Need some help here guys....

Specialties CNS

Published

Okay, I am 8 weeks from graduation from an adult health CNS. I received tuition waivers from the hospital where I work so I owe them 24 months of work after graduation. So...there are NO openings for APNs currently and none expected either. I spoke with the nurse recruiter yesterday and guess what!!??? I am not guaranteed an APN position, so I can just continue in my staff nurse role for the next 2 years!!! Can we say (expletives deleted)???? Talk about totally bummed out. So...lets see, I have a master's degree in nursing, a post-masters APN and all I can best be utilized as a staff nurse??? Yikes!!!!

I'm very frustrated. I have applications out to other hospitals and private practices but that will involve a long commute (60-80 miles one way). Help...anyone with ANY advice??? I'm fed up!! Thanks for reading!!

Specializes in Nephrology, Cardiology, ER, ICU.

ERNP - thanks so much. I am now three months into the new job and do find that I really like caring for "my" patients. Huge learning curve though. The dialysis machines look like big Level One blood infusers! lol

Pie 123 - I don't know anything about the grants. Would you like to start another thread because I think you would then get more germaine input. Good luck.

Specializes in ER, critical care.

Those dialysis machines ARE big pieces of machinery. Haven't ever done actual dialysis, just CVVHD and CAVHD in the ICU setting. It was years ago and I hope the machinery for those procedures has improved. I remember spending entire 12 hour shifts trying to figure out, "why is that thing beeping again????" "what can possibly be wrong with it now??" "isn't there a dialysis nurse on call who can help me get this thing working right??" Of course that was when I wasn't emptying the bag and adjusting the IV fluid rate for the output every hour along with all the other ICU business. Luckily they were always 1:1 patients. There was no time for anyone else.

I am glad you are liking the job with the dialysis patients. I must admit they make me a little nervous when they come to the ED. Not only is there concern for the chief complaint but their balance is so delicate, making sure you don't do something to cause harm is always an equally compelling concern.

Specializes in Nephrology, Cardiology, ER, ICU.

Yes, ERNP. I cringe to think how many liters I've pumped into dialysis pts in the ER! Yikes! And...you don't need to worry about potassiums until they're 7 or 8! lol

I don't (fortunately) have anything to do with the machines except to retrieve vitals for my charting. The pts usually know much more about them then me!

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