TGBrn2022

A hospital I worked at repaid up to $20,000 in student loans for BSN. Try to find a hospital that will repay student loans and also give a sign-on bonus. They are out there.

You shouldn't use your real name when posting. If you get the offer, take it because you might like it. It's good working with somebody you know. Your mentor can help you navigate the environment for a positive experience.

I am in the same situation. After several years, I left a comfortable position that I felt stuck in to take a growth position with more money and a sign on bonus at another hospital. Within two months I knew I had made a mistake. My orientation ended 4 weeks early. Unit is always short staffed and 90% of staff consists of new grads. No pca. The unit and patient rooms are filthy because "cleaning" staff is only there for a few hours each day. The job is physically taxing. Everyone is stressed out. Break consists of eating a snack at nursing station which I refuse to do. Lunch is usually between 3pm-4:30pm. I have overheard some non-nursing staff members talk about me behind my back. I would have quit long ago but I have to stay a year because of the sign on bonus. Since the bonus is prorated, I will most likely leave a few months early and let them take what I owe from my pto. I was concerned about how quitting early would look, but my nursing license, health, and sanity are more important. Look for a new job NOW and without being too critical let them know your current position is not a good fit for you. If possible leave it off your resume.

At my facility this is considered a violation. Patients' right to privacy is a priority. Patient information has to be protected at all times - no open computers unattended, no discussion in public areas, etc. We are not allowed to open our own medical records. It is standard practice at my facility that only the assigned bedside nurse and charge nurse have the right to access a patient's medical record. No other nurse is supposed to access this information. If so, it must be for a valid reason - code, auditing. If you are caught violating this policy, you will be written up. We have auditors that monitor this. One time we had a legal matter with a psych patient in which every nurse and doctor from the er to the floor who came in contact with that patient and/or opened the chart had to give a written statement on why they opened the chart. If you had unauthorized access to the record, you got in trouble for this. I know one nurse who got fired. If the OP had a problem with her coworker whom she doesn't trust, she should either discuss with that nurse or escalate to the charge nurse and not overstep. If she had looked into the patient's chart and given the medicine at my hospital, she would be in a lot of trouble.

First of all, it was a HIPAA violation for you to log into a patient's chart who was not assigned to you. Second, just because the patient told you he didn't get any pain medicine doesn't mean he's telling the truth. You have no right to overstep the assigned nurse and give any medication without the nurse's request. There is probably a legitimate reason, which you are not privy to because it's NOT your assigned patient, for not giving the pain med when the patient requested it or for making the patient wait. Maybe the nurse was waiting for a new order from the md? Maybe the patient refused the pain meds are the mar and wanted something else? There could be a number of reasons. Your duty was only to inform the assigned nurse of the patient's request and let her handle it. What if you gave the medicine and the patient had an adverse reaction? How would you feel if she reported you to management for doing this? Just because you don't trust this nurse, doesn't mean she's not doing her job.

Take the job! You could be waiting for a long time. Experience will make you more appealing for an ICU job.