Latest Comments by ArwenEvenstar - page 21

ArwenEvenstar 6,167 Views

Joined: Feb 12, '05; Posts: 352 (42% Liked) ; Likes: 347

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    Hi! You may want to do a thread search for computer charting... there are already some threads on this topic. That should give you a good idea of some of the views out there. One of the threads is real recent : from 2-17-05.
    Some nurses love computer charting, others hate it. It depends also on the particular programs being used...some are more user friendly than others.
    Good luck with your paper!!

    Quote from Pamelita
    hello my dear nurses...
    I am a Grad student and I am doing a paper on computerized charting and nurses attitudes.. I wanted to get some feedback and what you guys think of computerized charting. If your hospital still on paper would you like to use computers instead and if you are already using computers what do you like and don't like about them?
    I would appreciate any input, thanks

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    hey there! I've been out of school years now, but in the last semester (4th) for my associates - we actually had to take a mandatory one credit hour class that actually addressed most of the questions you asked - the boards, what happens if you fail, finding your first job, hospital work environement, professional outlook, and various nursing "issues" were discussed too.
    I think you should talk to your nursing advisor. She should be able to answer your questions. Maybe your school has such a class also? Your school must have some way of informing their students on these issues.

    Quote from vervain
    Hey all -
    I'm in my 3rd semester for my associates. I feel like I don't get any direction from professors and that most other students are just trying to pass the exams (just like me). I'm wondering where I can get straight forward information on what the next steps are. Like; how much do the boards cost? Where do i find out about taking them? Do any state's boards transfer to other states? Do I have to have ecperience before my first job, like an extern/internship at a hospital for the summer? How long after graduation do GN usually wait to take the boards/get a job??
    As you can see... i have some questions...

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    My interview went well...I start next monday (march 7) with my first Private duty nursing case. The same nurse has been on this case for the last several years but she is retiring, so that is why this position opened. It is in a private home with a little girl with multiple medical problems. I have not been to the home yet, but the agency told me they live in a beautiful home in a nice area. They told me they are a very easy-going family, and I won't have to worry about the family being "difficult".

    During the school year, I will be with her from 2pm till 8pm Monday to Friday. In the summer (no school) I'll be with her from 7:30 am till 5 pm, also Monday to Friday. LONG hours in the summer!!! But since it is temporary I can handle it! The 2pm to 8pm is PERFECT FOR ME! I hate mornings, am a natural night owl, and have worked either evenings or night shift for years now.

    I feel very positive and excited about this... In fact, the whole situation seems almost too good to be true! I feel like a "gift" has been dropped in my lap. I was VERY BURNED OUT (stressed out to the max!) of hospital nursing, and am so looking forward to this change of pace.

    Meanwhile, the last few nights I worked at the hospital I have told various nurses of the new position I am taking...some have wished me well and are happy for me, but others have been sordof critical...saying I'll be bored and unchallenged. Such as,
    "You'll only have one patient?? That sounds boring."
    "I wouldn't know what to do without 6 or 8 patients. I like to be busy. I wouldn't want a job like that...I wouldn't feel challenged."

    These comments, to be honest, really surprised me. It wasn't what I was expecting.... DO ANY OF YOU OTHERS WHO DO PRIVATE DUTY NURSING ENCOUNTER REMARKS LIKE THIS?? Do they act like you are a "lesser" nurse because you only care for one??

    As stated above, I feel really excited and positive about this and the change of pace. After 14 years of hospital staff nursing (running around with my head cut off, overloaded with work, never being able to leave feeling like my patients truly got PROPER care, etc) - I am ready for a job that is a different pace. I am excited that I will have the time to actually give a patient PROPER care!!!!!!!! I am excited about getting to know ONE patient and their family, instead of caring for hundreds of patients over the course of time. And if there are moments of boredom...after 14 years of INSANITY at the hospital, I welcome it! :hatparty:

    Well, this is a LONG post!! So sorry! Laura (Arwen Evenstar)

    Quote from mgallant
    Good luck! let us know how it goes! Mary

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    Wow, this thread has generated a lot of discussion. I'm not a OB nurse but.... I have been married since 1992 and I have no kids. So you can imagine that being well into my 30's and married this long - that I get questioned about it! It is all in "how" the person asks....Sometimes it is fine and I don't mind answering them, but sometimes people are just nosy and obnoxious.

    Depending on the situation and how it is asked, I do have a one liner response that usually works pretty good.
    "Why don't you have kids?"
    My answer, "Some of us are just luckier than others."
    That answer usually shuts them up and gives them a little something to think about....WHO is the lucky one?

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    No, I don't think you are wrong to feel this way. You are a part-time employee, not a full-time one. I don't think it is fair at all to expect you to pick up extra all the time. I would just politely but firmly refuse!

    I have always worked prn (per diem) just because I like the flexibilty of it. But let me tell you, sometimes I have had to really put my foot down. They think that just because I am prn (and they also know that I don't have another job and I don't have children) that I should be available to work anytime and all the time! I don't think so! I am prn for a reason - I want control of my schedule.

    So, hey, I think your feelings are totally valid. My advice: politely but firmly stand up for yourself. If you don't want extra hours, just say no!! You should not feel bad at all. If you wanted to work full time, you'd apply for a full-time position.

    Quote from pootypootwell
    Hi. I would like to hear from others regarding an issue I have where I work. I work part time (24 hrs. a week) in a surgery center. I work in the gi lab where there are 7 of us not including our manager. Whenever we are short staffed my boss wants me to work extra days. As in if someone is off for 6 weeks with surgery they want me to work 4 and 5 days a week (which I did last summer). One of the girls in my department is about to go on 3 months maternity leave and I'm really dreading being asked to take up the slack. Am I wrong to feel this way? I need some validation for feeling the way I do. Please!

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    Thanks Mary for your response. I had not quite decided what I wanted to do...All I knew is that I did not want to be a hospital staff nurse anymore! But private duty nursing is really appealing to me. And I am making that my first choice for new employment. So atleast I have narrowed it down...That helps when you are on a job hunt.

    I have decided not to go with Pediatric Services of America (that i mentioned in another post) as I have heard some questionable things about them.

    I have a job interview this Monday with Healthforce for a particular case. The lady talked with me at length on the phone, and it almost sounds like the case is mine as long as the interview goes fine. It is a little girl with a trach, ventilator, PEG tube. The hours would be good for me. And it is near my home also. I feel good about this, and hope all goes well with my interview. And of course, I have some questions too. I have no ventilator expereince and would need proper orientation to that...

    Thanks for sharing the pros and cons with me. All the posts have been helpful and informative. THANK YOU everyone.

    Quote from mgallant
    Arwen, I have done pedi private duty since the mid 1980's. (Can you tell i love it??) there are some pros and cons as previously mentioned. Biggest pros for me: Flexibility when my girls were young; and when i was in school;

    The autonomy of working independently but still having a case manager to call if i really needed;
    the priveldge of meeting some wonderful families and very special kids;
    the continuity of care i could provide without feeling like i was only giving part of what i wanted to
    a decent income..need more $$ work more hours!!

    Cons: some families that think you are the babysitter and/or housekeeper
    finding the hours to work that fit with the cases you want
    paperwork (esp. if client is >18= Oasis:uhoh21:

    I always kept more than one patient on my caseload in case one was hospitalized or on vacation, t hat way i didnt lose work, also kept up with skills.I found that my assessment skills really improved because you are the one person responsible for this client..they really depend on your professional care. Good Luck!! Mary

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    For reasons exactly like this (the orginal posting), I have always avoided being friends with co-workers. As a nurse, I want to be professional and objective. People's lives are in the balance. If I see a nurse making significant errors, I do not want to hesitate to do the right thing becasue she/he is my friend. Or create hurt feelings and other problems, by reporting them.

    But don't get me wrong...I am "friendly" with the people I work with!! (I am liked and get along with my co-wrokers.) But I do not socialize with them outside of work, don't share overly personal things with them, etc. I keep a distance of sorts. They are "acquaintences", not friends. I prefer to make friends and socialize in other ways - in my neighborhood, church, volunteer activites, family,etc.

    My "policy" of "not being friends" with my co-workers has served me well in my 14 years as a nurse. I have avoided a lot of touchy situations and issues that I have seen other nurses have to deal with...

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    My 800 plus bed hospital is in the process of converting to computer charting. One unit at a time is slowly switching over. I'm in the float pool, so I only have to computer chart every so often when I am floated to a unit that has already started it.

    I HATE it! But perhaps since I am only doing it every so often it is just hard for me to get the hang of it.

    To me, it makes charting more complicated because there is so much going "in and out" of parts of the program. You have to "in" to one section for I&O, into another for nurse notes, another for vitals, another for assessment, another for nurse rounds,....ETC. It is VERY easy to forget what you have already charted or have not charted! I find it frustrating and confusing, and end up going "in and out" double checking what I charted or not.....This must be a problem, because I've noticed that some of the units have a list taped on the computers reminding nurses of all the different sections they must chart in.

    Also, you can't just grab the patients clip board quickly to check what their last vital signs were, or I&0, or whatever. No, now you have to log in to the computer, pull up that patient, go into the right section, etc. Time consuming! UGH!

    And you must always immediatly log out. You might be tempted to stay logged in to save time. But if you do that, someone else could go in under you and chart. I already had that happen to me. I forgot to log out and found a PCT had charted stuff under my log in on a patient!!!!!!!!

    For me, the computer charting is much more time consuming than paper charting! I don't like it. But like I said, as a float nurse, I only have to do it every once in awhile. Perhaps with time and doing it consistently, it would get easier. As there seems to be "mixed views" on the floors at my hospital that have already started it. Some nurses seem to love it and others hate it.

    By the way, I am leaving the hospital after 14 years for a non-traditional nursing job. Exploring various options at the moment such as private duty.

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    thanks renerian for your thoughts! I was actually wondering how big of a pay cut I would be taking. And just today I spoke with an agency about a private duty peds case, and they told me the pay was 19-20/hr. So it is about the same as where you live in Ohio.

    My sanity is worth money too. I can't even tell you how burned out I was/am with hospital staff nursing...

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    Ellie S. likes this.

    Thanks for the info Bob! I appreciate your thoughts and perspective. It sounds like the "doors opened for you" and you were able to ease into and adjust to your situation.
    I was actually just surfing the web and found some info about independent private duty nursing. Doing it independently had never even occurred to me.

    Since I am brand new to this area of nursing, I think I'll start out through an agency or registry to gain some private duty experience. (If this is the direction I decide to go...)

    When I make a decison, I'll let you know. It may be awhile. At this point, I am just networking and exploring my options... All I know is that I need to get AWAY from hospital staff nursing!!! (I am so burned out I am toasty!!)

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    I have been a hospital staff nurse (RN) for 14 years and I am VERY burned out. I need to get into a new area of nursing and i am considering several options. (such as home health, utilization review/case management, mobile field examiner for a life insurance company, etc.)

    Regarding home health...I am not sure I like the idea of driving all over creation! So I have been thinking about private duty home nursing. Atleast you are just driving to one house and stay there an entire shift doing one-on-one care.

    A local home care company (Pedriatic Services of America) has recently been advertsing in my area for private duty nursing positions. I called and got some
    basic information. They do mostly 8 hour shifts.

    Anyone out there with private duty nursing experience? Pros?? Cons?? Advice?? How does the stress level compare to hospital staff nursing? Atleast you are just dealing with ONE patient...not 6 to 10. Right?

    I am interested in night shift...which is 12 MN to 8 am for Pediatric Services of America. I am a natural night owl and have worked night shift for years. So this would be a way for me to get away from the hospital but still work at night. Can't do regular home health visits at night (or other non-hospital jobs for that matter)!!

    Thanks in advance. Please do share your private duty nursing experiences and thoughts with me. it will be much appreciated.