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Hi, Does any one have any suggestions for this? An RN with 3 years ER experience in a fast paced ER has applied multiple times at Providence Little Company of Mary in Torrance Calif to jobs that require the same or less skill sets and continues to get a computer generated rejection letter. The hospital as resourced the human resources to another country they say. So there is no one to tell you what the actual reason is you were not granted an interview. The rejection email is below. This RN has an outstanding resume. Does any one have any experience with this issue. Thank you in advance for your time and ideas,, We sincerely appreciate your application to the position of "RN - Medical/Surgical Telemetry (308880)", at Providence Little Company Of Mary Torrance Hospital. Unfortunately, after careful consideration we regret to inform you that you have not been selected for this position. We value your interest in our organization and urge you to continue to apply for positions that match your skills and qualifications. Best regards, Talent Acquisition

Question. What is the general rule when having to give multiple medications via NGT. Can you crush more then one med at a time and administer them together. I was asked this by a new grad. I honestly don't know the answer. So thank you in advance

HI, I appreciate your reply. You mentioned the care right now is not ideal, and better then no care at all. I am an RN with 36 years ER experience in a level 1 trauma center. What I am concerned about is our license. We are unable to safely care for these patients. When you are expected to titrate drips, on intubated patients 2 and 3 at a time. With 4 tele patients needing all their meds. Corners will be cut, meds will be missed. Patients have suffered. Who will be held accountable? Families don't understand the system and will look for the reasons their family member died. Ultimately they will blame and possible go after the primary nurse. Last week my hospital left an altered pt in the hall for 3 hours. He was having an ischemic stroke. By the time he got into the ER. the time frame for tpa had passed. He did not do well. I am all for better triaging or screening of patients. Every day you get the chronic complainer, or pain med seekers. They can be put on hold , or told to see their primary MD. They often take up beds unnecessarily. Maybe I am just venting, but also am aware of the consequences when nurses are overwhelmed and overworked. Patients and families are the real victims,,

I need advise on if and what to do about this hospitals ER practices. I have good friends working there. They are now being assigned patients 6:1 ratio. Regardless of the acuity. The nurses are having 4 ICU patients with 2 tele patients, and it is humanly impossible to preform safe nursing. or safe patient care. Is this hospital following pandemic guide lines. If so how is that safe for any one? Who can intervene, or expose them. The staff is so overwhelmed, they go home in tears and don't want to go back. It scares me to think California has stooped this low. No one wins. Can the calif nurses union get involved? Any input would be appreciated,,

Thank you for responding . I will pass this on to my daughter. It is a for profit hospital. I may be old school nursing where the patient came first. The events that she has shared with me are so unacceptable. Also unsafe for patients and staff.She is trying to be a good patient advocate, and a compassionate new RN.

No. Thanks for response

hi good morning. My daughter is a new grad. She landed a job in a very busy emergency room by Los Angeles airport. Staffing is for patients to one nurse. I have a question and a concern. They gave her three patients and the fourth patient was intubated and a propofol drip and a Cardizem drip. I have been a nurse for 34 Years. I worked mainly in a busy trauma center in Southern California where we had lots of intubated patient and on many drips but we were not given three other patients. My concern is how safe is this for the patient number one and for the nurses license number two and is this acceptable by the California state board of nursing. Being a new grad she doesn’t want to make waves but I have concerns and if anybody out there could enlighten me to this practice I would really appreciate it thank you

I graduated 1986 with only my AA. Got hired into a level one trauma center in So Calif. I can honestly say I was scared , and had no confidence. But my saving grace was my preceptor. I was with the same preceptor for 6 weeks. She helped me work through my weak areas. I stayed there 19 years. Something has changed. My daughter just graduated Dec 2018 with only her AA. She got hired at a very busy ER that hires new grads also in So Calif. But, She was with a different preceptor every shift. They openly admitted they didn't want to work with a new grad. Told her to just go do stuff and get them if she needs them. My point is I think we all need to build our confidence and our skills. We need to find out how to organize our day , time management wise. But this does come with the right guidance and over time. I feel sad when I hear stories like yours. You are an RN, and you have a lot to offer . Seems the more seasoned nurses aren’t as compassionate to their new nurses as they were back in the day. And that is an issue the hospital should be made aware of. Please don't give up on your self. You have worked hard and the nursing field needs all of us,,, take care

I agree with most of the nurses that have chosen 12 hour shifts I also think that the fatigue and errors could possibly due to the acuity of having four patients and I’m speaking about emergency room. When you’re in ER nurse and your charge nurse or your triage nurse brings you patient after patient expects you to be doing a code stroke a psych patient who needs restraints and a chest pain and then gives you a shortness of breath and that is happening centinela hospital Southern California crazy ER and the new grads are getting beaten up and thrown out to the wolvesWhat needs to be looked at is the acuity of the patients and the nurse patient ratio and again I’m speaking for ER you’re one person expected to do many tasks at the same time and put yourself in your patient at risk it’s not fatigue it’s the management of that emergency room

Hi. I have been an ER nurse for 33 years.( yikes that seems like a life time). I used to work in a big county hospital in Los Angeles for 19 years in a level 1 trauma centerThen in 2002 moved to Kodiak Alaska. Still in Er. But went from 44 beds to 6 beds. My daughter is a new grad and got hired here in Southern California. I was actually inquiring for her. The ER she got hired at, hires new grads, but the orientation they gave was all about speed, and getting patients in and out fast. So she had those questions for me. I honestly appreciate the replies. Nursing has changed over the years. So much I used to know, and now not sure what I know,, Thank you for the information

Hi, In the state of California what is the scope of practice for propofol administration for sedation in ER by RN. Also can a patient be in 4 point hard restraints on a stretcher vs a regular hospital bed. Any replies would be appreciated. I think this hospital is cutting corners, with unsafe practices. And putting nurses license in jeopardy . Thank you

I am new to posting. How do I see the reply’s. Says 7 replies but I dont see any. Thanks

Good Morning, I enjoy reading all the articles. This one in particular made me sad. My daughter is a new grad December 2018. She got hired in June in a very large for profit ER in Inglewood Calif. Orientation consisted of a different preceptor every shift. Some who actually said, I don't want a new grad today, no offense. They have 4 patients each. Possibly all with high acuity. When a procedure was ordered, IV, NGT, Foley, the preceptor said go try it and if you miss I will do it. And the preceptor wasn’t at bedside. My daughter is being told its all about speed and getting the patients discharged. My daughter is smart, compassionate and wants to be a good ER nurse. What she is hearing is “hurry up, your too slow”. This worries me. I have been an ER RN since 1986. The other day she had a preceptor that graduated from her school one semester before her. To me that is a new grad. I read the patient reviews from this hospital and the complaints are valid. I wish administration would read these reviews. My advice to my daughter is do what you know is right. Do not cut corners just because someone tells you to. Look up a medication you are not familiar with prior to giving it. I told her you can not get in trouble for doing the right thing,, but the wrong move can cost you your license. And you all worked too hard to have that happen because some one tells you you are too slow. I am so disgusted I would like to call the DON, but writing here helped. My daughter is not confrontational and is a kind hearted , eager to be the best ER nurse she can be. Good luck to all of you new grads struggling with this issue

I sent a reply earlier but I dont think it posted. The PV worked. and all the people I know who tried it have passed. You should be able to see your results today or tomorrow,,, good luck,, and good luck in your nursing future

Good morning it took five days for the results to come out good luck I hope you passed and good luck getting a job