the princess

thank you all so, so much for all these feedbacks!!!!...i really love myself now, and started thinking positively...i tell you, i was as positive as you, my colleagues, before that accident, and when i was recovering...yes, i'll restart thinking positive again...and i'll do my best to do well at work..i just hope they'll be more accomodating and supportive this time... I NEED THE BREAK!!!! and i tell you, they won't regret hiring me....thank you so much, my colleagues!!!! GOD bless you all....

:rollso, does this mean i'm an experienced nurse?...hahahaha-hehehehe-hohohoh-lol:roll thanks for the jokes

i graduated from Lorma College, Philippines, batch 1994......

you can take your NCLEX exam and english proficiency tests now while working there to have the experience...i tell you MHENG, coming to america is not that easy, you'll have to wait for the Notice of Actions from the USCIS/Homeland Security and results for months, not weeks...the NCLEX results comes in a 2-3 weeks, but scheduling for one is not...so while you are doing these requirements, do something...work and learn because when you get here, you'll continue to learn and the experiences you got in the hospital will help you a lot...you'll be shocked, and so with your employers, if you get here unprepared...what you learned as a student is not enough...

YOU ARE RIGHT, neneRN...as in, you just hit the nail.....1.5 year ago, i was in the ED, too, and i was precepted just as how you describe it should be...however, i went on disability...when i was cleared, I reapplied to the ED and got in....however, it was in a different facility and it has a different orientation for new hirees in the unit...they orient hirees in the critical areas...i remember being assigned at the less critical areas just 2x, the rest we spent in the critical areas...and on my 7th week, i was asked if i can take care of 4 critical patients...of course, i said no, "i can take care of med-surg and tele patients, though; i feel more comfortable at the less critical areas at this time, and will gradually move my way there when i'm nore comfortable with the pace", i told the DON...well, and the rest is history...i don't want to go back to that stressful, not supportive ED ever again...

there's no shortage of nurses there. how can they be short when they have too much supply? they just don't want to give the chanc to nurse applicants....they'd rather put the peso in their pockets... coz the hospital setting in the Philippines is not like overseas...the poor nurses left there are so abused, physically and mentally. the nurse:patient ratio is almost like what you deal in the LTC,1:>20...that's just the acute care setting in the Philippines esp. in the regional/public hospitals, Med-Surg...i saw before ICU ratio is 1:4-6...if you go to posh hospitals in Metro Manila, where some has tele units, applicants will still undergo tremedous testing, nursing and psychological...it's like having their license is not enough test for these fellow nurses...and..it's WHOM you know, not WHAT you know there...plus the budget...the truth? the hospitals have budgets...but they're in someone's pocket and what nots, not for the development of the hospital and the employees, esp. nurses...they have more higher ups than nurses who'll deliver the care...medicines, you can only find so so generics in public hospitals...oh and yes, you have to go out and buy your meds so you won't miss a dose...that's in the public hospitals...in private hospitals, you won't get in the facility if you're not a graduate of a prestgious school...what about the graduates of the less-exclusive schools but passed the board exam? check their transcripts....there is too much descrimination in our country, it sucks to go out and apply and you won't be given the chance when you know you're at par with them...you just didn't graduate in that exclusive school, just in that rural provincial school of nursing......wanna bet?

i have quite a few RN friends who started as floor nurses and are now managers and/or team leaders (charge nurses) in dialysis clinics...but going back as floor nurses? yes, i know 1 who started as floor nurse, trained and worked not that long in dialysis, now clinical manager in the med-surg floor, keeps dialysis as part time....how's that?...i hope this give you some ideas on what to do with your career...and you love the kidneys, so.....good luck!!!!

my mantra on a very busy night (or day) at the ED: SMILE :) the facility needs business, the more people in the lobby: more patients: more nurses needed: more work: good paycheck.....no cancellation....job stability...wow...:welcome::balloons:

i'd say you had a better life when you were at the Acute Care Med-Surg, at least you only have 6 pt.s, 7 at the most...plus you have aides at the acute care...though it's computerized, you have time to tinker the computer coz you don't have that so many patients...and it's safer...protect your license....

in the first place, you wanted change...here it is....but you're not happy...then go back where you're happy...you're still a fully functional nurse when you were at post partum, so go back where you work best...you will radiate that happiness and fulfillment to everybody and still get paid...

CONGRATULATIONS, NYNURSE07!!!!!!!you're on your 3rd day of orientation....... me, i'll meet and talk to the Med-Surg director on Sept. 4, Tuesday. i was rehired in the ER but just like you, we (me, ED director, occ. health doc, neuro, PCP, psychologist) need to restart in the Med-Surg dept. and crawl back up to the ED again....i tell you, other Med-Surg nurses i know keep on discouraging me to go back there coz they said it's tougher...well, where can you find lighter load of patients? ....

i started post passing the nursing board exam in the Philippines in the Med-Surg unit...we were usually rotated in all the departments there as part of the training of being a well-rounded nurse...but most oft the time, i was assigned at the Med-Surg dept...when i came to the US, i was also in the Med-Surg unit...then i went ED, to broaden my exposure...after a year and a half of vacation from the nursing field, i thought i'm still a fast ED nurse...alas, my docs said restart with Med-Surg.....yes, i'll follow them...i'll go back to Med-Surg where i learned the most to be a a person that gives TLC: a nurse

experience is the best teacher of all...let me share with you a tip: when giving narcotics to fat/obese and thin patients, always start by giving the smallest dose until you reach the highest dose ordered...like if the doc ordered 1-2 mg dilaudid, start giving the 1mg and reassess the pt in 5-10 mins and go from there...but in your case, 6mg for pain level of 10 and 4mg for lower pain levels, then start with the lowest dose even if the pain is so severe...just make sure that you're there to reassess the patient frequently to prevent under or over medication...just explain to pt that you're giving a very strong medication and that you don't want to knock him out to wonderland with the side effect: respiratory distress, he might not wake up...

i had the same experience, that was 2001...1 med but a Couple of questions about the med, graphs, lots of prioritizations, i thought the first 5-10 questions were jokes, so easy even a non-nursing student would know...if you think you answered correctly about 35 questions, or more, then...i think you passed...GOOD LUCK...advance CONGRATULATIONS, LOTS OF IT!!!!!!!!!:balloons:

i had a motor vehicle accident a year and a half ago, used up my short term disability, went to long term disability....when i got cleared by my docs, i was hired but in a different facility...my director and preceptor knew what i've been through...i never felt welcome in the new work place...nobody talked to me to make me feel welcome, except the director, sometimes, and my preceptor...i made a (just a, one time) booboo, not life threatening, though, and was immediately corrected by me...while at the not critical zones, was given 30 mins. to assess and carry out docs orders and take pt. to hallway...now they're saying i'm not safe to work there...was sent to occupational health and neuropsychological testing...was told by psychologist need gradual reintroduction to the work place...i need feedbacks please...my self-esteem and morale is so low after these incidents....:uhoh21: