Latest Comments by 2006RNCS - page 2

2006RNCS 3,278 Views

Joined: Jun 14, '06; Posts: 72 (39% Liked) ; Likes: 67

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  • 1
    cooliegirl likes this.

    Hi. Please know that we all felt that way! Well, I know I did, that is for sure. We have so much info. drilled into our heads in such a short frame of time, and we leave the program so tired, and with such an awesome amount of responsibility on our hands.

    You know WAY more than you think. I promise you, that you will be in situations, and the info. that you think you don't know will pop out of your head, and goodness knows from where it came! Has happened to me so many times.

    You will have times, especially until after the first year of nursing has passed, that you will feel this way. But, I promise you will go through this like every other person does, before you feel confident and competent. You will get there, and I believe will be an awesome nurse. See, you are already worried about being that great nurse. That's a great first step. It shows you really want to be that great nurse. Good luck to you! Please keep us posted.heartbeat:heartbeat

  • 1
    Pinkster likes this.

    I would not suggest taking Micro and Human Growth along with nursing classes. Both classes are fairly difficult, and you don't know what to expect from your first nursing classes, so I wouldn't recommend it.

    You took 5 classes last semester, but both these classes are fairly difficult and time consuming, and A LOT of info is thrown at you during your first couple of semesters of nursing courses. I don't recommend taking any extra courses while in nursing school. I only took nursing courses while in nursing school, and I graduated at the top of my class. Some classmates of mine did take co-reqs along with nursing courses, but they normally struggled or were very stressed. I didn't work while in nursing school either. Some do, and I applaud them, but I couldn't risk it. It wasn't easy, but I managed to get by financially until graduation. Some don't have that choice though.

    I can see where the closer classes would really be an advantage over the course of the program, but I still wouldn't recommend taking two hard classes at the beginning of nursing school. Can you take one the first semester, and another the second semester? If you can, that might be an alternative.

    Good luck!:heartbeat

  • 1
    Dalzac likes this.

    I loved the ICU at night. I had enough time and quietness to critically think about my pts diagnoses. I just recently realized I cannot work nights any longer for my health's sake. I am a little frightened to try dayshift ICU.

  • 1
    Jules A likes this.

  • 1
    rags likes this.

    God bless you. I know how hard it is for you to carry on with life right now, not to mention work. I have been there. You are in my thoughts and prayers, along with your entire family. heartbeat:heartbeat

  • 1
    lindarn likes this.

    Quote from Jessica 392
    I'm also curious about this topic.

    I'm a new grad & was just hired to work part-time in LTC. When I asked my manager what exactly my new responsibilities would be, she only told me that it would be my job to "cross all her i-s & dot all her t-s". She also told me that the place was fully staffed with LPNs & CNAs. Oh, & that it would be my responsibility to make the call on whether or not a resident should go to the hospital - but that their policy is to send residents out to the hospital even if they get the smallest of skin tears.

    **BTW, it wasn't until after I was hired for this position that I became aware that LTC isn't necessarily the best place for a new grad. I had always assumed that the only 2 possibilities for new grads were LTC & staff nurse on a MedSurg floor. Had I known so many experienced nurses felt this way about new grads in LTC, I probably would have pursued the hospital route a little harder.

    I hope I didn't discourage you. I received a lot of conflicting info. from my former DON. She told me that the facility was well staffed, and that I would work a med cart very seldom, but it was almost the norm that I worked the med cart, in addition to paperwork, compliance rounds, transfers of patients, admissions, etc., and the staffing was terrible, and the call outs on third shift were awful.

    We didn't send skin tears to the hospital, unless they were terrible, and there was another injury. I have really good assessment skills, with a critical care background, so I guided the LPN's in the decision to transfer pts. out. Some LPN's wanted me to assess and make the decision, others did it on their own (which I don't approve of), and the one's who did the transfer with my input, were the ones I loved!!! So many had so much more experience than me, but just needed validation that it was the right thing to send a pt out. Some nurses work great under pressure, and some crumble. I stay really calm throughout the crisis, and breath a HUGE sigh of relief afteward. If you have great assessment skills, and can remain calm and clear headed in a crisis, you will have no problem. If not, it will come with time. You know way more than you think.

    You'll probably be fine. Is it day, evening, or night shift?

    Good Luck!!! LTC needs really good, special nurses. Hope you love it.heartbeat:heartbeat

  • 1
    lindarn likes this.

    I have been there and done that. An RN, like the previous poster said, is responsible for all patients and all staff when he/she is on duty. I had the job of RN supervisor in a LTC facility for almost 5 months on third shift. I loved the job, but if an LPN called out, I had to fill in, plus be house supervisor. On 5 different occasions, I had to work an entire wing by myself and be supervisor, and that meant caring for 70 patients, and being supervisor and responsible for all employees on the shift, and 179 residents total in the facility. I made really good money, but I never slept right during the day, and I never knew what to expect when I went in.

    Your LTC facility may be different. Where I worked, the DON took all call outs, and between the DON and staffing, the call outs were not communicated very well, so we would show up to work with no one else there to help. More than one nurse walked out, creating abandonment of her patients. That was the terrible part to me.

    Please think really long and hard. If you get a year or two under your belt, and you go to work for a good LTC facility, then that is wonderful. Just be wary, because what you are told is normally not the reality of the job.heartbeat

  • 0

    I wouldn't listen to what others say. Do what makes you happy. If you go to the hospital, and you are unhappy, you will burn out fast. I discovered that hospital nursing is rough to some, great for others. It really depends on your personality and your needs.

    I found LTC to challenge me in ways that the hospital didn't. You become great at time management, prioritization, and using your psych skills. The hospital, you will do more IV's, NGT's, etc. Also, in LTC, especially if you work at night, you develop your critical thinking skills quickly! You learn to pick up on small things, esp. since you have most of these patients on a long term basis.

    Please listen to your heart, not your head. Do what is best for you and your family. I am sure the place that you work seems like family to you. If you give it a try, and you want to move on later, you can do that, but just follow your heart. It is trying to tell you to stay.

    Good Luck!!:heartbeat

  • 1
    2bnursemeow1 likes this.

    You should be fine. My test shut off at 80-85 questions, and I passed the first try. I felt the same way when my test was over. If you can, go out and do something really fun and be nice to yourself. All those hours and all that studying will pay off. In Alabama, we know within 2 days if we passed or not. Hang in there!!heartbeat:heartbeat

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    Absolutely13 likes this.

    Quote from misslo
    I walked into room number 88 and saw you laying there. No twinkle in your eyes, no expression on your face, just a body lying in wait for a journey to a less painful place. Something about you tugged hard at my heart.

    I walked up to your bed, put my hand under yours, giving you the option to pull away or feel my loving touch. You chose my touch, you squeezed my hand and turned your eyes to me. I said, "hello room 88, my name is crazyrn2be, I am the CNA that is going to care for you today." I smiled a warm smile for you and you accepted it by weakly squeezing my hand. I washed your face, cleaned your body and re-positioned you hopeful that you would find some comfort. All the while, I spoke to you about my kids, my dog and my schooling. I didn't think you were listening to me as your eyes remained closed and your face expressionless. Until...I asked you: "room 88, are you ready for your breakfast?" You opened your eyes and spoke to me, for the first time I heard you speak, it was only a whisper, but it was beautiful music to my ears. You said "thank you and yes". You haven't spoken to anyone for the past two weeks, yet you chose to speak to me. I felt so touched that you spoke to me.

    After I fed you your breakfast and chatted your ears off, (you ate 75% that morning instead of your usual 20%!!) I gently washed your face and hands and you raised your weak, shaking hand up to my face, caressed it and smiled at me. I felt tears stinging my eyes. Your smile was as beautiful as your voice! The RN in charge came into the room just as you smiled at me and she remarked that I was the first person you smiled at in weeks! I am honored. I am honored that I made you comfortable and you appreciated my tender care.

    Thank you room 88.
    What a beautiful story! You just touched my heart. I try to be that kind of nurse to my patients. So many of them have given up, and feel hopeless. You made a difference in that patient's life. You are definitely a kind soul, and you will go far in life.

  • 1
    meghun503 likes this.

    Quote from meghun503
    Hi all - just a quick question, what exactly should I expect in clinicals? I'm in my junior year and will be starting clinicals in the fall (finally!). I'm starting to get a little anxious/nervous and I guess I just want some insight or personal experiences if possible.

    I'm also wondering if any of you were intimidated by the nursing field when you first started? I'm having doubts that I may not be cut out or good enough for this career. I currently work as a CNA in a nursing home and sometimes I get flustered if I don't do something right and I just feel stupid. Does the insecurity fade with experience?

    Thanks for your help!
    You will do just fine! We all were nervous to first start clinicals, but it gets better each time you go to clinicals. You will probably start out doing assessments, care plans, etc. You will probably be given one patient to start out, and it should be one that is not too ill.

    The unexpected, I believe, is the intimidating part of anything that we do. The insecurity of knowing what to do gets better with experience, but if you are a perfectionist, which I just having a feeling you may be, you will always be harder on yourself than on others. I speak from experience, because that is my personality, and it sounds like me you are describing. I am very hard on myself.

    I am making a real effort in my life to "be good to myself." This is hard when I have always tried to be good to others, at the sacrifice of myself. Now, I have learned that to survive in life, and especially to survive in nursing, you must take care of yourself, be good to yourself, roll with the punches, and just know that everything happens for a reason, good or bad.

    There will be a lot of emotions that you will go through. You will laugh, cry, kick, and scream, maybe all at the same time! Just remember, all of the nurses before you have gone through the same thing. We made it, and you definitely will, too. Good luck, and God bless!!!heartbeat:heartbeat

  • 0

    Quote from methylene
    Not an RN yet, but just asked several of the nurses I work with in the ICU (and will be interning at upon graduation) and nobody had any idea what I was talking about. All of our vented patients get propofol if sedation is necessary, and we have 4-7 vented per day here, so that's a pretty significant sample size never to see this "syndrome" in.
    I worked in ICU as an RN, and we never experienced this with any of our pts. We used Propofol routinely for our vent. pts. I have found it to be wonderful in keeping agitated, comatose pts. in a more relaxed state.

  • 0

    Quote from TazziRN
    I thought all nursing schools required an interview!
    No, not all nursing schools require an interview. I wish that they did. My nursing school did not require interviews, and some of the people that I attended nursing school with probably would not have been accepted if interviews had been given.

  • 0

    Quote from joyflnoyz
    hmmm..hard to believe that no one here works for a Brookdale facility.
    Thinking about taking a job with one and just wanted to get some information. Not too sure about working for a HUGE corporation, as some of my favorite places to work have been smaller.\\PM me if you don't want to post publicly
    I too am thinking about taking a job with Brookdale Senior Living, and I too have been waiting on a response. I am really surprised no one has replied. I like the lady that I had a phone interview with, and the company seems to be a good solid one, but I was offered a very low per hr amt. I have another phone interview on Tuesday. I have never had a phone interview before. I guess it is a prescreen. I will probably take the position if it is offered to me, because it sounds like something I would be interested in, and it would be daytime hours. It is in management though, and is a salaried position, which amounts to no overtime. That worries me. I have never worked salaried in nursing before, and I am concerned that my workweek could equal to more than fulltime hours.

  • 0

    Quote from Squaw
    I have seen hundreds of successful procedures and lives improved by us in the OR. The few that we have taken to ICU knowing that they were going to die, came from ICU knowing that surgery only improved their chance of survival by a small percent, and yes, we rushed them back to the UNIT to die with their family. As for a Lap Chole going bad....that is a whole other story that you may want to find out what was really wrong with the procedure/surgeon.
    First of all, I have the utmost respect for OR nurses. It is something I could not do. I think you are the bravest of us, and save so many lives. You are saints in my eyes. The lap chole pt that I had was incredibly healthy prior to surgery, and something bad did happen. I don't know what. The family wanted an autopsy at death, and the hospital talked them out of it. Maybe it could have answered some questions for the family that they needed answered.

    We had so many cases where pts were returned to us to pass with family at their sides, and I am so completely for that. The unit is a much more private, quieter area for families to say their goodbyes. I in no way meant to say anything in my earlier post to upset anyone. It was just a case that I will never forget. I cared so much about that pt. I always asked to be assigned to him, and he was not an easy pt. to care for.

    Good bless ALL you nurses. I have much respect for all in the profession, and would never mean any harm.heartbeat:heartbeat