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Wants PACU But Doesn't Want to Just Sit
Holy cow just sitting and watching monitors? What the heck? I was on my feet 8 straight hours taking care of 2 fresh generals at the same time,trying to get pain and BP under control. I don't ever JUST SIT! Also dang, PACU nurses generally HAVE to take call. It's rare to find an opening where you don't have to. There are middle of the night cases and weekend cases.
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Do you feel more people are entering nursing only to become APRN's?
Met a nursing student the other day. She says she wants to work in ICU. A few minutes later she mentions working in the ICU again and says yeah I want to be a Nurse Anesthetist (but totally mangles the word) and you have to have a year ICU experience first. I'm shaking my head, feeling sad. Side note though how should I correct her and teach her how to say "Anesthetist" correctly? It was shocking how she mispronounced it.
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How many couplets are you responsible for?
i can't believe a manager would think that. omg, babies don't count? that's crazy! yeah, they're choking, gagging, turning gray, not pooping or peeing, have to spend so much time with them because they won't latch on, bleeding from their circumcision. right, they don't count. sheesh. what are pds?
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soon to Be RN and no job YET? Commute?
i moved away from my husband and kids for a new job. you won't believe my commute-- 2 1/2 hours away (120 miles). crazy? yeah. it has been really hard. but i did it for the new experience. so, no kids yet? go for it? (the miles sounds good to me right now.) unless you can find something closer. there are a lot of rns that commute 45 min to an hour, even an hour and a half where i work. a larger hospital should provide you with better experience. i'd wait a year though before trying for a family. get at least a year's experience first. just my opinion. it's a lot harder to manage childcare and commute too.
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Acuity Based Staffing Tool in Mother/Baby?
i just got off orientation and am overwhelmed with 4 couplets. and i have worked on a med/surg telemetry floor with 8 to 10 patients. when i voiced my frustration, i was told up to 5 couplets was standard so in other words, it could be worse. pts/beds are assigned by the previous shift and i don't think they all look at the acuity of the patients to balance the load. i also want to know about nursery staffing-- ours until recently had just one nurse for 1 to 20-some babies. now they have decided to put a tech in there to help if census is high, decision up to the shift charge. for an almost 30 bed unit, i don't understand how one nurse with the possibility of twenty some babies is safe. if there is only one tech on for the shift then the nurse will be in the nursery alone. and yes there are many parents who take their baby to the nursery for the night. (apparently they want sleep.)
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How many couplets are you responsible for?
i left my med-surg position because the 30-bed floor was regularly staffed with only 3 or 4 nurses. if one called in sick, they never found a replacement so it was one nurse with up to 10 patients. that was way too much for me. i worked there about 10 years. well so i found a new job to get new experience. i am on a postpartum floor, about the same size, but really double with both moms and babies. the usual assignment is 4 couplets. i was told standard of care allowed up to 5. i cannot believe this and thought i'd type my question on this board. last night, of my 4, i had two fresh c-sections and one had complications. mom and baby assessments are every 4 hours. it is way too much, too busy, too much to juggle. so much going on. not really much better than med-surg. i hoped to get at least a year experience but i don't think i can make it.
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Gravida question
i'm curious too-- how old are you? i graduated from nursing school in the mid-90s and we were taught to chart that way that looks totally foreign to you. two dots over a horizontal line then two vertical lines under that horizontal line. that's how i chart "2" when i get an order, for example for 2 tablets of percocet.
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should i just quit?
i hear you about getting awful reports... some nurses just don't do much more than pass meds. it seems. (oh but they get all their charting done/their boxes checked.) wonder what kind of assessment they do. they don't try to learn more about the patient. when i get to work they're always sitting down. always the first one "done". what kind of care are their patients getting? so these nurses usually have no useful/helpful info to pass on in report. sometimes i just get "i haven't heard much from this one. they ate. they're okay." huh???
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I cannot do med/surg anymore
oh, wow. thank you all so much for your replies. it is so nice to talk to others who understand and who can offer different points of view. i just saw a coworker (yesterday) who was also there that shift i mentioned. she said she just wanted to quit too. and she's been there almost 20 years. it is sad that it has to be that way. there are good people who work there and they're just almost "used up" you know? i appreciate all the words of encouragement. i spoke to a recruiter yesterday-- i had applied for an l&d position. she said they won't hire anyone without experience. but she did say i could get an icu position. the floor is just too intense, too much. i've thought some nights i can't do this anymore but there's so much to do in nursing i know i can find something to do that's fulfilling and not so much of stressor. i really don't want to give up on nursing. thanks again! :)
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I cannot do med/surg anymore
Hi, I'm an RN and I'm needing some advice. I've done med/surg for about 9 1/2 years. My username was "ihatemedsurg" but that was just too negative so I changed it. But I still feel it. What should I do now? I still want to be nurse. The last time I worked was crazy and I was so relieved to leave early. I had just signed up for part of a shift and felt guilty leaving my coworkers. Some meds didn't get passed until after 10. Some patients didn't get assessed until then too. 10 patients to assess and pass meds on-- I've had it. Well my first choice is postpartum-- don't really want to do L & D. Hardly anyone will hire without experience though. Second choice is ICU. I'd like to know what ICU would be like. Thanks!
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should i just quit?
i've been there. i hated my first year in med/surg job and so i quit after working exactly a year. but i ended up going back, working only once a week. still hate it but at least i have more of a choice of when i work. i too dread going to work, feel just the way you describe. i hate charting, i hate the smells, i hate to hear all the other nurses griping about the job. (at least i'm not alone in hating the job.) i hate being responsible for sometimes 10 patients. chest pains, fresh surgeries-- too much going on and not enough of me. will it get better? it may. how long have you been working? find a compassionate (experienced) coworker to talk to. there is a very good nurse i work with who has been a nurse for over 25 years. it was shocking to hear but this nurse said the nausea and dread i feel before, during and after the shift (though more relief at the end of course)-- this nurse feels the same way. and this nurse knows sooooo much. i would trust my life with this nurse more so than any other coworker. good luck to you. you are not alone. think of what kind of nursing you want to go into and pursue it. there are so many different types of units you can work in.
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more med-surg woes
well, hate to admit it but you typed how i feel many times when i go to work. so many patients to take care of, it is too much stress and pressure. having to pass meds and do assessments by 10pm then all the charting-- so much that you really don't have time to check on the patients. what else? stinky old women's crotches, stinky large men's rolls-- the smells are just so gross. then there are rude demanding patients, patients, who despite my ignoring other staff's reports that they are "drug seekers", really are that and are quite rude about it. rude families who think they are the only ones i'm taking care of. patients who complain because they don't get their evening meds by 8:00. give me a break! patients who complain because we check their vitals at midnight and 4am... sometimes i too just don't want to be with other people. i wish i had lab credentials. i'm thinking working in a lab would be a nice change. i feel how you feel. i hate med/surg. i hate going to work. i hate being at work. i hope you find something different to do. i'm looking too.
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Echo Heron
i loved echo heron's books. intensive care, the story of a nurse and condition critical were two i'm really glad i read. i found them very educational and i was touched by her writing. i wanted more. too bad she's no longer writing. i remember thinking i wish she could have been my preceptor! or one of my instructors in nursing school. i highly recommend her books.
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A NON- Ivy tech question-- Bloomington nurses???
No duh so everyone's going to Ivy Tech. Thanks for the super friendly answer. I wasn't trying to be mean. I am wondering why there are no nurses posting. Hoping to hear from working/non Ivy Tech people. What was the point of your nasty answer? I hope you'll be a more patient nurse when you graduate!
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Do RN's in Indiana think they are adequately compensated?
How do the hospitals in Indy compare? Is there one known to pay better than the others?