nurse_dot

Thanks for your reply. It really helps me alot with my decision. I guess its not worth it to transfer and sacrifice the schedule i have in chronic dialysis which is the only good thing about it. At least after i go home i dont have to deal with phone calls. I will try to deal with the chaos in the clinic for now until i find something else that is good for my health and less stressful. May i ask what area of nursing do you work now? Thanks again

Hi everyone. I need advice on those people working on acute dialysis. I have been working on chronic dialysis for 4 years now. I have rare medical condition where I am needing surgery every other year and had hx of craniotomies in the past. Lately, I ve been really getting sick and tired of working in the dialysis clinic. The turnover of staff is unbelievable. We always work short staffed, pt being put on late and on top of that you have to be updated with your monthly paperworks and more stuff added to RN responsibilities. Sometimes I am the only nurse on the floor and still have my own patient assignment to put on , plus do patients assessment and meds. I work in Fresenius. We just recently hired 3 new nurses but seems like they will not gonna stay with the kind of workplace we have. The last 2 RN staff we hired only stayed for 6 months and left for better job. The nurse manager seems not to care with the staffing issues, some coworkers just do whatever they want and can get away with it. I am considering transferring to acute dialysis. My question is how is acute dialysis compare to chronic dialysis. Which is more physically demanding and less stressful? Im thinking that acute at least you dont have to deal with monthly paperworks, burntout coworkers, unsupportive manager. Please enlighten me with the pros and cons of acute dialysis. I really need to find another job that is less stressful and less physically demanding. Thank you.

My brother is licensed RN in Massachusetts and he is trying to file for license endorsement to NY. It has been 3 months since he filed for CVS-Ny in CGFNS. He is done with infection control and child abuse courses. Should he file his form1 now or just wait for CVS NY report even he is already licensed in Massachusetts?

I was a new training dialysis nurse in outpatient clinic and I am still slow to put patient on and my patient was very angry and said to me "Is this your new job? I said yes. The patient then told me "You better start finding a new job!"

I am 29 years old RN, have been working for 3 years in Rehab hospital when I had to take a medical leave due to CSF leakage. I have been on medical leave for 8 months now because I underwent two craniotomies this year without any complications. I am still recuperating and my doctor gave me a medical clearance to go back to work in first week of january. My boss was very nice to offer me a part time 16 hours job night shift in neuro rehab floor which is different from the floor i used to work. I know that working in rehab floor requires alot of heavy lifting and boosting patient. Although my surgeon gave me no restrictions with my job I still feel worried about my health. I have been trying to find another job that is less stressful and doesnt involve too much lifting but its very hard to find one. I had interview with Fresenius last week part time outpatient in the clinic and had verbal offer that I got the job and training will start in February. I also applied for school nurse job but I didnt hear from the school yet. My question is how stressful working in dialysis? I am scheduled to go back to work in January in Neuro Rehab floor and would like to see how can I handle working in the floor again. Do you think working in dialysis clinic is less stressful than working in Rehab floor? Thank you everyone

I recently just got a job in Adult Day Health Center and the company has good benefits and pay plus the schedule is awesome Mon-Fri 8Am to 4pm only no Weekend, no holiday, all paid holiday. Right now I am on my 2nd week orientation its 25 miles drive away from home which makes me really tired with the commute. The job isnt working out for me because I am so bored. I feel like I am doing a secretarial job and person working in pharmacy filling up medbox for the participants. I just dont really like sitting in my desk, answer phonecalls, attend meetings, check VS, check MAR. I feel like the time is really so slow. Working 2 weeks there seems like forever. Luckily, I am still working in my old job part time night shift in a hospital TCU which is only 5miles from my house and I love it there but my new employer doesnt like the fact that I have another job and want me to quit my job in TCU. I dont want to quit my hospital job. I rather quit my new job in Adult Day health because its not the set up I am wanting to do. I realize now how much I love bedside nursing being busy on the floor and just not noticed that the shift is almost over. Its also very convenient in the hospital that all medical records, meds, doctors orders, are computerized. I am planning to email the site coordinator and my Charge RN in Adult DayHealth that im quitting. Should I still give them 2 week notice? Im only on my 2nd week orientation and just want to email them that I am not coming back.What should i write in my letter? I dont want them to get upset at me for wasting their time so I rather quit now so they can find someone else. PLS advice. Thank you very much.

hi bellynursegurl, can you pls tell me what agency are you working? I applied almost all the job posting online and visited several LTC Facility and Nursing homes but still nobody seems to be hiring. Im getting so depressed and frustrated. thanks

Im exactly in the same situation. I even thought that nobody likes me or if theres something wrong with me? Do you think job posting online really work or even exists??? Or Im wondering if the HR really takes time to look at those applications submitted online?? I almost applied to all job postings online and visited all the list of hospitals website here http://www.mhalink.org/public/mahospitals/ and applied to all job opening they have but literally I got no call at all! So depressing...

Hi guys, thank you very much for kind words and insightful advices. It really helped me to realize lot of things. To be honest, when I got that tour in the facility I just want to run away and disappear. I can't imagine how 150 residents can fit in that small facility. Actually the position is available for night so that means it just 1 nurse to all patients on the floor. She said she might put me in morning shift while orienting so I could ask for help from other nurses before putting me on night shift. With all the experiences you shared with me I got really scared, I worked hard to earn my license, I can't afford to lose it. I did also research about that facility and seems like that's not the real picture of what's happening in that facility. Here's some information listed online regarding the facility which I believe is not really accurate with the real scenario in that facility... "This facility is participating in Medicare and Medicaid. The type of ownership for this nursing home is for profit - corporation and it has 150 Medicare and Medicaid certified beds. At the time of the last inspection this nursing home had 138 residents and the occupancy rate was 95 percent. Nursing Home has a resident council to address issues and communicate with the administration and staff. The total number of resident care hours provided daily by licensed staff is 1.4. Registered nurses spend on average 0.68 hours with each patient daily. Certified nursing assistants spend on average 0.97 hours with every resident daily. This directory contains information about certified Medicaid and Medicare nursing homes. The information about nursing homes and skilled care facilities on this web site is for general informational and educational purposes only. This web site makes no representation that the information is accurate, reliable, complete or timely" How can it possible that an RN can spend average of 0.68 hrs per patient when u have 50 of them??? I love nursing so much. I want to give my patients the best nursing care I can possibly give. Being part of the health progress of my patient would be a great achievement for me. I feel like it's a very rewarding profession. I am really excited to work and learn different things everyday. I imagine myself waking up, going to work in hospital or any facility looking forward of seeing my patients, in a safe work environment. But with that kind of workplace I feel like everyday will be a struggle to go to work and I am gonna get frustrated with my job because even if I want to give time with all my patients, it's going to be hard with that kind of ratio. I know with the economy right now you cannot afford to be picky. As most of the posters advised me, it's not really worth it to put my license at stake. That's totally true. I'll just try to be more patient applying for more jobs. I should not give up. I decided to sign up for volunteer job in the hospital near my city while waiting for a job opportunity to come. I ve been spending my time lately staying home, applying for jobs. I want to be productive. Maybe it will be a good opportunity to get to know some people in that hospital and hopefully if they see my perseverance and a position come up, they might offer the job to me. It's a good way to start to get some reference. Plus it will help me gain more knowledge and skills by observing and assisting them with their needs in the hospital. Again, thank you very much! I really appreciate all your help! BTW, I live in Massachusetts

thanks! Maybe I'll wait another week for any job offer then Il take the job if still no offer. Il just quit if theres other better opportunity.

I was really expecting that the facility will be clean as it looks outside but its totally smelly. I think I can deal with load of patients as long as I will be given time to get equipped with the facility but I cant take the untidy floor.

wow! You can handle 52 residents on night shift. Im really scared and I dont know If i can do it by myself. But its really a good chance to get experience. I do hope that they will give me enough time for orientation and training coz she didnt give me exactly how many days the training will be. She said it depends on the person how long it will last.

caliotter3, thanks beachgirl17, thanks for the hugs! I really need it. Theres no LPN and 2 NA according to her. Hopefully I'll get call from other jobs I applied to.

Hi guys! I just want to share my very first interview experience. After applying to almost all job posting online, plus personally delivering about 10 resumes to HR in different hospitals, nursing homes, long term care facility, rehab center. Maybe 1 out of 50, I finally got a call from a facility. Im so excited to speak with the unit manager and when she invited me to come for interview! Yey! I prepared myself for the interview. So I arrived in the facility 30 minutes early. She introduced herself to me. She was very nice. She conducted the interview in her office. I believe that it went very well. I was able to answer her questions. She even told me that she likes me and she can see herself in me. When I heard that compliment I was really happy. Then after the interview, she told me that she need to speak with the director of nursing and I will hear from them after a week. She gave me a quick tour with the facility. Then again, im very much excited to see the workplace and see the patients. I was totally shocked! We visited the floor with dementia and alzheimers patients, she orient me to the floor telling this is the floor with 52 patients "stable patient" according to her. Then she brought me to her unit the complex subacute unit another 50 plus patients in that area with patient on trach, peg, picc, vent. I was totally overwhelm! Then I asked her usually whats the ratio of nurse in here. She said "3 nurses in am, 2 in pm, 1 at night"! In my head I was like?? Omg? What?? 1 nurse to 52 patient!!! wow! Thats alot! I used to work in the hospital in Med-surg and whenever i get 15 pt per day, its really so much work so I wonder how they can give quality nursing care if you have 50 patient to take care. Im so disappointed with the facility, it was not clean at all, you can see the patient everywhere, patients in the hallway, trashcan just all over the place, she even said that some pt have infectious disease, The smell isnt really good at all!!!I tried not to breathe while we are walking in the floor. Its totally horrible! I just cant believe how can they tolerate to work in that kind of environment. I was so disappointed. When I first saw that facility I liked it very much because I saw the reception area was really nice, people are very warm but I wasnt expecting that its totally opposite what's inside the facility! When I came home I was really sad. I asked myself if thats where I wana work with. Or is there's something wrong with me? I am being too picky or expecting too much?? But just I dont feel like thats not a safe environment to work with. Guys, pls help me, my husband seems not to understand coz he is not in nursing field, he told me that if I get the job offer I should accept it. I even have second thoughts if I even want to go back to that facility. I know its really hard to find a job nowadays. Should I really have to take that job and take the risk in working with them? IS it worth it? To those who are working in the long term care facility, is this really the usual kind of environment I have to expect when I work in LTCF? Its my first job interview and even If the interview went well, Im not satisfied with the workplace and the ratio of nurse patient. So Im really feel sad and frustrated. Please give me some advice. Thank you very much.

What is your immigration status? Are you work authorized? My husband filed a petition for me and Im just waiting for my green card.