guest1171208

To be honest,I only hear " That nurse is only doing it for the money" and "You need to be called to this field" from nurses that are jealous or angry at nurses with higher level degrees.

About taking vitals...At my rehab facility, orders are to take vitals BID. Day and evening shift take them. Some night shift nurses do not do them. Reasons given to me where that they only have orders for BID. I do see some night nurses write "Vitals not taken,patient sleeping".

I feel your pain. My unit,we have one CNA and one RN(Me) for 11 patients. They also have to get 3 patients dressed in the AM. I work 11-730. She needs help weighing patients. My thing is,I cannot pass out meds at 0530 AND change residents. I remember a call light went off and she peeked out someone else's room and did not respond to it.

Covid is the problem in private duty. None of the family members wear masks,we are around aerosol nebulizer treatments,etc. You are less protected against Covid in PDN than the hospital. How often are PDN patients and families getting tested? Who is making them test? Yeah.

Not to be contrary,but why would you do a meet and greet without the baby there? I have never done that before. What would be the point? I need to see the patient. Everything else could line up(nice home,nice parents,) but if I am unfamiliar with a vent or gtube the child has,the case is a bust.

PDN. Paperwork is a breeze. No more OASIS! With an easy job comes low pay. You have been forewarned!

I read about the Supreme Court decision and it mentions healthcare workers in facilities but not in other settings,particularly home care settings. Of course,most skilled nurse agencies receive Medicare and Medicaid funds.

I applied to every acute hospital in my area. I have a BSN. I been a nurse 15+ years. I just got the BSN in September. I could never get a call back from recruiters in the hospitals. One recruiter wanted me to call her. When I did,she did not answer. I am experienced,with the BSN. So what Is the problem? I figured it might be that I do not have the right experience. I worked in private duty with peds and adult patients. Maybe hospitals think it would be hard to train me,who knows. It could be that many nurses and recruiters do not know that private duty work is still working in nursing.

One reason I hate rehab. There is one CNA for 12 residents on night shift. I have to pass meds starting around 5:30am,but dammit so many patients have to to use the bathroon when I have to wake them up to take meds. We are expected to answer call lights and toilet the resident. That takes over 30 minutes of my time. CNA's have to do AM care for three residents,so I cant just tell a resident "Wait for the CNA". Then it gets hectic around change of shift because some CNA's just stand around talking while I am trying to answer call lights and toilet. It might be time for me to go back to homecare.

How come when folks present the fatality rate,they never talk about the millions left with long covid or disabilities?

AT least you had the chance to try acute care! I have been a nurse for 18 years. I always applied to hospitals from day 1 and never got hired. I tried as an Lpn,as an ADN RN,and even now as a BSN. Mind you,I was trying to get hired for a med surg position. The only places that call me back are non acute care positions like long term care,homecare,and esp pysch. I stayed in private duty nursing for 15 years. You would think hospitals would jump at the chance to hire a nurse with 18 years experience but no,they won't. I guess working on ventilators,with trach,and wound vacs isn't enough experience for them. I should also add that non acute care does not pay well. Private duty definately does not pay well. I think working agency homecare one on one killed my nursing career honestly. Most people do not see it as real nursing. Yes,my self esteem has taken a hit. There are nurses that have two years experience that make more money then I do and are now supervisors. I met three such nurses yesterday at a rehab center.

OP,I am going through this and I've been a nurse for 18 years. Just ask. Of course you will get the occasional prick but still ask,ask,ask.

Come on,are we really going to not notice that hospitals would not have this problem if they hired ADN's and LPN'S? That is the real and only solution.

I had to learn about some new medications and wound treatments like Xarelto and Profore, so yes med surg was a big learning curve for me at first. I also had to learn Pyxis as well.

I was the second nurse in the scenario before I got my current position in med surg six months ago. I love med surg btw. My pay is the same as when I worked in PDN,but the benefits are A1! Finally, I do not have to beg for health insurance and sick days! When I use to do interviews at hospitals AND LTC facilities, it seemed to be a red flag that I never worked in a facility. One LTC DON looked at my resume and application during our interview, shook her head ,and stated "You do not have experience." She also stated that because I did not have any nursing experience, they could not hire me. While looking through jobs on Indeed,I see many hospitals have new grad residencies but none for experienced nurses looking to work in acute care.

I am just saying, if you have two prospective applicants,one a new grad and another an experienced nurse as described above, who would have an easier time adjusting to med surg? I hear from some of the nurses on my floor that experienced nurses that never worked in a facility have a harder time adjusting than a new grad. One of the reasons given was that the experienced RN is "set in her ways" and might be overwhelmed with caring for 4 patients at a time when she is used to caring for 1 patient for eight to twelve hours a day. They also say she might not be up to date regarding the way we do things in the hospital. Regarding the new grad, well, I am sure you can figure that one out. The new grad has no experience at all. Did not even work as a CNA while in school.

Is it easier to train a new grad RN or an experienced 18 year RN that never worked in acute care to med surg? Especially if the experienced RN worked her entire career working private duty through an agency and only has skills common to PDN such as working with trachs, ventilator, and feeding tubes?

Long Term Care at night only.

I read this post and it seems many nurses are not in the wrong profession, they are in the WRONG setting or the WRONG shift! Some of you would do great in home care nursing or night shift. What the OP described sounds a lot like me, but I learned to adapt by working only night shifts(hence the name).

I often hear many nurses say introverts do not belong in nursing. I am an introvert myself, so I wonder if that was directed at me.

I get so confused by this. In my state, an LPN can supervise an RN administratively but not clinically.

I just wondered what it would be like to work with the "beautiful people". Just fantasizing. Haha

Has anyone done live in through an agency? I ask because on Indeed there are positions available in NY. In the ad they mention working with celebs and other rich people.

I am working in my first union job as a 17 year experienced nurse. The benefits seem fantastic compared to what I had before,but it also seems like it is more work to get days off. My previous job gave no raises at all. I had the same hourly wage for a decade.