Wuulie

My answer to this is that the ED has some unique features. For one, the ED is the only department that can’t say no to incoming patients. Boarding patients don’t get the attention they need because the ED doesn’t have the resources to care for such patients. ED order sets only include initial interventions. Continuing care is ordered by the admitting physician and should be carried out by the floor. ED nurses get their initial assessment, triage, and interventions done. After that, they have to move on to the next patient. If they don’t, patients can go completely unseen. In the ED, patients are being seen by a healthcare professional for the very first time. Patients that need immediate care, can potentially sit in the waiting room waiting for nurse availability. There is lots of data that supports that patient boarding is very bad for outcomes.

I am a nurse with 7yrs experience in acute care including gen/surg, ICU, and ED. The hospital I work at is a level 2 trauma center with a level 1 ICU. I am moving to a small town with a critical access hospital. However, the hospital doesn't have any positions posted at this time and I am resorting to positions I never dreamed of before. And I'm scared!! haha. There is a case management position for long term care for post-acute patients. There is home health and home infusion positions. I was like, "maybe I can do infusion," but then the job description went on about experience with "IVIG, SCIG, Biologic response modifiers, and alpha 1 anti-trypsin products." And I'm like "I don't know what any of those are!!" There is a job posting for an MDS nurse as a Resident Assessment Coordinator. I can't imagine what a day on the job would be like. Have any of you had diversity in your nursing careers? How was the transition? How do you start a new job when you have no idea what it will be like?

My hospital started doing this as well. The ICU and tele units get report, but the regular med/surg units do not. I do not see a problem with this personally. I have worked both ends of the spectrum (I've worked ICU, ED, gen/surg, and tele). More often than not, the ED nurse just reads from the EMR anyways while giving report. The ED is such a busy, task based environment, that the nurses don't often have any more information to give that cant be found in the ED physician note or MAR. Ideally, the patient's stay in the ED should be short, so the ED nurse hasn't had a lot of time to gather information. The floor nurse has literally hours to be an investigator and gather information. Requiring the ED nurse to give report delays things by more than the time it takes to give report. It delays it by the time it takes for the ED nurse and the floor nurse to finally get a hold of each other. This delay is more harmful to hospital flow and patient outcomes than the 10min it requires from the floor nurse to look up ED notes. Floor nurses need to realize that patients that are ready to be transferred to the floor, just sit in the ED and kinda get ignored because the ED nurse is busy with the 5 other patients that just came in. The patient might as well be transferred to the floor at that point--even if it means waiting for the floor nurse to look up orders and notes.

I am a new mother and work full time as critical care float pool RN. I’ve been back to work for two weeks. I think a lot of you would feel differently about the situation if you yourself were the pumping mother. Here are some of my feelings on the matter now that I am on the other side of things: I wish the situation was different. I hate being an inconvenience. I awkwardly ask people to watch my patients—cause I hate it. I sometimes have to be stern and stick up myself to get off the unit (embarrassing and humiliating). I want to do what is best for my baby (the instinct is real and strong). Current recommendation is to breast feed your baby for the first year. I couldn’t live with myself if I didn’t do my very best to take care of my baby. Breastfeeding is the one of the hardest things I’ve ever done. Worse than the nclex (by far). We had latching problems and had lots of outpatient visits. I had many sleepless nights to reach my breastfeeding goals. I’m not willing to sacrifice what I had to work so hard for. I wish I didn’t have to work so much so I could spend more time with my baby. And not have to deal with pumping at work so much. But my circumstances don’t allow it and I need to work full time. And I am required to go back to work at 3 months—just as we finally started to get in a groove with breastfeeding. I already was so busy at work. I often skipped lunch. Now I need to get off the unit 3 times/day. How am I going to do this?? My anxiety about this was so intense that I could not sleep for the week leading to my first day back. My OB wanted to put me on Zoloft, but I declined it. Probably because I don’t want to be someone that takes mood pills. I can do this myself. For those wanting moms to reciprocate and do something back in return: I am so sorry that I can’t be of more value to you. I do help when able. But I’m already so behind on my patient cares cause of pumping. And I need to get caught up before my next pumping session. I think hospitals need to do something different. So that other staff members aren’t stretched thin when their colleagues leave to pump. It’s not fair that we are all put into this situation. I feel misunderstood and judged. But I’m just trying to feed my baby. I don’t understand why the world has to give me backlash for this. The pumping room at work is dark and small. There is no sink. We are supposed to take our parts to the nearby high traffic public bathroom (embarrassing and gross). This makes me feel alone in my indeavors and as if the hospital is saying “fine, give these needy moms a room, but don’t spend any money doing it.”

I am a new mother and work full time as critical care float pool RN. I’ve been back to work for two weeks. I think a lot of you would feel differently about the situation if you yourself were the pumping mother. Here are some of my feelings on the matter now that I am on the other side of things: I wish the situation was different. I hate being an inconvenience. I awkwardly ask people to watch my patients—cause I hate it. I sometimes have to be stern and stick up myself to get off the unit (embarrassing and humiliating). I want to do what is best for my baby (the instinct is real and strong). Current recommendation is to breast feed your baby for the first year. I couldn’t live with myself if I didn’t do my very best to take care of my baby. Breastfeeding is the one of the hardest things I’ve ever done. Worse than the nclex (by far). We had latching problems and had lots of outpatient visits. I had many sleepless nights to reach my breastfeeding goals. I’m not willing to sacrifice what I had to work so hard for. I wish I didn’t have to work so much so I could spend more time with my baby. And not have to deal with pumping at work so much. But my circumstances don’t allow it and I need to work full time. And I am required to go back to work at 3 months—just as we finally started to get in a groove with breastfeeding. I already was so busy at work. I often skipped lunch. Now I need to get off the unit 3 times/day. How am I going to do this?? My anxiety about this was so intense that I could not sleep for the week leading to my first day back. My OB wanted to put me on Zoloft, but I declined it. Probably because I don’t want to be someone that takes mood pills. I can do this myself. For those wanting moms to reciprocate and do something back in return: I am so sorry that I can’t be of more value to you. I do help when able. But I’m already so behind on my patient cares cause of pumping. And I need to get caught up before my next pumping session. I feel misunderstood and judged. But I’m just trying to feed my baby. I don’t understand why the world has to give me backlash for this. The pumping room at work is dark and small. There is no sink. We are supposed to take our parts to the nearby high traffic public bathroom (embarrassing and gross). This makes me feel alone in my indeavors and as if the hospital is saying “fine, give these needy moms a room, but don’t spend any money doing it.”

I am a new mother and work full time as critical care float pool RN. I’ve been back to work for two weeks. I think a lot of you would feel differently about the situation if you yourself were the pumping mother. Here are some of my feelings on the matter now that I am on the other side of things: I wish the situation was different. I hate being an inconvenience. I awkwardly ask people to watch my patients—cause I hate it. I sometimes have to be stern and stick up myself to get off the unit (embarrassing and humiliating). I want to do what is best for my baby (the instinct is real and strong). Current recommendation is to breast feed your baby for the first year. I couldn’t live with myself if I didn’t do my very best to take care of my baby. Breastfeeding is the one of the hardest things I’ve ever done. Worse than the nclex (by far). We had latching problems and had lots of outpatient visits. I had many sleepless nights to reach my breastfeeding goals. I’m not willing to sacrifice what I had to work so hard for. I wish I didn’t have to work so much so I could spend more time with my baby. And not have to deal with pumping at work so much. But my circumstances don’t allow it and I need to work full time. And I am required to go back to work at 3 months—just as we finally started to get in a groove with breastfeeding. I already was so busy at work. I often skipped lunch. Now I need to get off the unit 3 times/day. How am I going to do this?? My anxiety about this was so intense that I could not sleep for the week leading to my first day back. My OB wanted to put me on Zoloft, but I declined it. Probably because I don’t want to be someone that takes mood pills. I can do this myself. For those wanting moms to reciprocate and do something back in return: I am so sorry that I can’t be of more value to you. I do help when able. But I’m already so behind on my patient cares cause of pumping. And I need to get caught up before my next pumping session. I feel misunderstood and judged. But I’m just trying to feed my baby. I don’t understand why the world has to give me backlash for this. The pumping room at work is dark and small. There is no sink. We are supposed to take our parts to the nearby high traffic public bathroom (embarrassing and gross). This makes me feel alone in my indeavors and as if the hospital is saying “fine, give these needy moms a room, but don’t spend any money doing it.”

I am a new mother and work full time as critical care float pool RN. I’ve been back to work for two weeks. I think a lot of you would feel differently about the situation if you yourself were the pumping mother. Here are some of my feelings on the matter now that I am on the other side of things: I wish the situation was different. I hate being an inconvenience. I awkwardly ask people to watch my patients—cause I hate it. I sometimes have to be stern and stick up myself to get off the unit (embarrassing and humiliating). I want to do what is best for my baby (the instinct is real and strong). Current recommendation is to breast feed your baby for the first year. I couldn’t live with myself if I didn’t do my very best to take care of my baby. Breastfeeding is the one of the hardest things I’ve ever done. Worse than the nclex (by far). We had latching problems and had lots of outpatient visits. I had many sleepless nights to reach my breastfeeding goals. I’m not willing to sacrifice what I had to work so hard for. I wish I didn’t have to work so much so I could spend more time with my baby. And not have to deal with pumping at work so much. But my circumstances don’t allow it and I need to work full time. And I am required to go back to work at 3 months—just as we finally started to get in a groove with breastfeeding. I already was so busy at work. I often skipped lunch. Now I need to get off the unit 3 times/day. How am I going to do this?? My anxiety about this was so intense that I could not sleep for the week leading to my first day back. My OB wanted to put me on Zoloft, but I declined it. Probably because I don’t want to be someone that takes mood pills. I can do this myself. For those wanting moms to reciprocate and do something back in return: I am so sorry that I can’t be of more value to you. I do help when able. But I’m already so behind on my patient cares cause of pumping. And I need to get caught up before my next pumping session. I feel misunderstood and judged. But I’m just trying to feed my baby. I don’t understand why the world has to give me backlash for this. The pumping room at work is dark and small. There is no sink. We are supposed to take our parts to the nearby high traffic public bathroom (embarrassing and gross). This makes me feel alone in my indeavors and as if the hospital is saying “fine, give these needy moms a room, but don’t spend any money doing it.”

I am a new mother and work full time as critical care float pool RN. I’ve been back to work for two weeks. I think a lot of you would feel differently about the situation if you yourself were the pumping mother. Here are some of my feelings on the matter now that I am on the other side of things: I wish the situation was different. I hate being an inconvenience. I awkwardly ask people to watch my patients—cause I hate it. I sometimes have to be stern and stick up myself to get off the unit (embarrassing and humiliating). I want to do what is best for my baby (the instinct is real and strong). Current recommendation is to breast feed your baby for the first year. I couldn’t live with myself if I didn’t do my very best to take care of my baby. Breastfeeding is the one of the hardest things I’ve ever done. Worse than the nclex (by far). We had latching problems and had lots of outpatient visits. I had many sleepless nights to reach my breastfeeding goals. I’m not willing to sacrifice what I had to work so hard for. I wish I didn’t have to work so much so I could spend more time with my baby. And not have to deal with pumping at work so much. But my circumstances don’t allow it and I need to work full time. And I am required to go back to work at 3 months—just as we finally started to get in a groove with breastfeeding. I already was so busy at work. I often skipped lunch. Now I need to get off the unit 3 times/day. How am I going to do this?? My anxiety about this was so intense that I could not sleep for the week leading to my first day back. My OB wanted to put me on Zoloft, but I declined it. Probably because I don’t want to be someone that takes mood pills. I can do this myself. For those wanting moms to reciprocate and do something back in return: I am so sorry that I can’t be of more value to you. I do help when able. But I’m already so behind on my patient cares cause of pumping. And I need to get caught up before my next pumping session. I feel misunderstood and judged. But I’m just trying to feed my baby. I don’t understand why the world has to give me backlash for this. The pumping room at work is dark and small. There is no sink. We are supposed to take our parts to the nearby high traffic public bathroom (embarrassing and gross). This makes me feel alone in my indeavors and as if the hospital is saying “fine, give these needy moms a room, but don’t spend any money doing it.”

I am a new mother and work full time as critical care float pool RN. I’ve been back to work for two weeks. I think a lot of you would feel differently about the situation if you yourself were the pumping mother. Here are some of my feelings on the matter now that I am on the other side of things: I wish the situation was different. I hate being an inconvenience. I awkwardly ask people to watch my patients—cause I hate it. I sometimes have to be stern and stick up myself to get off the unit (embarrassing and humiliating). I want to do what is best for my baby (the instinct is real and strong). Current recommendation is to breast feed your baby for the first year. I couldn’t live with myself if I didn’t do my very best to take care of my baby. Breastfeeding is the one of the hardest things I’ve ever done. Worse than the nclex (by far). We had latching problems and had lots of outpatient visits. I had many sleepless nights to reach my breastfeeding goals. I’m not willing to sacrifice what I had to work so hard for. I wish I didn’t have to work so much so I could spend more time with my baby. And not have to deal with pumping at work so much. But my circumstances don’t allow it and I need to work full time. And I am required to go back to work at 3 months—just as we finally started to get in a groove with breastfeeding. I already was so busy at work. I often skipped lunch. Now I need to get off the unit 3 times/day. How am I going to do this?? My anxiety about this was so intense that I could not sleep for the week leading to my first day back. My OB wanted to put me on Zoloft, but I declined it. Probably because I don’t want to be someone that takes mood pills. I can do this myself. For those wanting moms to reciprocate and do something back in return: I am so sorry that I can’t be of more value to you. I do help when able. But I’m already so behind on my patient cares cause of pumping. And I need to get caught up before my next pumping session. I feel misunderstood and judged. But I’m just trying to feed my baby. I don’t understand why the world has to give me backlash for this. The pumping room at work is dark and small. There is no sink. We are supposed to take our parts to the nearby high traffic public bathroom (embarrassing and gross). This makes me feel alone in my indeavors and as if the hospital is saying “fine, give these needy moms a room, but don’t spend any money doing it.”

I personally think that there are a lot of weird nurses out there that do weird things to make them feel good about themselves. I bet you are doing just fine or even better than a lot of nurses around you. The fact your trying so hard makes you better than at least 50% of the nurses around you. Just be patient, get through orientation, and I bet you’ll be just fine. I bet you’ll be so happy to be on your own.

Hello, I am currently working as a full time RN (3 12 hours shifts a week) and my net income is about $3,600/month after taxes, retirement, health insurance, etc. My hourly wage is $33.30. However, I will be having a baby soon and I would really like to go part time after my maternity leave. I am unsure if I will be able to support my family on that income. My husband is starting a doctorate program and will no longer be working. I have a goal to provide for all expenses other than tuition (So I would like to make enough for our mortgage, groceries, day care, costs of living.) Our mortgage is $890/month. What do you think my income will be if I were to work 2 shift/week. Or even just 1-2 shifts/week? I know that premiums for health insurance are higher for part time employees, right? Are any of you in a similar circumstance, and how do you make it work? Are any of you able to live off a part time income?? My family consists of me, my husband, and a new baby soon. Its almost sounding impossible, but I just am torn between raising my own child and being as debt free as possible through my husbands program.