RNperdiem

RNperdiem RN

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All Content by RNperdiem

  1. To follow my dream.

    What if you replaced the word "dream" with the word "goal"? Dream job implies that if you wish hard enough then maybe your dreams will come true. A goal implies you working towards getting what you...
  2. Recliner Entrapment!

    The quality of recliners varies considerably. In my unit there are a few different types. The best has a nice big lever on the side. The feet go up and stay up without propping. The lever is easily...
  3. Hello and congrats on your new job. One thing to learn is that many trauma and surgical patients have restrictions on positioning. Most trauma patients are put on full spinal precautions when they...
  4. Lowest turnover specialty

    I know the nurse manager of an outpatient psych clinic. There are 6 nurses who work there. The manager has been there almost 30 years. The newest nurse he hired was 12 years
  5. Lowest turnover specialty

    Turnover might happen for other reasons than staff unhappiness. I work in SICU and a fair number of our employees leave for anesthesia school every year. OR, PACU, procedural nursing(radiology, GI...
  6. Do patients know a "good nurse"?

    Unless the patient has medical or nursing experience, they are probably not aware of how much of our job is not visible. The decisions, judgement calls, assessing what we see and hear are not things...
  7. How many jobs/units until you found your "niche"

    I am not sure exactly what "niche" means. There is always a trade-off somewhere. What you are looking for is a changing thing. I worked full time in med-surg for a year after graduation. It taught me...
  8. Know a Nurse with 2 jobs (or more)?

    I also work with several nurses who have a full time job in nursing, usually a non-bedside position like teaching or research and then they work a per diem in my unit to keep their skills up to date...
  9. Assertiveness

    I am not naturally assertive either. Gaining experience and confidence in your nursing judgement does help, especially when dealing with doctors. Sometimes you just have to get tough with yourself...
  10. Post Night Shift Sickness

    That is sleep deprivation. If you switch between days and nights, you shuffle around like a zombie on your day off. I felt that way a lot when I was a new parent as well as when I worked
  11. New Grad, Non-Floor Nursing?

    You don't have to make a move now, but if you are feeling dragged down, start looking around and see what is available for the types of jobs you might like better. What is there? Experience...
  12. What do you do to protect yourself on floor?

    I wash my hands and don't worry much. Twenty years in this business, and I have never caught anything from a patient. Remember, most people in hospital are there for things like orthopedic surgeries...
  13. Bedpan? Why not a Poise pad?

    I work trauma, so I do know about the difficulties you face. Luckily my last patient in skeletal leg traction was a man who could use a urinal. Doctors are very aware of the risks of UTI and will be...
  14. What's to complain about?

    Comparing yourself to the rare person who makes big money is a joy killer. For every skilled union guy making the big money in a skilled trade, there are plenty of day laborers standing along the day...
  15. ACA and PRN Staff--is there a waiver?

    That depends on your employment agreement and how your workplace uses PRN staff. Most prn jobs do not offer benefits. They figure that you have worked out your own insurance and retirement either...
  16. Staying comfortable vs. hastening death

    If your patient was not dying and had a prn order for a small dose of Ativan available for anxiety, would you give it? I give it all the time. A small dose of Ativan is not likely to produce enough...
  17. Every other weekend & holidays??

    I work in a large teaching hospital where a lot of the nurses on my unit are in school for something:MSN, NP etc. Them and the people who prefer the weekend differentials (extra $10/hr) sign up for...
  18. What did you do when you got burnt out?

    An interesting question would be why do some nurses not burn out? What makes them
  19. Help! ED or ICU? I cannot decide.

    How much structure do you like? I work ICU. There is a rhythm to the day. I know I will have one or two adult patients with ICU type problems. They come to me with a working diagnosis and a couple of...
  20. "Bless Your Heart"

    "Bless your heart" is a vanishing phrase. I have seldom heard anyone under the age of 60 use it. It is great material for southern comedians, but I can't remember the last time I have heard this in a...
  21. PRN Differentials

    When I started as per diem, the hospital had just raised the per diem rates in order to build a hospital float pool and eliminate the need for travel or agency nurses. As a newish nurse, the per diem...
  22. have you ever?

    Nursing is humbling. Hopefully you learned from this. You will have to rebuild your confidence, and it is a painful spot to be in. Best of
  23. cleveland clinic parent shift

    I would be curious too if such a job existed too. I make it work as a mostly stay at home parent by working weekends. My hospital used to have a weekend plan that was very popular once. A few years...
  24. New Grad Float Pool or Home Floor?

    Until you work for a while, it is too early to tell. I have worked float pool and like the variety, and I have had a home floor as well and liked working with the same groups of staff and types of...
  25. The future of healthcare - technology or human?

    All of this costs money. Where is the money to pay for all of this coming from? Most people in this country live from paycheck to paycheck. Preventive care gets so little attention, but a lot of what...