Myruby

I never said I was an early bird. I'm a night nurse. I take my whisky neat. My coffee black and my bed at three People are too sweet for me. That's OK with me... (I get a good day's sleep and never arrive with more than a 0 BAC)

It sounds very unsafe. I doubt the people who administer understand when to hold meds, check BP and pulse, interactions, side effect or much of anything. If I am hospitalized I would not want them administering to me. It's a cost cutting thing made by admins to save money, like understaffing RNs

There is Epic now. I don't know what they have in the ER you would work in. I think it might be difficult to land a job in the ER without recent hospital experience. I don't think it's a matter of age, but of knowing the system and being able to learn quickly. I was asked at 40 if I would be able to "keep up." in an ER and at another job, "what would I do about child care on an odd shift" I retired at 73, but as an NP, the last 8 years as a travel nurse, so I kept up fine. It might be a good choice to start back on a medsurg floor to learn the system. Just my opinion, others here might be better qualified to answer.

No. I was a floor nurse then became an NP for the last 31 years. The last 8 years I did locum tenens only so I would have freedom. I started in Internal Medicine, and have done Geriatrics- LTC, Palliative Care before I switched to Locums. You would not believe the BS. I ALWAYS was pushed to see more patients by admin-you know how this goes even as a floor nurse- but as an NP it is actually counted. I was told to upgrade my diagnoses by one company- UHC of course, and often stayed late to finish charting. I switched to Locums and jobs where I could see a pt only one or two times, student health, gyn, Occ Healh, urgent care. It was not as bad, but I believe it was because I was there for only about 2-5 months so was not a target. The insurance companies dictate what you can do and prescribe, so you have 15 minutes to get a history, do an exam, review the chart, make a plan prescribe and refer. THEN later the ins co will deny and you have to do that later. My PCP, whom I love told me he is miserable and can't wait to retire. That's unusual that he would tell me this, but we have a good relationship and he has been my doctor for 14 years. Oh, and call. So no. Believe it or not, the hours are better but the BS is increased and I was just an NP I was very grateful for the knowlege I gained. I had a double major with MPH, epidemiology as my second. I think statistics gave me a way to look at things better, so any knowlege is not wasted, but, no.

I worked at an IM/UC setting before going U/C. It would be difficult to learn to suture, remove a toenail, abcsess, splint on your own. There are workshops that are very helpful. I asked that every pt with one of these be assigned to me and my Medical Director was glad to teach/ supervise. I can't imagine doing procedures without her. Other than those, you have probably seen most of the other infections etc, and know when to refer etc. My father was an MD and when I asked him how he remember all that stuff, he replied, " You don't have to know everything, you have to know what you don't know and where to find it." You sound like one of those. Good luck!

I worked as a Sub-Investigator for 7 years. I didn't really work for one pharmaceutical company, but for the Research Center, and we did studies for many pharmaceutical companies. I was burned out by patient care. My duties involved deciding whether a person met the criteria for inclusion (there were strict criteria) monitoring them and at times removing them from the study, reviewing labwork, EKGs and routine exams, addressing adverse events. There was an MD Investigator, I believe only Physicians can hold that position if I had a question, but he was there only once a week, but available by phone. There were IRBs and the studies were double blinded. I loved the job, but eventually wanted more flexibility so did travel NP work the last 8 years of my career. One was in Utqiagvik, formerly known as Barrow AK the northernmost settlement on the continent with polar bears sometimes coming into town. I hated hated hated Internal Medicine and if it were my only choice, I would have given up my NP.

Yes, I've helped three times. The first was post seizure and the crowd was trying to get him to sit up and drink water. (Why do they always do this) I told them to stop and put him in the recovery position till EMS arrived. Second was on a plane to AK a woman fainted and the crew asked me to monitor her till scheduled landing. I did and she was fine. (The crew gave me a bottle of wine) The third was at a public dance where a man suddendly fell and went into cardiac arrest. 3 paramedics and I arrived, I directed someone to call 911 and get a defibrillator. The paramedics took over. Unfortunately he later passed away. There was no defibrillator at the fairgrounds which later resulted in a law that there be one at all events in my state. I don't feel that I did anything major at any of these, but I tried to help.

The paycheck, but I'm fine without it. Other than that, nothing. It was time to leave.

Yeah, sometimes THEY can be wrong. Why didn't they help you with specific "faults" I was told in my first year as an RN at a teaching hospital by my preceptor that "I would have a difficult time" Turns out she was wrong. In my second year, I went on in the same hospital to orient new grads, run mock codes and later became an NP who had no complaints and had a successful NP career. One person or more on a team can talk and make wrong judgements. It has nothing to do with you, more about them for whatever reason. One other thing that is very important that a physician told me early on is that you will get the most flack from "borderline doctors" I won't go into specifics, than from others. In 31 years as an NP I have only had 2 of them try to insult or undermine me. It was from thier insecurity and training.

I do not know about clinicals and jobs in your case but I will tell you about mine. When I was 19 I was stopped for hitchhiking and they found 2 pills. Now, it sounds like a story, but it really wasn't my backpack and I was hitchhiking alone. I don't know what they were,but my Mom came and bailed me out. Charged with disturbing the peace, and possesion of dangerous drugs, the later dismissed. Later that year, I went to a party with people I met just that day. I didn't know that their parents had checked out of the hotel. Police heard the noise and opened the door and I was charged with trespassing and giving an alias. (Because of previous incident, I made up a name because I thought my Mom would kill me. I was so clever!) I went to school, clinicals and went on to practice for 52 years, the last 31 as an NP. It never stopped me from getting a license in a different state or cost me a job. The people hiring me just had blank faces when I explained. Kind of like your dog when he's doing his business-blank. They were probably thinking "what an idiot, or I did worse than that.." who knows. I did have to get the records twice, but still got the job. I don't think the school would admit you if you couldn't go to clinicals. Just my opinion.

I think your choice to finish the year is excellent, and good work! I started in MedSurg, and it gave me such an excellent background. I think learning a new job is difficult on a PRN basis. I would say if you want to do ER, go for it, but do it full-time so that you can fully immerse yourself in it and not forget what you have learned between shifts. If it doesn't work out, you can always go back. I eventually became an NP and FORCED myself to do a year of Internal Medicine, which I truly hated and knew I would, but it gave me such a good background to spread my wings. While you are in the ER, if you change, you will have time to look up questions about your day at night if you fully immerse yourself and learning will be so much faster. I do wish you the best, as you seem like a committed, thoughtful nurse, which any unit would be grateful to have, and if you are bullied, it's not about you, hold your head high and carry on. We can only do our best and as the saying goes, "you can't please everyone." If there is bullying, and it is not definite it will happen, it will end. Don't let it rob your dream

Well, how about this? It clearly says that it is illegal. https://www.nurseattorneyeducator.com/it-is-illegal-to-call-yourself-a-nurse-if-you-are-not/

Too bad for him. Document. He is about to be fired. How sad, he's mad, too bad.

You need a better Lawyer. Look for one who will not charge unless you win. Your case is well documented

No, you don't. I am an FNP and have never worked in the ER but have worked in urgent care. I can see where it would be helpful, but not necessary.