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  1. Zippy83

    Moving California. Insight on pay scale etc?

    There are many factors involved, I agree. My family has also been here for generations, but I did live out of state for a couple years so I have some comparison. Do you rent or own, and are you in a major metro area or suburban? Do you have kids? What is your commute time to work? Do you have student loans? I also think it’s somewhat generational, as my parents had a great experience beings Californian in the 80’s, able to buy a house in their 20’s with 3 kids, modest jobs with no college degrees. They were able to ‘move up’ and live pretty well. I had kids right out of college and then the recession hit immediately, so I have been barely hanging on by a thread since then. Well it has gotten better so now it’s more like a rope
  2. Zippy83

    Big med error and communication breakdown

    It had been beeping but the patient and wife ignored it and didn’t tell anyone or take a look at the pump, even when I called to give a new ETA.
  3. Zippy83

    Difficulty with coworker

    I am less convinced that this is an overall problem with the work environment with the details given so far. The OP sounds somewhat unsure of herself even in her explanation of what happened, and this could be a bully coworker who knows exactly who they can push around, and who they would not push around in order evade detection by management. Another nurse who wouldn’t take that answer might not get that same answer from this employee, who might even close her books before they approach. I’d say before declaring this a toxic work environment, OP needs to report and see how management handles it. If they handle it well, then likely this coworker is a jerk who knows that OP is new and a little bit insecure and walking on eggshells, and taking advantage of that. Some people manage to get away with a lot even at companies that have good policies, sometimes it just takes enough people pointing out their behavior to recognize the pattern, so that they either stop or are dismissed.
  4. Zippy83

    Difficulty with coworker

    Whether or not she’s usually a good employee, that is completely out of line for her to refuse to do her job while she’s at work because she’s handling something personal. School is on her own hours, if she needs to study for finals she also needs to take the time off, but she wants to make sure she gets paid, therefore she needs to do the job she’s paid for. I’ve been there, and I know how hard it is to handle work and school at the same time, along with a preschooler in my case, but she’s handling it the wrong way. If she doesn’t get the pre-authorizations, she’s putting the patients at risk, and she’s affecting your ability to do your job. Go to your supervisor and tell them exactly what happened. It is not “causing trouble”, it is doing your job to report when there is a barrier to you completing the tasks that you are expected to do.
  5. Zippy83

    BON and alleged verbal abuse via pt

    This made me laugh out loud because I read it imagining donuts from the bakery. I was thinking to myself, I’m jealous too if a facility is using donuts for pressure relief! Thinking in terms of the pressure of nurses to get a job done, and giving them donuts to feel better. Then after a few seconds I put it together. No donuts after all. Wah wah. But those donuts also cause more problems than they treat, haha.
  6. Zippy83

    Reasons nurses get fired

    This sounds like one of my instructors from nursing school. He was funny and always telling stories of his hijinks as a floor nurse.
  7. Zippy83

    Big med error and communication breakdown

    Yes the med error was 2 hours with no medication, it is supposed to be continuous with no breaks except to change the cartridge. I gave an arrival window, then ended up needing to push it back by an hour and called ahead to let them know and they said ok, I guess the wife also was not aware of the reserve volume at that point. But the kicker is that even if I had arrived in my original time estimate, the bag would have already been empty for up to an hour, so the error was going to happen either way. The RN who did the SOC ok’d my arrival window and did not say “No, you need to come earlier, I came at X time and this bag has almost no leeway, you need to arrive no later than X”. Instead, when I gave my arrival window, I was told that would be fine because the family would be home all day. So I was not given enough info, but I also didn’t make sure to ask. Usually this specific med from this pharmacy has nearly 8 hours of reserve so that the bag can be changed at any time during normal hours (so if it needs to be changed every 72 hours it really just needs to be every 3 days, etc), I was not informed that this case was different, but I didn’t independently verify it either.
  8. The patient does not seem to have had any serious symptoms or adverse effects related to the error, thankfully. However, both adult children are MDs and they have already called to formally complain to the hospital that referred us, the pharmacy, and have threatened to sue. I’ll try to sum it up the best I can without being too specific: A patient was admitted by RN, on a cadd pump medication that is supposed to be continuous. It’s not an opioid or pain medication of any kind. We have several patients on this exact medication delivered by CADD pump, and medication and pump are provided by the same pharmacy we always work with. I didn’t have a complete and correct report on the time the last cartridge was place or the amount of reserve volume, and I didn’t get to the house until 2 hours after the bag emptied. The family was questioning me like it was a deposition. I made a great effort not to shift blame or admit to any specific error personally, while also being compassionate and professional. I mainly deferred to the agency and my supervisor, but made sure not to come off as hostile. This is very unlike me, I’m usually so anal retentive I sometimes irritate patients or other nurses about what I won’t do or change without an MD order, when some nurses have become complacent or casual. But this time I feel like I took a casual report and it bit me in the bottom. Luckily the patient is ok. I feel terrible. This is my first big mistake in 7 years as a nurse. I will have to wait and see what comes of it.
  9. Normal? Sure. Healthy? No. ‘I suggest doing mindfulness and meditation, just a few minutes a day can make a huge difference. If you have trouble getting started there are apps or free videos on YouTube that can help you. Good luck.
  10. Zippy83

    New grad RN, absolutely hate nursing

    Echoing a lot of the other posts here, but you don’t have to do bedside nursing in an acute setting. There are so many other options, it seems too early to say you hate nursing as a whole. It sounds like you would enjoy case management maybe. That definitely uses more of the academic skills, developing care plans etc. Clinicals really stressed me out too, and I knew pretty early I was not interested in working on a hospital floor. Since getting my license I’ve done hospice and home health, a marketing position, patient advocacy, and staff educator. All enjoyable and challenging positions. Then of course there are unlimited options using your degree in teaching, research, project management.... the list goes on and on. Some of these jobs do require some acute care experience, some don’t, and of course some require even more school, at Masters degree level. Dont give up hope, there are lots of options for you!
  11. Zippy83

    Reasons nurses get fired

    I’m sorry that happened to you. I don’t know the exact nature of the med error, but it’s a shame after self reporting they cannot do some education and reviewing of protocol to prevent it from happening again, instead of firing you. I personally believe medication errors happen a lot more than we know, and that many nurses don’t report for fear of being fired, so this type of action from your employer is only going to continue that.
  12. Zippy83

    Night Shift & Relationships

    I personally left night shift just because my body couldn’t take it. I loved it until about 3 am and then I struggled to stay alert until 7:30. Some people adjust but I never did. However, depending on how long you’ve been together, having an opposite shift might be a good thing LOL. It’s mostly depends on whether you will become a night person all the time, or if you have normal days on your days off. I have known some nurses who just can’t function during the day and are only night owls, and that affects the relationship, but other nurses are fully functional on their days off, and they are still spending 3 to 4 days a week with their partner.
  13. Zippy83

    Hospice nursing not easy!

    Not easier or less stressful at all, just a different kind of stress. I really believe that some nurses are just cut out for a certain type of work. I knew an ER nurse who tried hospice and to be honest it was a terrible fit for her, and at the same time I think I am a good fit for hospice but I think I’d be terrible in the ER. The driving really gets to me (I live in one of the worst traffic regions in the country), balancing the schedule to meet everyone’s needs, and the chaos that sometimes comes with providing care in unpredictable home environments. I did wound care at a curbside the other day while the patient sat in his truck because the patient didn’t want anyone in his home while a wall was being fixed. That was interesting!! Families can be hard on nurses in a hospital or inpatient setting also, but it’s very different when you are in their domain. You don’t have a supervisor over your shoulder, but sometimes you wish you did when dealing with some challenging patients and families. Maybe its ‘slower’ in the sense that you only deal with one patient at a time, but in my experience it’s usually a wild ride day to day.
  14. Zippy83

    Does anyone here actually like nursing?

    This type of forum is going to have lots of rants and venting since it’s a generally safe place to do that as long as you don’t get too specific about patients and employers. We have to get it out somewhere! So that probably contributes to a feeling sometimes that everyone is unhappy. I definitely have my grievances, and it feels good to get them out, but I’ve had other non nursing jobs that I would never go back to. I love a lot of things about being a nurse. I also love that it’s a whole field rather than a specific type of work. When I finally get sick of these patients once and for all I hope to move toward teaching and/or consulting.
  15. Zippy83

    Home health per hour or per visit?

    I make really good money with pay per visit BUT I have to really hustle, manage my time effectively, and put a lot of energy into effective scheduling. I also have really figured out the right coverage area for me and work with multiple agencies to keep a high enough patient load without having to take patients outside my area. Hourly can work with a good agency, and can take less mental energy if they are setting your schedule and all you have to do is follow the route you are given. But with a bad agency they can way overbook your day and pay you for 8 hours even though no reasonable human can do the assigned route and documentation/ follow up calls, etc, in less than 11-12 hours. Also, does the hourly come with benefits, and if so, what are they? That can make all the difference between which one actually pays more in the end. Benefits are terrible at all of the agencies out here, so pay per visit as a contractor allows me to make my money up front and set aside what I need for healthcare, retirement, vacation days, etc. It’s definitely more work, not for everyone. Even when I factor in my drive time, charting or calls done outside of my regular workday, and having to pay my own benefits, I still make 15-20% more than I could in an hourly position.