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Brainyheart

Brainyheart

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  1. Brainyheart

    Need Advice/Encouragement

    Hi there everyone...I worked as a new grad on a very challenging med/oncology floor for 8 months (until this past July), then left to take a job in home infuison nursing because I am really interested in IV therapy and because certain things about the situation I was in (NOT the work of nursing, which I love) were really taking a physical toll. I like the new job, but there are many things I DESPERATELY miss about hospital work. I am not planning to leave my present job, but what I am finding is that there don't seem to be any positions---even per diem---that will take someone with less than a year's experience. I was very good at nursing for having had only 8 months; everyone was sad and surprised to see me go. I think I could jump right in again if I could get a position on a floor somewhere, but now I am feeling like I've ruined my chances to return to bedside care by not staying a full year . Any advice? Please tell me the truth (and I hope the truth you'll tell me is that I am wrong)! Thanks for listening. :heartbeat
  2. Brainyheart

    If I can't handle medical, am I weak?....

    No, you are not weak, but only overwhelmed. I am leaving floor nursing after only 8 months because I feel that it is simply unsafe and, to add to the absurdity, we are being pressured about having too much overtime. I have never in my 46 years felt treated in such an unprofessional manner; while my work with patients is definitely SERVICE, the poor management and pressures make it feel more like SLAVERY. All pleas to increase staffing go unheard; we are very often in extremely unsafe situations. Gary is right on target: there are plenty of avenues for you to try; don't give up! You are not waek or a failure or anything like that; you are a professional with very important training; just get that year of experience and you'll be free to find your niche. And if you can't stay where you are much longer, accept it and move on. Please don't give up. We need good nurses. And this is coming from someone who is feeling very discouraged and frustrated right now...I am blessed to have found another job, so I keep my focus on that. Only one more week to go before I am free...Hang in there and keep coming here for support.
  3. Brainyheart

    New to Home Infusion---Any Advice/Input?

    Thanks so much! I already have quite a collection of books and materials (including Weinstein, and the one the new company uses, by Lynn Dianne Phillips); I am trying to learn as much on my own as I can before the new job starts. I have also been a teacher (and I currently tutor at my nursing school), so I am hoping that experience will translate well into the new job. IV just fascinates me! I only wish I had more time to learn. Really, I appreciate all your input and information. It's just what I needed! Enjoy your day, wherever you are! :redbeathe
  4. Brainyheart

    Nurses are Pathetic!!

    Hi, again... When I said that there are "hard things" about nursing that can be changed, I wasn't necessarily saying that this is all up to each individual nurse. There are huge systemic problems that are beyond the control of any one person; that's why it can be accurately called dysfunction---it's a structural-attitudinal problem. I don't feel pathetic as a nurse, and I don't think nursing is pathetic, but I do feel a great deal of anger and frustration (and a certain powerlessness) when I see some of the foolish decisions, made "at the top," that translate down to the bedside in very real, dangerous ways: understaffing to save money is the biggest. And if you're lucky enough to work where staffing is really adequate to patient load and acuity, then always remember that there are THOUSANDS of other nurses who are not so fortunate, and who are burning out before their time, or so heartsick at the dangers of unsafe staffing that they cannot, in conscience, stay at the bedside any longer. The problem is very complex, and I think the first two rules if we want to better the profession and fight for it are: empathy (many nurses are suffering unjustly, even if I am not) and awareness (of the connection, for example, between safe care and nurse staffing, respect for nursing, nurse empowerment, etc). Again, I recommend Suzanne Gordon's important research on nursing---her books are very accessible and thought-provoking.
  5. Brainyheart

    Nurses are Pathetic!!

    I am a very late responder to this post...I would never say that "nurses" are pathetic, but I think the basic structure of nursing is truly dysfunctional---as bad as any family can be. I am only in 8 months, and I am leaving the bedside for a different type of nursing position so that I will not leave nursing altogether. I agree with Lorster that there is a complex "martyr" syndrome that has long and deep roots in the history of the profession and that enables some of the ridiculous patterns of behavior and working conditions that nurses seem, on the whole, willing to put up with. But the price of that is the "horizontal" abuse we meet upon one another if we are not very vigilant, and the support we deny one another on an almost daily basis. Yes, these are generalizations, but they have a good deal of general truth to them, despite the fact that most nurses do love their work, and many nurses (though fewer and fewer as time passes and the nursing crisis deepens) have very good working conditions and job satisfaction. There can also be a pure and free sense of sacrificing in a healthy way for our patients, but "healthy" and "free" are definitely the operative concepts here: service to our sick and vulnerable is not the same as slavery within a profit-driven system that vlaues little else but the bottom line. I remember having a very odd and confusing conversation with one of the verteran nurses on our unit: after telling her I was thinking of moving on, she jumped to the "what did you think nursing was?" to "the new generation are just lazy" and then "why not do an exit interview and let them know what's going on up here?" It is obvious that she is really conflicted within herself: an excellent nurse with incredible dedication, but unable or unwilling to face the fact that the profession is taking serious hits from all sides, with even the most committed finding themselves frustrated, exhausted and disillusioned. So I think I understand what Lorster is saying, even though I would say it differently. Suzanne Gordon's work has been immensly helpful to me in reflecting on why this work has become so conflicted and intense (in the wrong ways). Nursing will ALWAYS be hard work, but there is a great deal about the hardness that can be changed.
  6. Brainyheart

    Anyone changing positions?

    hi, bbrown06, maybe it might be a good idea to see if there are any in-house transfer positions in med-surg available. i am going full-time into a completely different venue, but i will be looking to work per diem back at the bedside as soon as i am settled into the new job. i probably could echo some of your frustration with preceptors/orientation; it is just so shabby in so many places---almost as if you're set up to fail and/or hate the job. try to separate out in your mind all the different pieces---e.g., bad precepting; personal fear; too much stress dealing with that patient population, etc.----then look at what your gut is persistently churning about. decide based on that. it is not wrong to find out that you want to do nursing differently so soon after getting the first job. we are continually told (rather smugly, i might add) how "the reality" of working as a nurse doesn't correspond to anything we learned in school (that's another thread---inadequate prep in school, but enough stress there to choke a few horses); so now that we've seen "the reality" for which we were (purposely?) not prepared while in training, why not change while we can? if you simply cannot stand it, then make the move as soon as you can. don't linger, but be proactive and find your niche. i feel "the willies" when i think of leaving the bedside after only 8 months, but i will die if i don't find a different way to be in this precious profession that i love and want to stay in. if you decide to change to something else, chalk up your 3 weeks to that much more experience and move ahead. we can't keep bleeding nurses out of the profession by enabling the dysfunction and lack of support. leave so you can stay, if your gut tells you it's the right thing to do. hope this helps. :redpinkhe
  7. Hello...I will be starting with a regional home infusion company in two weeks, and I would love to hear of everyone else's experience in the field. I am a new nurse (8 months), and they are willing to train me. I have been interested in IV therapy since nursing school, and hospital work is positively destroying me right now...I am also doing as much self-study as I can. Any suggestions, tips, insights, etc., would be terrific. The pay is decent, as is the mileage reimbusement, benefits, etc. And it's 8-5!!! (Oh yeah, with on-call every other weekend. But you know what? I hardly ever get out on time now; it's as if I am working 12 hour shifts with all the damn charting we have after taking care of 5-7 VERY SICK patients ). Recommend reading, suggest ways of preparing, tell me I'm crazy, etc.,---whatever you have to say, I want to hear it. Thanks---and I look forward to your answers! :redpinkhe
  8. Brainyheart

    Anyone changing positions?

    I am...I will have had 8 months on a med-oncology floor by the time I start my new job (in home infusion nursing). I have always wanted to be involved in some aspect of IV nursing, and now I will get to have more regular hours...I have been working evenings, and the patient load and and everything else is simply STAGGERING, unsafe and overwhelming. If I stay at this job I will soon have nothing to offer my patients. I am an extremely hard worker and proud of that, but now nursing is pretty much my every waking and sleeping moment, with nothing to refresh or replenish me. As much as I love bedside care, I cannot continue this way or I will leave nursing altogther. NO WAY!!! There are too many possibilities and nursing is simply too important to stay in a job that's unsafe or misery-inducing. So try to find a niche...be patient and keep your eyes, mind and heart open. I never would have thought this opportunity was coming my way six months ago. Stay encouraged...you will be surprised. And all of your experience is valuable, no matter how much or little you have. :redbeathe
  9. Brainyheart

    ready to quit

    P.S.: Sorry, Mark, for calling you Mike!!! I apologize...
  10. Brainyheart

    A year in...and trust me, it gets better

    :igtsyt: I am in 7 months, too, and I will be quitting. I will NOT leave nursing, only bedside nursing. I certainly feel better about my own skills after 7 months, and that's why I now have the courage to get out of this job. I really don't think it necessarily "gets better" for everyone; I am certainly glad for those who experience that. But even the most senior nurses at my place---2 of them work nights and they have been my God-sent support as I pound out my charting at 2 a.m. (and I work evenings!)---are often overwhelmed and frustrated by the sheer dysfunction of the system. And while I know there are better hospital situations out there, I am not surprised that 25-30% of all new grads leave their first jobs within a year. I never thought I'd be one of them, but I deserve better than this; I am a conscientious nurse and totally patient-centered, but the way I am forced to practice is digging a hole in my soul. Yes, there are many skills I don't yet have, but I am solid in all the basics and some of the advanced ones. My guess is that there are others out there who need the same courage I have developed in order to change their jobs, and who really are much better at nursing than the present mess in healthcare allows them to believe. And this is coming from a big-time scaredy-cat! So trust yourselves and do what you need to do in order to be the nurse that you are called to be. I am DONE enabling the chaos and danger; my patients deserve so much more than we are allowed to give them, so I am moving on. Nurses are the spinal column of healthcare and we need to do work that empowers us to act that way. We are not just "warm bodies" filling in the hospital grid...Not this new nurse, anyway. So take courage and don't give up on this wonderful work; just change the context in which you do it. Finding a new job might not be easy (for me it isn't, either), but your survival in nursing just might depend on it. Open your eyes and your mind to all the possibilities beyone the bedside---there are tons! Prayers and support for everyone who is struggling like I am...:redbeathe
  11. Brainyheart

    ready to quit

    Mike: You are NOT alone! I am 7 months in on a ridiculously chaotic med-oncology floor:scrm: and I am waiting as I write this to see if I got a new (non-bedside) job that I interviewed for yesterday. I cannot survive where I am, and I will keep looking if I don't get this other job. DO NOT give up on nursing; it's hospital nursing that is rife with dysfunction, not nursing itself. There are PLENTY of possibilities; don't despair!!!! :plsebeg:
  12. Brainyheart

    Hospitals that hire new grads?

    Hi, Everyone, I'm a new grad in the Boston area too (licensed July 21). I think there are just too few formal new grad programs and too many of us, so I am scouring any job in med-surg that does not specify a required amount of experience and trying for those. I just landed an interview last week in a place that does not have a formal new grad program but DOES hire new grads and gives a solid orientation and preceptor program. I felt the same frustration , etc., that others are feeling until I realized that there have to be ways of starting out in nursing without going through a formal new grad program. So I am making a stab at other ways to get "in" and will keep trying until I do. I am prepared to keep looking and looking, and I did hear that some new grad opps are opening up again in the fall. But I'm not limiting myself to that or necessarily waiting around for it. I'm sure there are TONS of experienced nurses who entered and flourished when there was no such thing as a "new grad program," and if they survived, so can we. I'm not saying it wouldn't be ideal, but I'm just not sure it's the only way to do this... Hope that helps. I really want this job and I hope I get it!:smilecoffeecup:
  13. Brainyheart

    any new grads getting jobs?

    Hi everyone, I just got my first interview last week and will hear next week if I got the job; I have been applying since late April. I am prepared to keep looking, though...One thing I had to do was to shake out of the mentality that I could ONLY look at formal "new grad" programs...There just aren't enough of them and there are too many of us. So my suggestion is: look for med-surg jobs that do not specify that you need a certain amount of experience and apply to them. The place I interviewed at does hire new grads but has no formal "new grad" program in place, just a good (or good-sounding) orientation and preceptor program to get you started. I will hold them to it if I get the job and feel like they're not living up to what the website describes (and what the NM described in my interview); I am ready for hard work and lots of challenges, but I need support. I told them this flat-out: give me what I need to do this safely and you will get 150% from me (in nicer terms of course) . It would be great to hear from MA nurses who started years ago when there were no "new grad" programs in place...you survived, so I think we can. too. Good luck and blessings on everyone who is looking for that first new job. YOUR job will come, and I have made it a priority to be happy and try not to get jealous or resentful when I hear of a classmate that is already "in." I'm here to compete with myself and no one else. So let's support one another. Stay encouraged! Peace...
  14. Brainyheart

    What does your login nickname mean to you?

    Mine means that I aspire to think with my heart and love with my mind, and sometimes get so mixed up I don't know which is which!:smilecoffeecup:
  15. Brainyheart

    UMASS Boston RN-BSN Online update

    Hi, I am just starting the UMASS RN/BSN online program...I got my license in July and I just had my first interview last week. I am excited to be going to school again (I love it; grad in May from Lawrence Mem/Regis). Any tips about starting a job as a brand-new newbie? I interviewed at one of the NSMC hospitals; won't know until next week if I got it but I was glad to have the interview experience (I know: it sounds like, "it's an honor just to be nominated! :spin:) One of my instructors tells me that you have to give the first job at least 6 months before deciding about its rightness...Also, glad to hear that you found the NLN Pharm exam easy; I will be taking that also at some point (but I think we have almost until graduation to take it). Have to go. Please check in with any tips or insights.
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