River&MountainRN

River&MountainRN ADN, RN

Primary Care, LTC, Private Duty

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All Content by River&MountainRN

  1. CNA to RN

    Most facilities that I've worked at required that you actually have your certification. Mine was a quick month of evening classes/AM clinicals in a SNF, the Red Cross certification testing, and that...
  2. CNA to RN

    Ditto. While working as a CNA ahead of time kind of soured me to LTC facilities (just because of the attitudes of my fellow CNA coworkers and chronic understaffing), it certainly gave me a leg up when...
  3. Is it possible for you to work as a CNA during school? Simply being immersed in a similar environment as your clinicals through work might help take some of your clinicals anxiety away. Plus, you'll...
  4. Compact Licensure Process for new grads?

    In order to have a true compact license, you need to live in one of the compact states. For example, I live in MA (non-compact state) but I also have a NH license (compact state). Just because I hold...
  5. Sitting down - New nurse looking for advice

    Depending on the actual practice, outpatient medicine (primary care, specialty care) is usually a lot of sitting. As far as actually using your nursing skills/knowledge, I've found that kind of...
  6. License in two states?

    As far as I'm aware, you can have as many licenses in as many states as long as you keep them up. For example, I have my MA license and I'm still practicing in MA even though I just got my NH
  7. How long did it take you to get used to a new job?

    It depends on the company culture and self-reflection as to why you miss your old position. Sometimes you grow into your new spot, sometimes you end up really kicking yourself for leaving (speaking...
  8. Aveanna Takeover of Maxim

    It's just mind blowing how huge these companies are getting! You have your local monopolies (like a hospital system buying up all of the independent community hospitals, outpatient facilities, etc)...
  9. I'm Quitting nursing to work in coffee shop

    Wow, you do realize that if we all got together we could probably make this coffeeshop thing work, right?! Lol! I'm glad to see I'm not alone. If I had a sugar daddy/huge inheritance to burn, I'd...
  10. I need some help

    I understand where you're coming from, as I'm in a similar situation where one corporation basically owns the entire locale. Is your boss the only manager you work under, or have you ever worked with...
  11. Cracking Under the Pressure

    Please be forewarned, this is mostly just a vent so that I can get some of the (emotional) pain off my chest enough to sleep. Since 2019 began... 1. My job has cut my hours back to <8 hrs/wk ever...
  12. Cracking Under the Pressure

    Thank you! I do appreciate
  13. Cracking Under the Pressure

    Thank you both so
  14. Any tips for a clinic setting nurse? NEW GRAD.

    Which EMR are you using? I might be able to help you with that: I oriented all of our new hires when I worked primary
  15. Cracking Under the Pressure

    Thank you. Unfortunately, he passed around 9 AM this morning. I'm scheduled to work at 11 AM, so it's off to work I go since it's too late to call out for my shift. Sometimes I really hate nursing in...
  16. Losing job due to injury

    Unfortunately the OP doesn't qualify for FMLA...they've only been there for 5
  17. Very Frustrated!

    If you can, vote with your
  18. Losing job due to injury

    I am so sorry this is happening to you! I was/am in a similar boat secondary to a low back fracture. It really does feel like the carpet is pulled out from underneath you, and unfortunately we have no...
  19. Fellow Nurses, Help Please

    1. If you're looking for M-F, consider (carefully) primary care. Like I said in another thread: evaluate length of shifts, start/end times, OT expectations, and how many patients "your" physician...
  20. I went from night shift in a hands-on specialty to day shift primary care. Something to consider when your start time is. Don't discount that it will be a huge adjustment to your body to flip back to...
  21. Sign On Bonuses

    I have to admit, my only sign-on bonus experience comes from LTC/SNF facilities that are so bad that the facility never ends up paying out the bonus because no one stays that long. However, do sign-on...
  22. I feel lost

    Regarding references-Do you have any friends/closer(ish) coworkers at your current job that you could use as a reference instead? If your facility is large enough to have a dedicated HR (believe it or...
  23. 12 patients for a new grad to much?

    Unfortunately, nurses are---at the same time---expected to "vote with their feet" if they're working in a poorly run facility that prioritizes profit over resident, but they're also supposed to stick...
  24. 12 patients for a new grad to much?

    I "tarnished" my reputation/resume in this tiny little community I work in, and I left that crummy facility with its 40-80 patients after about 4 months. I would have 1-4 aides on overnights, but half...
  25. 12 patients for a new grad to much?

    I got dumped on with 40-80 residents immediately after graduating at the SNF that hired me. 12 is doable...hang tough! Don't be afraid to ask for help when needed!