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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I am taking care of 5-6 patients mostly alone, but do not have time to take any type of break, and it appears none of us really do. We have the phone with us 100% of our shift, so that says it all. Of course, we also are required to punch in and out so it appears a break was taken.

Oh, no ma'am. Absolutely not. The law disagrees with you (them).

Don't do it.

I appreciate the advocacy talk about the breaks! I will keep following the policy of my hospital and I actually disagree that WC wouldn't cover a nurse during a lunch break if she was providing patient care. I think with a lawyer involved they would have to, but i could be wrong. I believe it's not up to us individuals to get ourselves in trouble by not following policy at work, but it is up to the lawmakers to force the hospitals to change their unsafe policies. There were nurses on here arguing against the staffing law that Massachusetts just shot down and I couldn't believe it.

I appreciate the advocacy talk about the breaks! I will keep following the policy of my hospital and I actually disagree that WC wouldn't cover a nurse during a lunch break if she was providing patient care. I think with a lawyer involved they would have to, but i could be wrong. I believe it's not up to us individuals to get ourselves in trouble by not following policy at work, but it is up to the lawmakers to force the hospitals to change their unsafe policies. There were nurses on here arguing against the staffing law that Massachusetts just shot down and I couldn't believe it.

Yes, a lawyer would be involved, but if you are not on the clock, you are not working, thus WC doesn't cover you.

Continue to work off the clock at your own peril.

Do you think the hospital has your back?

They do not. They will throw you under that bus so fast!

You're looking at this wrong. Their policy itself is already illegal. Actually it is exceedingly likely that they have no such policy - - who would write that down? "Employees are to punch out for 30 minutes while working in order to make the appearance of mandatory breaks" - ah...no.

There are so many nursing issues and so many times that various ones of us have spoken up in our respective workplaces and said, "I'm sorry but you are not correct about that..." especially when it comes to matters regarding patients' safety and/or rights - - but then also ours.

Nostalgia regarding some sort of bygone days where you were actually respected and so you might have chosen to have a sandwich at the nurse's station and not take a formal break - those are of no consequence now. We were told to punch out "no lunch" if we lifted a finger while on break when I was a new nurse. But then it became very obvious that no one was getting a break and also it became way too expensive to pay people for their work. The "work-around" of simply not paying people for working is 100% unacceptable, and acceding to it is quite the show of subservient martyrdom mentality.

If that rationale doesn't suit your sensibilities, think about this: If they don't have a policy saying that you should work off the clock, and they do have a policy that says you are entitled to an unpaid break, what do you think they will say if you are involved in any kind of patient incident while "on break?" I will tell you: "She wasn't following policy when this happened. All employees are expected to follow policies at all times. No patient care is allowed while off-duty." Etc. And people will be reluctant to speak on your behalf, for the same exact reason you think you don't want to speak up. :)

You make some excellent points, but until there is a system in place to prevent retaliation on an individual basis, I will not be the one speaking up at my workplace. It is an imperfect system, but I believe it needs to change from the top down. One person raising their voice will just be thrown out and labeled as a "troublemaker", and won't accomplish anything aside from personal heartache.

You're looking at this wrong. Their policy itself is already illegal. Actually it is exceedingly likely that they have no such policy - - who would write that down? "Employees are to punch out for 30 minutes while working in order to make the appearance of mandatory breaks" - ah...no.

There are so many nursing issues and so many times that various ones of us have spoken up in our respective workplaces and said, "I'm sorry but you are not correct about that..." especially when it comes to matters regarding patients' safety and/or rights - - but then also ours.

Nostalgia regarding some sort of bygone days where you were actually respected and so you might have chosen to have a sandwich at the nurse's station and not take a formal break - those are of no consequence now. We were told to punch out "no lunch" if we lifted a finger while on break when I was a new nurse. But then it became very obvious that no one was getting a break and also it became way too expensive to pay people for their work. The "work-around" of simply not paying people for working is 100% unacceptable, and acceding to it is quite the show of subservient martyrdom mentality.

If that rationale doesn't suit your sensibilities, think about this: If they don't have a policy saying that you should work off the clock, and they do have a policy that says you are entitled to an unpaid break, what do you think they will say if you are involved in any kind of patient incident while "on break?" I will tell you: "She wasn't following policy when this happened. All employees are expected to follow policies at all times. No patient care is allowed while off-duty." Etc. And people will be reluctant to speak on your behalf, for the same exact reason you think you don't want to speak up. :)

You are right.

I don't do anything off of the clock.

I take my 30-minute unpaid lunch break.

In the event that it is just too busy to take a break, I fill out a form explaining why I was unable to take my meal break.

Every facility I have worked at, has a form to complete for a missed meal break.

The facility can also be reported to the State's Hourly Wage Board for forcing people to work off the clock.

You make some excellent points, but until there is a system in place to prevent retaliation on an individual basis, I will not be the one speaking up at my workplace. It is an imperfect system, but I believe it needs to change from the top down. One person raising their voice will just be thrown out and labeled as a "troublemaker", and won't accomplish anything aside from personal heartache.

If nurses refuse to speak up, the "top" has no incentive to change.

My fingers are crossed for you, that nothing bad happens while you are working off the clock.

Change wont occur until, I imagine, lawsuits from some high profile group of people that are damaged by the current system. Possibly med errors or bad surgical outcomes or something along these lines. Too many people have gone to nursing school and we are a dime a dozen now. BSN should have been the entry level standard long ago and it would have limited entry into the profession. Like PTs, OTs, MSWs etc. Grandfather in the diploma people and move forward. But none of this happened. So now it is impossible to enact any real change nationally until the entire system collapses.

Change wont occur until, I imagine, lawsuits from some high profile group of people that are damaged by the current system. Possibly med errors or bad surgical outcomes or something along these lines. Too many people have gone to nursing school and we are a dime a dozen now. BSN should have been the entry level standard long ago and it would have limited entry into the profession. Like PTs, OTs, MSWs etc. Grandfather in the diploma people and move forward. But none of this happened. So now it is impossible to enact any real change nationally until the entire system collapses.

I respectfully disagree.

Nurses are not a dime a dozen.

My facility is paying a 10k sign-on bonus for nurses. When I started this job in January, the sign-on bonus was $7500.

Do you think my employer is paying that amount because nurses are a dime a dozen?

You can probably file a complaint with your State's Hourly Wage Board anonymously.

All it takes is the courage of one.

This is a PRN job for you, not your full-time gig, right?

In the event that it is just too busy to take a break, I fill out a form explaining why I was unable to take my meal break.

If I fill those out, I never turn it into the inconvenience it is meant to be by writing a full accounting in attempt to "defend" myself. My answers are short and sweet and are always on the order of "No RN available to relieve me" or "No RN free to care for my patients."

If I fill those out, I never turn it into the inconvenience it is meant to be by writing a full accounting in attempt to "defend" myself. My answers are short and sweet and are always on the order of "No RN available to relieve me" or "No RN free to care for my patients."

Yes. That is what I do also. Short and to the point!

My current facility never gives anybody a hard time about it.

The psych facility I worked at, did balk.

So that meant you took your lunch break, no matter what.

Thanks for the suggestions. I'm new at my job and will just do what everyone else does for now. It is better than some jobs I've had where I didn't even "pretend" to get a break. I am slowing getting things at work. I am taking 6 patients now and struggling along but haven't made any major errors yet. I like wearing scrubs again and I'm glad they no longer have to be white, or partly white. That white always started to look so dingy after a while. I make sure I eat a large vegan breakfast and then some kind of meat and nuts and veggies at lunch, and then I don't eat for the rest of the shift. This seems to be holding my energy up. I like to eat vegetarian but this schedule has really kicked my butt. I have also been able to keep up with drinking a lot of water through out the shifts and so far so good. I haven't gotten sick yet!

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