Latest Comments by live_N_scrubs

live_N_scrubs 928 Views

Joined: Sep 21, '05; Posts: 18 (6% Liked) ; Likes: 1

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    I just started as a school nurse in Utah. In my county, the school district contracts the county health department for it's school nurses. Because of this, we get better pay and benefits than the teachers. I have also found that we are highly respected by all of the school staff. The drawback to all of these great benefits is that I have 7 elementary schools all together. I write all of the careplans for students who have any type of chronic illnesses such as asthma, anaphylaxis, diabetes, feeding tube, etc. I train secretaries and teachers on how to do BGM's and provide emergency in the event of a diabetic siezure or anaphylaxis. So I teach them how and when to give glucagon or an epi-pen. The schools, parents and myself have to work as a team to provide a safe environment for a student. The reality is, the school district cannot afford to pay for every school to have a nurse. I just found out that starting salary for a teacher in our district is only $28,000!!!

    So everyday, I travel to different schools, talk with the staff and students, give presentations and work on new care plans that come my way. The good news is, the county approved for 4 more FT school nurses in the elementary level, so that will decrease my schools 3. My job sounds overwhelming to most people, but it really isn't. I truely enjoy what I do.

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    Quote from bergren
    Welcome to school nursing! Let us know how it goes!!
    I have been working now for almost 5 months. So far it has been great and I wouldn't go back to the hospital for anything. It has been very rewarding working in school health.

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    i think it's great that you are considering school nursing. i think being a male nurse would be a great influence to all of the boys in your communitiy. good luck.

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    In UT, a BSN is preferred in the school district that I work in, but they will hire an ADN with 2 years of nursing experience. I just started as a school nurse and I love it. I will be finishing an RN-BSN program in Dec. :mortarboard:

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    When I was in nursing school, I knew of at least 4 people who were cheating on exams. They would take turns going into the exam first, and then write down what they remembered on the test for others to memorize. This was possible because the way the testing schedule was set up, the class had a whole week to take an exam. These people were getting near perfect scores everytime. I finally got so frustrated that I went to the head of the nursing department and told her everything I knew. She basically said that she could not do anything about it and she reassured me that these people would never pass their boards. It has been a year now that I graduated from nursing school and every single one of them who cheated on exams have passed thier state boards. It scares me to think these people are practicing RN's now.

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    I just got hired as a school nurse, today was my second day ~ Utah.

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    Congratulations!!!! And good luck on your boards.

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    sistasoul likes this.

    Quote from stphnrnm
    I am currently working in the ER, prior to that I worked in OB both areas can hit you with an unexpected case at the last minute forcing you to work ot just to complete documentation after e.g delivery or code. however the floor nurse really only have to do the basics for that pt they receive from the ER 30 mnutes before shift change (in most cases). I fully agree that the most important point to remember is the care we give our pts. Team work helps us to get it done efficiently and effectively. No matter where we work in the field of nursing it is still a matter of choice or preferance and the desire and determination to deliver the very best nursing care we can. (Is this not why you became a nurse?)No nurse is an island, we must work together, rely on each other to get the job done, Nursing is an essential service, continuous 24/7, so after you have done your vitals and document them then the nurse you relieves you will resite the IV or page the doctor to clarify orders etc.,and the work goes on....
    Like I said, if I'm lucky the nurse coming on shift will help me with the ER coming at shift change. But this night nurse still must start her shift, pass meds, assessments on 5 or 6 other patients. I agree, teamwork is key, but as the nurse taking on the new ER, it is still my responsiblity to tie up the loose ends. My point was that nurses working on the floor just don't tuck in a patient and go home. This can be a very simple process or a complicated one.

    Frankly the whole "Us vs Them" in nursing is ridiculous. Everyone chooses to work where they do for a reason. The bottom line is, hospital nursing can be difficult no matter where you work. Many things come into play when it comes to workload and job satisfaction. The hospital where I work at this time is trying to implement a policy that ER or recovery cannot send a patient to any floor 30 minutes before shift change. This is done not only for patient safelty but for job satisfaction. We had a patient come onto our floor from the ER right before shift change. The ER nurse brought the patient up to the floor, the floor nurse "tucked them in" and then gave report to the night nurse. By the time the night nurse made her rounds and went into the patients room, the patient had a PE and died. This is why I become reluctant to either accept the patient that late in my shift or just pass the care to the night nurse who I know is just getting organized for her own 12 hour shift.

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    "I really don't understand why they care if they get a patient 30 minutes before the end of their shift, they only have to take vitals and tuck them in."

    Simply tucking in a patient coming from the ER is just not the case. Not at the hospital where I work. Getting a patient from the ER means getting and documenting a complete health history and assessment, paging the doctor because the orders are incomplete, and at times having to re-starting an IV because the one that was started in the ER is not working. Many times the doctor will call and want thier patient ready for the OR "in 10 minutes" All of this, plus making sure your other 4 patients are "tucked in" with all of the meds given, pain managed, fluids running, TPN hung, and making sure all orders signed off and completed. There have been days that I ended up charting and caring for up to 8 patients because of discharges and new admits. Unless I get a really nice nurse who is willing to help me out at the beginning of thier shift, many times, getting a patient from the ER 30 minutes before shift change means that I will not be getting off until 9 PM.

    For me, it is isn't about who has the harder job, it's about working together to make sure the patient gets safe care. A patient who arrives on the floor 30 minutes before a shift change may not get the best care possible

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    Good topic. I'm still in orientation and we hang K riders quite often where I work so I still have questions about how to run it. So this has been a great education for me.

    We also give maintenaice fluids, D5 1/2 with 20, 30, 40 meq KCL. But for example the other day I had a pt who came post op with a potassium level of 2.6, so the doctor ordered a K rider. It was 10 meq diluted in 250 cc NS. We normally start them out at 10 cc/hr and increase or decrease depending on if it burns or not. I think it also depends on the size of the vien and the size of the IV gauge. If it's a small vien with an 18 or 20 gauge, yes it will burn. But if you have a larger vien to run the K rider, it will not be as bad. Also at our hospital, we run the k rider on a totally separate pump. This is done to prevent accidently running it to fast and causing damage or worse causing heart problems. FYI, the pt who was hypokalemic, her labs came back with a 2.2 potassium level even after the k rider so the doctor had to order even more potassium in her maintenance fluid plus another k rider. I left for the day so I don't know what happened after that.

    Thanks for the great discussion, Marina

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    I work on a post surgical medical floor and I have two more weeks of orientation and I am stressing over being on my own. On one hand I am excited to be on my own because then I can figure out how I do things and what works best for me. Sometimes I feel like I do things a certain way because that's how my preceptor trained me, but in the back of my mind I'm thinking I would rather do it a different way. I feel totally overwhelmed right now and I'm not even done with orientation. I try my best to write everything down but the other day when I gave report on one of my patients, she was asking questions that I should have been able to answer but I didn't. I felt like an idiot. The nurse was understanding and she gave me some tips. I'm just hoping that when I am on my own I can fine tune my skills and figure out how to be more organized. I know that I will probably be working my butt off and staying later than everyone else but I'll just have to try and work through that. Anyway, I wish you luck, I just keep telling myself that I will one day I will be just as organized as other nurses, I just have to have patience. We will all be there one day.

    Marina

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    [QUOTE=raindrop]
    So, how did you "just quit?" Did you not give them any notice?

    QUOTE]


    One day I went to discuss my concerns with the nurse manager about the situation. I told her that I was not happy there on the unit and that I felt that it was not fair to either one of us if stayed any longer. She agreed. We had discussed it about a week earlier that I felt like the unit was not a good fit for me, so I think she knew it was coming. Since I was still in orientation and on my probation period I was able to just resign from my position. Trust me, it was me or them and I had to look out for me. As for explaining this in other interviews, I explained exactly what happened, how I felt like It was not fair for me stay somewhere that I was not happy. I made sure I stayed positive about my experience, discussed how I would be an asset to thier institution. In the end, out of 4 interviews, I got three offers. I'm not going to say it was an easy thing to try to explain or that I was not under more scutiny at my interviews. But for the most part that was not a focus at my interviews, they really didn't ask a whole lot about it. I just decided that I would not bash my ex-employer/hospital. And, yes my manager in the end gave me a good reference. It was just what we agreed on.

    I would not suggest to anyone to just leave a position without notice, but I was not going to be treated like that, and maybe they will take a good look at thier orientation and preceptor program and make changes. It was a hard decision for me, but it had to be made. I don't regret it now that I have a better job and everything worked out.

    Once again, good luck

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    I know exactly how you feel. I'm a new grad and I started out working on a unit where they treated me horrible. My preceptor and nurse educator made me feel stupid and I became physically ill every time I had to go to work. I was depressed because I had worked so hard to get my nursing degree and then hated every minute of my first job. When I stood up to my preceptor, things only got worse. She made my life even more miserable. I spoke to the nurse manager and told her what was going on, but she only defended her star "preceptor" When I talked to HR, they told me to work it out with the manager!!! I couldn't take it anymore, so one day I just quit. I found another job three weeks later and now I am much happier. I am learning alot more at this job and the people I work with are so supportive, I feel like I can go to any of them with a question. They work as a team and they do what they can to include new nurses.


    I wish you luck and keep us posted on what you decide.

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    Quote from CrazyPremed
    Hello all,

    I may be moving back to Utah after nursing school. What is the starting pay for new grad RN's there? I'd like to stick to the SLC area, probably looking into UofU or LDS hospitals. For any that work at SLC, how do they treat new grads? Any advice? Thanks!

    CrazyPremed
    I'm a new grad and I can tell you that the U of U starts you out at $18.40 and IHC/LDS start you out at $18.75. The U pays a little more for a BSN and both will give more if you have some experience. St. Mark's now starts out at $19.00/hour. I started out working on 2 East (Special Care Unit) at the U of U but the orientation was so disorganized and they treated me so bad I ended up leaving. The hopital is a great place, but that unit was just bad.

    Good Luck

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    Quote from Daytonite
    ...Remember your experience so that if you ever find yourself in a management position take time to make yourself aware of how the staff is interacting among themselves and step in if you need to. I hope you find a better situation in your new job. Honestly, there are some real excellent RN role models who will be most willing to bend over backward to help you get started. Good luck, kiddo.
    Thanks so much for the encouraging words. I hope to find those excellent role models and learn alot from them. I'm the type that has a hard time being treated poorly, I don't react very well. That's probably why I only lasted one month at the old job. Because of this bad experience, I have made becoming a preceptor one day one of my long term goals. I don't ever want any new grad to feel the way I did.


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