Katie82

Scared of working with women???? Poor boy.

I agree that under normal conditions, this would not be considered beyond your scope of practice. As a RN, you should be able to handle telemetry. I did. The last hospital where I worked Med/Surg pulled me to Telemetry all the time. The big deal with telemetry is that it is a step-down from the ICU, but still considered a "specialty" floor, so it is usually a big money-maker for the hospital. I hated Telemetry, there were always so many patients who did not need to be there, they were just generating revenue. The staff always felt sorry for me, and gave me the easiest patients. I never told them that the reason I hated floating was because I thought it was incredibly boring, had nothing to do with feeling out of my level of expertise. But your problem is compounded by the fact that you are working at so many different hospitals. Don't think I would feel comfortable either.

You have to separate the science from the doc sometimes. Science is designed to be objective, although it does wander occasionally. But docs sometimes lean more toward the subjective side. Can be due to their own personal beliefs, the policy of the health system that employs them, or government restrictions or mandates. If you feel that you need to make an informed decision against their advice, be honest, ask questions, make your arguments. Then decide for yourself. The days of "the doctor is always right" are long gone.

Clearly you have made a wise decision. Good luck to you.

Take it. Consider it a resume-builder. This is a busy time for you with your children, so enjoy the job and spend time with your kids. You might really like Peds. In the meantime, it will be another skill to add to your resume. But you will definitely not be "stuck" there.

Always been my feeling that Med/Surg is the best place for a new grad to start. Specialty floors seem to expect more of you than a new grad is often prepared to give. I worked Med/Surg for 10 years because my hubby was active duty Air Force and it was the easiest floor to step into every 3-4 years. When he retired, I said goodbye to Med/Surg and bedside nursing. Went first to Public Health, which I loved, then to Case Management, which is my passion. I would not be as good a CM as I am if it were not for my years in M/S. There are so many paths available to nurses, just take your time.

I think many of us would admit that they "hated" their first job. For a lot of reasons... stress, feelings of inadequacy, unrealized expectations. And the list goes on..... Time to admit that this will not be your forever job and plan for a change of scenery. Sounds like too much drama is keeping you from succeeding. Spread your wings.

It has always been the case that the powers-that-be feel that every Super-star nurse would make an equally super preceptor. Not the case at all. In fact, the very qualities that build super-nurses prevent them from being good teachers. The problem here is that you don't want to make too much noise. Someone in authority should periodically ask you for a little self-assessment. If it should be someone with whom you have a rapport, I would be honest and tell them that preceptor #2 is has given you a much more positive learning experience. Just be diplomatic.

To say that post-CVA patients can be a little wonky is an understatement. And I have found that most family members will support this wonkiness because they may not want to acknowledge that "Aunt Matilda" is a little altered. I was once accused of not shaving a patient, even though we shaved him every time he complained. He was completely clean-shaven, but the family chose to believe his complaints, including one who was a co-worker on a different floor. Cause a lot of hard feelings. But they are not writing you up for "putting ideas" in your patient's head, they are writing you up for lying. This is not the end of the world. Not sure why you lied, but if you have a reasonable excuse, I would ask to document it in the paperwork. My theory is that there may be people on the floor who hold you responsible for the CNA being disciplined. They will find out you have been written up and consider it justice. I think they "lying" offense is lighter than the "influencing a patient in a negative way" would have been. Perhaps they see it as going easy on you. Say no more about it.

With the science we have learned about COVID, you probably know that you are as likely to be exposed to COVID outside your work setting as in it. At least at work, you are protected. COVID testing may be ineffective in a clinic setting, the results take too long and the rapid tests produce a lot of false results. Safer to assume everyone you meet in the clinic is positive and protect yourself accordingly. As to CM, I am a case manager and I love it. Hospital Case Management is a little different that they type I do, but it is a very interesting job. I would do it just to get your foot in the door. Perhaps you can do another part-time, or PRN until a full-time position opens up. And in the meantime, you will be building a new "resume item".

We have worked hard to be classified as "Professionals". Personally I do not like being associated with dingbats who have to sneak off to the bathroom to take selfies in PDE to gain "likes" on social media. Especially since cell phones are banned in many clinical settings.

I wear old scrubs around the house. Seems I cannot function without my pockets, and to agree with you, they are very comfortable. But I do not wear them in public, especially now that everyone is worried about cross-contamination from COVID.

Your license is pending by reciprocity, most states will allow you to work during this process. But are you working in a healthcare facility? I never sign my name with RN unless I am at work in a healthcare facility.

If this is the worst thing that is ever said to you, you will be lucky. Definitely not bullying. I have been a charge nurse - they naturally have conversations with managers - "how do you think so-and-so is doing?" " Fine, she is catching on, but it concerns me that she is charting after the fact in the small break room". End of conversation. Not bullying, not back-stabbing, just feedback to an inquiry. Let it roll.....

I think it's unprofessional. There is mention of the fact that I graduated from nursing school on my profile should someone choose to dig, and I have occasionally offered my credentials when questioned during a comment, but I would never post a picture of my self in scrubs or wearing a stethoscope. A little tacky, in my opinion.

It's an ongoing thing for me. Elite has a yearly subscription and a lot of good classes. I work on it all year, and usually have far more than I need come renewal time.

I got my RN in 1982, two-year degree. I already had a 4-year degree in another field, so put off advancing my nursing education for 15 years. At that point, when I went looking for BSN programs, it became apparent that a BSN would not make me a better nurse, and I would be wasting time and money just to "fill a square". I got a BBA in Health Care Administration and a MBA in Health Care Management, and have never regretted it. Health Care is big business, and the more you know about the "big picture" the more marketable you are. The market is over-saturated with NPs in many areas, some are having trouble finding jobs. I would go for the MHA.

Sadly, I never found a need for APA style. Perfect for research or academia, but never found much need for it elsewhere. What a pain, but I became very good at it in school. Just never found a need to communicate in third person in my "real world" jobs.

I am a Case Manager for a State Program and end up encountering this dilemma more than I care to. Many children of seniors realize that their parents need help, but can't bring themselves to be the "bad guy". If I have a patient who really cannot function on their own, I involve the PCP and the family. If that doesn't work, I have actually reported patients to Adult Protective Services. APS is very good at determining the needs of the patient and working toward that goal. And in most jurisdictions, they are the "authority", so it lets the children off the hook from making an unpopular decision. I've had good outcomes from really bad situations.

Being immunocompromised and pregnant, might not be a good idea for you to be working at all right now. Your employer may have designated COVID units, but that applies to patients that have been diagnosed. I would realistically assume that everyone is a possible positive. Many are asymptomatic, but contagious. Might be a good time to take some time off. Even if you were to transfer to an administrative position, you have to protect yourself from co-workers.

A hospital that does not promote cross-training, transfer is shorting itself. It could be that they have an acute need in Med/Surg. Where do they hire staff for these other floors? Doesn't look like they are doing it from within. I would look for another hospital that encourages cross-training. A hospital is depriving itself of talented nurses by requiring "experience". You will most likely get tired enough of med/surg and end up leaving, and the loss will be theirs.

Why in the world do new grads think they are ready for the ICU, ER or L&D right out of nursing school? I blame the hospitals for this.

I never found that I needed conceptual thinking, data analysis and research process at the bedside. I engaged all that after I left the hospital.

Better check before you involve your co-workers. Some Systems have rules against discussing your salary with a co-worker. Check before you get them in trouble. Sounds like you are being paid the salary you negotiated. I would look at outpatient surgery.