NoviceRN10 8,461 Views
Joined: Jun 8, '07;
Posts: 919 (28% Liked)
; Likes: 538
5 year(s) of experience
I just want to say that everyone dreads those one or two nurses that drill you during report! Every unit has them, thankfully they are usually in the minority. By the end of a night shift, my brain is turning to mush and I know that my reports are not the greatest. I have found that sometimes nurses can be real critical when they are getting a patient from you, but then when you get patients from them, it is ok to be handed a hot mess. It happens everywhere. Shifts are long, and stuff happens right up to the very end, which can ruin your whole time management plan! You just have to learn what you need to finish up and what can be passed on. And don't let coworkers bully you into thinking that they need to be handed a perfect patient set with everything buttoned up. It can't always be that way, sounds good, though!
I would just say a smile, a stethoscope, a pen, and maybe bandage scissors. Those are the only things I use regularly that I have to bring myself. You will find that when you get to work each day you will probably stock your pockets with alcohol wipes, blunt fill needles (to screw on ends of syringes to flush or give IVP meds) and other stuff that gets used a lot on your unit. I would have a personal bag with cash, a snack, feminine hygiene products, and extra pens . Congrats and good luck!
OMG. I feel like a lazy cow chewing my cud only working 40 hrs a week!
I have had the same acute care hospital job for four years since I became a nurse. I have never liked it. I have struggled handling the stress and the work load. I have had many mgrs. come and go in that time, as well as coworkers. There has only been one veteran nurse hired during that time, most of the new staff are brand new nurses, most of them fleeing to other units after they put a yr in, or just quitting for greener pastures elsewhere. I have managed to keep my head above water through many changes and issues. Finally I got the dream job offered to me that I have wanted since before I graduated nursing school. I start in two weeks.
I am totally confused about whether to try and keep my current job (I am prn and only need to give them two shifts a schedule) or just walk away into the sunset and hopefully a great new position. After working full time the first year I was able to go to prn status, and have worked pretty much part time hours since then (2-3 shifts a week the first year, and then usually just two shifts a week the last year and a half. This is the only reason I stayed. I knew if I had a bad shift I wasn't going to be having a bad week, so to speak. I wasn't obligated to be there weekends or holidays and that worked well for me.
My new position at a different hospital is also prn. I have to work two shifts a schedule. I was thinking I could work both jobs, but make the new job the priority. I am not sure if I will get the hours I need at the new job or not. Right now I can work as much or as little as I want. So that is making me wonder if I should just hold onto the old/current job for at least a couple of months to see how it goes at the new hospital. I don't know why I am so conflicted!
Any words of wisdom?
I have to work. Going to try and hope for the best.
I interviewed May 2 and received an offer May 7th .
I'm not sure how the workplace dynamics of a PRN job are, but sometimes I feel like the politics/changes in business on my floor are designed with the intention of burning workers out. No reason why they would want that, maybe in an attempt to scare employees off and cut their pay from the budget? You might have heard of "onboarding" where employees are made to feel part of the workplace culture, fulfilled in their role, and willing to stay around and advance themselves/their business (or in our case, unit). I sometimes feel like my employer is "offboarding" with the way staffing ratios are changing (understaffing RNs and CNAs), requiring more "competencies" and "tests" as basic job requirements, and expanding our role while effectively removing others. Just a thought. Anybody else made that observation?
Guess it depends on how many 10-15 year RNs you've seen still capable of being completely stressed and demoralized by certain assignments. All this shows me is there is no being completely in control in this profession, and God help you when you are because all that does is send word up to the business guys that you aren't worked hard enough.
A paper bag with a bottle of water, and apple, a chocolate square, and trail mix. Oh, and a pin with the CNO's picture on it so we all know what he looks like.
Hang in there. I found nursing to be overwhelming as soon as I was off of orientation. Orientation was fun, getting off of it was a huge reality check. I went from 4 pts (days) to 7 pts on nights. It was hard. The first few months were an adjustment. I work on a surgical floor. Everyone is in pain, everyone has many meds to give, nobody realizes you have 5-6 other pts to care for. None of the pts ask the nurse aides for ice or an extra pillow, they ask ME! I am constantly running around doing my job and at least half of someone else's. I can't assume the pt is going to have water at their bedside so I can give them a pill, I have to hope. And no, not all pts can be convinced to swallow a pill with room temp water. It is a crazy job, to say the least! Not for wooses. I have seen at least 25 nurses come and go in 4 yrs on my unit. I finally snagged a job somewhere else, and am curious to see if the grass is greener at a different health system, with a different pt population/acuity. Anyway, your feelings are normal, how you handle them is up to you! If you can stay at least a year in your current position I would. If you are able to get into a different position I would definitely try. Being miserable sucks. I will say it can get better. You figure you're going to get screwed with too many pts or bad assignments each time you go in and then when you aren't you will be happily surprised! You learn to suck up a lot of stuff you initially didn't think you could handle.
I am sorry but nowhere in my pt's charts does it state what their profession or level of intelligence is? I treat all people with the same dignity and respect no matter if they have a college degree or not.
Nope. You have to be available but it's up to them if they offer you shifts.
PRN/Casual, whatever you call it has no guarantees. You are there to replace sick calls, vacation coverage, education days.
With the state of the economy, part time staff are picking up extra shifts, vacations are shorter and it all results in less shifts being made available to the casual staff.
We have been asked recently to audit each other's charting. It is a big pain and I think someone is taking a huge break while they make us do it. The day shift and night shift are both doing it, though.
My husband is very supportive. When I was getting my degree he took over a lot of the kid care so I could focus on school. After I graduated and began working full time he was grocery shopping, making lunches for our kids, etc. He lets me vent. He appreciates that I am making a monetary contribution to our household. He is great . I am sorry that your husband is not in a good place right now to support you. Hopefully he will get a job in his chosen field and get happier.
She seems to be napping because you have allowed it. Why would you let her do it if you were told not to? It seems that it is your responsibility as her preceptor to direct her during the shift, and to make others aware that she should not be napping while you are doing so yourself. You need to speak up!
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