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not.done.yet MSN, RN

Professional Development Specialist

You did what you knew how to do; when you knew better, you did better. - Maya Angelou


Content by not.done.yet

  1. not.done.yet

    Virtual/Hallway patient

    Diverting is not an option for safety net hospitals. Often the hospital involved has to activate disaster/emergency procedures to cope with the overflow and yes, it can lead to patients in the hallway for lack of space. This is both in the ER AND on the floors. Enough with the us vs them mentality folks. In these situations nobody is cushy.
  2. not.done.yet


    I am in Texas. I honestly had not anticipated that particular requirement and have no idea if it is one here.
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    Who is attending NTI? We are!

    What a great day! I am wiped out! Loved getting to hug and chat with some cherished members today!!
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    Do I give up Nursing? How do I survive?

    Yup. Reality shock, right on time. We live in a nation that allows large corporations to operate healthcare for profit and allows them to heavily lobby (buy) political decisions that benefit them and them alone. Until that changes, that is the reality of the umbrella we all work under. MANY of us are out here in leadership positions advocating for change, both to benefit patients and to benefit nurses (which also benefits patients). Our hands are just as tied as yours in many ways and any advancements we make are often offset by something having to compensate in another financial area. Change absolutely comes slowly, if at all. You are working with human beings and can expect all the failings and foibles that come with such. It doesn't make them bad people or not as good as you about perfection; in fact, sometimes the snarkiest people are the ones who started out like you and, like you, ran head first into disillusionment. Most of us encountered this right about the same time in our career that you are. How you deal with it is up to you. I personally got past it by deciding that I could not, perhaps, impact every patient that comes through the door or change the culture of our politicized healthcare world, but patients absolutely need people like me doing the best they can within that culture. After about five years I left the bedside but not nursing. Good luck whatever you decide. You won't have to look very far to see that your feelings and concerns are pretty much universal in new grads.
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    Experienced nurse interview

    First, there is no need to make a "portfolio". That is an outdated method. Copies of your resume will be fine. You got the interview with them knowing your experience is in med-surg. They aren't expecting you to know a ton about L&D. What they WILL expect will be great time management skills, a solid foundational knowledge of common chronic health conditions, such as diabetes, CHF, obesity and the like, the ability to prioritize, multitask and recognize a change in condition and they will expect that you have a driving desire to be an L&D nurse. They will expect you to have a lot of questions. You will want to ask about what kind of orientation and education you will be given as someone new to the specialty. Good luck on your interview.
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    Help I'm Not a Young Grad

    I was 41 when I graduated nursing school. I didn't have trouble finding work. I am deeply involved in onboarding in my current role. The physical condition of the applicant does matter. Age doesn't factor in; however, if the person doesn't seem fit enough or energetic enough to handle the job they are applying for, it is a factor. It bears noting that this has very little to do with weight/age and much to do with the energy the person brings to the table during the interview process. I do not know you, so I don't know if this is a factor, but it goes without saying that older applicants often creak and moan more than younger ones simply by virtue of the realities of aging. Be sure you are portraying yourself with energy and enthusiasm. Bright eyes, bright smile, happy demeanor, engaged methods of speaking. If you are getting interviews and not getting selected, then it is due to something in the interview process. If you aren't getting interviews at all it is something in your resume, something about the positions you are applying for (ie: looking for experienced nurses not new grads), something in the geographical location you live in or something to do with the specialty you are trying to break into. You may need to broaden your horizons, have someone look over your applications and possibly do some mock interviews and get brutally honest feedback. Good luck.
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    WGU RN degree to CRNA. Anyone successful this route?

    I don't believe WGU offers a CRNA program, unless something has very recently changed.
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    Nursing management necessary?

    That is unfortunate. I have had some VERY good managers in my time and I am under one now. It is ironic that your screen name is Leader25 given your perspective on the leaders you have worked under.
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    My Preceptee concerns me

    Either it will or it won't....but this may be just the kind of situation when an Aha! moment happens and you both get the rush of feeling pieces coming together. If he is regularly forgetting things he has done successfully before, having him verbalize to you as he does things. It will help move things out of his memory and into the forefront of action.
  10. not.done.yet

    BON and alleged verbal abuse via pt

    Beldar, from nearly everything you have posted here recently you are suffering. Anxiety, anger issues, near paranoia, escalating problems at work, a sense of entitlement over things you cannot control. It is not normal to feel this way and you don't need to. I, again, strongly encourage you to seek out assistance with these issues. You will not meet any of your goals if you continue down this path. Some of the things you state here are alarming.
  11. not.done.yet

    BON and alleged verbal abuse via pt

    I see. I doubt this would keep you from getting into nursing school unless criminal complaints have been lodged.
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    BON and alleged verbal abuse via pt

    Even if they did, your career goals would not factor in. Not even a little. I am, to be honest, confused why you would think that matters and why it would factor in if your behavior was less than what it should have been. Being a student doesn't give you a pass for being unprofessional and isn't going to sway anyone toward saving you. If anything it will motivate them to weed you out before you get even higher on the ladder and with even more responsibility for the care of vulnerable populations.
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    BON and alleged verbal abuse via pt

    Your goals, dreams etc have nothing to do with the situation Beldar. So no, they will absolutely not consider any if that if you acted in a way that makes patients or their families feel less than well cared for. 90% of communication is nonverbal. That means only 10% of what you actually say matters. The rest is all tone, inflection, body posture, hand gestures, eye contact and the like. Nobody is fooled when someone is angry or resentful. It is very very easy to see it.
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    Sent STUPID email "joke": what now?

    No words of wisdom here. Whether or not you get canned for this largely depends on the subject matter, whether any HIPAA laws were broken, harassment laws broken or "conduct unbecoming" scenarios exist. It sounds on the surface like you will be fine, but your absence is unfortunate timing. No time to make things right. I am glad you learned from it. Let's hope the embarrassment of it is the worst it gets. Good luck!
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    Non-beside nursing jobs?

    Read the job descriptions on the job postings and it will tell you a lot. You could also read the section of this board dedicated to case managers and even post some questions to get more info.
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    Should I divorce my husband

    Nah. Don't divorce him. Just play the hand you've been dealt.
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    How do you handle touchy/feely coworkers?

    The world is full of keyboard warriors.
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    Secretly breaking contract

    This isn't about honesty. This is about you staying in your own lane. There is a HUGE difference. You don't like what she plans to do. So what? She plans to honor the terms of her contract by paying the fee that comes from breaking it. What exactly is your problem with that and how is that dishonest? It is legally exactly what she agreed to do. You seem to find a moral issue with this that, frankly, isn't there. I suppose you think her being fired for this and unable to work through or continue school is the moral high ground? Is that what you were hoping we would tell you would happen if you tattle on this so-called secret? Here is what would happen. You tell your manager. Your manager tells you to mind your own business. Or maybe nods and smiles and pretends to care. And then life goes back to normal, only now you didn't get the nasty outcome you were hoping for and now you decide not only is your coworker "dishonest" but now your whole institution is. Time to grow up. Nothing wrong is happening here.
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    Secretly breaking contract

    This is none of your business. She shared a secret with you. You aren't responsible for her life or her choices and she isn't doing anything wrong. She has plans to break her contract. She isn't in violation of it. If you share this information it makes you look bad, not her. All she has to do is deny it. Then what? If her sharing it with you makes you uncomfortable just tell her that you don't want to know. End of story. Because this isn't any of your business and there is nothing for you to do with the info.
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    Nursing management necessary?

    I just read your reply to another post that any position that isn't bedside nursing is "BS". And that is about all I need to know about you and your post.
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    New grad RN, absolutely hate nursing

    What do I do that doctors cannot do? I onboard 100% of the clinical staff that comes to my hospital to work, including the doctors themselves. I set their priorities, ensure they have documented training, monitor requirements from TJC, CMS and other regulatory bodies. I provide our staff with the information they need to care for patients, begin their career with us and to manage things like navigating our intranet site. Yep, I am expensive. I worked hard to get where I am and not everyone can do what I do. I am not sure what kind of troll you are, but you have a seriously limited understanding of the various clinical roles. I don't cost the patients money. I save patient lives through the knowledge, skill checks and evidence-based interventions that I pass on to every person who passes through our doors.
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    Remote RN Jobs

    Unfortunately if you are overseas you have a strong disadvantage. Most remote positions require you to be licensed in the state in which you reside. I researched this because my husband and I would like to live in another country for part of the year. As of right now it isn't possible.
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    Nursing management necessary?

    Nursing managers need to exist because someone has to be accountable. Someone has to lead the team and establish the priorities. Otherwise it is just chaos. That yours isn't good at it doesn't mean all managers are bad or unnecessary. Quite the contrary. Can you imagine the chaos if each individual nurse was trying to establish priorities? A good manager will help you grow your career, foster strong team dynamics, create a culture in the unit that breeds loyalty and leads to job satisfaction. They will also advocate for their team to executive leadership, carry the feedback to the same and help foster initiatives that improve the unit. That yours doesn't do these things says a lot about them. But don't sweep them all aside based on the fact that you are frustrated with them.
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    New grad RN, absolutely hate nursing

    Non-bedside nursing definitely does NOT mean you have a BS job where you don't make a difference. What nonsense. I left the bedside to become an educator and I make a difference every single day. EVERY. single. day. How incredibly shocking and offensive of you to state that. I am trying to think of a nursing position away from the bedside is BS. I can't think of one.
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    feeling reprimanded unfairly

    Most states only require ONE person's consent to the recording - which would be the person doing the recording.