Myruby

That's the crux of it. When I told her gently that was a prescription dose, she told me not to tell her how to do her job, as she is the Nursing Supervisor. Things went downhill from there as every sign off etc was telling her how to do her job. I recently retired after 32 years as an NP but still have my RN license. I have worked travel jobs for the last 8 years, winters as an NP, summers as an RN as I like the break and the outdoors. I told the Camp Director who stated "I trust her" and the camp doctor who stated "I don't know anything about that" Consequently, RNs are giving 600mg doses to staff, older campers and international staff. I don't want to be a %itch, but would you report her? I have left that camp. Thanks.

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.

Hi there, I don't think that either of us can generalize our personal experiences to everyone. I do enjoy my work and hope that you found that retirement was the right decision for you. The world is a big place and that is why this forum is great, neither of us has to agree with the other at all :)

Please don't call me a crusty old bat. I have been an RN for 46 years and an NP for 27. The last 8 years I have done Locum Tenens. I am 70. There is no difference in my performance and those younger than I, and I adapt to new situations easily. Ageism is the last "OK" discrimination. Please stop judging people who you don't know. I get offers of jobs 2-3 times a day and only turn them down if they are less than $70/hour. Currently I make $90/hr. and work with Covid patients, and yes, I understand Epic. That is discrimination and it is not OK.

I've heard this a lot from new grads, in fact I work with one who is one of the best nurses that I've ever worked with. She recently left a job where the charge nurse said she was "too slow" when she asked her to review hanging blood during orientation. She was written up and let go. That's ridiculous, you are supposed to be slower and ask questions, otherwise you would not be on orientation/ on preceptorship. Some preceptors/nurses are "special" and it makes them feel even more "special" to do this. This happened during my preceptorship 45 years ago. The person precepting me told me that "you will have a hard time" She was going to go back to school to be one of the first NPs. I did NOT have a hard time. These are just one person's opinion. They are not the word of God. Find another one and hold your head up. Nurses can be mean. Someone said here that some nurses are kind and caring, others are just the ones who were mean girls in high school and never changed. I think it's ridiculous to criticize and then say, "well, I'm nit picking," If you are nit picking, then you are nit picking. If your instructors felt that you were doing just fine, likely you are.

I am currently 70 and collect both a paycheck and social security, and no, it doesn't affect my SS. It was easy for me as I've worked locum tenens the past seven years. I work when I want and don't work summers. I am currently working in a covid treatment clinic as an NP a few days a week. I would not continue to work if I was still a floor nurse, as the hours were a bit much. I am very active, and my bike probably costs more than my car. I use my paychecks for luxuries. such a yoga/spa retreats, decorating and soon, I hope, travel. I like my work. I don't "have to work," but it improves my life.

I worked many jobs that required following patients until I decided that I really didn't want to follow a patient's chronic problems anymore. Some options are Student Health, Occupational Health, Urgent Care, Infertility, Research, etc. Travel is nice also, as things never have a chance to get old. I still have my pet peeves, but they don't bother me as much. ie "What is your pain on a scale of 1-10 ?" Answer, "A 12." "How long have you had that cough? rash/pain/etc" Answer, "a while "

I see mostly unvaccinated individuals who come to our monoclonal antibody clinic after becoming covid +, with symptoms. Some of these I send away straight to the ER, others we treat. Many tell me that they "don't believe in the vaccine." I would go into what I want to say, but it includes "So now you believe in science?" or "How do you know that this doesn't contain microchips?" among other things. I did have a double major in Public Health (epidemiology/statistics) with my FNP and was a sub-investigator in pharmaceutical research but feel that it is futile to discuss this when they report their anecdotal evidence about, "well my aunt and 2 nieces got vaccinated but..."I mainly say lamely, " Well I hope you feel better after this even though we have different feelings" How do you keep your patience and try to connect? Or, more importantly to not be angry. I hate living with that feeling, it takes a while to wear off when I come home which I don't like.

I am a FNP. I was afraid. My first job was at a men's homeless clinic, pretty basic stuff, then, terrified me, decided that I would specialize so there was less to focus on so I did Infertility. I had had 11 years of hospital experience med/surg/telemetry/stepdown. Then I decided to bite the bullet and did Int Med, which I probably should have done to start, just like Med/Surg is pretty basic. Ugh, I hated it, but by then I had confidence and over the years did Women's Health, Palliative Care, Urgent Care, Pharmaceutical Research, RN instructor, Occupational Health and Student Health. (I get bored, but it is so far a 27 or so year NP career) 1) I've found that the best recommendation I've ever had was an MD who stated that I had a gift for always knowing when to ask questions. You wouldn't want your staff guessing and keeping things from you. It is expected. 2) I have never been ill-treated or looked down upon by well-respected MDs, only Borderline ones, who are not as well prepared. 3) The only things you have to focus on are, "Do I know this?" and if not, "Where do I go to get the answer? " If you did a good job as an RN and are thorough, do your best and are interested, you'll do fine. Old Lady NP 46 years RN, last 27 NP I think, who's counting ? and still going, but now an Independent Contractor

DEAs are not available online to my knowledge, at least never in the states that I have worked in.