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iheartnursing91

iheartnursing91

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iheartnursing91's Latest Activity

  1. iheartnursing91

    ER to Floor...hating it

    iheartnursing91 replied to iheartnursing91's topic in Emergency

    Love the above post! I'm glad my post helped you. And I agree about the interruptions. The AM med pass is already hard for me to get used to, and thats the same time the docs come to round and ask you questions. And I dont have the answer to some of them because I didnt even have a minute to sit down and read the notes. I have to get on the floor to get my meds on time which means I have to start right after report without wasting a minute. And during med pass the patient/family want you to get this and that, and I have to because I have to deal with them for a whole 12 hours, and probably have them again tomorrow! And by the time I sit down to do my AM documentation, its only an hour or 2 before I have to do my afternoon documentation. Ugh!! If I have to work like this I might as well be busy in the ER! I feel like in ER I was thinking more critically, prioritizing, and actually managing my time more efficiently. And by the time the patient/family start annoying you, you get them the heck out!
  2. iheartnursing91

    ER to Floor...hating it

    iheartnursing91 replied to iheartnursing91's topic in Emergency

    I'm going to try and ask for a transfer to our ED, but there's a level 1 trauma center hiring near me as well, I think I'll put in an application in the meantime. I feel terrible that I cannot get used to working the floor, but oh well
  3. iheartnursing91

    ER to Floor...hating it

    iheartnursing91 replied to iheartnursing91's topic in Emergency

    I completely agree with the above comment. Report time usually ends up being more than the 5 minutes you actually need. In ED our reports were concise and to the point, and we usually get the rolled eyes if you talk too much lol! To be honest I don't know if I care too much about getting to know the patients and families on a personal level. If something happens and they deteriorate I know its just going to affect me mentally. Maybe I feel that way coming from the ED where you have no time to waste for that!
  4. iheartnursing91

    ER to Floor...hating it

    iheartnursing91 posted a topic in Emergency

    Hey everyone just hoping for some advice here. I am an ER nurse who moved across the country and I took a job on a Cardiac stepdown unit. I'm having a hard time assimilating into the floor nursing mode. I took the job on that floor because I thought I wanted to try something new and have a new experience (I am doing ER per diem to keep my skills). I'm 3 weeks into training & I've noticed that this new floor is more like a "dump" floor for other floors (med surg, tele), and also used as extra space for the ED obs patients. I've honestly hardly seen many "cardiac " patients, which is the reason I wanted to work there. These are mostly the reasons why I hate it. I'm also having a hard time thinking like a "floor" nurse vs ED nurse. I hate the constant and lengthy documentation, care coordination rounds, daily routine, and to make it worse, some of the nurses have made some catty comments about ED nurses to me. I pay no mind, but I don't like it! Lol. I really miss starting IVs and resuscitating!! I miss the "family-like" feel I had in the ED with the other nurses and doctors. I hate calling and waiting for responses when in ED they are already there face to face. The docs who come to the floors act like they are untouchable or something and it's really weird. I dont know if I should go ahead and apply to ED jobs around here or if I should stick with this and push through. I'm really confused about what to do. What would you do? Thanks!
  5. iheartnursing91

    ER to Floor

    iheartnursing91 posted a topic in Nurses

    Has anyone gone from ER to floor nursing? I recently moved to TX from NY. I worked in the ER & took a shot at floor nursing on a 60-something bed CVIMU unit. I also work ER per diem. I'm still in training on the CV unit. I decided to do this after getting burnt out in the ER after some time, and CV sounded interesting. However I feel a little out of place on the floor.... I find that I ask myself why the little things matter so much, I feel more like a med pusher vs in ER I was always on the go starting IVs and jumping in codes. I'm not sure if I should give it a year while staying per diem in ER, or if I should just try to go back to the ER full time. Has anyone here experienced this? Thank you in advance.
  6. iheartnursing91

    NY to TX

    iheartnursing91 posted a topic in Nurses

    Any Nurses here who moved from NY to TX? How did you end up liking it? Do you regret the move? Is Nursing better in TX vs NY, why or why not? My family lives in Houston and I am thinking about moving to be closer to them, but curious how Nursing will be different there. I have a few interviews set up, but want some info from fellow Nurses who have made the move. Thanks!!
  7. iheartnursing91

    NY to CA

    iheartnursing91 replied to iheartnursing91's topic in Specialties

    Anyone?
  8. iheartnursing91

    NY to CA

    iheartnursing91 posted a topic in Specialties

    Hi fellow nurses, quick question for anyone here who has made the move from NY to CA..how do you like it? Do you regret the move? How does the cost of living/salary compare? Im currently working as an ED nurse in NY, & we get on average 8 to up to 15 patients in 1 shift. I barely if ever get a break. Management is cut throat but having the union helps a little. The expenses are really high in NY & I can't stand the cold weather. I have an opportunity to move to California, so I wanted some input. Thanks!
  9. iheartnursing91

    Charge Nurse in 6 months?

    iheartnursing91 replied to iheartnursing91's topic in Career

    I appreciate everyone taking the time to respond. I'm glad I wasn't just overthinking when I started questioning this. I'll def be looking for another position.
  10. iheartnursing91

    Charge Nurse in 6 months?

    iheartnursing91 replied to iheartnursing91's topic in Career

    This is a small private hospital in NY. Honestly I'm discouraged, because I have never imagined Nursing to be like this. From the comments I'm understanding that it shouldn't be. I have an interview for a case management position in my hospital coming up. I also have an interview for an SICU at a TX hospital. Lets see how they go. We've been so short staffed at times, that I've had 10 patients at a time some nights. I dont think its safe, or fair. Its so easy to miss something and we only have time to complete orders. Sometimes I dont even know why the pt is getting such and such treatment. I'm so worried for my license at this point.
  11. iheartnursing91

    Charge Nurse in 6 months?

    iheartnursing91 replied to iheartnursing91's topic in Career

    And going back to the CN discussion... no I havent got a clue what CN is supposed to do. I def do not want that responsibility right now in my career & def not trying to lose my license to fix their staffing issues. I wish hospitals would invest in their nurses more & give them the proper training, orientation, and support to succeed, instead of leaving us & using our "BSN" against us when we question something that is unsafe.
  12. iheartnursing91

    Charge Nurse in 6 months?

    iheartnursing91 replied to iheartnursing91's topic in Career

    I appreciate the replies. These past few nights have been rough. I jumped to help in a code only to turn around and notice the rest of the nurses (experienced) have left to see their patients. It was just me, doing CPR, the resident who couldnt figure out what to order, and the attending.The nurse assigned to the coding patient didnt even step into the room until everything was done! The pt survived, but what nurse leaves another nurse alone like that... what kind of nursing practice is this? I had a pt who crashed, had to mix and start a levophed & dopamine drip, which I havent done on my own. I step out of the room...and not ONE nurse was on the unit. They all left together to get "free holiday meals" from the cafeteria. WTH!?!? They left me alone while my pt crashed!?? I ended up calling pharmacy and asking directions on mixing and hanging the drips. We have 1 IV pump in our ED, outdated technology, and staff who dont work together. I'm getting burned out quickly but I'm working so hard. Starting to feel as though I'm being taken advantage of. I never complain, get angry, or show I'm overwhelmed. I'm seriously considering leaving and have been applying to other positions.
  13. iheartnursing91

    Charge Nurse in 6 months?

    iheartnursing91 posted a topic in Career

    Hi all I started working in a busy ED in NY 6 months ago. This is my first job in acute care. This unit has a very high turnover rate & I still feel pretty new and just starting to get comfortable. They're starting to put me as charge some nights, and even though I say I'm not comfortable with it they dont seem to care. Ive asked for training of some kind for the role & they say its not needed....??? I'm confused as to whether this is the norm in most units...should I look for a new job? Or stick it out? What would you do? Thanks.
  14. iheartnursing91

    I am new to nursing but I don't want to do this anymore

    iheartnursing91 replied to newgradkat's topic in First Year

    You should talk to education if you feel you need more time on training. I didnt get a residency...my first job out of school was in a nursing home.. on a dementia floor..with 50 residents..and I was the only nurse..with 2 techs. You can imagine how stressed out I was & how much I cried. Then I got into a pediatric vent unit caring for 4-6 at one time. After that I joined an ED where I get anywhere from 8-10 at one time and patients often wait 2 days for a bed..mostly tele pt's. But I stuck it out and stayed with it so I'm not afraid anymore like I used to be. Take it as a challenge. You went to nursing school, you are smart, you will get through it and you will find your niche.
  15. iheartnursing91

    Case Management

    iheartnursing91 replied to iheartnursing91's topic in Nurses

    Thanks for the responses. I do love working ED, but the stress level is too much. We are short staffed, often take on 8+ patients at a time, and once they get admitted it takes up to 2 days to get a bed on the floor so we have to care for them also. Some nights we have no charge or clerk. Management knows all of this, nothing has been done, and people are leaving for other hospitals. I've applied & going to have a phone call with the director tomorrow. Can anyone tell me what exactly a case manager does? All I know is bedside nursing. Thanks!
  16. iheartnursing91

    Case Management

    iheartnursing91 posted a topic in Nurses

    Hey guys I've been a nurse for about 2.5 years now. I'm currently working in a very busy ED in NY. I had the pleasure of meeting a CM who tells me about an open position for CM at our hospital. I'm really tempted to pursue this. Im seriously burned out from ED, and I've worked the floors before the ED but I'm just burned out and this sounds like a good opportunity. Does anyone know anything about CM? What's the job like? What do you do? For those of you who are case managers, do you like it? Why or why not?
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