bliss

[that someone working in the orientees section is designated as the official question answerer and problem solver for them...So that they still have kinda a crutch to fall back on, but still work independently...Maybe the ball was dropped there and just kept getting kicked around until it popped...I do think she has potential, and there have been plenty of nurses I have crossed paths with that I can look at and just say...they aren't gonna make it...There are ER nurses, and nurses that work in the ER...there is a difference...I just had a better vibe about her...we'll see I guess... This is such a sad situation. It's just not easy, I think the first true injustice that was done to this nurse was to allow her into the ER in the first place. Let me explain....When I started my career I was an LPN, my greatest wish was to work in the ER. I was told by the director that I needed experience before I could work in the department. I did my time (6 months) on a Progressive care unit. The day I hit the six month mark I called and begged to be allowed to come and work in the ER. She agreed and I started and never looked back. After many years, (approx. 10) I went back to school and became an RN.... once again I approached my director to please let me start working in the ER as an RN and was again told I needed the experience of being in charge and delegating. I was sent, again, to Progressive Care to work for at least 6 months before I returned. (All the other nurses thought it was insane to send me away, I had great evals, was told how good I did, knew my stuff etc, etc. Didn't work, had to go. I swear I cried every day, I hated working the floor, but my desire to go back to the ER was greater. After 6 months I again went back to her and was allow to return. Thank God, I thought I would loose my mind working on the floor. Bottom line, I hated my director for the longest time! BUT after a short peroid of time I relized that she was right. The other LPN's that knew me as a LPN now had to take direction by me as a RN, they were harder on me then any of the RN's. I passed all there test's, I proved myself. That was over 15 years ago. I believe that a new nurse, weather they have experience of any kind as a tech or as a LPN should work the floor before they work in the department espec. a level I trauma. Oh and by the way the ER I worked in was a level I trauma center in Orlando. This nurse needs all the help she can get, the suggestion of going back to orientation is a good idea, if they allow new nurses to work in the ER, they should have 6 months of orientation. I use to tell all the nurses I trained that it takes a good year to feel comfortable and to get it. I wish her the best, I understand the desire to work in an ER. I loved it. Bliss

I remember a time when ER nurses weren't paid the Critical Care Diff. We complained, insisted on meetings and to make a long story short the changes were made after we showed how we did take care of critical patients and that the ER is the front line to the hospital. Our ER manager was behind us and it did make a difference. I just know if I were unhappy in a situation I would try and make the changes by doing it appropriately and if that didn't work, move on. We in the nursing profession have so many choices now. Take advantage of the path the older nurses paved for you. Seize the day and have no regrets!

Hi all, thinking about breaking into case management. Been an ER RN for too many years, time for a change. Does anyone work for Broadspire? What type of company is it to work for? I live very close to one of their offices. How much money can a case manager expect to make? I know that I will have to get certified to do this at some point in time. Just testing the waters. Thanks :

I have been giving a lot of thought to becoming a case manager. I just don't know where to start. I am an RN (AS) with over 27 years experience in the hospital setting, mostly ER and some Home Health. Can anyone tell me where to start with this process? Thanks, Bliss

Guess I have to had my thoughts on this subject. I usually am on other areas of the dicussion boards. I am an AS RN, started out as an LPN years (and I do mean YEARS) ago. The very best nurses that I have had the pleasure to work with are the diplomia nurses. The knowlage base with them was exceptional. The poorest bedside nurses were the BSN. Seems like most of the time they were in school it was spent on classes like statistics, leadership, management, nursing research, life cycle, et. This is not ment to take anything away from the BSN, all I am saying is that the True bedside nurse was the diplomia nurse. I intend to go back and add BSN after my name as some point in time. The nursing shortage is extreme this time around it would be insane to ask all nurses to have a BSN. I understand the concept but do not agree with it.