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DeLana_RN has 22 years experience as a BSN, RN.

DeLana_RN's Latest Activity

  1. After 5 years in a clinic I did some PRN work in a hospital until 2008. My next job was in inpatient hospice (7 years), and after that I had wanted to leave the bedside to find an office job (such as RN navigator). Then came COVID19, and now no one is hiring for those kinds of positions. The local hospital is, however, looking for a full-time inpatient/acute dialysis position in the same department I worked in 12 years ago. Although I have recent clinical experience, I have not done any dialysis in such a long time. I feel that the knowledge is still there, and might just need to be refreshed (IDK how much machines have changed, but probably not too much). Am I naive to think that? Has anyone successfully returned to such a specialized area of nursing after so many years? Anything I need to know, any suggestions? Thanks for any replies!
  2. DeLana_RN

    *HELP* being accused of gross negligence

    Agree with pp. Your manager has no integrity at all, and that may be why they hired her (neither do her managers I suspect). The goal is to save money, which means getting rid of more experienced staff (more seniority usually means more pay). Sadly, this is so very common in our fine profession (it's a shame). Few of us have to the opportunity to join a union so there is no recourse. You submitted your response, good. But realize this will not end well and start looking now. If you can affort to resign for "personal reasons" (or whatever), do so before she can either fire you or force you to quit. Because this is what will happen. (Make sure you give the required notice, although they may tell you to quit immediately. If they accept the notice, try to take all your remaining vacation days. Maybe FMLA would help. The point: Don't let them fire you!). You will find a better job and they'll be stuck in that toxic rathole (until they become the target). All the best!
  3. It's sad to see that apparently even preceptors in residencies eat their young. Op, don't give up. 7 patients is a huge load for a new grad. They didn't give you a fair chance. There are much more reasonable employers out there. No one will hold this against you. Best of luck to you!
  4. DeLana_RN

    Millennial Nurses Have Issues

    Lol... as one of the youngest boomers (1963) I hear that a lot from my teenage twins. They think it's offensive... I just laugh. They're only 14, so Gen Z (the generation after millenials). I have always enjoyed working with nurses of all generations - we can learn from each other. Each generation has its strengths (we have the experience, they have the most up-to-date education/best practice info). As for my (smart)phone - although I don't use it at work, try to separate me from it in my free time! 😆
  5. DeLana_RN

    12-Hour Shift | Life of a Nurse

    Thank you all for making me realize my decision to get out of clinical is the right one. Too many of these kinds of shifts took their toll. I admire those of you who can (still) do it. Someone has to take care of the patients! P.S. To OP - you're very lucky if you frequently chart until 2100 (I did many, many times) if your manager doesn't call you into her office to tell you to manage your time better. The standard line used for blaming nurses who can't get the excessive workload done in 12 hours because they take good care of their patients rather than taking the shortcuts required to leave on time.
  6. DeLana_RN

    New Nurse, Med Error = Lost Job

    Would you believe that I know a nurse with 20 years experience who was fired for a common, routine med error (wrong pt, but the dose was less than the PRN the pt could have received; no harm was done; pt was not allergic, everything was self-reported to the doctor, management, risk management, etc.). Like pp said, this was only the excuse the manager (who lied about it to HR) needed to get rid of someone who was "too slow" (i.e., too safe). Sloppy, careless nurses who committed serious med errors were not let go in the same facility. Sadly, even today nurses eat their young and their own. No other profession I'm aware of does this to its members. From what I have read, you will be fine. I advise you to look for a nurse residency program for new grads; they will typically accept someone with less than 6 months experience. It's shocking to me that even today some places still throw new grads to the wolves. You deserve better! All the best, let us know how it goes!
  7. Hi, all, I'm in the job market again after taking a few months off for personal reasons. Because of the stress of my last inpatient position (1:6 ratio), I decided I was done with clinical nursing and was considering something like cancer navigator (have always been interested in oncology). However, something happened that made me rethink. But maybe I'm not thinking rationally? I did clinic dialysis for 5 years before I had kids and later worked PRN in a hospital inpatient unit. I didn't leave because of the job - I loved being able to work with only 1 or 2 patients at a time (1 if they were in ICU or ER), it was honestly the least physically demanding and exhausting inpatient job I ever had (those including med/surg and stepdown). The reason I left? The manager and a few of the nurses were absolutely horrible - enough said, that's not really what I'm writing about. After that I worked for several years in an inpatient facility (not a hospital), which was very stressful because - among other things - the high ratios I mentioned above. Like I mentioned above, I'm now looking for a new job and considering my options. Just today I ran into a former colleague from the hospital inpatient/acute unit, whom I had always gotten along with very well. She said the unit has completely changed and the problem employees/manager are long gone. She made it sound like a wonderful place to work and recommended that I apply (she said she would give me a good reference). I never thought I would ever consider dialysis again - but now I am. I would, of course, get a thorough orientation. At this time, only PRN positions are available. My question: Have I been away too long to get back into something as specialized as dialysis? Have any of you returned to dialysis after several years away, and how did it go? Is it like riding a bicycle - you don't really forget - or did you have a hard time? Maybe this is foolish but it can't hurt to apply... if only for practice for other interviews. Thanks for any comments! P.S. They always say - dialysis, you either love it or hate it - well I loved it, but hated the outpatient clinic stress (and no, I could never do that again).
  8. DeLana_RN

    Dialysis nursing pros and cons

    I worked for 5 years in a dialysis clinic until 2005 (when I had twins), but it was four 10-hour shifts. I was hourly but there was rarely any OT. Hours were 5 a.m. until done, but that was usually by 4 p.m. Later they required some hospital acute call (this was DaVita), but it wasn't excessive; however, I don't think it would be manageable with a young child and no support system. Later I worked PRN in a hospital acute unit (few hospitals still have those, though, most contract with the large providers). It was nice, 8 hour days... however, the full-time employees (and to a limited extent, even the part-time and PRN ones) had to do call shifts as well. That said, I have never worked 16 hour shifts in dialsyis - I don't see how nurses do it. The work is demanding, not just mentally but physically. I still miss my clinic patients, you see them 3 days a week and establish a relationship with them. I'm glad I did dialysis, I learned a lot and have been able to apply the knowledge in subsequent jobs. But would I ever go back? No. Best of luck to you, OP, I hope you find a good position.
  9. DeLana_RN

    Which social platform are nurses using most?

    I'm glad I'm not the only one who hates FB with a passion... and anything similar (Instagram, Twitter, etc). Even my 14-year-old daughter doesn't like social media... I'm very grateful for that (and it's not because of my influence... I wouldn't mind if she used it, within reason). For nursing content, discussions, news, etc. I only use and strongly prefer this site. Other than that I only use Discord. And that's enough!
  10. DeLana_RN

    Exhausted; I want a way out.

    Before you posted this I was going to mention outpatient dialysis as a possible job for OP - because that's what I was doing when I had twins at age 41 after IVF. Working at the clinic gave me the flexibility to get the treatments and monitorning done that I would have never had in a hospital or other inpatient setting. That said, I was very lucky and IVF is not guaranteed at any age, especially after 40. But it can be successful. Wishing you all the best, OP!
  11. DeLana_RN

    Tennessee Nurse RaDonda Vaught - Legal Perspectives of Fatal Medication Error

    It just occurred to me... RV had an orientee with her. Didn't the orientee notice something? If I saw my preceptor reconstituting a drug, I would certainly pay attention to what drug it was. In fact, RV demonstrated the override process when selecting the drug. So neither of them had a clue that this wasn't Versed or noticed the "paralytic" warning?! Am I'm missing something?
  12. DeLana_RN


    I have to agree with you, this "error" was in a category of its own. I can see a nurse losing her/his license for something of this gravity. However, I disagree with the negligent homicide charges. Sadly, however, many nurses (like my friend who lost her job for a relatively minor error which caused no harm) face serious consequences for their honesty. As long as this persists, many errors will continue to be covered up, possibly resulting in harm to patients ... and ultimately the responsible nurses, as the op's story illustrates.
  13. DeLana_RN


    That's nice, and how it should be. But you may also end up like my best friend, who was terminated for her only med error in 5 years, self-reported, no harm came to the patient... the real reason was of course that the manager wanted to get rid of her and took advantage of this opportunity. Just saying, this can happen in an at-will employment state with no union protection. My friend knew that she could have easily covered the mistake up, but even knowing the outcome (which she would have never expected), she would do exactly the same thing again. Because a clear conscience is more important than even the worst (unfair) punishment. OP, please do what my friend ultimately did - get counseling. If you do, you will be fine. Wishing you all the best.
  14. DeLana_RN

    The Wrong Dose - A True Story of Medication Error

    You're very lucky, but I think the way your error was handled is the correct way. Sadly, many nurses are severely disciplined or even terminated for even minor medication errors. This punitive mentality can only lead to cover-ups and harm to patients due to non-reporting. Thank you for being an advocate... but there's a long way to go for the profession as a whole.
  15. DeLana_RN

    Nurse Sick and FIRED: Exploring Nursing Absenteeism

    I can't believe what I'm reading here. I feel for you, really, this should have never happened. Agree with pp, you should get a laywer. I wish you well in your ongoing treatment and recovery. Warning to others: No job is worth ruining your health. If your supervisor is unreasonable, take it to the next higher level and so on.
  16. DeLana_RN

    Nurse Sick and FIRED: Exploring Nursing Absenteeism

    This is the only first world country where these punitive sick policies are allowed. Why? The work force in Europe and other advanced nations is overwhelmingly unionized. In the US, if you say the word "union" (at least in the South) you might as well consider yourself soon to be fired (they can always find a reason in nursing; again, no union protection) and unemployable. Sad state of affairs... but it won't change until nurses become unionized (maybe next century?)