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  1. "nursy"

    Why do you love your specialty so much?

    This is a tough one to answer because not only do you change as a nurse as your career progresses, but nursing itself changes over time. My first job, 40 years ago, was in ICU, and I loved it. My most recent job was in ICU and I hated it. Everything has changed: staffing ratios, pt/family expectations, management support, etc. I was a PICC nurse as an independent contractor for 15 years. Totally loved it. Putting in PICCs was a piece of cake, small sterile field, gloves and mask, 20 minutes and out the door. Now it's a major production, with the patient draped head to toe, nurse in sterile garb with cap, mask, sterile gown, a witness to make sure you don't break sterility, much more paperwork, etc. (all necessary, but makes things harder). When I did home health in the beginning, the paperwork was minimal and if you got a patient that needed IV antibiotics every 6 hours, you were there every 6 hours, for the duration of the therapy. You didn't need too many patients to make the big bucks, and most of the time you finished your paperwork and then watched TV with the patient. Then it became, "you're allowed 3 visits, teach the patient to self infuse". So you needed to see a lot more patients and do a lot more sign ups to make the same money, and you were always teaching, and the paperwork mushroomed out of control. Now I am a school nurse and I love it...but I can tell you, straight out of school, I would have hated it, because I would have felt that I was missing out on the exciting stuff in ICU and ER. Other than choosing ICU for my first job, I pretty much fell into all my other jobs, and loved all of them. But when I was in nursing school, I had no clue. After my surgical rotation I knew I couldn't do that simply because I cannot just stand all day (I can run around all day, just not stand). I thought I would love psych, but ended up not liking it pretty much for the reasons stated by previous poster. But another thing you may want to think about is lifestyle. Do you want to work 3 twelves and every other weekend, or do you want Mon-Fri with weekends off? Do you need to make top dollar or would you be happy with less money and maybe less stress. Do you everntually want to go into management? If you decide you do want NP, by all means do ICU and/or med surg so you can get a lot of varied experience on board. Anyway, a lot to think about.....good luck!
  2. "nursy"

    Weird constellation of symptoms. Thoughts?

    The angular cheilitis can sometimes be caused by yeast infection, which maybe could have spread to his ears causing itching; Scalloped tongue can be due to sleep apnea, which would be unrelated to the other symptoms.
  3. "nursy"

    Bitter and Out of Options

    You state that you've told your unit manager about your status, but you have not indicated that you've actually officially applied for a position as an RN. Your unit manager cannot "hire" you as an RN. Everything has to go through HR, and most application processes are on line these days. Once you've officially applied, keep following up with HR. I used to work at a hospital that was DESPERATE for nurses, yet I would constantly encounter nurses that had applied and never heard back. Go figure. Also go speak with some other unit managers, maybe if they have a real need for staff they would be more amenable than your current manager. As a current employee of that hospital you definitely have an "in", so use that to your advantage.
  4. "nursy"

    Most frequent complaints protocol

    With stomach ache: Did you shovel lunch down as fast as you could and then go outside and run around? This happens all the time, I give them 5 min rest and then out the door.
  5. "nursy"

    Wants to Quit RN to be an MA

    In your position, you're just going to have to be honest but frame it in a positive way, i. e. " I love the medical field, and I love being a nurse, but nursing school didn't prepare me for the realities of a fast paced hospital unit. I would really like to work somewhere where I can connect with my patients in a more meaningful way." That might be one approach, and you wouldn't have to bad-mouth your previous experience which never sounds good.
  6. "nursy"

    Wants to Quit RN to be an MA

    There are so many other things you can do as a nurse. I got completely burned out by hospitals and now I'm a school nurse., and I absolutely love it. Doctors offices, clinics and specialized centers offer all kinds of options from wound care, bariatric, hyperbaric, allergy clincs, infusion centers, correctional nursing, etc, there's also home health, and also private duty. Another reason it would be a shame to walk away from your nursing license is that no one knows the future of nursing/healthcare. There are areas now that didn't even exist when I became a nurse, i.e. case management, infusion specialties, bariatric, etc. The new trend that is evolving is for hospitals to partner with pharmacies to create mini clincs...who knows what possibilities will come out from that. The beauty of nursing is that there are so many different possibilities, when you find your niche, you will love it.
  7. "nursy"

    Pay scale placement

    I'm pretty lucky, I'm on the teacher's pay scale, which goes by years of experience. Been a nurse for 40 years, so pretty maxed out on that scale. Can't complain....
  8. "nursy"


    Any school nurses out there come up with a program or some teaching tool dealing with vaping? Are you seeing students come in with any effects from vaping? I haven't seen this addressed very much and would be interested in any and all thoughts regarding this subject.