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sharlyb's Latest Activity

  1. There are two possibilities here regarding the potential black listing. A. they are serious about it. B. they are not. Given the current nursing shortage and given the fact that you are choosing to leave rather than that you were fired, I rather doubt they would stick to their guns if three years from now you went there and asked for a job. However, to be safe, if you want to be certain of being eligible for rehire at this facility it seems you would be better off giving them the three weeks. Just make sure you do get sufficient sleep so you are not at risk of having an accident on the way home. I did when I tried working the night shift as a new nurse and fell asleep behind the wheel on my 20 minute commute home. Thankfully neither I nor anyone else was injured. No other car was involved but I ran my car off the road. That was the end of the night shift for me.
  2. sharlyb

    Ocean County RN Graduate looking for job.

    Hi Slurgee, First of all, congratulations on your accomplishment! Welcome to the world of nursing and all it has to offer. I have been a nurse for 27 years and have worked in many different areas of nursing. You are right in thinking that home care is not generally the easiest to get into as a new graduate. You're out there in homes by yourself and there's no colleague to readily come to your aid. It takes a bit of independence as well as creativity in finding solutions to things you don't encounter in the clincial setting. However, it is quite rewarding. I enjoy home care and am doing hospice nursing right now. Our hospice agency is affiliated with one in Ocean county that has a new in patient unit as well as a home care census. We have the same in Monmouth County and I know we hired a new graduate who has been with us for two years on our in patient unit. If you tried that you could move to home care and not lose the time put into getting vested. (The Ocean County home care agency has a large non-hospice census as well as some hospice patients. The company offers good benefits. I'm not sure of the pay in Ocean County. If you would like more information or the name of the person to contact (the director of the in patient unit in Ocean County) let me know.
  3. sharlyb

    Press Gainey AARRGGHH

    This is an interesting topic and one that will not likely go away. As someone else already pointed out, patient surveys are here to stay whether Press Ganey or other forms of polling patients post admission. Scripting is nonsense. How silly I would think the staff if, as a patient, every nurse who entered my room said the same thing. As another pointed out, it is the Walmart syndrome. The first time you walk into a Walmart it's OK, by the second and third time it becomes rather annoying. On the other hand, I don't fault administrative staff for wanting to assure that patients' needs are addressed, particularly comfort issues. I worked in acute care settings for a long time, floating to all the units of two differerent hospitals in two different states, working everywhere from the ICU units to the ER, med-surg, pediatrics and new born nursery. I have also been a patient myself a number of times. It is no secret that some basic comfort issues are not always given the attention they deserve. Small gestures can mean a lot and can in fact make a difference in the way a hospital stay is perceived regardless of the top notch care the staff has given when viewed from a clinical perspective. That is what administration is getting at and rightly so, even if their approach is rather silly. Nurses who care about patient comfort will find a way to show the patient they are interested in their needs without having to use some ridiculous scripted phrase. Our agency sends out Press Ganey surveys and we get consistently high ratings. I see it as a positive reinforcement that we are doing a good job not because we asked some silly question but because we are all finding ways to make sure we are paying attention to the details. Every nurse I work with has their own style of doing that. If the fact that those surveys go out makes each of us sit up and pay attention to the fact that we are, after all taking care of human beings who are often scared, hungry, cold, in pain or distressed and who need some basic human kindness in the middle of all the machines and tests, poking and prodding, then that is, I think, a good thing.
  4. sharlyb

    Private Duty Annoyances

    You have my sympathies for this challenging situation. Having done a fair bit of home care and private duty nursing over the past 27 years as a nurse as well as presently working in home care hospice I can relate well to the dynamic you have described. There are two key issues in this situation that I think you would do well to focus on: A. The agency told you that it was OK to leave. B. The state board of nursing told you that it was ok to leave. That would be sufficient for me. The way I see it, this family is manipulating you. They are playing on the fact that, unlike them, you feel a sense of commitment and caring. My suggestion is that you (calmly and politely) tell the patient and family that you will leave when you are scheduled to leave. Then do it. If the family acts enraged, let them rant. Refuse to allow yourself to be pulled into their negative dynamic. Do not let yourself become entangled in the net of negative dialog. Repeat the basic message if necessary i.e. I will leave when my shift is over. You don't need to explain anything or make excuses. If you do you will only be treated with disdain and viewed as weak and manipulatable. What the family or patient choose to do about the situation is their responsibility. They clearly have resources that they can tap into. You have been assured that it is not patient abandonment to leave. You have a responsibility toward your own family. Let the patient and family say what they will. You will only be manipulated if and when you allow yourself be drawn into their dysfunctional dynamic. People like this will not find it easy to keep any nurse. If you allow your sense of needing this job to dominate, you have given them full control over you. In the end you will most likely keep the job and your sanity if you stand your ground.
  5. sharlyb

    "Easy" LPN jobs

    There are definitely jobs in nursing for LPN/LVN's that are not direct patient care. One LPN I know works at a fitness and wellness center. Another works in an MD's office. There are definitely a variety of options out there. You just need to look for them.

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