RNNPICU

Take your time when answering questions. When referring to your patients use their last name instead of the room number. Try not to think of your patients as the patient in room 4 with issue. It will take time to get used to your patients and diagnosis

I think so much would depend on the hiring manager. I know some who cannot work Saturday and therefore work every Sunday in exchange. This is something you would need to discuss up front and have written in your contract as many are standard contracts. Some hospitals have a two-week rotation for weekends, some have three. There are sometimes Monday and Friday obligations as well. I knew someone who could not work Monday and had to negotiate for the Friday only obligations. It is the same number but focused on one day. Maintaining faith is an important part of life. It will be important to talk with your hiring manager.

For Excelsior it is after Jan 1, 2020. You are good. I think something must have happened after 2020 to the curriculum and clinicals. Many states are not accepting those who have a graduation date from there after 2020.

Try to take a deep breath. You have had three shifts. Perhaps when your schedule was made your preceptor had to make changes, called out, or had a last minute change. Since everything is still new, perhaps your preceptor's reaction to certain things might not be as they seem. Hard to say as you are describing your experience as a brand new nurse. Read up on practices at your facility and unit as they may be different from a nursing school version. Check in with the nurse educator. Ask your educator for resources that the unit uses and follows. Some preceptors may not be good preceptors or nurses, others may be excellent nurses but not great at precepting, and others a great at both. Always ask about what the policy states. There are times when people do not follow policy or the policy may need to be adjusted to reflect how things are actually done. Before you just ask questions, try and look up the process first, reference it, and ask how to procede.

That is a lot of forecasting of things that haven't or may not happen. You will want to consider what you could afford without factoring in a spouse or children. Not every RN job pays the same, and there may be different pay scales. You also want to think about scheduling 12-hour shifts, 8-hour shifts, day shifts, night shifts, etc.

I would not worry. Maybe they didn't remember your name. Do you talk with your patients about other things? Just writing your name on the communication board might not be the only way to remember your name. Don't overthink it, it likely has nothing to do with your care. Patients in a hospital or health care setting are often stressed with their own thoughts. Maybe your co-worker did something very different that they remembered.

Just wait the three weeks and apply. Do not email the managers! Most would wonder why you are emailing them when you could just apply in three weeks. Three weeks is not that long and most positions will still be there. When you apply to the different units make sure you do not just copy and paste a generic cover letter.

What are areas that she/he is strong in? Are there any? Is there an opportunity to practice some skills on a manikin? One approach you could try is have her be you "assistant" for CVAD cares or a wound dressing, etc. Then have them be the lead and you can remind them if there are any steps missing. Try this with all skills even ones that they may know. Give them a list of everything that needs documented on so that there is no guess work. Build on what they know and think about what tools they would need to be successful. Think about ways for them to be successful. Although it may not work out, at least provide some guidance on how they can improve.

Part of orientation is also on you. You have outlines several instances when you felt unsupported. Why not try this. 1. At the start of your shift, ask your preceptor. "This is what I think the priority is for our patients today." Is there anything I am missing or should be thinking about? This lets your preceptor know where you are at. Don't wait for them, 2. Prior to giving report to the oncoming shift ask your preceptor to listen to your report and ask if there is any critical information you are missing. 3. If there are new tasks that are due that shift, start by discussing your approach with your preceptor. Then ask "Am I missing any steps? This is your orientation, maybe this preceptor thinks you are just going. See if this might have a different reaction from your preceptor, It is possible it is not a good match but also try and think how you can also have some control of your orientation.

Some hospitals have varying start dates, and you could start in August. Apply for the new grad positions and then see when the start dates are. Many new grads have had trips plan ned prior to starting.

Go to the State Board of Nursing website of the state you tested for. In order to take the NCLEX you needed to select a State. Whichever State you sat for, you would then need to look for how to reactivate your license. Each State has different requirements, and since it has been a long time you may need a refresher course, however that is determined by each individual state. There is no general RN license, when you passed the NCLEX it was for a specific state. If you don't remember, you could try and Google yourself and see if it pops up, RN licenses are public information.

You just leave the tasks, meds, etc that weren't done in red. The oncoming shift will address it. Everyone has busy days and you will be on the receiving end some days. Whether it is day shift or night shift, nursing tasks need to get done. Every day the oncoming shift will have tasks due and absorb from the off-going shift. That is why nursing is 24-7. You just had a busy day, do not document not done because then there will not be way for the next shift to complete it. Just hand-off in report what needs to be done. Yes, some people may give you push back but that is nursing life, some days are busy, other days are less busy. Every unit, shift, hospital is busy. You can't overly stress, document what you complete and leave the rest, even if it goes "red"

In order to be compliant with many governing bodies such as CMS, JCAHO, Dept of health, audits need to be done. When DOH comes to facilities they want to see how often is pain documented, if Tylenol or other meds are given that a pain reassessment is done, and that we are caring for patients and addressing pain needs. All staff have the responsibility for audits. By not doing your own patients you are ensuring that fair documentation and compliance is done.

Not a HIPAA violation

While there is never an excuse for meanness, sometimes after days and weeks, and even years of feeling like you have been beat on by supervisors, managers, patients, families, everyone reaches a breaking point. We all should be mindful of what the other may be experiencing. Just because someone may be harsh one day does not mean they are a "bully" I have been on both the receiving end as well as the giving end and I regret the times when I either responded harshly or should have used other words. Nursing is very hard some days and we all have our home life too. It would be great if everyday things ran smoothly, however we are dealing with humans and we all make our mistakes. We all can do our part to recognize our own stress levels and learn to step away when needed as well as others need to respect if someone says they need to step away for a moment.