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PACNWNURSING

PACNWNURSING

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  1. PACNWNURSING

    CGRN Exam

    I just took it today and did not pass. Only missed it by 7pts. Though I did not even really prepare much except for cramming this weekend. Many questions on drugs hurt me. Which I was kind of surprised to see the amount of questions related to drugs. SGNA study guide is not good, which was my only study tool that I used in my quick preparation. I will retake it next May but will supplement my study resources with other textbooks. The study guide and the SGNA core curriculum textbooks are poorly written. The study guide has zero drawings, pictures, etcs. The Core Curriculum text book is also poor, with no color visuals, drawings, photographs etc. GI Endoscopy is very visual so I do not understand why these texts lack this type of material.
  2. PACNWNURSING

    Low Census

    How does your facility handle low census? I work in a large level one trauma center hospital. I applied for and accepted a 40 hour 1.0 FTE full time position. Working 4 10 hour days. Since I have started I have yet to work a 40 hour week. I have been asked to start later and end they day sooner once all procedures are done. Basically average about 8 hours a day. I accepted the position because of the 1.0 FTE. But its obvious all they really needed was a 0.8 FTE. I would have never accepted the position If I knew this. Does anyone have any suggestions?
  3. PACNWNURSING

    Low Census

    How does your facility handle low census? I work in a large level one trauma center hospital. I applied for and accepted a 40 hour 1.0 FTE full time position. Working 4 10 hour days. Since I have started I have yet to work a 40 hour week. I have been asked to start later and end they day sooner once all procedures are done. Bascially average about 8 hours a day. I accepted the position because of the 1.0 FTE. But its obvious all they really needed was a 0.8. I would have never accepted the position If I knew this. Does anyone have any suggestions?
  4. PACNWNURSING

    Mayo Clinic Reality

    I am the person who originally wrote this post related to the Mayo Clinic. Here I am 4 years later I am now employed by the Mayo clinic in Florida. Unfortunately nursing at the Mayo Clinic in Florida is quite different from nursing at the Mayo Clinic in Minnesota. I came here with high expectations of receiving top tier training, support and to launch my nursing career. All the support mentioned by other Minnesota Mayo Clinic nurses is nonexistent here in Florida. In my dept. there is no organized training, there is no budget to send nurses to conferences, the preceptors are unprepared and not properly trained. There is no collaboration between doctors and nurses. Attitudes toward nurses are antiquated. Doctors do not invite nursing staff to make suggestions. Mayo nurses should be treated the same on every campus not just in Rochester. I am sure there are better run departments in Mayo Clinic Florida. But in general educating nurses here is a joke. Other than tuition reimbursement and an occasional lunch time presentation, which no one can attend because we are providing patient care, there is nothing for staff. We are not engaged in evidence based practice or to assist in research. Everything is physician driven including training. My previous employer was better organized and offered greater opportunities for nurses. I regret assuming that the Mayo in Florida would be the same as the Mayo in Rochester.
  5. GI physicians make a big part of their salaries from doing endoscopic procedures. Open an ASC endoscopic center and they can charge a "facility fee" on top of the fee for the actual procedure. These are huge money makers for GI practices. Should not the nurses finally share in the profits in these centers? The staff is what makes the difference for the type of experience a patient will have. Nurses and staff should be rewarded for having a successful efficient center. Nurses need to start thinking more like business persons. We are a big part of the success for these centers. We should be fiscally rewarded for this. Should not GI nurses finally be rewarded and insist on profit sharing.
  6. PACNWNURSING

    Career change and moving to CO, advice welcome!

    Nursing is a flooded career, choose another health care field.
  7. PACNWNURSING

    Job market for experienced nurses in Denver area?

    You moved to an area without first having a job?
  8. PACNWNURSING

    Don't come to Colorado Springs....please!!!!!!!!

    Those beautiful mountains of Colorado are enticing I think I will apply for work there :)
  9. PACNWNURSING

    No Nursing Shortage At The Present Time

    Exactly Patti, you nailed it... I have been saying the same thing since 09 when I graduated. It took me a year to land my first job. The ANA has used the nursing shortage as a scare tactic and a political tool to bring the importance of nursing to politicians, hospitals and physicians. Unfortunately their claims were very much exaggerated. I would read articles in 2009 and 2010 that this hiring freeze of new grads is temporary. It is now 2012 and new grads are still finding very difficult to find employment. Whats amazing to me is potential future nursing students come on to these forums and ignore all the warnings of no jobs and still pursue nursing... There are other great careers in health care just do some research. YES INDEED THE NURSING SHORTAGE IS OVER!!!!
  10. PACNWNURSING

    Hospital vs. Office Endo

    You will also find the salaries less at Endo Centers
  11. PACNWNURSING

    Graduate nurse without job...Advice Please!!!

    I remember when all this started back in 2008. All the experts in Nursing stated this was a temporary situation with new graduates having difficulty finding work. Here we are in 2012 and new grads are still struggling to find a job. Nursing shortage is over..... Reality being If you wait long enough you can eventually find that med surg nights 8-1 patient ratio job with no CNA help job from hell to give you enough experience to move on. Welcome to Nursing :)
  12. 12 hours is not the issue its consecutive 12 hour days. The last 4 hours of your 3rd consecutive 12 hour shift your more likely to miss something and make a mistake. I worked 5 10 hour shifts in a row... terrible schedule. Now I have a new job much happier.
  13. PACNWNURSING

    ANY students finishing ITT tech portland Nursing Program

    Unfortunately no body will listen to your advice, people are too desperate to become nurses....... and I do not know why....
  14. PACNWNURSING

    Utah RN pay, Salt Lake City area

    As much as I love nursing. It is a very difficult and challenging job, and I want to be paid accordingly. I have done nursing and office work living in the life of the cubicle and one hour lunches with little to no stress. Why would I choose to go into nursing if the pay is the same. As far as the future of nursing, I believe we are reaching a cross roads. Hospitals are losing millions of dollars in medicaid and medicare reimbursements. Hospitals because of this are now having to lay off people. Which means less support staff for the hospital, which eventually leads to nurses having to do more with less. Nursing salaries and benefits are the largest expense for every hospital. My fear is that the hospitals will reach a breaking point and start reversing salaries and benefits of nurses and begin to shut out all nursing unions. Hospitals are some what in a losing battle they must maintain high standards of care and safety while still maintaining proper staffing levels and educating the staff because of these standards. Complying to all these regulations is expensive and time consuming. Add to the mix all the uninsured care being provided by all the hospitals. It will be interesting to see what happens in the next 3-5 years.
  15. PACNWNURSING

    High acuity patients in Minor Care and low ER staffing

    It feels good to read these posts and realize I am not alone. I am good nurse and try real hard to be safe and efficient. Since taking this ER job, I have been very stressed. My previous ED was properly staffed and the nurses had plenty of support. Here we are short staffed on a daily basis. I am working at a brand new ER with 79 beds with a large health care provider. We doing everything minus mopping the floor, tech support might as well be zero they have 16 patients. I assumed that the proper staffing and support would be here. I assumed wrong. Many of the nurses that worked in the old ER have quit since moving to this new ER, because of the staffing levels and no triage. Common sense would tell you if you have 40 beds and nearly double your beds but keep the same staffing levels, this will not work. With no proper triaging and improper patient assignments due to their acuity level, I am have been overstretched and placed in unsafe positions. Needless to say I am done with ER nursing and will go to urgent care and will be part of the endless supply chain that sends patients to the ED. How I envy the medics and EMT's who drop patients off and smile and laugh heading back to their Rigs
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