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Telemetry, post partum, critical care
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barbie90210 specializes in Telemetry, post partum, critical care.

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barbie90210's Latest Activity

  1. barbie90210

    question about salary in the US

    California - even San Diego is quite expensive. $24 per hour is a slave wage for a nurse in this State. I can't tell you what the "average" is. I can tell you that a registry nurse makes about $39 per hour - with time and a half after eight hours. I live in California so I know whereof I speak. If you are in another State - like ones that don't have State taxes and lower costs of living like Nevada, Washington, or Texas you might be better off. The market price for a one bedroom apartment in Los Angeles (in a decent complex) is about $1400 per month and going up - like it used to be in San Francisco. Maybe some new grads here will respond to this. Good luck!
  2. barbie90210

    Scary new OB manager

    with someone that abusive and aggressive it throws a whole different light on the situation. remember, the bigger they are, the harder they fall. grandstanding and threats are probably illegal. sometimes management hires someone like this who is heavy handed. she is probably being used and won't last (like the others). in the meantime if the consensus is that everyone agrees with you then a petition can be a very effective method. present that petition to her in a staff meeting that has been arranged by the group. confront her directly with her behavior and state how uncomfortable you have felt. if you do this individually it won't work but if (and that's a big if) you can mobilize forces and stand together you might be able to dial down her attitude. tell her that if she continues you will write her up with the director of nurses - or worse hospital administration. do go through the chain of command and keep your tone respectful. i don't see any other way except keeping your head in the sand and letting her drive a bull dozer over you. the problem is that she has plenty of time on her hands to harass you and you actually have work to do. one thing is for sure. her methods to achieve change are highly questionable. she doesn't seem to understand that it's not "i" - it's "we". you might as well try to achieve a win-win situation because if it doesn't work you will be leaving anyway - or be miserable. it sounds to me (if i understand your post correctly) that she is verbally abusive and a bully. this person sounds like a drama queen, immature, seriously lacking in emotional control, and interpersonal/communication skills; i.e., totally unfit for management. sometimes if you confront a bully you find that they are actually a coward. i'm rooting for you! :)
  3. barbie90210

    Working five 12hr shifts a week

    since you haven't had kids yet perhaps you and your husband can use this time to come up with another plan. personally i don't really think it's safe. in nursing you aren't working with factory parts - you are responsible for people's lives and have to respond to emergencies. it isn't like a desk job and is demanding on many levels. if nurses do not take care of themselves they burn out physically and mentally. there is always another way if you look for it!
  4. barbie90210

    Working five 12hr shifts a week

    personally i think it will be very tough to do that over a long period of time. i work nights and most people and myself are pretty fried by the third night. you hear people say things like - "it's my third night in a row" to explain their tiredness. by the time you get home and relax a little you get about six hours sleep but it isn't the same as if you were doing it during the day. i don't know if your husband is a new nurse or not but my advice is to pace himself and possibly think about the fact that the average career length in nursing is about seven years - at least it used to be when i researched it. floor nursing is not something that people usually do forever. he should be planning his next move and if he is working all the time he won't be able to do that. many new nurses fall into a trap. they work all the time and don't plan for the future. working five nights a week permanently is probably a bad idea and may lead to errors on his part - and ultimately no license. we are just telling you what we have experienced. sorry - but i think you need to divide up the workload and parenting. maybe you could conceive of some type of stay at home business - that would be ideal.
  5. barbie90210

    Working five 12hr shifts a week

    everything is quite expensive and that's the problem. especially raising children. i don't think it will work in the long run. people do that but i wouldn't count on doing it forever. typically a new nurse might do it. there is a risk to health and it may not show up right away. there needs to be balance in life. good luck! :paw:
  6. barbie90210

    I'm about to crack...read this and help!!!!

    start by getting organized. you know that you can't complete all that work in eight hours. if i were you i would make a sheet organizing what treatments were an absolute priority - maybe about half of them. i would give my report to the evening shift and pass whatever was not done along reminding them that nursing is a 24-hour profession and you are expected to complete your shift in eight hours per your manager (by the way she sounds like a slave driver). we all try not to leave things for the next shift but you are being taken advantage of. when you do this it will force the manager to deal with the complaints and do her job. consult with the labor board on the issue. do not clock out on time and continue to work. if you are clocking out after your shift ends and they are not paying you for time worked i believe this is a violation. you should remind your manager of this. learn to stand up for yourself in this situation. the job doesn't sound as if it is worth keeping anyway. document everything and be professional in case you need it in the future. you must chart that you have passed on such and such treatment (dressing change, etc.) to the evening shift. make sure you chart your assessment, the patient's condition, and indicate that there are no complications. make sure to write something like "dressing change endorsed to n. nurse rn) - and report complete to n. nurse rn)". this will cover your license. be prepared for resistance and even being ostracized. the other option is letting them beat you to a pulp. you are saying that the situation was manageable when the shifts were 12 hours. this says to me that the eight-hour shifts can work if the manager does her job. you have to think about yourself and your children first. just be careful to do everything in a civilized and professional way. if they argue with you during report do not go on a guilt trip. simply state what needs to be done and do not defend yourself or argue. this will be very good practice in assertiveness. you state that the second shift doesn't "deserve" to have work passed on to them? no. what about what you deserve? you have to realize that you are not the only one working there. try to realize that you are a part of a team - you are not the entire team. if you document as i described and the patient suffers an adverse reaction your license is covered. i'm not saying i like the idea that the next shift will not do the work and harm the patient. but you are not their manager. let her discipline them. you may need to write this up because they are uncooperative and lazy. you can also write that dressing change on the mar and include a time (such as 2200). it sounds as if this will be hard to fight or change but there is always a possibility. they know you are new, insecure, and are preying on that. do not be threatened by being written up. respond in writing to any counseling and have it included in your file. keep copies of everything. you state that you are concerned about losing your license if everything isn't done. the workplace is unsafe so you need to protect yourself by properly documenting as i have described. in the meantime you should look around for another job that is less abusive. :trout:
  7. barbie90210

    do nurses eat their young

    people under stress are different than people not under stress. the exact same person in another situation might be friendly and helpful. being a preceptor can be hard - especially if the unit is busy. you have all of your work and are teaching someone so your work is doubled. some preceptors just sit back and let the orientee drown and that's not good. i would ask for a change in my preceptor if that happens because your orientation is brief and you need to make the most of it. there is generally a lot of "writing up" in nursing. it can be extreme nitpicking to something that is justified. if you are working with super critical people you have to be especially careful because they will not cut you any slack. maybe you can find a more congenial group to work with in the future. keep your cool and respond - don't react. be dignified and professional. try not to gossip about these instances because it only makes things worse - venting here is ok. we're here for you. however it must be stressed that anything to do with medicines is an urgent priority. be sure to check your orders, lab results, and double check to see that you charted every medicine. they are justified in writing you up for that. it's one thing to postpone a bed bath until the next shift but you can't do that with medicine. it can be hard - but hang in there. it gets easier with practice! :spin:
  8. barbie90210

    ready to quit school, almost

    the only problem i have with this is that schools should not change the rules for a graduating class. if they want to make improvements in their curriculum they should start with a new class. perhaps you should go to the dean of your nursing school and express your concerns. if they won't relent, you should adjust and be flexible. why quit now? math skills are mandatory. passing them is a pre-requisite to continuing in a nursing program. however, they may be responding to requirements from a credentialing association. if so, nothing can be done about it. keep smiling! :balloons:
  9. barbie90210

    Arizona nurse confesses to murder on national radio

    I'll bet she had a false sense of security. She thought that the call couldn't be traced. Evidently her number will come up on a telephone bill for the broadcasting company. She was quick to add "this isn't my cell phone". She said "they can't prove anything because he has been cremated". Tom said "the bad news is that they don't need to prove anything - they have your confession on tape!". She could have lied about her location though - and her name. With all the increased security, internet traces, etc. you have to wonder about the intelligence of this person. I forgot to say the topic of the show was about how lots of guys call in after dumping girlfriends they aren't happy with. Tom was giving the people who had been dumped an opportunity to retort. I think she probably hates Tom and that's why she confessed. I believe the original call came in at a listener party in Portland Oregon so it occurred in front of a live audience.
  10. A woman who identified herself as "nurse" called in to a live broadcast of the Tom Leykis show stating that because the father of her child evaded child support payments she "shot him in the heart - and because I am a nurse I know just where that is". The unidentified woman stated that both she and the father of her child both worked at an Arizona hospital. She further stated that because his BA was so far above the legal limit the police accepted that he committed suicide. In a replay of the call today millions of listeners again heard her live confession. Tom Leykis has offered a $5,000 reward for any information leading to the identity of the woman. Because she called the broadcast via an 800 number, it is likely that the authorities will be able to identify the number of the cell phone from which she called. An effort is in progress to determine if the call is a hoax; however, I heard the call and I was convinced she was telling the truth. She said "I got away with it". :angryfire
  11. barbie90210

    Quitting 4 months into nursing?

    good thinkin on that pharm tech thing! like i said - follow your instincts. you have decided not to quit but to find a place where you feel at home. eliminating guilt doesn't make you a sociopath and doing what is best for yourself doesn't make you a quitter. some people in the helping professions have a masochistic/co-dependent thing going on. don't let that be you. the first step is to value yourself enough to listen to your gut. i think your question here is "do i have a right to my feelings". the answer is yes. i'm not trying to give you advice on how be more organized in dealing with the abuse and stress so that you can be more productive. you probably had that in nursing school with a whole bunch of other advice. then you get in the real world and are angry because you feel maybe there is something wrong with you. perhaps it is your coping skills or your time management. well, it's probably a little bit of everything but the med/surg floor not an efficient, well-oiled machine where plans and strategies can be carried out without fail. it is a place where everything changes minute to minute and a 12-hour shift can be like running a maze or a marathon. one of the most important qualities you need is compassion. without compassion all the brains in the world will get you no where in nursing. i'm not saying that you can be an unsafe nurse without compassion but with it you don't have to be einstein. secondly you need an extreme amount of flexibility, tolerance, and patience. these things grow with time. if you decide to stick it out go easy on yourself and do not expect perfection. the three essential things you need are desire, focus, and the willingness to treat obstacles as opportunities. i think you have those three things so trust yourself. slapping a doctor aside, you really can't make a mistake because your life is a work in progress. do not be manipulated by those who judge you and expect perfection. they are just projecting their own inadequacies on you because they may be envious - or truly miserable. learn to be an excellent judge of character. you can learn a lot from listening to people. especially in interviews. do they say things like "we don't want to invest a lot of time in training because then you might leave and go elsewhere". that says several things to me. one is they have high turnover. secondly it tells me about their character. and last, if the place is so wonderful then why is everyone leaving? i'll bet you can think back on several red flags during your interview and you will probably not make the same mistake again! you must learn the most important part of communication - that is listening with your ears open and your mouth closed. then reflect back on your past mistakes. do not beat yourself over the head with them. they are learning opportunities. i think you have a brilliant future in store for you - and i hope you do too! :trout:
  12. barbie90210

    Quitting 4 months into nursing?

    i think the key is that the job will never change. some people are just too stubborn to quit - but maybe should have because they are definitely not happy. some people cannot quit because of family and benefits, etc. some people resent that they have spent so much on their education and find out what it is like in the "real world". i think you should follow your instincts. if you cannot change the situation then you have to change yourself. it's not easy. you have to be able to respond instead of react. it takes confidence, maturity, and a lot of self esteem. that kind of change takes time. for a younger nurse it may be truly overwhelming. i'm not advocating being a quitter but you also can't quit on yourself by resigning yourself to be stressed and unhappy. there are nurses that have been doing this for a long time that feel exactly as you do but they haven't quit. the reasons are varied and i have listed some of them above. the best thing in my opinion is to quit while you still have options. there are so many posts here of nurses saying they are "looking for a way out" of hospital nursing and can't find it. they have a certain level of income and are "used" to the role. i think you should do what you know is best for yourself. it's true your orientation is probably not the best so you may want to look for another position with a more comprehensive orientation. however the floor work will not change. your response to it will (hopefully) change and that will decrease your stress. some days it will be a little better and some days it may be a lot worse. you may benefit by finding some sort of support group for new nurses in your community - or creating one. do what is best for yourself! :icon_hug:
  13. barbie90210

    Home Health in Los Angeles

    Can anyone recommend a home health agency in the Los Angeles area? Preferably one that is Medicare certified and uses RN case managers? You can feel free to PM me if you prefer! :blushkiss
  14. barbie90210

    Would this be bad to do??

    most of the time there is a place to check on the application if it is ok to contact an employer. it might say something like "may we contact". if there is, check no and explain that you are still employed there. most people will understand that. filling out an application and interviewing for a position doesn't guarantee anything. there is nothing wrong with filling out an application. then when you get the details about the training period, shift, and pay you can further decide. maybe you will decide that the entire package is not as appealing as you thought. that's the purpose of applying - so you can find out everything. your smallest problem is quitting your other job if you get the offer. my guess is even if your current hospital found out you were looking they wouldn't fire you. if they did it is still within the probationary period. i believe they have a right to fire you at any time during that period and don't really need to give you a reason. during the interview the nurse manager will probably ask about your circumstances. certainly if they aren't going to hire you they wouldn't want to ruin your current employment. sometimes you even fill out the reference form to indicate where it should be sent. just fill out one that isn't your current employment. say something like "i am very interested in the position because labor and delivery is and always has been my career goal. however, i do not want to reveal to my present employer that i am looking for another position as it may jeopardize my current employment". when they learn that you are really focused on labor and delivery they are likely to snap you up. that's really what is needed in a job. someone who loves doing it . and believe me there are many, many openings for labor and delivery nurses. registry, travel assignments, etc. anything like critical care, labor and delivery, emergency or nicu is in very high demand. if they are willing to take new grads it would be in your best interest to go for it. sounds like you are good to go - let us know what happens! :redpinkhe
  15. barbie90210

    Would this be bad to do??

    i think you should apply for the job. you already know you don't like working in med/surg. you are trained to do the work so why not stay until the middle of december and then give a two-week notice? you don't even know how things will work out with this current job as you have not yet passed a probationary period. why pass up an opportunity to work in an area you very much desire unless you have signed a contract with your current employer or received some type of bonus? the only thing you owe them is a job well done and proper notice. also, you have no idea if the job being offered will be available in january. things happen and they could even cancel your start date and the position. additionally many people have been hired in all areas without med surg experience. don't let feelings of guilt keep you from reaching for something you really want. do not tell your present employer anything but make sure the other hospital knows it cannot call for a reference at this time - obviously because you are still there! that may be tricky since it seems you are a new nurse. however, if you are starting a training program they should not really need a reference from your current employer- if you can provide other references. be honest with the hospital offering the position and let them make the decision whether to hire you. i have known quite a few people to accept positions for example on a night shift with promises to move to day shift - and they wait years for them and never move. by the same token hospitals keep people in undesirable areas sometimes refusing to put them in training programs - or using minor negative feedback on evaluations to prevent them from moving. most of the nurses i have known had to leave their current employer to change from part-time to per diem or advance to another area. hospitals just want to stall you so they won't have to replace you. you have to think for yourself. you are doing the job - not them. labor and delivery is demanding and stressful. you will have to be nrp certified so that involves learning about infants, learn to scrub and circulate for c-sections, and deal with emergency situations. some people like it a lot but there is definitely a training curve and you have to devote yourself completely. the above poster is a good example of everything that is wrong with our profession. at all costs do not think for yourself. be loyal to the facility and sacrifice your health and well being for the patients by taking on unsafe and impossible work loads. do not be manipulated. be loyal to yourself and use proper business etiquette. i'm sure you asked your current employer for a spot in l&d and they didn't offer it to you. why? because they probably knew you were desparate as a new grad and they could lock you in for a couple of years or more. you will have to run the risk that someone at the other facility will talk to your employer "off the record". life is full of risks and they can't be avoided. i hope you follow your heart by being loyal to yourself first and good luck!
  16. ah nursing school! those were the good old days. i remember one clinical instructor who was a former army sargeant. i remember her saying to me "ok - what are the five?". (five rights of med administration). i felt like saluting. it was a religious school and she was trying to convert the catholics to christianity. this didn't go over well and i believe they eventually let her go. she did say to me "you have the potential to be a great nurse" but never stopped riding me. i will never forget another old school instructor. she was maybe 60 - very old school. she said to us "be sure to clean that foley catheter tubing with alcohol after you empty it - you don't want to get urine on the hospital's nice carpets". it was so sweet - i have never forgotten it in 20 years. i had some pretty unpleasant experiences but some of them were because i wasn't really applying myself. i ended up taking boards as a non-grad and then transferring years later to finish my bsn at another school. i remember some good clinical instructors i had. the first im injection i had to give i just kind of "froze". i had the syringe and i was looking at my target body part but couldn't stick the patient. the instructor gently just took my hand and pushed the needle in. i guess some things about nursing school you never forget, do you? the best advice i can give is that many people around you feel like they are drowning but don't want to show it. when you get out in practice remember that even the most unpleasant people have something to teach you. one pretty bad manager i had after my new grad program said something i remember to this day. when trying to find a vein it sometimes helps to make a warm compress. i know you aren't supposed to - but microwave a wet towel or use some hot packs on the arm wrapped in a chux. you can put the arm in a dependent position or inflate a bp cuff instead of using a tourniquet. what she said that was especially useful was "you have to know where there is a vein and where there is not a vein". that was very true. all the time i see people going for veins in hands. of course, you are supposed to start distally and work your way up the arm but an iv in the hand is quite impractical. elderly patients will pull them out and they will easily infiltrate. you have to feel where there is a vein and where there is not a vein - especially on african americans and obese people. people should always shave that site as there is something (rare but true) known as a "hair embolism". many people have contributed to my knowledge base even if they weren't particularly nice. see what you can learn from them - even if they are unpleasant. back to school - participate in study groups, bond together, and things will seem easier even if they aren't! :mortarboard: