unit many years ago. I've been working at a desk job. I realized if I didn't get my skills back I was never going to be able to and so I applied for some positions.

I interviewed on a tele floor with three very young nurses asking me the questions and I really did poorly. Things like me saying, "I love to work alone" - which is true but not what to say in a job interview on a unit where "teamwork" is "the thing". I could tell by their faces. Then, since they were working short- a code was called in the middle of the interview and the managers ran out of the room and left me to find my own way out of the large medical center. So, I had reviewed all my old tele strips, meds etc, and was definitely qualified but was not hired. Sigh

Evidently the nurse recruiter likes me and so she contacted me about another unit and miraculously, this unit was way more laid back in the way they interviewed. They didn't appear to be writing down a number based on my answers. I had asked HR "what kind of metrics are they using to score the candidates?" and of course I couldn't get any info. I have no idea how I was scored, but no one was writing down anything and so I said, "I love to teach young nurses" at which point all their faces lit up and they told me their unit had 40% new grads and pretty much, when do I want to start.

So, I am pretty much terrified. In fact, I realized how out of the loop I am when I took one of my kids this week to the ER and they hooked up an IV and I exclaimed loudly, "That IV pump is so small"... Like, totally uncool! I should not have said a word but the IV pump was only about a third of the size of the ones I used to use... It also had words scrolling, and the nurse had a pager thing on her shirt and all kinds of stuff I had never seen before. All things I will be careful NOT to exclaim about when I actually start at my new job. Don't want to date myself or anything!

I will try to update this post as I go, but it appears I passed the employee physical yesterday. The physical was 3.5 hours long. It was unbelievably involved and I will not comment from a negative view since I could somehow be identified and loose my new job that I am very excited about, but this is what I had to do in order to pass (keep in mind I am a 50 year old female)

-drug test

- hearing and vision test

-pulmonary function test

-mandatory flu shot and titers taken by a student who I had to instruct

-cardio test

-exam where I was in gown and I had to excercise and measurements were taken of my back, neck, arms, legs, hips etc.

- lifting 100 pounds in a milkcrate off the floor up to my waist and back down (and they wouldn't tell me what the minimum was and I ran over and went through my papers for my job description to read the 100 pounds)(confirmed later)

-moving a 200 pound dummy off of a bed onto another bed and back- with someone minimally helping with the transfer

-lifting a 100 pound dummy up off a bed and into a chair and then back up onto the bed-alone ( I was not allowed to put the bed in lowest position)

I really have no idea how this is all going to go, but I will try to write as candidly as possible without jepordizing my new job. Thanks for any supportive words and we are about to find out if you can in fact "teach an old dog new tricks".

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Holy smokes!!! As Been There Done That has stated, I would have walked out of a physical such as the one you described. If an employer expected me to do as you described to pass the test, I would not want to work there.

I am also 50 and looking at bedside nursing from mainly desk type work, but also believe us as nurses need to get paid for what's in our brain, not whether our backs and muscles can endure what you described.

What crap!!

At any rate, I hope things are going well for you!!

Yes, nurses have many skills. So true, but I was referring to starting IVs, caths and things you really only see regularly if working on a hospital floor. The technology is really changing and improving. I even saw that new machine where you can put it up to someone's arm and see their veins. Amazing!

I have really felt lost at other jobs when seeing a piece of equipment I'm unfamiliar with or hearing phrases that I dont understand. I think actual hospital experience is so important because you see/hear things over and over and really get comfortable with the interventions and terminology.

Well I'm finished with my first week. I have been clear about not being able to orient full-time. I am still working my other job. This week I was scheduled for five, 12's in a row. I managed to leave early two of the days because I was shadowing people. I am about to begin another week of five twelves in a row.

I am feeling very sick from the stress and lack of sleep and I'm certain I will have to call in this week. The good news is that I remember everything, but I definitely have gaps, and I am terrible at IVs. I think my old eyes are just not as good at seeing the veins, cannula, etc. This entire experience has been so exhausting. I am scheduled for eight weeks of this. Either four 12's per week or five, 12's per week. I want to get back in the swing of things, but I am afraid I am going to get hurt or make a mistake working a schedule like this.

I'm still up and unable to sleep. Not like I need my rest or anything, so I thought I'd post a few more details. The first full-time week was spent in a lab, so not very strenuous. The week I just completed was spent mostly shadowing various people like the social worker, unit secretary etc (just one day with a nurse). So, that's why I tried to leave early. I know I can't do this once I "really" begin direct patient care this week that is starting.

I am amazed at the minutia that charting has become. What used to take 2 sentences, or a checkmark on a flow sheet- now requires 2 pages of computer documentation. Really tedious. Also, the RN stuff has really been "dumbed down". The nurses aren't using fishbone skeletons to write labs for instance. In fact, labs were not even mentioned during report. An SBAR sheet is used for report so it's standardized. Math is rarely used since the computer does everything. We are supposed to look up labs on the computer after report, but what if it's busy? I am just used to having this stuff all in my head. Two other things I noted was that I was told that WNL is wrong to use, and that acuity is not longer used for staffing assignments. I suppose the acuity talk when out the window when every single person now is high acuity. Anyhow, I will adapt and thrive somehow, and I am still very exited to be back on a medical floor. Also, the techs are doing what the LPN's used to do.

This will be my last post until someone else replies because I don't want to be appearing to talking to myself. (well obviously I am- haha), but I wanted to put another update. Things are going great. I am remembering everything. I am able to keep up physically with the mostly younger staff. It is inspiring to me to take this on at my age and be succeeding. I have managed to get a couple shifts off and this has been helpful.

I do have huge concerns though about the frayed system in this country. I see small hospitals not being able to make payroll. I see more and more homeless and many health problems left to fester until it is an emergency and people are admitted to the hospital. I see IV fentanyl being used routinely. Lots of people using lots of prescription narcotics and benzos. Somehow this is shocking to me. My current hospital is already full at all times. Beds in Peds and OB are used as overflow for medical patients. The system has zero slack. When we have some kind of public health emergency it is going to be a mess and a disaster. The nurses are stretched to the maximum thinness by administration. Just my two cents. Good luck to everyone working in these worsening nursing conditions.

Specializes in Travel, Home Health, Med-Surg.
This will be my last post until someone else replies because I don't want to be appearing to talking to myself. (well obviously I am- haha), but I wanted to put another update. Things are going great. I am remembering everything. I am able to keep up physically with the mostly younger staff. It is inspiring to me to take this on at my age and be succeeding. I have managed to get a couple shifts off and this has been helpful.

I do have huge concerns though about the frayed system in this country. I see small hospitals not being able to make payroll. I see more and more homeless and many health problems left to fester until it is an emergency and people are admitted to the hospital. I see IV fentanyl being used routinely. Lots of people using lots of prescription narcotics and benzos. Somehow this is shocking to me. My current hospital is already full at all times. Beds in Peds and OB are used as overflow for medical patients. The system has zero slack. When we have some kind of public health emergency it is going to be a mess and a disaster. The nurses are stretched to the maximum thinness by administration. Just my two cents. Good luck to everyone working in these worsening nursing conditions.

I am glad that it is going well for you! Yes, healthcare today is a sad state of affairs. The last hospital I worked at had a constant stream of homeless, drug addicts, people who waited until the last minute for a health problem etc. It is sad but also draining on the nurse and system, no easy fix. Just make sure you pace yourself to avoid burnout, good luck for your continued success!!

Thank you! I am absolutely pacing myself. Just incredible the breakdown in our society and the hospitals are the front line.

This is so exciting to read about your new adventure! Yes, nurses are stretched thin, acuity seems to have flown out the window, and there is a breakdown in society that we definitely see and deal with seemingly continually, in the hospital. At the same time, it is rewarding. Keep up the great attitude, and keep us posted!

Lifting 100 and 200lbs is ridiculous. Are you sure those numbers are correct? People who lift weights would have difficulty with that.

Also, if you had a person that codes and ends up on the floor, or even fall, it doesnt make sense to phyucally lift them back to the bed in that way

This will be my last post until someone else replies because I don't want to be appearing to talking to myself. (well obviously I am- haha), but I wanted to put another update. Things are going great. I am remembering everything. I am able to keep up physically with the mostly younger staff. It is inspiring to me to take this on at my age and be succeeding. I have managed to get a couple shifts off and this has been helpful.

I do have huge concerns though about the frayed system in this country. I see small hospitals not being able to make payroll. I see more and more homeless and many health problems left to fester until it is an emergency and people are admitted to the hospital. I see IV fentanyl being used routinely. Lots of people using lots of prescription narcotics and benzos. Somehow this is shocking to me. My current hospital is already full at all times. Beds in Peds and OB are used as overflow for medical patients. The system has zero slack. When we have some kind of public health emergency it is going to be a mess and a disaster. The nurses are stretched to the maximum thinness by administration. Just my two cents. Good luck to everyone working in these worsening nursing conditions.

I think you accurately summed up present day healthcare in this country.

Glad you are doing okay.

After reading about your physical, and FIVE 12-hour shifts, I was worried about you.

You seem like a fun and interesting person.

Continued good luck.

I am not mistaken about the lifting test for getting hired. They used actual weights that were labeled for the gym and stacked them in the crate... When I ran over and read my job description it stated, "Must be able to lift 100 pounds". That's how I knew I had to do it no matter what in order to be hired. And afterwards I was told if I hadn't have been able to do it, then I wouldn't have passed the employee physical and would not be eligible for hiring for that position.

I am still not entirely sure I will be able to manage 6 or 7 acutely ill patients (ratio on my floor), but I am giving it my best shot. It's now or never due to my age.

I am not mistaken about the lifting test for getting hired. They used actual weights that were labeled for the gym and stacked them in the crate... When I ran over and read my job description it stated, "Must be able to lift 100 pounds". That's how I knew I had to do it no matter what in order to be hired. And afterwards I was told if I hadn't have been able to do it, then I wouldn't have passed the employee physical and would not be eligible for hiring for that position.

I am still not entirely sure I will be able to manage 6 or 7 acutely ill patients (ratio on my floor), but I am giving it my best shot. It's now or never due to my age.

Most of the lifting requirements for nursing jobs where I live, in KY, are 50 lbs.

There is no way, I would have gone through the physical test you went through.

It is crazy and dangerous.

Nobody should lift 100 lbs alone.

I imagine your workplace has a high number of worker injuries, and WC claims.

Can I ask which state you reside in?

I wish you luck, but honestly, I'd like to see you working in a better environment.

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