MissM.RN, RN 6,758 Views
Joined: Jul 20, '11;
Posts: 169 (33% Liked)
; Likes: 125
Thank you DragonPurr for your thoughtful and RIGHT ON post. To all of you who are saying, "I did 15:1 high acuity patient ratios" good for you. but i would bet that the average admission was a few days then, not the 12 hours I have to get my specialty-surgery patient 1. out of bed 2. foley out 3. regular diet 4. PO pain meds 5. dressing change teaching 6. discharge instructions etc etc etc......because the expectations are not realistic.
I have often said, how are you supposed to be a compassionate, friendly nurse to your five ICU step down patients while making sure there are no med errors, their gtt's are perfect, I/O accurate, VS taken and addressed, tube feeds, continuously assessed, no falls, hygiene/turns, OOB for walks when possible?
To the OP - you have to leave this place. do you work at a level one trauma/teaching hospital? if so those ratio's are completely unacceptable. if it's a nursing home or SAR, maybe it's ok. your debt is a huge problem, and but i disagree with previous posters. leave without a job lined up. because your license is on the line.
OP, so sorry you went through that. Assertive skills are difficult to grow and own. We know that the MD is overworked and trying to get whatever sleep possible at night, in order to function the next day. But that is no excuse for absurd behavior such as this. with jerk doctors, i put it back upon their license, not mine. write in your nursing note "MD [name] notified at 0200 of SBP directly by this RN. MD acknowledged SBP. Orders requested, but no new orders received. Bedside assessment requested. MD declined"
No nurse on this board should EVER feel scared or apprehensive about calling the MD for any reason related to patient care or MD orders or clarification. it could save a life, and your job.
Anyway, please report this horse's arse
music in my heart, first off I am so sorry. i applaud you for recognizing your role in the error and showing integrity. any nurse who says "i'm perfect" or "i've never made an error" is either lying or so oblivious that s/he doesn't even recognize the error. you are clearly holding yourself to a high standard and that too should be applauded by all of us.
try not to feel like you need to wear a scarlet letter. we are human beings and make mistakes in the face of high pt ratios, acuity, and technology. you did not intend to hurt anyone. please know that I am sending you a hug, and i know you'll forgive yourself for this soon.
i might wait to get your license number from the state. once you get it, have sections for education, licenses/certifications, and clinical experience. great that you are a tech/CNA! highlight that as your first entry in the clinical experience. if you have other work experience, you could list that last. i caution against including school clinicals as experience - in my experience, recruiters do not appreciate that. best of luck to you!
I would take out everything in the "professional profile" and do not list student clinicals as clinical experience. it really isn't.
have a section for licenses/certifications where you put your RN/ACLS/BLS/etc. i also have a section for references, or you could write "references available upon request"
i am one of those nurses who LOVES do to hygiene/turns/ambulation/trach care etc. I just love it. it feels like you're actually doing something that matters and makes the patient feel great. when i walk away from a pt who smells better than i do in a nice recliner chair, then i have done my job of course that assumes my other patients aren't circling the drain. most of the time, I never chart that I did these things either. i prioritize charting hard data, VS I/O, MD notifications, rhythm strips. there is just not enough time to do it all.
a caveat - more and more often, there is no time for these moments for several reasons beyond the nurse's control, like 1:1 sitter need left unfilled by staffing, multiple medications missing, labs left undrawn by prior RN, acute change in mental status requiring imaging and tele transport....i could go on and on. yes, we all know of our frequent lazy colleague-offenders. maybe because of your high patient ratio you couldn't do oral care Q2, but come on, do it a couple of times.
OP - i was just laughing until there were tears in my eyes. so funny "when the tampon's in the lemonade" LOL
anyway, i do agree that we're over complicating things at times. i'm not sure i agree that people need a doctorate of nursing...but people who do clinical teaching should have a masters. i don't even think that bedside nurses need a bachelors, but that's another thread
I have to say, 6-8 pt load is too much. I don't know how safe pt care can be delivered, following all hospital policies and unit practices, with even 5 pts. and CNAs who do nothing. and charge RNs sitting at the desk playing candy crush. and.....you see what I mean. how is your pt supposed to be 1. ambulated if possible 2. washed/clean 3. in tact skin 4. all meds on time 5. perfect I/O Q4 or Q8 6. drips drains EVD LD monitored 6. supported/educated/etc ???
You're so welcome, and really - best of luck to you!
I think the formatting of your resume is great.
I might steer away from listing your school clinicals as "clinical experience" because (in my opinion) it really isn't. I think that gives the recruiter the wrong impression. It almost seems like you're applying for a position on the unit where you're precepting: is that right? If so, try to get a PCA/CNA/whatever it's called where you are now. Then you can list that as clinical (albeit assitant-type work) experience. I realize you graduate in May and it's now March, but it will really be invaluable. PS: half the time instructors haven't applied for a job in 5 years - take what they say with a grain of salt!
Great resume! agree with previous poster - it must just be the AN post that is making the formatting a little "off".
Anyway, you have great experience, but I think you could make it stand out a bit better. Did you go to a hospital school of nursing, then the associate's degree program? I would definitely leave out the word "termination" at all costs, hospitals now use resume-bots that scan what you write for negative terms like "termination". On my resume, I have "class of 20XX" for my dates. I would put your home care/trache experience first, then your mental health stuff. I would leave off your clinical rotations because they're not really professional experience - just educational experience. Best of luck to you!
CRHarris - there are a couple of RN jobs posted at FAHC that don't explicitly state 'no new grads'. go the website and see if they're truly new - maybe there are new openings for you to apply to! FYI: Baird3 = ortho Baird4 = general medicine Baird5 = peds Baird6 = surgery M3/M4 = SICU/MICU/PICU, M5 = cardiac/tele, M6 = neurosurg, M7 = L&D
I interviewed and accepted an icu step down/progressive care position before getting my authorization to test, much less a test date/time. It was fine. Sadly I think my experience is rarer these days (see dozens of threads about new grad - no job).
CRharris - Kindred is a for-profit nursing home company. You will get next to zero orientation before being thrown to the wolves...and if anything happens they will happily lay all "blame" at your doorstep. Also FYI they will not have in-house physician support. I simply will never work anywhere but a level I trauma/teaching hospital.
gonementally, I meant no offense to you. as I wrote, "in my personal opinion". I'm not trying to lump people together. but i disagree with adding your school clinicals to your resume's experience. it's not nursing employment experience.
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