bell83

Hmmm I think my question may need clarification. I want to first state that I have absolutely nothing against patients on medicare or low income or taking care of these patients (I have cared for them before and enjoyed them regardless) so I hope that clears things up for those who may have been taken aback. In the specialty in which I would like to work in, it is the unfortunate reality that there are certain issues that affect this client base when it deals to this specialty that I am interested in. I want to work in maternity but I have had my fair share of dealing with crack babies and drug addicted mothers and the like and it was difficult for me. I believe part of being a good professional I need to know and respect my limits. That is the truth and I apologize if yet still it may offend. So back to my original question if anyone knows this info about Memorial Hermann Southeast I would really appreciate it. Thanks all!

I really want to ask this on the general discussion thread because so many people have worked at different states. Is it true that Memorial Hermann Southeast in Houston is a run down hospital with the clients being mostly Medicare and low income patients?

That is a great thread to go to. The bottom line however is that it will really depend on the unit that you work on. That is why it is so important to actually go to the units at which you interview to get a feel for the nurses who are working there. That will help to alleviate your nervousness because you will get a feel for the unit. Your gut instinct is usually right. Trust it.

You could probably look at clinics within hospitals or apply at local clinics. Also a lot of psychiatric and specialty institutes will need nurses for outpatient care, and it is not typical bedside nursing. Good luck!

This si why I can't stand working with the elderly. Too much stress I woull go bezerk in one of those units.

A Tenet hospital that I am highly interested in working at has "Conditional Accreditation" by JCAHO which is 2 standards below full accreditation. Is it best that I do not accept a position? I am not experienced enough to know everything that this accreditation status implies but I am nervous about accepting a position their even though the unit I work on is well rated by HealthGrades. How could this accreditation speak toward the nurses on that unit?

Find the direct lines to human resources at those hospitals and make sure to speak with a recruiter to check the status of your application and note when you submitted your application. The reason I say make sure to speak to a recruiter is because sometimes receptionists who do not know any information if you request it may blow you off or give you the standard "wait for a recruiter to contact you." I had this same problem when applying for jobs because hospitals receive so many applications for new graduate positions. It wasn't until I called HR that I got interviews. Also make sure you are applying to programs for new graduates which many hospitals have. If you apply to a regular RN position even if it is not specified experience level they may not consider your application. Good luck with everything!

I find it unfortunate that you have been mislead by this particular unit. However you can make the ball in your court. It may be beneficial to go to med-surg so that you can advance your skills in a less fast paced setting. Right now though my best advice would be to hope for the best and prepare for the worst. Since you are already overwhelmed it would be good to try to prepare yourself emotionally should they decide to tranfer you to a new unit. If you are not on the same page with your unit manager and current preceptor as far as your progress, then their perception of "what it takes" may not be the same as yours. Good luck~

I understand that this is practical to do when someone is in an administration setting because they may have access to more confidential files but to nurses? This just seems like overkill. I have heard of this happening to nurses and I believe it is just a tact to humiliate and take on some sort of revenge.

I think that there are some things that need clarification. First off, I had zero previous disciplinary issues on the unit. The write up was a complete shock, especially considering this. I spoke to my manager because I felt that there were lines my preceptor had crossed with me, and tension was very high between us. She had continuously spoke to me in ways that were insulting and inappropriate, and I needed to speak to someone so I asked one of the managers if we could speak in private. I did not want to tell my preceptor that I was reporting her actions as I knew it might spark up a verbal altercation. She later told another manager that I had disappeared without telling her and without hearing my side of the story. I was still on the floor, I had not left it, nor the hospital. I was not "galavanting around". So that clears up anything daytonite may have have assumed with the information that was given. Second, when I said ultimately my preceptor is responsible. I think it was extremely misinterpreted by a few responders. In saying that, I meant that my preceptor has primary responsibility of the patient. Because I am new nurse, who just graduated, I am not in a place in my career position to assume complete responsibility of a patient's care. I never stated that my preceptor is responsible for my actions, I accept total responsibility for my actions. My concern was the extreme to which a mistake I made of not telling my preceptor that I was talking to one of the managers was addressed to such an extreme as a write up for patient abandonement by another manager. This is one of, if not the most serious charge to slap on a nurse, and I don't think that it should be given lightly. I wanted input on whether anyone though patient abandonement was an appropriate way to address this because, it seems far-fetched.

Thanks for the support those of you who understand my point. However daytonite, one-the exclamation marks? and two-, and this is just an acknowledgement of my understanding of the situation. I totally accept responsibility that I should have told my preceptor as this would be more acceptable conduct, however my point in my thread is that I do not believe that it was patient abandonement because I did not leave the unit nor the hospital. I am uncomfortable with the idea of being accused of something which is completely inaccurate. I appreciate the feedback all.

During my shift, which I had not actually clocked in but had received report because I had done smething hospital ssociated prior to that day that I needed to fill out a form for, I went to go speak to a manager about an issue I was having with my preceptor. Although I did not leace the unit, because this manager's office is on the unit I was told that I had abandoned my patient assignment. This does not make sense to me because although I know I should have informed my preceptor, I was not included on the census as I am on orientation, and I did not actually leave the unit. Ultimately my preceptor is the one responsible so would it make sense for me to receive a write up for pt. abandonment? Who should I take this to?

I am an RN who currently works on a unit that I can't stand. Management is apathetic and unavailable, coworkers are unhelpful and condescending, and just the whole vibe of the place is out of sync. If I were to leave after working as a tech for 4 months and an RN for 6 months would that look bad to future potential employers?

I am a new nurse on a unit and one of the staff RNs at the hospital has behaved very inappropriately toward me. She has never spoken to me or introduced herself or anything. Yet she goes around inquiring personal and confidential information about me. I have been on the unit for awhile and I didn't pass boards first time around but didn't disclose it and continued to work as a tech and at that time she went around asking people whether or not I had passed my boards instead of asking me. Now that I have passed I moved to a different unit and she asks nurses she knows over there about me if I have passed yet,( which I have) then she tells them "Well I don't think she passed the first time." I think it is very inappropriate and it makes me uncomfortable because I don't even know her and she's never spoken to me. How should I approach this? Should I tell a manager?