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Hello
I have been offered a position at Newark Beth Israel and was wondering if anyone has worked there. Any information would be greatly appreciated.
Hi Angie:
WOW....just loved ur email. Lots of good info in it, and much appreciated it. Am a recent grad from UMD's Accelerated BSN program, and bkz ABSN programs are a little light on clinical experience, I chose to do an externship on a telly unit in central NJ. Very glad I'm doing so, bkz I feel I'll be stronger RN after my 10-week fulltime summer externship.
Since I live near Essex County, my plan is to apply at The Beth sometime this Fall. Can you comment, please,
Thanks Angie!!
Hi Angie:WOW....just loved ur email. Lots of good info in it, and much appreciated it. Am a recent grad from UMD's accelerated BSN program, and bkz ABSN programs are a little light on clinical experience, I chose to do an externship on a telly unit in central NJ. Very glad I'm doing so, bkz I feel I'll be stronger RN after my 10-week fulltime summer externship.
Since I live near Essex County, my plan is to apply at The Beth sometime this Fall. Can you comment, please,
- on your nursing orientation? eg: how long, how did it meet your needs, etc?
- how is staff RN morale?
- i know the ancillary support staff (Aides, etc) are unionized, and wondering whether they are "slugs" or overall helpful?
Thanks Angie!!
My orientation was 12 weeks or 14 weeks I can't remember. I think it was 9.5 weeks on days and 4.5 weeks on nights (I work NOC 7p-7:30a so I oriented on both shifts). But each unit varies on orientation time. Some units it's months, like the ED is 18 weeks, and the CTOR(cardiothoracic OR) is 9 months, but I think med-surg is 8 weeks and basic tele is 8 weeks and some other units are 8 weeks, but I coould be wrong.
Your first day of orientation the Nursing Educator, asks what unit you are on, and then tells you exactly how long each persons orientation is according to the unit you are working on. Your first week on orientation is 8 hour days for that first week. The 2nd week, you go right to 12.5 hour shifts 3 days a week, and you have your preceptors schedule, thank god my precepor didn't like to do 3 12's in a row or every other weekday. My preceptor had a great schedule, which ment I had a great schedule on orientation. And on orientation you don't work weekends or holidays and you can't be floated or pulled to other units.
Once you are off orientation, you self schedule, which can be a pain in the rear, and can really make you CRAZY. and Since you are fresh meat, you work ALL the holidays. On NOC shift we have to work the night before the Holiday to get the holiday pay, so if you work the night of July 3rd your shift ends 7:30am July 4th, you get paid holiday pay for July 4th, but of you work NOC shift on July 4th you don't get the holiday pay, where as if you were to work day shift and you work July 4th you get paid holiday pay confusing, and it's a little tip that HR forgot to mention.
You also accru PTO each shift you work, Paid time off, which can be scheduled upon the Director's approval or unscheduled(sick day). I think it's 3 hours of PTO for 36 hours of shift work, you work. And I think if you pick up an extra 12.5 hour shift for OT, you may get an extra hour of PTO. Since we are paid bi-weekly, it turns out to be 9 hours of PTO per pay check. The catch about PTO is, when you are new you are scheduled for classes that may only be 8 hours long, and not a part of your 12.5 hour shift. Example you may be scheduled for a critical care class that's 8 hours one day a week for 6 weeks, but you still have to work 2/12.5 hour shifts to make a full work week and get the 36 hours a week in order to recieve pay for a full work week. That 8 hour class, if scheduled at St.Barnabas and not at Beth Israel, which happened in my case, I had to take the remainder of the 4 hours in PTO in order to get paid for a 12 hour shift which would make 36 hours of shift work. And believe me as a cardiac nurse I had to take alot of these weekly classes one day a week for 8 hours and take PTO for 4 hour that were apart of my 12 hour shift.
ALSO at certain times of the year some units close due to low census. In my case, my unit closed around christmas due to low census, not many peple want to have cardiac cath's around the holidays..it's after the holidays they want them done b/c they gorged and did thngs they weren't susposed to do b/c they were just 'caught up' in the holiday spirit. Since I was only a few weeks off orientation, and my unit was closed, I was not allowed to be pulled to another floor untill I was 3 months off orientation, although I was pulled to the ED on Dec.23 I was 3 weeks off orientation. But over a 2 week period b/t dec. 24th to jan. 8th I think My unit was closed a few times due to low census. After the nursing office found out that i was fresh off orientation, every time I would comeinto work and find that my unit was closed I would be sent home or staffing would call and tell me I had sutomatic PTO, but they would use my PTO in order to compensate for my 12 hour shift. This is confusing, but it can really eat into your PTO. And once your PTO is gone it takes forever to build it back up. I went to take vacation in March of this year to go to boston, I took 1 week vacation which would be 36 hours of PTO, I didn;t realize I didnlt have enough PTO to cover my vacation and was only paid for 1 week of work, that was a HORRIBLE pay check. After that incident I read up on the paid vacation policy 5 times in order to understand it and still had to ask my Director to explain it, and yea, needless to say it's now Jul and I only have enough PTO to take 1 week vacation and have my PTO wiped out and have to start over agian..this is the stuff HR dosen;t tell you.
Anyway I would say that my orientaton wasn't the best b/c there is so much to learn in those 12 weeks and I think that it needs to be a longer orientation for my unit, It would have been alot better if I had 14 weeks as a new RN. It took a while for my preceptor to warm up to me, but she taught me so much and to this day still looks out for me eventhough she works days and I work nights. We formed a bond and she will catch things to this day that I didn't see. And it's like a big sister little sister bond. At first I wasn't sure that we were a good match, but after 8 weeks and now almost 1 year later, when ever we see eachother, which is rare b/c of the shifts, we give eachother a hug, talk and vent to eachother.
And once you are off orientation it takes a few months to find a grove. Esp. in the unit I work. YOu have to find the people you work 'WELL' with and try to schedule the same days to work. It takes a while to find those people. Also I thought there were some of the biggest witches on NOC shift, when I was on day shift, and I swore that when I went to nights that I would never work with some of them, but as it turns out, the witches became my best friends, and I know why they are so witchy at times, b/c as I progressed as an RN I found that they were the RN's that were given the worst pt. assignments, which I endued as the 'new kid' on night shift and I still so from time to time, and I also found that they were the work horses of the night shift, which I am a total work horse, and they were willing to help me in anyway possible and actually help and we can vent to eachother and laugh,joke, help eachother in an a critical situation and when one of us needs help in any way we drop everything we are doing to help eachother and I LOVE MY WITCHES b/c we are there for the pt.'s and the pt's know that. And As it Turns out, to my total suprise, It was the NOC ones that were so nice to me when I worked day shift, that turned out to be the RN's I can't tolerate due to reasons I am going to refrain from explaining, and it's not because they were nice. Let's put it this way, hypathetically, remember those "nice' people in HS but when you aksed them for anything it was like you had the plague...:argue: .
But I always look at my schedule before I leave home to go to work and check what nurses I am working with at night, it can make or break your night. Somenights I look a my schedule and I know it's going to be an awesome night and I know I have a support system, and other nights I look at my schedule before I leave for work and think just get to work, do your job b/c you are good at it and the pt's know it, give report and go home and I hate those kind of nights b/c I know I have no support system.
It is a high paced, cardiac floor and you can't be afraid to jump in when something goes wrong. YOu just have to do it, with good nursing judgement and common sense. It amazed me how some people just lack common sense and that could make all the difference in life or death of a pt.
I walked into this hospital as a new grad last year and I knew cardiac nursing was my dream job, I had 3 clinical rotations in school at 5 different hospitlas on tele floors I was the ONLY student EVER to have this happen and I loved it, the rest of my rotations were in 20+ hosp in philadelphia, but I loved tele.
When I applied to Beth Israel I applied for a different floor, but the recruiter was so impressed with how much I knew about cardiology that he put me on the floor I am on now.
AND one year later I am chare nurse from time to time, and I have gotten my sheath pulling certification and have pulled about 20-30 sheaths. At beth israel the Nurses pull femoral sheaths post cardiac cath. Depending on the Interventional Cardiologist, some use closure devices, some leave the sheath for us nurses to pull post PTCA/PCI. It takes a while to get the hang of it.
And during my interview I had no clue what a sheath was, the DON for my floor kept saying and emphasizing how the RN's pulled sheaths during my interview. I had to stop her and ask, "What is a Sheath?" I felt like an Idiot, and thought I blew the interview. She said it's a plastic catheter that's sutured into the groin during the cardiac cath so the MD's can use the guide wire to access the cardiac arteries.
She also said PTCA and PCI. Agian I asked like an Idiot, "PTCA/PCI? And how is the RHC differ from a LHC?" Agian I thoght she would just stand up shake my hand and say thanks for comming in but we are loking for someone with more exp. BUT she told me what the diff. b/t LHC and RHC, LHC is what the MD's do first to determine how occluded the artries are, and the RHC is the procedure following the LHC. PTCA is percuteanous transluminal coronary angioplasty and PCI is similar to PTCA but the diff. is with Percuteanous Coronary Intervention either a Bare metal stent is placed or a drug eluding stent is placed during a PCI. I said, "wow it's amazing how nursing school really only placed emphasis on LHC and angioplasties, and just taught us what a stent was, but didn;t go this indepth. Never used the actual words PTCA or PCI with a BMS or a DES."
After the interview, which I had an asthma attack in the middle of, b/c it was 99 degrees outside and humid, and had to use my inhaler while interviewing with the director of nursing for interventional cardilolgy, and I felt like Mikey from the Goonies sucking on my albuterol, only for me to start shaking b/c my HR went sky high from the albuterol and me being nervous from the interview. But I kept it undercontroll, Ans. the questions with common sense and gave some really good answers.
But on the way home I was crying b/c I had asked those questions, I felt like I totally blew the interview, and to top it off I had to use my inhaler in the middle of a question,. I was a mess. All I could think about is how I must have looked like a total spaz.
I called my recruiter from beth israel, who is an RN, told him what happend, not more than 15 min. after the interview ended I had called him. He said he would talk to the DON for that floor, find out what she thoght of me and call me back. He said it might be a while b/c the DON went to lunch. Not more than 5 min. later my cell phone rings, I see it's my recruiter. I thought wow, I must have really blown the interview for him to call back so quick.
BUT he said, "Ang, how would you feel about....(long pause, I start wheezing agian)....becomming a part of the Interventional Cardiology Team?" I literally dropped my cell pone. I said, "You are serious right!?" He said, "The DON for Interventional Card. LOVED you, and infact called me as you were walking down the hall leaving the hosp. She said that she hasn't had a new nurse that knew so much about cardiology sit for an interview, and ask the questions you aksed. She said you gave the best answers to her questions, they weren't the run of the mill ans. that she get's, she said you didn;t have to take a moment to THINK about what the ans. was going to be, you just fired back with incredible answers to the interview questions. When you called crying from the car and told me that you thought you blew the interview and I had asked you why, and you said b/c you asked questions pertainng to Sheaths/PTCA/PCI, it just showed that you are willing to learn. I didn;t want to tell you right then that you got the job. I wanted you to calm down. But this is the fastest response I have ever recieved from a Nursing director after an interview. You weren;t even off the unit yet and she was on the phone asking when can you start. So what do you say, want to be a Interventional Card. RN?"
I was SHOCKED to say the least. I said, "YES".
Now the interventional card. lingo is a part of my every day language.
My Aunt is an ER nurse manager a a level one trauma center just outside philadelphia and even had to have me clarify what a sheath was and PTCA/PCI.
So I start my new job as a brand new cardiac RN and I felt totally lost. There were terms being used I had never herd, drugs I had never even seen being used, and I was an ACE in school when it came to pharmacology even my teachers and clinical instructors would ask me about meds they didn't know espically cardiac meds, so not knowing some of these meds really made me feel lost and confused.
There were tons of MD's and health care practicioners around and I didn't know which one was treating which condition for my pt's. B/c at anygiven time there were, what felt like, 1000's of MD's, APN's and PA's, either on the floor or they were there covering for the MD's, and then there were the rest of the mix: Dieticians, Cardiothoracic Surgeons, PT/OT, any and every type of Medical Residents such as tele, surgical, medical, ect. And then there were the herds of medial students following the MD's around like they are all glued to the MD, stealing your charts, and leaving them in odd places, I found one in the employee bathroom I guess some med student needed some good bathroom reading, but a pt's CHART!? ewww..So I coined the term Dump and chart, or chart and dump, which ever make us laugh during all the confusion.
I was confused as to which MD I needed to call for different things and why the chart said one MD's name why was my preceptor calling a different MD that wasn't the MD on the chart. I know why now b/c of Doctors groups, it may say one MD on the chart but 3 other MD's in the Group cover that pt, and it gets really confusing when there are several speicalists in doctors groups covering the pt. So at anygiven time a pt may have up to 15 doctors, and 10 diff.healthcare practioners covering the pt.
I didn;t understand, why my preceptor would call the tele resident, medical resident or the cardiac fellow. I know why now.
And the other thing was taking orders off the charts that the Unit clerk didn't take off I was soo clueless and it would take me forever and 1 million questions to take off simple orders.
And THE OTHER THING, taking my first telephone order from a MD was a total train wreck. I knew what to do, but when actually doing it I felt like a pre-schooler writing my name for the first time.
AND to top it all off I had to learn how to pull a sheath, which I really knew nothing about except what I could study and read in the 2 weeks before I started my job, I just witnessed, helped and soaked in the info, and various techniques of sheath pulling, b/c every nurse does it a little different, while I orientated on day shift for 8 weeks. Plus new RN's were not allowed to pull untill they were 6 months off orientation.
Well my last week ever on orientation, which was night shift, I pulled my first sheath. And my first night off orientation I pulled a sheath. Needless to say, the whole being off orientation for 6 months before I could pull a sheath was thrown out the window on nights and I learned from the best or the best RN's on night shift, they have more exp. sheath pulling then the day shift RN's.
When I was 6 months off orientation I had already pulled 10 sheaths, while my friends on day shift were still on their first 2 sheath pulls or none at all at their first 6 months off orientation.
The night shift RN's wanted me to be comfortable with sheath pulling. You never really get comfortable with sheath pulling b/c of all the things that could go wrong. The pt. could have a retro-peritneal bleed BAD, a massive hematoma if the sheath isn;t pulled right then you have to press the hematoma out which is very VERY painful for the pt, the pt. could bleed out if you release pressure too soon and it can create arterial spray and it looks like a crime scene in the room, the pt. could brady down and you have to give atropine, or the pt. vaso-vagal episode which is never fun (happened to me last night after pulling that's why you have to know what you are doing, but the pt. was OOB and ambulaory this morning and getting ready to be discharged with no residual effects) and you have to run fluids wide open and give atropine and just ALWAYS double check if the pt. is a dialysis pt. before pulling a sheath b/c ig you have to run fluid you place the pt. at risk for fluid overload or pulmonary edema, I saw this happen once when I first started as a new RN, and it wasn;t pretty not my pt but still, and BY FAR the worst thing I have ever seen was a pt. that had a PTCA at another Hosp. and a staff RN pulled the sheath at the other hosp, didn't follow up checking the pt for pedal pulses post sheath pull and the pt. developed a massive blood clot in the Right lower extermity and was transfered to Beth Israel to my floor only for the pt. 2 weeks later, despite how hard the MD's tried, the blood clot was so bad that the foot became necrotic and the pt. had to have a BKA!
I saw the pt. admitted when the pt. was transfered from the other hosp. The pt. was ambulatory on arrival, and we could all feel the MASS, it was like a tennis ball, in the pt's leg and very painful for the pt. 2 weeks later I had the pt., I saw the foot was BLACK and just so necrotic, and the pt. was not unable to ambulate. This is one of the worst case scenarios when it comes to sheath pulling. One of the RN's I work with told me that this used to happen all the time when she worked at another hosp. she worked at in a different state.
My 11p-7a CNA's are the best. They work their butts of. I got them both a little gift to say thanks for everything they do. They told me that in the 15+years they have been working there, that the hosp let alone an RN has done that for them. I ask if they need help. It;s the night shift RN's that bark orders at them that bothers them. But the CNA's work thir butts off at night, I am going to hold my tongue about the Day shif CNA's.
Overall RN relations, it takes time and I mean TIME. Some people just don't open up and others open up right away. I am almost at my one year mark and I finally have a relationship with the RN's on my floor at night. But I also know other RN's, from me being pulled to other floors that I made friends with in one night and RN's that I took classes with that work in other units. But by far are your orientation friends. That first week of orientation, you meet RN's that are going to difff. floors. My best friends I met during orientation and they work in mother baby, ER, ect. My very best friend I met the first day of orientation, b/c she moved from Indiana to Staten Island she works mother baby. I live in Staten Island and Moved from Philly. Were arn;t too far off in age she's 23 I'm 27. She's alot like me, and now 1 year later, I am sooooo sad to say she is leaving and going to another hosp. in another state , but she is my best friend. We drive to work together all the time, she comes over my place, we go out and call eachother every day! And in fact after only knowing eachother for 24 hours the first week of orientation, and exchanging #'s the next day we decided to go out to the bar that night and the rest is history. I will be sooooo sad when she leaves in 2 weeks, she's like my other half.
That's why you have to find a grove and a niche, I am the young kid on my floor at the age of 27, I am a white female, with red hair, not bright flaming red but dark red, Irish pale skin but not too many freckals, have the major Italian Name and brown eyes thanks to my father, which is always a conversation starter, the gust of a german thanks to my grandfather. I have a tongue ring, Have 8 holes in my ears, wear a poulka shell choker, very outspoken not in a obnoxious way, but intelligent and I am not going to take that kind of crap way, and I have gained the respect of the most difficult MD's and difficult pt's, I also have the care and comapssion that every pt. should recieve. I was the only RN named for the Press Ganey award for pt. satisifaction for the month of May for my Floor. I CARE. I treat every pt., even if they drive me crazy, like a family member. B/c I do this I get thanks from my pt's, and they request me as their nurse, and I last night I had an MD request me to take care of a family member. I am a TEAM player. I don't talk down to my nursing assistants, I HELP them when ever I can, I tell them they are doing a great job, I help any 'NEW' member to the NOC shift, Nurses, CNS's Unit Clerk's ect...I always say thank you to my CNA's even if it's just for getting the pt.s a juice. I was taught thanks can go a long way. And I have the bullheadedness of all 3: Irish, Italian and German. I always tell my pt's my gandfather calls me a McGuineaKraut which makes them laugh. I have the work horse attitude of my German, Irish Italian ancestory, I bust my but no matter how tired I am and always have a smile on my face for my pt's.
There's nothing worse than a Miserable Nurse taking care of you, and I see it all the time. I am a nurse and some times I am miserable but I leave my misery at the door, and bring out that positive attitude even if I have to fake it, just b/c I know if you are positive to your pt's then they respond, even if you have to force that smile on you face befpre you walk in the pt's room b/c you have had 2 hour of sleep b/t 12 hour shifts. Force the smile, turn on the positive attitude, and when you see how sick the pt. truely is, you leave all the bad stuff behind b/c you know the pt. needs you to help them and sometimes it' just that smile and asking them how they are feeling that makes all the difference. Example, I was at work and found out my father had an MI, STEMI at that and being an Interventional Cardiology RN and knowing everything there is to know about STEMI's I was freaking out, my dad was in a philly hosp ICU that wan't too great for cardiac pt't so I was freaking out ,I was stuck at work at Beth Isrel it was 2am and could not leave till my shift was over I called the iCU he was in talked to the nurse and she was asking me questions about my father's procedure b/c she was unfamilar with PCI DES STEMI protocol so that made me really on edge, the worst part was I had a pt. that was a call bell whaler mostly b/c the pt. was going for OHS (CABG) in the AM and was anxious, but the pt. picked up on my mood, change b/c I just came in the room didn;t ay a word and just hung a drip. The pt. asked," Ang are u ok? "I said "yea why do you ask" the pt. said to me "you always have a smile nd now you look so upset" I said, "I am fine" The pt. knew, and grilled me, fianlly I said, "rememebr how I told you I am from Philly? well I just got a phone call that my dad had a heartattack and is in the ICU" The pt. looked at me and gave me a hug and said, "I know some people think it's all about them and how sick they are that they think their Nurses are robots and that their nurses don't have any other things going on in their lives , pt's don't consider the nurses feelings, and pt's think the Nurse is only susposed to be worried about them and nothing else , I was one of these pt's untill now, I see your face and I realize that you have a family and that some other nurse 200 miles away is taking care of you dad. I am so sorry for being 'that' patient that dosen't care about anyone but himself, here I am whining about how my gown isn't tied and that I needed an extra blanket, and being a total pain meanwhile not knowing that you just found out your dad had a heartattack as you come in my room tie my gown and get me the blnket w/o question. I have a daughter your age and know how worried she is about me and she's not a nurse, I can't even Imagine how you must feel considering you are a cardiac nurse, and knowing some other nurse is taking care of you dad, it must make you worry even more knowing all of the cardiac info and understanding what the info means. Please let me know how you dad is doing before you leave in the morning." I stood there and began crying, I never cry infront of people, esp. a pt. but I just broke down but what my pt. said hit a soft spot. He said, "Ang you are my angel and you were my nurse for a reason, now get you butt out there call the ICU nurse taking care of your dad, and get some answers" Before I left after my shift in the morning I went into my pt's room hugged him and said, "Thank you for being a pain in the butt, and I think you were my angel last night, and remember don;t give the CTICU nurse heck maybe just a little heck, but thank you" I hugged my pt. and left..
The last thing is you get paid an extra $ on night shift, it sux b/c it messes with you sleep but you make more. I make $29.71/hr as a Interventional cardiac RN base pay when I started as a new grad but on night's I make $33.71/hr and when you get pulled you make $1 extra an hour, so it's $34.71, no weekend diff. though which sux too. But When you get to be charge nurse you also make a whole whopping $1 extra an hour. I just got it today in my check I was Charge Nurse saturday night. BUT I am the only one out of the new nurses that stared on my floor last year at the same time as me to become a Charge Nurse and to have to sheath pulling certification and to be named for the press ganey award. I feel proud, and I worked my tail off to get where I am today!!!!!
Hope this helps and I am here to help!!!! I know it sounds crazy, but it's the best thing that had ever happened to me. And I am here for ya if you ever have any questions
...but the hospital's location (ghetto!) (I'm a guy, and I felt unsafe in the parking garage in DAYLIGHT).
I work EMS in that neighborhood...it's not that bad...Beth is a great hospital and part of the St. Barnabas network. If you get in the door by getting a job there, it makes it easier to move to another campus later...
I know this is an old thread but I'm considering doing a summer externship at Beth Israel. I've been told that the application goes up next month so I'm looking forward to applying. I'm in a 2 year diploma program.
Anyone do an externship at Beth Israel or knows anything about it? Thanks!
hello everyone I have an interview coming up at Beth Israel Hospital coming up and this job means a lot to me. I get very nervous for interviews and can mess up by not getting over my thoughts the right way. I heard there might be a pharmacology test, can anyone give me an idea what the interviewing might be like and or the test? I WOULD REALLY APPRECIATE IT.
I recently interviewed at Newark Beth Israel Hospital and was wondering, generally how long was the response from HR regarding the position for those who interviewed. I've actually been out of school for 4 months and I am becoming weary with the job searching process. Any answers would be appreciated, thanks again.
Hay Morettia...I graduated last year 2009 and haven't gotten a job until recently in March 2010. I had no idea it would take me so long to get a job. I work for a pediatric homecare agency but would really love to get hospital experience. Unfortunately hospitals are not looking to hire any new RN's at ALLLL!!!! with no experience, its almost like i have to lie which I hate doing!!! This is so depressing, not being able to find a hospital job because nursing home is the last place i want to work at! everyday I fill out applications online for the St.Barnabas Healthcare System esp Newark Beth Israel to no avail! I never get contacted and I call them over and over. Is there anything you can do to help me get a job there? i don't care where I start as long as I'm in there. Homecare is so boring to me and non-challenging that you cannot imagine! I want the stress and challenge of a hospital environment! please get back to me ASAP
gudiarani, BSN, MSN, DNP, RN, NP
122 Posts
Hmm...weird. This is why I keep thinking it's a little shady. I'm not sure what to think anymore actually.
I've lived in Baltimore for years, so the location didn't seem that bad to me. And since I'm a new grad, the pay is a significant amount more than other places. CHOP and Hopkins offer around $25-26/hour. Plus most big hospitals are in poor locations, so no biggie. Plus, it's not like I'm living there, I'm just driving there and back to suburbia. :)