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ProfRN4, MSN Pro 19,262 Views

Joined: Apr 5, '03; Posts: 2,280 (23% Liked) ; Likes: 1,399
Staff Educator; from US
Specialty: Pediatrics

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  • Dec 12 '17

    Quote from LovelyOverload
    Don't feel bad. Email is not the best way to communicate a schedule change. Talk to your manager and tell them what happened. Schedule changes should be made in person or on the phone. I go WEEKS without checking my email.
    the problem is, there are too many ways in which to communicate (in some institutions) regarding scheduling. I believe this can contribute to such errors. This happened to me; as a per-diem supervisor. I get emails, calls and texts from various people. As a result, I was put on the schedule, not confirmed in any way, and got a 'where are you' call 20 minutes into the shift. The person waiting for me was understanding, but really needed me to come in (one house supervisor, and the one I was relieving needed to be back to relieve me). She was mad- not at me, but at the process as well (since she works there too, she knows the process is sketchy). No one gave me a hard time, but now I am very careful about double/triple checking my schedule EVERY time I am there.

    As Someone else mentioned, it's an occupational hazard.

  • Dec 1 '17

    Quote from BadStudent01
    I am a third-semester nursing student who has been using test banks since my first semester in the program. You could say that I discovered the existence of test banks by accident, but ever since I began using them, I have scored nearly 100 on every test I have taken. But here is the catch -- my teachers don't use questions from just one test bank.
    While it seems you have put a lot of effort into studying, and exposing yourself to as many different questions as you can, you're still cheating, in a sense. You don't know which of the bank questions will appear, but the fact that you are accessing a bank that is not meant for public (student) viewing, this is where the problem lies.

  • Dec 1 '17

    Quote from milesims
    Perhaps universities and instructors should find alternatives to test banks. I don't know what it could possibly be, but the only solution I can think of is writing your own exam questions. It's a difficult situation. What are your thoughts?
    This is what we do (sort of). We adapt questions we find in banks and public sites. We create brand new questions from scratch as well. The result is often confusion and anger from the students. The students feel that our questions are way too complicated and 'tricky'. It is too much work from all ends.

  • Nov 28 '17

    Quote from amoLucia
    And of course whenever there was problem, it was always 'they need more training'. NOOOOOOO! They need more supervision and followup!
    I am new to staff education, and I can't tell you how many times I've heard this already. "they need to be educated on....". They have BEEN educated ad nauseum on it. They need consequences enforced for failure to comply.

  • Nov 2 '17

    Some of my most rewarding days were spent in Peds Oncology and Bone Marrow Transplant. The patients, the parents, the nurses and the doctors made it a wonderful experience. Sure, the parents were at times a challenge to deal with, but heck, I would be too, if my kid was dying.

  • Sep 4 '17

    As a former MS nurse (many years ago) your post brings me back to some dismal days. For the most part, I was miserable in Med Surg. I worked on a surgical (mostly ortho) floor, but of course there were medicine patients (or the surgical patients became medical patients). It was a neverending battle to beat the clock; get everything done by the end of the shift, while not getting into any trouble. I moved on after a year and a half, beginning my career in Peds.

    Then I got to peds, and at first it was the same, as far as the workload. It was just as hard. Granted, staffing was better, and I worked for a very good manager. But there were still patients to please, night shift with no secretary, support staff who were less than supportive, doctors who gave you a hard time about what you deemed a pressing issue, etc.

    Now I am teaching, mostly med surg clinicals, with a few days (per semester) of Peds thrown in. Now I can definitely see the difference. While there are less patients (and much less meds to pass) in Peds, you still need to be "on" at all times. However, the chaos is much more controlled. The docs seem to have a better handle on things. So, I get what you're saying. But what I do see, after all these years, is that Med Surg gives you an amazing foundation to build on, no matter where you end up. It's a crash course, and yes, I do maintain now, that it is harder than the majority of other specialties.

    I too, do not agree that anyone can do it; it is real nursing, as real as it gets. It is every specialty rolled into one. It is a tremendous challenge for new nurses. But this is the way it is; this is where new nurses are expected to go, to hone their skill. If staffing was better, and the conditions were overall better, I would say it is the best place to be for new grads. If you can make it there, you can make it anywhere

  • Sep 1 '17

    Welcome to NY (almost)! It really is a wonderful place, once you get used to the hustle and bustle, traffic and bad parking :/. The plus side is all of the entertainment, restaurants and diversity... It is VERY diverse, and your patients will be a great representation of that

    Much of what was said already is spot on, regarding neighborhoods and expenses. I've lived here all of my life, so I'm used to it. Regarding "good" and "bad" neighborhoods, it's all relative (and can be subjective). I know people who wouldn't dream of living in my area, and yet, there are people who couldn't touch the rent or mortgage in my area. People make assumptions about certain neighborhoods because of who lives there; in NYC, there are many areas that are heavily clustered by race,m ethnicity or religion (Jewish, Asian, Hispamic, etc). The reality is, you may be right at home in a neighborhood like this. Or. You may not. So it's hard to say own at would be the best neighborhood for you.

    Most of NYC is accessible via public transportation, except Staten Island, and certain parts of queens (where there are buses, that you'd have to take to a train). But if you live that far out, you can work on Long Island, where there are plenty of hospitals (not sure about agency affiliations though). Parking at hospitals in NYC is tough: you either rely on street parking, or pay a hefty fee to park in a lot (if there is room in the lot, or you have the 'privilege' of using it). Long Island hospitals are much better for parking.

    If you have any questions, pm me. I've worked in many places, and know lots of nurses (being a professor). I also am in the process of navigating the school system for high school (for my own child).

  • Aug 4 '17

    Pick your battles, when it comes to parents and patients. You need to understand that most everything will be a battle for them, due to their level of stress. Even if you are not in a critical care setting, understand that for them, their sick kid (even if its a gastro or tonsillectomy) could be the worst thing in the world for them. I've worked in many different ped settings, and I've seen dying kids. But I'd never tell a parent that it could be worse.

    With the kids, definitely learn to negotiate what is negotiable. Bed times, bath times, food times and choices (depending on the setting) may be negotiable. Meds may not be, and this is something the parents need to understand. The worst thing in the world is having a parent ask "does he really need to take that", and now the child thinks it is negotiable. Believe it or not, parents don't always agree with the plan of care. SO when there is room for negotiation, be flexible. Remember, anxiety (on the part of the patient and the parent) often stems from lack of control. They surrender a LOT of control when they are patients. You're basically telling them "I am in charge" so keep this in mind.

    If you can get past this, it will make your job more manageable. Good luck!!

  • Aug 2 '17

    Quote from TheCommuter

    Not everyone is academically gifted, or else the word 'gifted' would lose its value if all people truly were. However, I feel that a person does not necessarily need to be academically gifted to get through the rigors of nursing school and NCLEX, although academic inclination helps greatly through the journey.
    I do agree with this too. The problem is, is often difficult to discern who has this and who does not. I have been on admissions committees in more than one school, and have anectodals about students who had an extreme amount of drive, life experience, and common sense, with mediocre-fair grades who ended up doing well. And (more often then not) I've seen the opposite. I just wish we (as educators) could find an objective way to measure this early on. It would save a lot of students from torture and disappointment

  • Jul 30 '17

    Quote from zhightower
    I've tried regular colleges I've been waitlisted and denied this is the only one I got accepted in. I'm just taking what I can
    You, and everyone else who is up to their necks in student loan debt. And this is exactly what these for-profit schools are banking on. I worked for a for-profit school, and it broke my heart so see all of the students who didn't have the grades for a city/state school, but didn't have the wallets for a for profit school.

    You will be in debt for years and years and years. You will rob Peter to pay Paul (charging everything you buy just to attempt to stay afloat with your loan payments). You will defer, either because you won't find a job, or you'll want to go back to school, and those loans will not go away. And bankruptcy will not discharge student loan debt.

    I don't know how old you are, but you need to think about your future. Things just don't work themselves out as easy as you think.

    It's a damn shame that certain schools are not in reach for everyone.

  • Jul 21 '17

    It sounds like what you want to hear is "with your training and education, you can get a job as a ________ ". Unfortunately, with nursing, it's not that easy. I've been there, many years ago, when I didn't pass NCLEX on the first try. Unless your program gave you specific certifications (like CNA), you're not technically considered "qualified" for any ancillary positions. One of the reasons being that all programs are different in what skills they require of their students (I.e., in my program we did not learn blood draws or venipuncture, so I was definitely not going to get hired to do that). After hitting many dead ends, I finally found work as a home attendant (through my fiends mother, who managed the agency). Even with that, I had to sit through a class (apparently passing nursing school wasn't enough to say I knew how to bathe and transfer patients).

    Since I don't live in CA, I wouldn't pretend to advise you on what you can and can't do with your current skills set. I am generalizing based on what i went through, and what my graduates are currently going through. But I do live in another major city, and I know that RNs who have passed NLCEX are struggling to find work, so I would imagine that someone in your shoes in my area would struggle even more.

    Regarding EMT, you have to be certified (at least where I am, you have to). nursing school training/experience is not transferable.

  • Jul 2 '17

    man, my job is so boring...

  • Jun 30 '17

    Quote from pookashellz
    and this is why i can't stand old people- they force us all to live in the past, instead of realizing that society progresses and updating their views. also, there should be NO judgment of others -for purple hair or anything else- when you can't even wipe your own ass; they should just be grateful they're being taken care of and ****.
    And this is why some old people can't stand young people.