Luvelyone

I truly understand. We have the same thing where I work, where we are expected to have high patient satisfaction score, work with high acuity patients (cardiac stepdown), education, Magnet committees, patient and family teaching, etc, etc, and we do primary care nursing, so there are no CNAs to help with baths, toileting, VS, answering lights, etc. To add to all this, our annual raises are based on patient satisfaction scores as a unit whole, not individually. I am thinking of looking for another job...

I work at a hospital in Delaware. We have quite a few nurses that couldn't find positions at institutions in Philadelphia. Keep in mind however, the pay will be much less than you would make in Philly.

Am I the only person who works for an institution where your annual review and raise are 90% based on performance and patient satisfaction score of your unit as a whole and only 10% on YOUR actual work performance, attendance etc? How common is this? This is for regular staff nurses, not the nurse manger. How can I be responsible for the performance of ALL of my coworkers? I can't work 24 hours a day and police the work ethics of others.

i think the programs and the instructors are great....the only down side is that the instructors seem to preach how hard it is, and that not everyone will make it rather than encourage you. but if you're like me, you'll encourage yourself and make it through. the program itself well prepares you for working in the nursing field. i'd go for it!

praise god! i just want you to know, that your post has inspired me. like you, i have had so many trials and tribulations...not with the nclex, but all through nursing school, which i just finished and graduated last week. i was sure that i was going to fail my last class, but i realized that i needed to do all that i could to study, and leave the rest in god's hands. i usually would take a xanax or just have a meltdown when i had a test coming up, but for the final, the only thing i did was study and pray. i was in a position that i needed to score a 77 on a final that was worth 60% of the course grade; and the lord blessed me to do just that. like you said, i had prayed all semester and continued to struggle, but he stepped in right on time. my current prayer is that god blesses me to pass my boards and become a nurse that will be a blessing to others. one that will not forget to treat others with compassion and caring while providing competent care. blessings to you.

i am still around...but in my last semester towards my rn. taking peds and psych right now....

thank you so much! that information is a blessing...you rock!

if anyone can help me, i'd surely appreciate it. i need to find out what graduate nurses can expect when transitioning into the role of registered nurse. for example, at your facility, 1. how long is the probationary period 2. how long will you have a preceptor 3. what type of support system, if any is in place 4. what unit do most graduate nurses start on if you could include your facility name and unit...that would be fantastic. thank you so much in advance for any information you can provide. missy

1. i have been an lpn since may 2007/i am in an rn program that allows you to sit for your lpn after the first year. it is a community college. 2. i have only worked in a nursing home, and a couple times at an assisted living facility. 3. you have to remember that while at work, you are no longer a student and have to use your nursing judgement to determine what course of action is best for your patient. you don't have an instructor to fall back on, or to advice you. 4. i would advice anyone to go with what they know, and what they have been taught. do not take on other people's short cuts, as they may not be the best way to do things. 5. i would advice a nursing student to continue to use the same resources they did in school (like rn notes pocket guide) and to review things just as the did as a student until they develop their own style and comfort level. hope this helps.

i've seen it done, but i don't understand or know how to read it either. i'll be interested in the answer.

ok...i have been on my first nursing job for a little over 2 months, and i hate it. it is a "skilled nursing facility". my nurse to patient ratio is 1:20, we have no wound nurse, so along with passing meds to 20 patients in a 2 hour window, we have to dress, change and pack all wounds, along with the documentation. we have bolus tube feeding that have to also be done within the 2 hour period and since i work 7 to 3, it's the worse shift, because i also end up having to toilet people since i only have 2 cna's for my unit, and they barely have enough time to get all of the residents up and dressed by 9:30 am. i have tried talking to our don :trout: and nha :trout: but they said that if we don't get all those things done, you'll be "written up on disciplinary action" because the state has already fined them this year and they will have to show disciplinary actions as part of their plan of correction, but don't worry it doesn't mean anything. at this point, i am looking for another job, as i worked too hard for my license to lose it. after beginning there, i found that most new nurses don't stay more than 90 days. now i see why. so yes...i am definitely looking at quitting. :angryfire:angryfire:angryfire:angryfire

i think you would be wasting your breath to complain to the dean. my class (we are taking med/surg 4) is experiencing something similar. my entire class is struggling. each day, our instructor begins the day telling us how we all are not where she expects us to be and that she refused to bring her teaching down to our level, that we needed to come up to her level. we have never opened the textbook in class, and we usually don't go over any handouts. she teaches by going over past cases in her nursing career and giving out case studies that we review in class. it was pointed out in the syllabus, that it states "each student is responsible for his/her own learning of the material". which basically means the school thinks it's ok for us to pay for classes and end up learning on our own. now, it makes me wish i had taken most of my classes online. jmho.

:monkeydance:thank you so much for the advice. i am going to ask the instructor on the first day of class. and yes... i do not want to find out the hard way!

as an rn student who just got her lpn, what are the expectations when we do our clinical rotations? am i required to only do what any rn student would do, or am i allowed to do what is in the scope of my lpn licensure? i know that the instructor is responsible for us as students, however, is my lpn license also on the line if a mistake occurs? any advice and information would be appreciated.

yes! yes! yes! i am dreading it....

in the fall, i'll be taking: nursing care of adults iv w/clinicals nursing leadership and management ii maternal/newborn nursing ii w/clinicals

you can purchase "rn notes" at borders or waldenbooks. you can also click on the link below and purchase it from amazon.com. http://www.amazon.com/rnotes-nurses-clinical-pocket-guide/dp/0803613350/ref=pd_bbs_2/105-4809684-0175619?ie=utf8&s=books&qid=1183335880&sr=1-2 hope this helps!

i couldn't wait to become a nurse. i studied, took classes all year around, and received my pn diploma in may so that i could get my lpn to practice while taking my last year for my rn which i begin in the fall. i have just accepted my first lpn job. my first actual job as a nurse and now i'm nervous. what if i won't be good at it? what if i hurt someone? what if someone dies? what if i get fired? in my heart, i know these thoughts are silly, but why am i having them? am i nuts? did i pick the wrong second career path? or are these feelings natural? :sofahider

yes...if you have the little spiral book called "rn notes" use it...all the meds and procedures i got questions on were in there....good luck!

i go to the allergist twice a week and the nurse gives me my injections. she also assisted when i originally got tested by doing vitals and assisting with the 67 freaking pricks of allergens on my back. she notes my chart on amount given, previous reactions and gradually increases the doses. hope this helps.

thank you so much for the excellent advice. my brother lives about 40 miles away and she used to call him all the time with every ailment, complaint and issue under the sun until he said enough and does not answer the phone when she calls. he calls her weekly to check on her; but does not answer the incoming calls. so that leaves me. i will try the positive reinforcement even though i drove the 100 miles just this past saturday to take her grocery shopping as she said she didn't have anyone to take her. but i guess that wasn't enough attention.

saying go see your pcp generally works for most people, but my mother...i get the guilt trip from hell like i don't care about her, blah, blah, blah....i will continue to send her to the doctor though.

as an rn student and new lpn one of the things i did not expect is people to start asking me for advice as soon as i got my lpn license. i do not, can not and think i should not be giving any advice; i don't even have my first nursing job yet. the few people who have asked generally accept my standard answer: you should call your primary. then there is my mother. my mother and i have had a very rocky history as she has so many issues that a few years ago, i realized that her issues were not my own and i refuse to let her manipulate me or guilt me into doing things for her anymore. well, since getting my lpn, she has one medical "crisis" after another...and she calls me at all hours "on death's doorstep". i know it is only for attention but there is always this part of me that wonders if one day, she'll really be sick and i blow it off. when i tell her to call her primary, she always has a reason she can't or won't and wants me to drive the 100 miles to another state to "check her out"... has anyone else experienced this from family and how do you get people to stop asking for medical advice. i know it will get worse after i get my rn, so i want to figure out how to nip it in the bud now.

maybe i am confused, but i thought the point of the entire thread was to show some of the things that can be done incorrectly so that new nurses and students like myself can read it and learn not to do those things. i think as in any profession, there are great nurses, and poor nurses; and we need to know which ones not to follow. jmho

if you have an lpn license, you will have difficulty finding employment in any delaware hospital. many of the ltc and rehab facilities hire lpns and pay pretty well (for delaware). try to sites like monster, hotjobs and careerbuilder to find these jobs. welcome to slower lower...:monkeydance: