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RNNPICU has 13 years experience as a BSN, RN and specializes in PICU.

RNNPICU's Latest Activity


    Live in lpn

    Especially since you are POA, it would be a conflict of interest.

    Help w/job decision?

    I agree with all of the other PP. Stay with the job. Perhaps if you start taking more advantage of your time off, please think of how to truly utilize your time off, you deserve it. Taking vacation, enjoying your hobibie are great ways to balance out the stress. And, you may find that that is the difference, having a better work/life balance and really enjying things you like to do.

    Confused and Depressed about Performance

    Perhaps others are watching and reporting to her. It could be that you are appearing to not be managing time effectively even if you are. See if you can draw out specifics. It could be she has a specific way she does things that is different from you? Is there anything with prioritization? I think simply giving your perspective of the shift, and then ask what ways could you have been more efficient. I think her talking time management at the start of the shift is actually a good idea. Try plotting your time out and telling her what your plan of the day looks like, this not only lets her know about your time management but it also shows your ability to prioritize and organiza time between patients, charting, cares, etc.

    Quit my CNA Job ???!

    Unless you have another job, keep the CNA u til you start PA school. You also have no guarantee that another job won't be short-staffed and overworked... it is health care afterall. Also, why rock your boat more than it needs to be you know the unit and the flow of things, plus have likely accumulated vacation, sick days, and some seniority, why wreck that.


    You do not need Chemistry to make you a smart nursing student. It is nothing but a class, it does not make you smarter than those students who did not take chemistry. Since it is not a requirement, be thankful that you do not have to take it. If you stress out now about your future classes you will set yourself up for failure. Are you 100% certain every single other student who you will be starting with had a 100% in Chemistry class and is exceedingly smarter than you? You do not need Chemistry to pass nursing school. If you did your school would have had it as a requirement. Take it easy on yourself, you would not have been accepted to nursing school if the admissions team did not think you could handle it. Let Chemistry go for now.

    Considering ICU.... among several other options

    Wuzzie: I think this area that I highlighted is what speaks the loudest. Most nurses choose to leave LTC, not asked to resign. There likely is some larger underlying issue. And I agree ICU or any of the other places the OP listed are definitely not the place to try.

    Considering ICU.... among several other options

    Misha: the OP worked Job #1 July - October Job # 2 1 month Job #3 (Nurinsg home job) 1.5 years She wouldn't be eligible for any new grad position, especially with the 1.5 years of work there. I too wonder what the issue was unless it is safety.

    Considering ICU.... among several other options

    OP: I think you really need to look at what your three employers have said to you. If after a year and a half at the nursing home providers were still having issues with your performance, you need to really think about what has been told to you. I do not think ICU would be a good fit, it is extremely fast paced, you sometimes need to make split-second decisions, and there is an expectation to move quickly. Even out-patient setting such as a clinic, you will see volumes of patients quickly in a short period of time. Since you have worked in three different settings and there is a common theme, maybe talk out what the underlying problem is. I don't think this is just a new grad taking more time. Could you tell us what the common theme was? Working with your counselor/coach is a good idea.
  9. Sameeha: You could also reach out to a professor at the nursing school. Most of them have an RN. It could be another option.

    Two Jobs: Full-time night, Part-time day

    I think it is unrealistic. Your full time job even with self scheduling will not guarantee you specific shifts. Your choice in working a second job would need to be scheduled around your first. The second job also isn't going to care about your full time job. Both positions are only going to be thinking of staffing needs and not your want to earn more money. Best way is to pick up a few overtime shifts every now and then. Be careful as it can lead to burnout and fatigue if you don't have any downtime for yourself.

    Home care vs Nursing home

    Neither will prepare you for a hospital setting. Home care and nursing home are each their own speciality and have different skills. The settings are ery different and skill set as well as pace of care and management of patients is so different. If you want hospital nursing, look for a hospital job.

    Facing my second major cardiac surgery in 3-years :(

    Wishing you best wishes on your surgery

    Gossiping Nurses

    I was weak at giving report, and they would talk crap about me, so my preceptor told me I needed to strengthen that and people were talking about it. So very politely, after I gabd report which I had worked hard to correctly cover everything I asked one of the nurses who had been gossiping “How was my report? Did it meet your expectations?” And she stammered and mumbled and awkwardly scrambled away like some school girl. Perhaps next time ask, "I am working on improving my report, did I miss anything or is there anything you felt I could have done better? Thanks" The way you asked seems somewhat accusatory and not realy asking about improvement. It seems like you wanted to get to her like she supposedly has done to you. Your description of her response seems saying she scrambled away like some school girl seems like you wanted to get back at her, rather than truly wanting to improve your report. People likel have commented to your preceptor so she could then help you.

    2 years med/surg means nothing in job hunt

    When you are searching for looking outside your area of specialty see if hospitals have a residency program. Sometimes some hospitals will have a specific residency program for specialties such as the NICU which are for experienced nurses who have experience in different fields such as med/surg, etc. THey have a specifically tailored orientation program to orient you to the speciality but do not need to orient you into nursing. Unfortunately, I think you have a difficult uphill battle. You are an experienced med/surg nurse which is great for med/surg, but does not necisarily equate to experience in other specialites. The same is true for anyone transfering outside of their speciality. med surg prepares you for general medical and surgical type patients and while can give you a great training experience and nursing experience, often it is difficult to transfer to other specialities. Good Luck in your job search. Try looking for residency programs that are asking for experienced nurses just ouside the area of speciality.

    So we have enough nurses nursing supervisor, really?

    Although, If you had more techs, the techs could do the turning, lifting, feeding, bathing, etc, allowing more time for you to coordinate discharge, patient teaching, assessments, medication administration. What specific things do you want to do that more techs could not help with?

    Talked down to by older nurse

    OP: Just out of curiousity, why did you not go with your preceptor to see how he/she called the rapid, spoke with the physician. It was nice that you stayed with the patient, but when you are the nurse, you aren't going to be with the patient, you are going to be the one calling, etc. It could have been a beneficial learning experience seeing how the physician responded t questions by your preceptor and how that goes. And yes, it is true, it is imperative that non-essential talking does not occur during a rapid response or a code. The people involved need to hear orders, action plans, and be able to repeat back and respond. There is a closed loop communication. If you are to the patient, some of that communication could be interrupted or even misconstrued. You can still be therapeutic with your patient even if you are not holding their hand. This will come with time. Keep on learning and each day is a new learning experience. You will get there.