Latest Comments by JRP1120, RN - page 2

JRP1120, RN 6,097 Views

Joined: Apr 26, '11; Posts: 160 (36% Liked) ; Likes: 138

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    ren3741LPN and tokidoki7 like this.

    What kind of rehab facility is it you're in? I graduated in May and just started my first nursing position in rehab in a hospital setting. I worked my first shift the other day. I think it's going to be a great experience, however, I'm worried I won't get to practice some skills I was hoping to. Most patients come without IV drips going (but some still have IV access in-to which we have to remove once we know they won't need the IV anymore), so, no IV sticks and starts, running IV pumps for me. I'm kinda bummed about that. There are other things I won't get to do that I would get to do on a regular med-surge floor and I'm a little worried about that. I really want to work neonatal/L&D/Mother-Baby someday and now reading your post scares me! I had a few interviews for other positions, didn't get the ones I really wanted but finally was offered two positions in a new grad residency and chose rehab over nephrology, for a few reasons. I really love my unit, my preceptor, the residency, so far! I will be SO disappointed if after a few years in rehab, those other places won't consider my rehab acute experience (it is not long-term rehab but the pts stay an average of 14 to 21 days). We rehab brain injury, stroke and spinal cord injury patients mainly...I pray this experience counts for something! In the end, I had to take the position I felt would be best-now I'm hoping I didn't make the wrong choice?

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    Quote from raincitynurse
    I hate having stuff in my pockets, I have a lil strap on pouch.It has a lil velcro tab I slip thru a roll of tape. I call it my"nurse purse" keeps all my stuff on hand, ready to find without looking, and my pockets empty.
    I also hate weighing my pockets down. Could you direct us to where you got this 'nurse purse'? I've searched and haven't seen anything you're describing. Thanks! Sounds like a neat idea!

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    Thanks for your response!

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    Can someone please explain what Vocera is? I'm not familiar with it. TIA!

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    nrsang97 likes this.

    Quote from StrwbryblndRN
    During the night I agree that it can get noisy and need to keep it down. During the day though you gotta do what ya gotta do when the phones ring, md rounds, squeaky carts galore.
    What would be frustrating would be the approach of management/administration on how to be quiet. (Like kindergarten)
    "Please use your inside voices everyone. We don't use our outside voices here"

    Quote from StrwbryblndRN
    Luckily for me I can't be but so quiet. Even during the night I have pt care to do. Many of my pt's are elderly. Many have hearing aids that they take out at night. Some are just HOH either way. So raising my voice is necessary.
    Funny side note: I had 5 pt's one night. All but one HOH. MY non-HOH guy flinched when I spoke. I asked what was wrong and he said I was too loud. I could not help but giggle,apologize and explain to him about my other pt's. He understood

    I sometimes cringe at the noise levels of some of the staff I've witnessed when I was doing clinicals. Most of the noise came from when they were cutting up and joking around, not when they were actually working. I can understand the whole being quiet thing so the patients can heal but like many others have said, delivery of such a message, pt's families, noisy equipment, etc...all play into that. Hospital floors will never sound like the inside of libraries...heck, even some of them are really noisy too!

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    Quote from nervousnurse
    wow! Too "nursey"....!!??? I've heard it ALL now!

    Tatudgrl....I'm sorry your cousin was so traumatized, really---but I had to smile a little only because I am SOO haunted by that movie, too!!!! It would've probably bothered me a bit, too....I'd keep imagining her face all scarred with those SCARY eyes, and wait for her to speak in that SCARY low voice......
    And her head spin around and vomit pea-green soup everywhere! Ewwwww, that movie traumatized me when I was a teenager! To this day I will not watch it!

    I have to admit though I smiled at the vision of the cousin not retreating from the bathroom until the Linda Blair look-a-like nurse disappeared and promised not to return.

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    I, like you, had thought of myself as a nurse, could see me reaching my goal, had great grades and scores, etc...when applying for NS, particularly the BSN program I wanted to take. I had taken all my necessary pre-reqs except for 2 social science type classes (history is what I would have chosen) when I applied and did not get in. I felt like a failure as I had just spent 4 semesters plus a summer getting all my pre-reqs done so I would be ready to begin nursing classes. It depends on where you live, the school you are applying to, and it's competitiveness. My school was a highly competitive BSN program, with 400 applications and 75 available slots per semester. Most nursing programs have their own numbering scale they use to accept people into the nursing program, which I'm sure you're aware of. While my score was right up there with a lot of the rest, I still didnt get in. I was told it's really a numbers game, kinda like a lottery so to speak, when you're dealing with high numbers of applications and qualified people. So instead of waiting another semester, because I'm no spring chicken, I applied to an ADN program and got in. I just graduated in May of this year and I couldn't be happier I chose this route. I essentially took 4 yrs to get this ADN because I took so many pre-reqs required for the BSN program I originally planned on getting into. A little frustrating but I still received my end result-getting that RN degree. I start my first job tomorrow And looking back, I realize it all happened for a reason and I'm glad I did the ADN program (it was an awesome program and also highly sought after in my area). I realized I really wanted to become an RN and start working and that I could pursue my BSN at a later date. I plan to go back to this original school this Jan. for my RN-BSN while I work (that's MY plan, however, experience has taught me that my plans aren't always what's best for me at the time I think they are). While I understand where you are coming from, I don't think you can make yourself look any more ready or stellar on paper. You've got the drive, ambition, grades, etc to begin your NS journey. It's just a matter of time and you will be on your way, I believe. Don't lose hope!

    ETA: while I feel for your plight here, I got lost in my own response and didn't address your seemingly conceited undertone. I did NOT think or feel I was more qualified than anyone else trying to get into a NS program and perhaps you do, based on your one paragraph where you put down ordinary people getting into other medical programs. Perhaps you didn't intend to come off that way except to let us all know that you've done many things you think will give you an edge. The short of it from what I've seen is they won't help. If you are going into the nursing program offices with the attitude of superiority, perhaps that is what is keeping you out? Just a thought. Keep your feelings about yourself at the "ordinary" level of the rest of us wanting into a NS program and you will fare better, I suspect.

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    These tips are great! Please keep them coming! I start my first job this Monday! Excited but getting nervous! Thank you all for your input here; I always learn so much!

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    Quote from RN2BDFW
    I will start with my "wish list" and go from there. I want a solid full time job with benefits at a reputable institution. I also want a position that will maximize my learning through a good internship in a spcialty that will maximize my ability to move forward in my career. For this reason, though I like them a lot, I will probably not look for a job in L&D, NICU, newborn nursery or OR. LTC scares me due to the stories I read on these boards about how many patients are assigned, how awful the CNAs are and how callous management is. I will only apply to LTC as a last resort. I am most interested in cardiac, neuro-trauma, med-surg, oncology, transplant etc. However, if those on my "not preferred" list are all I can find for some reason I would not refuse to accept the position. Therefore not a dealbreaker.

    I hope for a day position but am 90% sure I will have to work nights to start. I am okay with that, but if a day position is offered, it will weigh heavily in the decision making. If admitting I am a morning person makes me somehow a "spoiled" (40 year old) new grad, I am sorry it seems that way. In my mind, it is being realistic about what works for me. Some people love nights. I am likely not one of them. I will try it and put on a happy face and do my best to focus on what is beneficial about it for a new nurse starting out. It is not a deal breaker. But unless something about my basic genetic algorithms changes (seems unlikely at my age), I will be jumping on the opportunity to go to days as soon as it presents itself.

    Dealbreaker will be having to put up with co-workers who are hateful or spiteful. Not one or two - every job has that. But if it is the pervasive culture, forget it. I would rather work a menial job with happy people than a skilled one in misery. I am old enough to have been there, done that, got the t-shirt and am unwilling to do it again, for anyone, for any reason. I suppose if I somehow lose all my money this attitude will change, but that seems unlikely right now. It is amazing to me that everyone talks about how much this pettiness that goes on in nursing needs to change, and yet come back and say new graduate nurses need to put up with it. Nonsense. One does not have to be from Generation X to realize it is not okay to be hateful and to refuse to bow to that under some guise of "doing their time". It is not difficult to be civil. I expect it as a matter of course and tend to recieve it because I expect it. If the culture is not one of civility, I will find another job.

    Another dealbreaker will be working under dangerous conditions in a position that regularly threatens my license. Won't do it. I don't have to work and thus don't have to put up with that.

    Continuing education benefits are important to me but not a dealbreaker. I will continue my education with or without my employer contributing.

    What I bring to the table is maturity, fresh eyes, enthusiasm. I am excellent with patients and tend to be very good with co-workers. I have had two children with cancer who spent extended amounts of time in the hospita,l one of whom died and one who did not. I believe my perspective from the other side of the bed will influence my nursing in a beneficial way. I am determined to utilize my knowledge and the grim reality of what became of my life to make me a solid, skilled, kick-azz nurse. I am not adverse to wiping butts, turning patients, cleaning up all types of bodily fluids and tend to be empathetic and efficient in my tasks. I am curious and enjoy working in a team atmosphere. I can be easily flustered in high stress situations at times but after experiencing something I tend to remember it and remember it strongly, efficiently and competently. I have good capacity for thinking past what is directly in front of me and anticipating the needs of what potentially comes next. I don't have small children, I am settled in my life, I fit in with people the vast majority of the time. I am prompt for my shifts, respectful of patients and team members, aware of my limitations and eager to learn more. I have a gift for dealing with difficult family members, probably because I have a deep understanding of the stress they are under. I also would prefer to find a facility I am happy at and stay there, perhaps for the rest of my life, if the growth potential is there as I increase my education. I have no desire to job hop.

    These are the things that I bring to an employer. In time, that list will change and grow. As a new grad, I claim what most new grads can claim. No real skills yet beyond what opportunities presented themselves in clinicals, but a real desire to grow into a fantastic nurse. I believe that is enough to warrant civility and safe conditions to grow those skills. Those are my two dealbreakers.

    ETA: Thanks for asking the question. Even if I get flamed, this helped me sort out what is important to me as I approach the time to start interviewing. Useful.
    Awesome post! I'm around your age as well and in the same boat with a supportive husband and no young children. I have not experienced the loss of a child nor one with serious medical issues such as you have (and I am sorry for your loss, I can't imagine) I believe your post in that you are a well-rounded and confident lady that will make whoever hires you proud! I bring much of the same to the table but haven't had a chance to post it. No flaming from me, only kudos to you!

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    canigraduate likes this.

    Quote from NewlyANurse
    I'm a new grad, and all I'd like right now is a job. I think my biggest "want" is a job that will allow me to grow as a nurse, with a positive overall atmosphere. I'm not expecting perfection; I just want a place where I can feel comfortable adapting to the job. I'll worry about everything else once that's settled.

    I don't think it's wrong to have a list of wants, though, as long as you're aware that nothing is perfect. They're desires, not demands. In this economy I doubt I would personally turn down a job because it didn't give me the benefits I wanted, or wasn't in my ideal specialty.... But I do have an idea of what I would like to have. I don't see it as a negative mentality, necessarily. The employers have a list of desired qualities in job candidates, and I have a list of desired qualities that I'm looking for. I'm willing to compromise on some of them if it means finding a good match for a job.

    This is exactly how I look at it!! Very nicely put

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    canigraduate, kalevra, and sj73201 like this.

    Originally Posted by CatarinaEstelle
    "This is the type of answer I see often from newer nurses.
    I want...
    I want...
    I want...

    Even though the things you list are actually things we would all like in our work environments,
    the repeated "I want" mentality just makes me ignore the good ideas in the post.

    You will never find all of your "wants" in one job.

    What are reasonable expectations?
    What are deal breakers?

    What are you giving in return?"

    Quote from dudette10
    The OP asked what we wanted, and we said what we wanted. I suppose the poster you are referring to should have said "pretty please" like a good new grad should?

    You even admit that everyone wants them, but how dare a new grad say she wants them too?

    Good grief.
    I agree with what Dudette10 is saying here. I don't understand why when someone posts a question such as this other people feel the need to tear down HOW people answer the question such as picking apart their choice of words, grammar, spelling and assuming a person is a certain way based on one little response (as CatarinaEstelle seems to be assuming). Geez people, lighten up! I'm a new grad also and I would love to have all the things Canigraduate listed as her "wants" in a first job, or any someone agreed, who wouldn't? It isn't necessary to tear down what someone wants and how they express it just because you (posters) may have been around longer and not wanted these same things when you began your career. New grads don't know what they don't know...perhaps us new grads get our list of what we want in a first/new job based on all the negative ways people describe the jobs they do have on here (and I do learn from ALL posts, even the negative ones ). Maybe the title of this thread should have been "New grads/Students...if you could have your DREAM job right out of school, what would it look like?". However, something tells me the answers would get twisted somehow and pooped on by others that find it necessary to make people feel like their opinions aren't respected or "correct". Such is the life of a public forum I guess!

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    What does your facility use to locate you when you are needed elsewhere? As a nurse, do you carry a phone of some sort? Pager? Do you wear those locator thingies (don't know their name, sorry) next to your ID badges so the nurses station knows exactly what room you're in? Or are you just paged over the intercom?

    Just curious to know how many different types of systems there are out there. Our hospital uses small phones that each nurse is assigned when they come on. Good but can be a pain when you're in the middle of something and it's constantly ringing!

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    Hi! I graduated in May and will be starting my first RN job in a one year residency program on my facility's Rehab unit. Our specialty is spinal cord injury, stroke, and traumatic brain injury patients. I start Monday I was a PCA on the unit just a few times (was in float pool), during NS and loved it so I'm excited about this first job. Do any of you that work or have worked in rehab have any advice for me? What can I expect? Is there anything I should be studying now that will help? What books/manuals will be good for me to have/use on a daily basis while on the job? Any and all advice is greatly appreciated!! TIA!