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RNperdiem RN

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RNperdiem has 14 years experience as a RN.

RNperdiem's Latest Activity

  1. RNperdiem

    "He's Okay"

    My brother is a doctor, and that commercial is a big hit with his colleagues.
  2. RNperdiem

    Sorry nursing

    This is timely. I got the results of our now heavily audited charting. I had imperfections and will need to correct them ASAP. There were a couple of missing sedation scores and I wasn't on time with my pain reassessment. It was like I had killed someone or something. Patient care these days is measured by how pretty your charting is. The charting requirements keep going up, but time for patients is declining to make this happen. My manager understands. She is a veteran of many decades who doesn't like the changes either, but JCHAO requirements are unforgiving and we need to stay compliant to keep our jobs. A lot of the joy of nursing is getting harder to find.
  3. RNperdiem

    Sorry nursing

    Agreed. Healthcare has gone corporate in a painful way.
  4. RNperdiem

    What is night shift actually like?

    I found that in med-surg, night shift was tasked with a lot more of the daily tasks like changing IV tubing, hanging new tube feedings and back in the days of paper charts, auditing-type tasks. my least favorite was bowel prep and enemas till clear for patients getting colonoscopies the next day. In med-surg, I found that many of our elderly patients, were sundowners. They became more and more disoriented at night and very much sleepless. This required more nursing time to prevent falls. Day shift tended to discharge patients, and evenings and nights did more admissions. Admissions are time-consuming.
  5. RNperdiem

    How soon did you move out after graduating (BSN)?

    I moved out to get married. I lived with my parents for a few months after graduation and during my first nursing job. While it is good to plan ahead, first get that job and see how things change. If you are good at saving, living at home is usually the cheapest way to live and gives you a head start in paying off the loans. At the very least you need deposit, first months rent and some savings to move out. You will also have to have a talk with your mom about who will be responsible for what because things change once you get a full time nursing job and are still living with the family. Who will watch your siblings? Will sleeping arrangements change if you work nights?
  6. RNperdiem

    Gossiping Nurses

    People probably aren't observing you as closely as you think. People are often distracted by their own problems. If you are worried about gossip, you can take a few steps to make yourself less of a target. It can't be avoided entirely, but you can be minimized. First, don't give out too many details of your personal life. Once that information is out, you can't put it back. Your pets, innocent hobbies and your vacation are safe topics. Don't participate in gossip sessions; have nothing to contribute, and if the conversation continues, suddenly remember that you have something to do elsewere. Never advertise your mistakes or put yourself down in front of anyone. The nurses will not give the reassurance you seek, but will use the information against you.
  7. RNperdiem

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

    This is not a common arrangement. The most common for nurses wanting to work extra is to pick up overtime in their same department. It is often available, doesn't come with the extra problems and pays more than a part time job would. If overtime isn't available in their department, some nurses will pick up overtime in a similar floor in the same hospital; somewhere they have floated to in the past and know. For example, the Medical ICU is open to Surgical ICU nurses who want to pick up extra work to cover holes in staffing. Next in popularity is nurses who have a second per diem job. The per diem rate is usually good and comes with true flexibility you don't find in a part-time job. The working requirements vary, and you usually have to work a summer and winter holiday, so you might work all the holidays between the two jobs. I have often seen nurses who work in a non-bedside position work a per diem shift now and then to keep their skills current.
  8. RNperdiem

    Has nursing changed you like this?

    If it were me, I would suspect the lack of truly free downtime would take its toll. Do you get any time to do something fun, relaxing or creative that is not tainted by the realization that you need to be studying or getting ready for work?
  9. RNperdiem

    Saying No to extra shifts, is it bad if you're new?

    Sometimes if there is a shortage, the charge nurse is required to call all available nurses to try to fill the hole. You will not be the only nurse saying no. Leaning to set those professional boundaries early is important. "No" and its many variations are some of the most useful tools to protect your long term survival in nursing.
  10. RNperdiem

    Why Nurses Should Join the Gig Economy Right Now

    This is where I worry about my children's future. The gig economy is encroaching more and more. Contributions to the IRA, paid time off, company group health insurance matter. A stable job with benefits with a creative side gig is becoming a place for the priveleged and lucky. My older son's medications to manage his chronic health conditions would be almost unaffordable without health insurance. He has until the age of 26 to find a job with benefits.
  11. RNperdiem

    PTO not in the budget for remainder of year

    I agree with the others. Start looking around at the local jobs available. Your facility sounds like it is having serious financial problems. If they should close, you don't want to be unprepared.
  12. RNperdiem

    Seniority and preferential scheduling

    "The only impact is delivered to the patients." Isn't care of the patient the reason and core value of nursing? How does one measure performance in nursing?
  13. RNperdiem

    ER to Floor

    I have not experienced this but I do know what you are talking about. Floor nursing will get you an email stating that you didn't date your lines correctly, you didn't do your daily fall scale classification or your every shift risk for skin breakdown classification charting etc. I suspect charting is more highly audited for the floors and there are more little things you can be cited on. I worked with a former ED nurse, and his IV skills were excellent, but he had never done the type of wound care that our unit does such as wound vacs and dressings with packing.
  14. RNperdiem

    Feeling lost in my nursing career

    You are right about ICU experience being useful in opening doors to other nursing opportunities. Cath lab, PACU, interventional radiology, and all kinds of procedural nursing require ICU skills. I do know what you mean by the competitive personalities. When I was new, I found they sapped my limited morale. My newness made me feel insecure and being around people who seemed so comfortable and almost overconfident made the insecurity worse. These days, I am not the least bothered. ICUs most likely aren't as full of serious, competitive personalities as it appears. People like that just grab more than their share of attention. Give the ICU at least a year. This is an opportunity to gain some skills that can make all kinds of nursing jobs available.
  15. A lot of it will seem familiar if you are a nurse working in the same hospital. The day starts with getting our assignments and report with the offgoing nurses, then after reviewing the chart and meds, vital signs, assessments, meds etc. ICUs vary a lot in their acuity. Some days we have patients up in chairs texting on their phones because there is a lack of available floor beds to transfer them to and the patients don't need ICU level of care .Other days there are a lot of fresh traumas, transplants, ECMO patients and transports to MRI or CT.
  16. RNperdiem

    Hands on Training in school?

    When I worked full time, my manager announced that I would have a student for the next 12 weeks. The students were paired with nurses in the ICU and could do certain things under our supervision. The nursing instructor was nowhere in sight. I never saw any nursing instructor. In many ways I was the nursing instructor even though I only had one year of ICU experience and taking on a student added to my burdens. Don't get me wrong, the students were top-notch brilliant people who went on to have sucessful careers, but as an introvert it was like having a houseguest in my personal space every working day for twelve weeks. For the manager, it was a way to test the nurse and see if the nurse taking the student would make a good preceptor for new nurses.