New Grad in CA needs Advice

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my likes: fast-paced, adventure, kicking back and relaxing, hands-on stuff like injections, maybe even some trauma, high pay (the higher the better), friendly faces.

my dislikes: a heavy workload, working my ass off, stress, psych and geri, teaching (if i wanted to teach, i'd get a teaching credential and be a teacher), talking to the patient (especially about random meaningless stuff), family members who stare at you, mean and strict supervisors who works you like a dog, nurses who don't seem to care or take their job seriously, nurses and doctors who are mean and unfriendly, doctors (and nurses) who think they are God and could care less about a nursing student like when i was in school, no collaboration between healthcare team (yes, your CNA is part of your team and is as important as the physician himself, and if you don't think so, then i wouldn't want to work with you).

what i like about the ER: fast-paced, adventurous, random patients (i dont see the same face each day), time flies, and you see all types of cases.

what i dislike about the ER: random patients (never know what kind of psycho will walk through that door), high risk for TB or similar type infection.

what i like about NICU: minimal talking to the patient, no TB risk (if i am correct), saving an innocent life.

what i dislike about NICU: very strict infection control (dont want to have to wash my hands every 5 minutes), teaching parents, giving emotional support or consoling parents when their baby dies, handling fragile preterm newborns.

what i like about the OR: patient is sedated so no talking to the patient, just "kick back" while the surgeon does the work, the trauma of a surgery (cool to watch).

what i dislike about the OR: when equipment malfunctions (i'm no techie).

what i like about Urgent Care: less critical cases than ER, seems more relaxing than ER.

what i dislike about Urgent Care: too many illegal immigrants seeking free services who can't afford to go to a real ER. you're limited in the type of patients you see (you don't see real trauma, like gunshot wounds, etc.).

sorry for being so blunt, but i need some advice other than to leave nursing because you might think it might not be for me (if i wanted to leave, i would already have). i am from los angeles and a new grad who just took the nclex recently and will assume for this thread's sake that i have passed. so, what unit sounds the best for me? thank you for your response.

No offense, but I felt like I was on speed while I was reading your post.

It sounds to me like you need a discussion with yourself, not anyone here. All areas of nursing require a lot of teaching and comforting... I don't know any "unit" that would be right for you. You need to make that decision for yourself.

FWIW: Good luck.

Jen

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what i dislike about Urgent Care: too many illegal immigrants seeking free services who can't afford to go to a real ER. you're limited in the type of patients you see (you don't see real trauma, like gunshot wounds, etc.).

Is this a joke??:nono:

Specializes in Med/Surg <1; Epic Certified <1.

Just curious....what school of NURSING did you attend?

From first semester we were taught that TEACHING was one of our most important jobs...in my clinical rotations I have already been on a unit that had a TB "scare", been exposed to patients with c.diff and MRSA amongst other contact precautions....worked in the ER during an internship which included all of the things you mentioned above (and been exposed to multiple flu patients WITH and without insurance) and more, plus shadowed in a NICU which is ALL about working with parents and EDUCATING.

Sounds to me like you need to research your nursing options a little more....does infomatics involve talking/working/touching/interacting with other human beings? I can't imagine another field in this business that would cover all your bases.

Good luck....I think.....

Specializes in Neonatal ICU (Cardiothoracic).

what i dislike about Urgent Care: too many illegal immigrants seeking free services who can't afford to go to a real ER. you're limited in the type of patients you see (you don't see real trauma, like gunshot wounds, etc.).

This may come as a surprise, but most people getting themselves shot are not usually the ones with a full-time job and health benefits.

Specializes in CST in general surgery, LDRs, & podiatry.

as a cst with 15 years under my belt, if you think working in the ors is an opportunity to "kick back and let the surgeons do all the work" - boy, do i have news for you. it ain't happening in any or i've ever worked in, and if you ever come into my room and expect to sit and relax during the case, the only thing you can expect to hear from me is "get out and don't come back." circulating nurses work their hind ends off, and patient contact doesn't end because the patient is asleep during the procedure - or they may not be in the case of a local, spinal or epidural anesthetic, in which case they will need more reassurance from you. it starts when you go to get the patient from the preop area, review all the chart information, introduce yourself and interview the patient, using that "therapeutic communication" you claim they taught you in the first part of nursing school, help them calm their fears and answer all the last minute questions they have come up with, or have forgotten the answers they were already given because they are nervous as hell, explain to them what they are going to see and experience - monitors, smells, sounds, cold rooms, etc etc.....then introduce them to the room staff, and inform us of the patient's information, procedure verification and allergy status and so on. you assist the anesthesiologist with induction and intubation, you help position the patient, keeping patient safety foremost in your doing so, then you may catheterize the patient, do the skin prep, and anything else needed to get the patient ready to go. there may be a fracture frame to put them on, or a wilson frame or other positioning devices to use in getting them positioned, requiring coordinating the team in turning the patient face down. all of which could possibly malfunction and need immediate repair.

there is work to do during the case, including possibly dealing with other malfunctioning equipment, and there is work to do after the case is over. and that is all on one case. then you get to start all over again with the next case. the best circulating nurses i know work continuously during the case, and in some facilities, they are expected to return to the room and help the techs clean up and restock, and turn the room over and open everything for the next case. not every facility has environmental service employees on the unit to clean the room and get it ready to go again. and that is not a comprehensive list of duties - every case is different, and brings with it its own set of requirements.

if the case does not go as planned, you'll be getting me extra sterile supplies that need to be replaced during the case because they get used up, such as sponges, sutures, staplers, stapler refills, maybe more or different instrument sets and so on because i am not allowed to break scrub to do it myself, and that is your job. we also have to count all those sponges, needles and sharps, instruments, and so on before, during and at the end of the case. that requires you to maintain those records and to work with the scrub staff to get it done quickly, accurately and efficiently. bloody sponges get put in count bags after picking them up out of kick buckets either with gloves on, or with gloves on and a clamp or instrument of some kind to handle them. (don't forget to wash your hands or at least use alcohol rub each time you do that.)

then there's the patients that need lab work run during the case, blood and/or fluids from the blood bank, and on and on and on..........and then, and no offense to those who don't fall under this description - the odd "quadraplegic" anesthesiologist who can't do a thing for him/herself and need you to do it all for them, except actually give the anesthesia and intubate the patient.

so, please do all of us or folks a favor and pick a different service. you wouldn't last 10 minutes in any or if you expect to "kick back and relax" during a case. or nurses are well known for "eating their own" and you, honey bun, wouldn't even be a snack.

Specializes in Transplant/Surgical ICU.
Specializes in CST in general surgery, LDRs, & podiatry.
troll!!!

just for the sake of clarity - to whom would that response be directed?

I'm a nursing student from CA. All I can say to remain "nice" is say I hope you didn't come from my school and I feel sorry that you view nursing that way.

ShariDCST, i guess i know where i'm NOT working and that's in "your OR". actually, i dont know what kind of ORs you work in but the ones i've seen the RN just sits there and watches, maybe not in all cases, but enough of them that it's relaxing enough. and to whoever posted the one about wearing a pedometer and clocking 5 or whatever miles per shift, that doesn't even sound feasible. again, i dont know what kind of facility you work in and i woudn't want to work there if you paid me. and about OR nurses "eating their young", i dont and wont put up with that kind of treatment. with your license, an RN is suppose to be an independent worker, and no one tells me what to do or how to do my job, except maybe the patient themself. i don't work for you, the doctor, or anyone else except the patient. you do what you want with your license and i'll do what i have to to protect mine. the RN is an independent critical thinker who makes his/her own decision as to what's best, for the patient AND for him/herself. i have to protect my own well-being first and foremost. in school, i was taught to take care of yourself first before taking care of others. i read about alot of the NICU nurses over on that forum and how burnt out they are, how depressed they are, etc....it's really pathetic to think about. i'm not about to turn into a psych case working at any NICU like that, or any unit for that matter. how do you deal with a dying infant who you cared for for 6 months? you deal by not taking it personally. you deal by appearing cold, even though inside you're really compassionate. you act like you dont' care, but you really do. you just dont show it. you accept death. this is called self-awareness. people die, get over it and move on with the next case. you must keep your emotions in check in order to cope. if you break down after each case, then you won't last in NICU. as for consoling the parents, same concept. you say your i'm sorries and move on. need more consoling? that's when you call the chaplain, priest, social worker, or psychologist to help them deal with it. many of you might not agree with my philosophy, but i got to keep my sanity if i expect to last in nursing. speaking of which, i think Correctional Nursing is the best fit for me, so in case any of you wonder whatever happened to me, well, that's where i'll be, working in a prison with hardened criminals and putting them in their place. by the way, i am a male (not female for that gay guy who called me darling), with a law enforcement military mindset. maybe that's where my mind has been wired. but, to each their own. i doubt i'll be working at any hospital after hearing and reading about all the bs (corporate and otherwise) that goes on in them. i'll be in prison where most of you probably want me to be anyway, except, i'll be wearing a nurse's uniform, carrying a big stick, maybe a gun, and certainly a large-bore needle filled with a general anesthetic. :p Good luck and good bye everyone. :paw:

Specializes in Transplant/Surgical ICU.

ShariDCST : It was not directed towards you.

Specializes in Operating Room.

ShariDCST...excellent post!!

I can only sit here and laugh my fanny off at the OP. He thinks my post wasn't "feasible" namely that I log in miles each shift? Whatever. He should come see my OR, especially when spring and summer rolls around, what with all the trauma that comes through. I'm lucky if I get a supper on those nights and a chance to pee.

I also do not "sit and watch" cases. If you are any kind of a decent OR nurse, you are working all through that case. I also cringe when I hear people on here advising him that the OR is a good fit for him. He'd last 1 day, if that. Patients often express their fears and anxiety right before surgery and the circulator has to teach and provide comfort. We also do peds and pedi trauma so the last thing a devastated and fearful parent needs is to run into a nurse that is callous and heartless and is in the OR to "kick back".

I know we can get in trouble on here for using the "T-word" so I'll use this:smackingf. If this person isn't the "T-word" then I'm very, very afraid for his future patients.

Specializes in Transplant/Surgical ICU.

Oops! Had no idea we could get in trouble for saying the "T-word." I guess I have been warned... Thanks for putting that out WithcyRN

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