twrn03

She would be a G4P2Ab1L3. Twins count as one delivery. There was one term delivery.

Well its Friday now. I had to call the nurse recruiter back and ask her if there was a decision made. I was told to report Monday to the post partum unit to orient with the unit secretary on putting things in the computer-mind you that l&d has an unit secretary. What is the deal? I think its a set up.

Well I called the chief but she wasn't in so I left a message. Then it got deeper. A nurse recruiter I have never spoken with called me and asked what I needed orientation to. I told her that although I did not need a new graduate orientation of 3 months I did need a re-orient. of the unit and l&d stuff (nothing big just a review). I believe they think that I am incompentent because all I keep hearing is that she doesn't even know how to do ivs. I have been hearing that I am being talked about while I am not there. I do know how to I just need a refresher on ivs (but not the whole lesson and a dummy to practice on). I don't need 3 months but maybe a few days or week. They didn't even want to give me a half of day. I told the recruiter that if they feel that I am not a fit for the unit then to let me know. I really don't think I want to work where they don't feel that anyone that has been off the unit for a while doesnt need some form of retraining. She said that she will call me back (I guess after some investigating). But however it goes, I am back on the job hunting stroll.Hate to do it but what choices do I have? Even if I transferred to another unit (which I can't because I have not been there long enough), I feel that this reputation will follow me. And I know that once I quit I won't be able to come back to this hospital.

I have a concern that I need help with. I just went back to my old L&D job after a two year break. Before then I had 1 1/2 years experience in L&D. When I left, I left the hospital scene completely and did not have anymore experience with ivs, 2wfs, etc. Well, I decided to go back and I did the interview with the new nurse manager. When I was in the hospital orientation on the second day (it is usually 4-5 days), the nurse manager called me up and wanted me to start on the floor the next day. I asked her would I be with someone since I have not had the experience in awhile and she said yes. The next day she was not working and no one knew what I was suppose to be doing. I paged her and left a message but when she called back she did not speak to me not even when the other nurse told her I called. I was told by the CN to go back downstairs for the hosp orientation. Well the NM did come in that day and I spoke with her (I went back to the unit to get my things and she was there). She said that she did not know that I was going to need the "full orientation" and for me to get back with her for she had to update the orientation manual. Well the day I was to report back, she still wasn't there. I precepted with a nurse but I checked the schedule and I was scratched off the next day and not on there for any other days. The next day I asked the CN bcause the NM was still not there if I could come in the next few days. I was told "Well we thought that you were going to be able to pick up where you left off so the chief nurse wants to talk to you" Am I wrong for wanting to have some sort of re-orientation to the unit after a break? I know that in the real world you sink or swim but I feel that in l&d time is of the essence. The unit has been remodeled and the hospital had document changes and everything. I expected a rough time on the unit bcause they have had a huge turnover in the past months-year. Almost all of the nurses I worked with left (most have been there for 5+ years). From what I heard from a good many it was "management issues". Well now I am waiting for the Chief to clock in so I can call her. I kind of know what to expect. I went back to l&d because I missed it but now I don't want to be there. I just hate to keep job hopping. I guess that I am still trying to find me. What would you do?

Hi. I need some intake on my current situation. I have been a nurse for 8 1/2 years with 5 of those years as a RN. I have my BSN and I also have a Masters in Business Administration degree. I will be completing my MSN with an emphasis in Administration next year. I have not been able to "use" my MBA degree anywhere in nursing as yet. I apply for administrative or management jobs to only be shot down. I am going back to my first love in nursing after a 3 yr break. After applying for the staff nurse position I saw online that the assistant nurse managers positions for that unit were open. After inquiring on those positions I was told that they are concerned that I am applying for more positions because I may not know where I want to work. I am like "duh" its in the same dept and I have advanced degrees so should I not apply for management? And in the past I had applied for positions in other departments ie ER, and psych over the years. But I guess that nurses can't be versatile. Well anyway, I was told that the nurse manager would like to see how I work first. That would be ok except the fact that I have learned through other reliable sources of how the unit has gone down since that nurse manager has been there. I already knew that more than half the people I worked with years ago have left and they were there for many, many years. And also others that have been there for years also have applied for the position but have not received it. She had previously hired an agency nurse as her assistant but let her go because she was doing a better job than her (but it was said to be because of some past issue). Also the majority of the experienced nurses applying for those positions and denied were of the aa race including myself and the nurse manager is not. I am stuck between a rock and a hard place because I am not working FT right now. I previously left a job I could not bear to continue because of possible fraud issues with the company (not me but them). And on another note, if you have not been working a unit for about 3 years what is the recommended orientation period to refamiliarize yourself with the procedures. I have not worked in a hospital for 3 years so that would include iv and all. I have the feeling she wants me to start back on the unit as soon as my start date arrives. Any ideas on anything I said?

Since your chest xray was negative then it means that you were only exposed to someone who actually had the tb disease. Meaning that you do not have the disease but you have the infection. If you had the disease then your chest xray would have shown some changes with your lungs. To make it simple, you inhaled the tb germs from a person with the disease. You were probaly around this person for some time. Having the infection means that you have the choice to take the treatment to prevent you from breaking down with the disease later in life or if you get sick with something else. The germs are "sleeping" right now. The treatment is usually a drug name isoniazide (INH) (I hope I spelled it correctly) and is taken from 6 months to 1 year. You will not be able to drink alcohol because the drug has an effect on your liver enzymes and so does alcohol. It is beneficial to take because it will kill off the germs. The longer its taken the better chance it has of killing all of the germs. The drug do have some side effects but you can take vit b6 to help ward off some of the effects. And if you do decide the treatment, you should have labwork done every month to check your liver enzymes. No matter what you decide to do-do not take another tb skin test. It will always be positive and the bump sometimes gets bigger. Just curious though-you said that the ones reading said that it looked positive-did they measure it? It should have been measured and if it was 10 or greater-its positive. The induration (bump) should have been measured and not the redness. Even if it is some other non tb strain-most often the chest xray would have still shown some sort of changes. And BCG is not given in the United States and even if you did have BCG it would be out of your system because I believe they give to a babies or children in another country. It would be long gone out of a person's system because it doesn't last long. I hope that this helped you. I worked in a TB clinic before. You can also find more information on the CDC website www.cdc.gov. It has all the information you wanted to know about tb but were afraid to ask. Also no matter what you choose to do, you should have a chest xray every year. It could show if you are breaking down with the disease. There is a slight chance that even though you take the preventive treatment (INH), you could still break down with the disease. But also since you are in nursing then your job would require a tb skin test yearly or chest xray if you were ever positive. Oh by the way, you are not contagious so you should be able to continue with your classes. You will not be able to give anyone the TB disease because you do not have it. People with the disease can spread it and have to stay inside until they complete 14 days of the medication-which is given to them by the health dept nurse or personnel or cdc (depends on the state rules)- it is called DOT or directly observed therapy. You would have to check with your school to see what they require. They may require that you take the preventive treatment (INH). Just a little more tidbit- If visiting someone that is sick or coughing up blood or anything- talk to them outside in the sunlight because sunlight kills the TB germs. Stay out of closed quarters that are not well ventilated. And everyone knows about the covering of mouth when coughing or sneezing.