beekee 4,872 Views
Joined: Jun 19, '15;
Posts: 395 (62% Liked)
; Likes: 1,659
I am a second career nurse. I finished my ADN in my mid-40s. I have never had any desire to go into management. Heck, I don't even want a cushy desk job. I'm totally fine with med-surg bedside work.
However, I quickly realized that the pace and physical requirements are likely more that my body will be able to handle in 10 years or so. Even if my body survives nursing, every time I have an unsteady patient trying to walk to the bathroom, I think about how one fall could end my career.
So, I got my BSN as an insurance policy. I went to WGU and completed the RN-to-BSN program in one term, so about $3500. Granted, I think completing in one term is the exception, not the rule, but it is possible (or at least it was, as the program is continuously changing). You may never need that insurance policy, but if you do, you'll be so glad you have it. Just be sure to get the cheapest "policy" you can find.
Are you unable to find another job?
Define "not the greatest." Nursing schools tend to be extremely competitive. Therefore, without very good grades, your options may be limited. Therefore, I wouldn't recommend focusing on direct entry programs, broaden your net. Even if you get into a direct entry program, if you are unable to maintain your grades at a certain level, you will not be allowed to progress.
Also, nursing doesn't pay enough to justify the tuition. Most likely you will be able to take out loans to cover the cost, but you'll need to pay that back with interest. Many students are shocked to learn what their monthly student loan payment is after graduating. For example, $100,000 paid off in 10 years at 4.75% interest is $1048.48 per month.
You need to pull back. This is not your problem to solve. I highly recommend removing yourself from this case. This woman appears to be a master manipulator. You need to keep the professional boundaries intact, and I fear you are dangerously close to crossing them.
As a new nurse, I eventually learned that some doctors try to intimidate nurses so that they don't get bothered with calls. If you have a concern, call. Maybe run it by another more seasoned nurse first if you are unsure, but, at the end of the day, it's your license and your call.
And learn to quickly and confidently do SBAR. If it's something simple like an elevated BP, you can quickly state patient Bob Smith in room 27 is actively withdrawing from alcohol. He has a history of hypertension, with SBP generally running in the 160s. At 1725, his BP was 165/95, HR 75. He received (dose) of Clonidine at that time for anxiety. At 1830, patients BP was 185/95, HR 75. His anxiety level appears to be controlled at this time. He denies pain. He has no PRN orders for his hypertension. Would you like to order something for it?
Then the grumpy doctor can simply say no and hang up on you. Document and carry on. Sometimes, it's best to give them yes/no questions.
However, there is nothing wrong with talking with the provider about whether administration times can be changed to facilitate the med pass.
This is your third post since 2014 about various jobs and horrible working conditions. You need to figure out why you keep ending up in places that are awful and, probably more important, why you continue to allow yourself to be abused. Yes, there are a lot of jobs, especially in home health, LTC and AL, that are truly awful. However, there are good places too. Stop being the martyr. You aren't helping yourself or your patients.
I realize this is illegal. Just disgusted that there is always a catch 22. If I don't chart I am up **** creek. I can't pass on my treatments etc... Can't pass on all my assessments etc... Our DON is from Kenya and has an attitude if you can't do all this there is the door. But nobody is completing it because it can't be done.
This is not legal. Time to put in your notice, immediately.
Seriously, why do you stay?
I never bothered to pick up my diploma when I graduated. I didn't go to the graduation ceremony. I passed the NCLEX. I assume I have graduated...now I'm thinking I should see if I can get my diploma!
Thanks for the advice but reassuring me that I messed up is no help. Only helpful comments please!
Do what my coworkers do: intermittent FMLA.
It sounds like your workplace is toxic.
First, nursing is 24/7. We run out of time. The next nurse is expected to it. Heck, we even miss things and, thankfully, the next nurse notices. We are not robots. We are not perfect. It sounds your coworkers are pretty petty. They should bring these things to your attention before running to your manager.
Second, what's up with your manager? Why is she/he even giving these petty complaints the time of day? And then making you come in? Really? That's ridiculous. I hope you clock in for this time!
I suppose I'm only hearing one side of the story. Some things can be left to the next shift. Ordering a IV pump for the admit that rolled in 5 minutes to shift change? Punt. Hanging an antibiotic that's due an hour before shift change? Yeah, you better get that done.
I found a charity in my area that performs footcare for the homeless. I'm excited to get some experience with that organization to see how I like it. I will try that before I throw down the cash for formal training.
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