Latest Comments by 2006RNCS - page 3

2006RNCS 3,278 Views

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

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    Quote from gt4everpn
    i kinda have a differnce of opinion, i work in ltc, and the morning shift is very tiring! you never get to sit, no exaggeration, i've also worked nights and where i work you do basically nothing at night besides paperwork! plus some running around but only about 2 hours worth the other 6 hours of my shift i'm just doing paperwork, sitting at the nurses station! where i work there is a definite difference between the morning and night shifts, i hate it when the night nurses where i work complain if they get alittle extra work to do!
    i was a supervisor in ltc, and it really upset me to hear aides say that nurses don't work on third shift. so many believe that the nurses just sit around. this is so untrue. until you have become a nurse, there is no way that you can judge all that we have responsibilities for. it is hard physically, mentally, and emotionally on us. i know it is on the aides, too. but, it ltc, i seem to see that so many aides think we don't work like they do. we do work hard, just in different ways. no way do nurses work 2 hours, and sit for 6 hours. maybe the other way around.:d

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    Quote from TigerGalLE
    Hey everyone. I"m working 3rd shift tonight to help out staffing. I've never done it before. Wish me luck.... My boyfriend and I stayed up all night last night fishing in a tournament so I slept from 9-3 today... I couldn't sleep anymore so hopefully I won't be too exhausted...

    Any tips on staying awake... Right now my plan is caffeine...

    Hello! I worked 2 yrs of 3rd shift. I couldn't do it anymore. Like was said, keep on the move! My "sleepy" time was 2-4 AM. After that, I would get my second wind. Lots of caffeine helps, too. Some people bring reading materials, but that just makes me sleepier. If it is a big unit, walk a few laps, and you get your exercise in too! Good luck to you tonight!:heartbeat

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    Quote from wildmountainchild
    Money, money, money. If a hospital wants to retain high qulity staff then they have to pay for them. I recently got a job as a new grad. I will get paid $55 an hour. My friend who has been working a similar job in another ED for the past 10 years is getting $1 more an hour than I am.

    I don't think she's going to be staying there much longer. She'll probably get close to $70 for her experience where I work.
    Where do you work? Oh my goodness!

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    Itshamrtym likes this.

    Quote from shock-me-sane
    I am not yet an RN (hopefully in a month or two). I work in the ICU as a tech, and have for close to a year. It seems that the OR doesn't let anyone die. When someone is headed south the quickly send them to the ICU so we can code them and deal with the aftermath.

    I really hate this. Maybe because it is a teaching hospital and residents to quite a few procedures and don't want to take the blame? I know patients sign consents about all the possible risks and such, but I feel that I have seen way too much of botched procedures.

    Am I just jaded because of the area I work in and don't see the "good surgical procedures"? I was petrified when my dad told me of his colonoscopy (which did go fine thankfully) because of my experience with several patients that was perferated and went septic in the same procedure.

    In some ways I feel like I have lost a bit of faith in surgery/other procedures.

    Am I alone in this feeling?
    Hi! You are absolutely right. I worked for a while in ICU, and one night we had this formerly healthy, robust 65 yr old male come to us from OR. They claimed he was fine, and that in the elevator on the way to our unit for recovery that he coded. I do not believe it at all. This man went for a lap. cholecystectomy, and coded. Well, he suffered irreversible brain damage, and lived for 7 weeks. He was so bad off that they tried several times to wean him off the vent to perform a tracheotomy, and the gentleman coded every time. He coded a total of 4 times in 7 weeks, but he was a full code.

    His daughters had just recently lost their mother to cancer, and they couldn't let go of their dad. He had zero brain activity. He did have some reflex movements. He had to be kept one a Propofol drip for the 7 wks. that he lived. He had no health problems whatsoever prior to this, and this is what kept him alive for so long, is what his doctors said. It was amazing to us all to see someone go that long on a ventilator with no trach. He was a remarkable man. There was a will to live in that man somewhere. I will never forget him or his family.:heartbeat

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    Quote from TooterIA
    I am curious what your hosptial does as far as isolation in the following instances:
    positive for CDiff
    MRSA in urine
    MRSA in a covered wound
    MRSA in sputum

    My facility supposodly has policies saying all these pts are on isolation. Just curious what everyone else does
    One of the many reasons that I quit my last job was because of unsafe nursing practices at my former facility. I worked in a nursing home, and the ADON and DON both insisted that MRSA pts and C-Diff pts did not require isolation. They even did inservices forbidding personnel to wear PPE. Well, I was night supervisor, and I let all the employees working with me know that they MUST protect themselves, the pts, and ultimately their families due to high transmission rates. Well, then, a nasty letter was posted at the time clock that only the ADON or DON would decide if employees wore PPE or if pts were isolation or not. I still informed employees to protect themselves no matter what. It all boiled down to costs of using PPE and they did not want family members to see the isolation gear in use. Also, a sense of control too, I think.

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    You truly are a remarkable person! You will make a wonderful, caring, compassionate nurse, and all your patients will be blessed to have you as their nurse.

    Good luck to you, and God bless!:heartbeat

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    lindarn likes this.

    Quote from 1BlessedRN
    At some point with the shortage, short staff, low pay etc...burnout comes upon you like a thief in the night...I love nursing but lately its becoming more and more stressful what do you all do to alleviate nursing burnout?
    thanks for the replies
    Hi! I wish I could tell you what is good to do, because I am in the same boat as you. I have only been a nurse for 2 years, and I am at the end of my rope. I believe I was called to be a nurse, but I am so frustrated with all the same issues as you. It is SO stressful, and a lot of it has to do with co-workers! So many of them are past the point that they should have quit nursing. There are so many backstabbers and miserable people in nursing. But, there are really good hearted, excellent nurses out there, too.

    Please someone offer some advice to help us out! Thanks!:heartbeat

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    Quote from michelle126
    but I don't get it...what paperwork does an RN do? I mean there's no way an RN could assess, educate, intervene, etc. and chart on 60 patients, so what paperwork are they responsible for?

    Calling the docs, taking care of the labs, new orders, maybe the careplans or assessments?

    This is a doable ratio. Do they have an RNAC, ADON , resorative or wound nurse? I'm just wondering...some of those duties could be put on the RN.

    Take the job and give it a try.
    RN's are normally in a supervisory role in LTC. They are responsible for every licensed person, unlicensed people, and all residents in their care. At night, normally, this means ALL residents of a LTC facility.
    There are rounds to be made every 2 hours to check on every pt, document and correct findings, shift and 24 hour reports to be made, fill in when someone calls in. Documentation of falls, incident reports, transfer paperwork of pts transferring out, etc... There is more paperwork than you can imagine, and an awesome amt. of responsibility on an RN's shoulders. RN's in LTC have to be wonderful time managers and possess excellent assessment skills. It takes more than what most seem to think.:heartbeat

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    Quote from Aimee03
    I'm a RN. I work in an office that is associated with Children's hospital. This office only hires RNs. We do phone education stuff a lot, so they like the RN to be there. I've only worked there a week, so my pay is BASE pay. It is about a dollar less than what I made at the hospital. The work is so much better. I stay very busy, but the atmosphere is great. It is also nice that everyone helps each other. If I can help anymore, let me know.

    Thanks for the reply Amy. I am really considering a dr. office job. I think it would be so much easier on me and my family. No more third shift jobs for me! Thanks again, and good luck with your new job!!:heartbeat

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    Quote from Aimee03
    I'm not sure what kind of doctor's office you'll be working at or where you are at. BUT I work at a peds office, which is awesome. I make $18.75 an hour with great benefits. I would ask about orientation. My entire orientation lasted 5 hours. with one full day of classroom stuff. Godd luck with everything.

    I live in Alabama. Are you an LPN or RN? I have thought about a dr. office job, but I didn't know the pay, or if they hire RN's.:heartbeat

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    I am a supervisor in a LTC facility. I am an RN that was working 3rd shift for a while. I had to switch to weekend days and PRN, because night shift had so many call outs, and I was responsible for all 179 residents, and would have to work the med cart for up to 70 residents, plus being house supervisor. Not to mention that we work a skeleton crew on nights! There is no way to possibly do that safely. I was always afraid that I was going to lose my license. No amount of money is worth losing that hard earned license! Your LTC ratio sounds wonderful compared with what my facility offers. But, word of caution: If it sounds too good to be true, most likely it is.

    Good luck to you. If you take the job, I hope it is your "dream job.":heartbeat

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    pagandeva2000 and calliesue like this.

    Don't forget grandma and her twin sister-"I need a pain pill honey, and while your at it, get her one too, so she won't keep me awake."

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    I am just giving up a M-F 3rd shift job. I only had one day off, really, because Saturday was my "sleep" day. So, it wasn't worth it, but this type job should be easy to hire into. Who the heck would want it?!heartbeat:heartbeat

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    Sunkyst08 likes this.

    You'll do just fine on the NCLEX. A little being nervous is good too! Like some others have said, eat a good, light meal about an hour before you take the test. I believe in caffeine before an exam, but some don't tolerate it as well as others.

    I really knew my meds and lab values. There are probably going to be a lot of priority questions, too. Also, like others have said, don't overstudy. You know your material. Don't let nerves get in the way. I really recommend going by yourself. Leave plenty early, so you won't be rushing to make it there on time. Take lots of slow, deep breaths, and take plenty of time answering your questions.

    Take a light sweater or jacket. You want to be comfortable. Yeah, right! Go to bed early the night before the exam-if you can sleep at all!!

    Good luck to you, future nurse. I know you can do it!heartbeat:heartbeat