Brandon1981

I would get a consistent lunch in interventional radiology, but that's the only place. Never had a full one in years of ER, so I learned to graze when I had a chance, utilize meal replacement shakes, etc.

Hi 614nurse2024, I can tell you somewhat about the monitoring program in Ohio, however my experience is not substance related. I will summarize some events here: -Non-work related misdemeanor in 2007. I did not report this to the Ohio Board of Nursing promptly. As a result, I was given a monitoring agreement that I did not consent to at that time because I was working in another state & had no plans of working anymore in Ohio. I inactivated my license & swore I would never work in Ohio. -2011: misdemeanor is expunged, I continue to work as an RN outside of Ohio without incident or issue -2018: I move to Cincinnati but obtain a KY license & continue working there without issue. -2023: Ohio officially becomes compact state & living in Ohio, I would have to apply for an Ohio RN license or move when licensure renewal came. I took my recently earned MBA & left healthcare. -October 2023: I'm really missing working in healthcare & knowing that's where my heart really is. I apply to reinstate my Ohio RN license. -November 2023: I meet with OBN monitoring agent via Teams. Seemed genuinely kind & caring. I actually enjoyed my meeting with him. Terms from the original monitoring agreement will stand, so I begin the process of meeting them. When I met all preliminary requirements, my case was sent further to the board for a vote of yes/no for granting a license. -January 2024: Monitoring agent notifies me that the board has voted "yes" to grant my license. License application moves forward for review by the licensure department. -February 2024: I'm an RN in Ohio with a 3 year monitoring agreement that basically from this point, requires quarterly performance reports+ adhoc reporting with any changes in address/phone/employment, etc. I've had a very good experience with the Ohio Board of Nursing, and it has not what I thought and/or feared for all of those years. I believe they are a genuinely good organization with a job to do, which is protecting the public, & sometimes it seems harsh or over the top, but when it comes down to it, they're really just doing their due diligence to make sure people that truly have no business providing care aren't. After all, they didn't come and find us, we put ourselves here. I think if you're honest , own it, & show how you've learned and won't repeat whatever got you here, you'll be fine.

I'm going to need you to speak English, please.

-Alltimers -Amniodarone -Incubated (intubated) -Diebeetus -Spina Biffy

What kind of non-medical caregiver role are you considering? I'm currently taking a break from nursing & using my MBA as a supply chain manager. I may return to nursing, we'll see. What I can say is that it's hard to land non-nursing employment with a nursing heavy resume. I learned through trial & error, but you have to show potential non-nursing employers how you will bring value to their company. This means tweaking your resume & cover letter for each application so that your skills match what they need for the open position-don't give them the same resume you use to apply for nursing jobs-they don't care about a lot of things that nursing employers do, such as clinical skills. There are many nursing skills that are transferrable to other jobs, especially soft skills, but you have to get creative in showing how those skills will benefit them.

I enjoyed my MBA courses. I have an MSN too, & in my opinion, the MBA gave me a more well-rounded understanding of business, strategy, marketing, accounting, finance, etc. For example, my MBA finance class was more detailed and applicable in general to actual finance than my MSN finance class. I went through Northern Kentucky University.

I think that with how comprehensive Nursys has become, I'm not sure much would change, but I don't know the specifics regarding your situation & I'm not a subject matter expert. I do know some people who have had license action & been monitored by the board who later, after they completed the terms of their consent, their license later reflected as "unencumbered" rather than having a permanent mark on them, but these people, as far as I can remember, were universally monitored for drug use issues.

I don't think you have to worry about being pigeon holed with any acute care experience, if anything, ICU will lay a foundation of opportunities down the line if you want them. A good ICU nurse will likely be preferred in procedural areas like Cath lab, IR, EP, etc over someone who has worked a med surge/telemetry type floor only. It also lays a solid foundation for advanced nursing like CRNA, acute care NP, etc, if you want that. Being able to hustle and care for higher volume patient loads is, in my opinion, more reflective of work ethic & time management skills more than where you started. Keep in mind higher volume will be lower acuity than what you're managing in ICU if you're on the floor and not in the ER.

I don't think you can go wrong with any of your options. I've worked ER & ICU and both have their benefits/drawbacks (just like anything will). I started as a new grad in ER. At first, it will be hard, feel overwhelming or even impossible (but it's not). Success will depend upon your resilience to push through those times it feels impossible, and establish yourself with solid relationships in your department-show a willingness to work hard & learn. You'll get good at a lot of things fast such as primary assessments, IV sticks, treatment protocols, etc. You'll get exposure to pretty much anything you'll ever see, but I've also seen ER start to burn out new grads relatively fast. I like ER but am hesitant to recommend it as a place for everyone to start-there is a certain type of person who can and does succeed starting there, & I've seen an EMS background be generally helpful. 20 weeks is a solid preceptorship, but beware if a sign-on bonus is very high. ICU can have many of the same elements as ER as far as acuity goes, but in my experience, the pace is generally overall slower & may be a more comfortable learning environment for a newer nurse. That's not to say it is "easier," in fact, I would say the learning curve for ICU is more steep than in ER because you're learning to really manage complex issues more than you will in the ER-you'll see what has often come through the ER, but see how the situation also progresses through the ebb & flow of managing it. You'll learn sharp assessment skills, and a very in depth understanding of the conditions you're dealing with. I worked in CVICU and really enjoyed the in depth learning I received and how to better manage high acuity patients for longer. What I struggled with there, having come from ER, was the slower pace. If you're motivated, intelligent/enjoy continuous learning & have a strong work ethic, I don't see how you could go wrong starting in ICU. I can't speak for working an Obs Unit, but it's great you have several options on the table. Good luck!

It might just take time. Sometimes our mistakes teach us lessons that we never forget & we don't repeat them. You're new, so it's normal to feel anxious & not good enough often times, but if you decide to stick with it, I bet in about a year you'll see it starting to come together. I started as a new grad in a busy ER and wanted to quit every day. I felt stupid and literally like I had no idea what I was doing. I found some friends & mentors there who helped. In about a years time, a small, dim light bulb began to light up in my head, and I ended up working ER for the better part of 15 years. I could look back at each successive year and see how much I had learned and grown. You might feel inadequate now, but I bet if you keep trying & keep learning, you'll become a rock star.