Caffeine_IV

I wouldn't appreciate that I wouldn't make a big deal of one occurrence.

I would say keep applying to any opening. Join ONC and meet with the local chapter for networking opportunities. I am starting an outpatient oncology/infusion position with a background in med/surg and hospice (about 8 years). I applied for an opening 3 or 4 times. Don't give up.

1:6 on nights.

Keep doing them. Practice, practice, practice. When one of the good stickers does an IV, watch them and note their technique.

Our case managers ( RNs and social workers) often ask the MD about substitutions/alternatives for meds that a patient cannot afford. As they say, discharge planning starts the day of admission. It is not out of my scope to advocate for my patient. I would encourage the patient to ask the doctor about it or I would speak on their behalf to the case manager and physician.

I applied for 20 transfer position in my facility before I got one. I would apply to any position that interested me.

I would do it again but I would plan more in regards to my job selections. There have definitely been up and downs and some shifts where I'd say F-this I'm never coming back. I always came back though.

I've met great and lazy techs same with nurses. I can easily remember the worst ones that take multiple smoke breaks, ignore call lights, take 3 hours to bath a patient or even sleep! Most do the job they are meant to do. No more no less. Some can be really in sync with you and do what you or the patient needs before you ask.

I am also that left bedside for a Mon-Fri job with no patient interaction - not even on the phone! I miss patient care but it doesn't have to be bedside/acute care. I wish you well whatever you decide.

Nope not with my current role. It's a desk nursing job with absolutely no patient interaction not even by phone. For many nurses that is a dream but I dread going to work. It's not a good fit for me. I don't miss the bedside rush but I would like to be involved with patients. So I'm seeking something outpatient -- day surgery, GI lab, radiology etc. I have to pick jobs that will work with being a single parent. If I was childless, I'd think I'd like working in critical care or Pre-op.

Surgery is fast paced because you will have frequent admits/addons/discharges throughout the day. I found surgery to be predictable in that the patient with no complications has an expected course and routine. Unexpected things do occur and you will learn what complications to be watchful for. I prefer medicine for the complexity and variety. These patients tend to have longer stays. Their is some predictability with the plan of care. Both of these are demanding and would allow you to gain great assessment skills.

The census is low and there are at least 8 surgeries scheduled and you aren't staffed appropriately When you do bedside rounds and 3 out of 5 patients are confused/fall risks with no family When "person who shall not be named" is the charge nurse for your shift When "other person" is the CNA assigned to your patients When you get report on a patient who doesn't look great and they say "They've been like that all day".....those tend to go bad When you start getting report and get called overhead because the assignment needs to be re-done..somebody put "Shannon" on the schedule but she's on vacation

I wouldn't call it diverting but it is stealing. First I would have simply asked another coworker if they had anything OTC I could take Not sure what to say but I would have kept this info to myself.

I can relate to this very well! I am working a desk job as a clinical documentation specialist and it is NOT for me. The only thing I like is the flexibility. I have done med surg, hospice, LTC and outpatient radiology. I didn't realize how much I enjoyed patient contact ( not necessarily bedside/acute care) until I was away from it.

I like the MEWS and that is what we have at our hospital. Of course nothing is error proof but it does help give insight to a.patient that may need closer monitoring Some of the other subtle assessment changes are things that many nurses only learn through experience. And once you see it, it stays with you. Time permitting when we have a patient go bad, we discuss among ourselves what happened...what we may have missed. There is a difference in being too busy to round and assess and not knowing what signs to be alert for.

In general I think moving on before a year would be hopping BUT whether it has a negative impact lies with your future employers. If you have the right set of skills and experience, it tends not to matter.

I agree with everyone else. Everything besides the sign-on bonus make it an easy choice to me. I don't even want to calculate what my commute cost me in gas and tolls.

I call a piggyback when I hang the antibiotic or whatever medicine and the primary infusion is stopped. Are you describing low porting? For example, I might low port a continuous low rate infusion like nexium (on it's on pump) with the normal fluids (if ordered) because they need the volume.

All of those websites can be hit or miss depending on timing and your location. For most success I would join 2 free ones and 1 paid site. Shift work is not your problem, you said you aren't super social but you will have to leave your house if you plan to meet someone offline. Don't forget to let your friends know that you are looking...blind dates can be good. Good luck, have fun and be safe!

What's the reason for not using that? There are some things I was taught in nursing school that I have chosen to let go if they weren't relevant. My shift change note usually says Bedside report given to Caffeine IV by offgoing nurse, Supertired RN. Patient doing xyz, call light in reach blah blah blah.

You're the miralax for constipation, the haldol for my hallucinations You're the bed pad for Q2 turns and aloe vera for minor burns. Where's the electrode for my 12 lead? Yuck, is that the aroma of GI bleed?! Oh why must I suffer this verbal abuse from a little old lady so confused!

6 months before a transfer is pretty good as many places require a year. And you have a good background with your ER and critical care experience. Would you be able to work PRN once a month? That is what I am doing since I took a non bedside role.

The FT job is supposed to take precedence so I generally would not let them know. It may be unavoidable depending on how your schedule is done.

I'm sorry. My sweet curious cat got out and has been gone for 3 weeks. We really miss him. He would never even put a paw on the grass before. I hope you get a happy ending.

Working at a department store in the mall. I'm sure it helped me with the customer service aspect of nursing but at $6.25/hr....it was draining. I was young (20) and pregnant working there and people would frown and look down on me. Even make rude comments. Nursing has given me so many options and obviously I get paid more than 6.25.