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Content by xoemmylouox

  1. xoemmylouox

    How I made $93,000 my first year of nursing

    That's great. I wish more places paid like this, but we also have to keep in mind cost of living expenses. Kudos to you and keep rocking it out. Save some for the future and enjoy your time away!
  2. xoemmylouox

    Rapid response in the clinic

    We have different codes. We have the usual code "blue", but we have a specific code "white" for those times a patient passes out, has a vagal, etc. We have a specific team that responds, and there are enough people on it that we are typically fine. If someone is on lunch they still come, and we sort out time cards after. We have "go bags" which contain pens, documentation paperwork, b/p cuff, stethoscopes, accuchecks, and biox machines. We have people from all over respond. Maintenance responds in case they need to direct an ambulance, our "green shirt/greeters" respond with a wheelchair in case it is needed, even admin shows up in case more support is needed. It isn't always perfect, but we often have the staff we need to address the issues as they arise.
  3. xoemmylouox

    A statistical death

    Sounds like it's time to find a new employer. Most places are going with bare bones staffing, but some places are worse than others.
  4. xoemmylouox

    Is it a bad idea to return to the hospital?

    I would wait until this summer when you aren't working your school job. This will give you time to go through orientation, training, and get some hands on job experience. I would go for a PRN position so if you decide it's not something you want to do full time, you can maybe stay in the PRN role and keep your full time school nurse job. The hospital is brutal. It takes a lot out of you, and it sounds like that is a concern you have for your upcoming years. I don't know about there, but around here school nurse jobs are not easy to come by. Most people stay in them because while the pay is low, it has many other perks. If we could afford it I would consider taking one, but I am the sole income provider for my family right now while my husband stays at home with our kiddos.
  5. I would see what they say during your 2nd interview. I would also let them know when/if you get the other offer. Perhaps this will speed up their several week waiting period. The hiring process for some companies is so long, it's no wonder some spots never seem to get filled. My employer struggles with this sometimes. HR needs everything to be perfect from the practice manager to post or remove a job posting, despite the fact that sometimes we have delicate situations. I understand from HR's position, but it can be challenging at times. Go with your gut. Whichever sounds best for your situation. Money is not everything, but it is a great incentive.
  6. xoemmylouox

    Tired of managing children

    I've been in my current management role less than a year. However I moved up in the ranks so I know most of the staff very well. Now that I am a manager I see a different side to so many people. It makes me sad. Some I knew were trouble from the start, some I knew were going demand change (for the better) which I support 100%, and some I knew were just coasting along (again not a biggie). It's the ones that I thought were about being part of a team and getting things done and making things better - and instead they are just all about me, me, me. I will come out and work alongside you. I will have your back against anyone. Have someone irate yelling at you, send them my way. I am here to help make your job better and to support you in any way I can. I am not here to be your best friend or to make your job simple so you can do the minimum necessary and allow you to pass the buck to everyone else. I'm not here to listen to you whine about the same thing 100x if you have no solutions to offer. Last week I had someone walk out of my office in tears because I said she was going to have to move where she sits.. Seriously. ( I work in an outpatient setting). She prefers up to 4 people who are here full time to be disrupted and moving around so she can have her seat for 5 hours a week. I feel like I'm managing 5 year olds some days. It's exhausting. I make it a point to thank my hardworking staff as often as I can. I try to show them my appreciation by allowing them flexibility with scheduling and trying to make sure they get off the time they request, even if it means I am covering their role part of the time. Ok.. Thanks for the vent. I feel better now. I do really like my job most days.. today however is not one of those days.
  7. xoemmylouox

    Flyin' high in April, Shot down in May

    We all make those mistakes. That's something we have to keep in mind when others commit similar errors.
  8. xoemmylouox

    41 yr. old business executive going to Nursing School

    Stick with your current job. It (hopefully) pays you well. You should have a decent career ladder if you are looking to move up. Volunteer if you want to add purpose to your life. You can volunteer at hospice, LTC, even the hospital holding preemie babies. There are plenty of places that are DESPERATE for volunteers. Nursing is hard. You sacrifice so much including your body, your sanity, holidays, family time, weekends, vacations, etc. Nursing school does not prepare you for what nursing in the real world is like.
  9. xoemmylouox


    That doesn't make sense. The thickness of the formula does not prevent orders being written. What is more likely is that they are not sure how at what rate your patient will tolerate this thicker feeding. Sometimes feeding rates have to be changed depending on how patient's tolerate them, especially when their consistencies change. They should have given you an order with parameters. That's what I have dealt with in the past with patients.
  10. xoemmylouox

    Force to change unit in the middle of shift

    This is fairly common in most facilities (acute and LTC). It make not be what everyone loves, but it is a way of addressing changing staff needs.
  11. xoemmylouox

    Holiday Bonus

    As mentioned in a previous post - my PRN job eliminated several positions for the holidays.. meanwhile they are buying up and joining with everyone they can. My full time job typically gives a $100 visa card we can use anywhere. It does get added to our paycheck for taxing.
  12. xoemmylouox

    Charge Nurse in 6 months?

    I don't know about the ER but at my PRN gig the med surg, oncology, and ortho floors will make a new grad a charge after 6 months. They do have to attend special training classes, but I still think it's crazy. Most take it as a compliment so they jump at the chance. In reality it's because either we are full of travelers or even newer grads.
  13. xoemmylouox

    Boomerang Coworkers

    I've been a boomerang employee. Granted I stayed PRN, but mine was related to going back to school. I couldn't maintain my full time status at that job while attending school - the hours conflicted far too often. Once I furthered my education and experience I came back when a supervisor position opened up. I feel like I enjoy my new role at the same employer much more. I appreciate my employer for what they are. I feel that as I have grown older I have come to have more realistic expectations. That has helped. So has working at some real dumps during my hiatus here. There have been several other "boomerang" employees. Most have left because of different life circumstances. I feel that most come back with the same enthusiasm (or lack of) that they had when they left.
  14. xoemmylouox

    Just in time for the holidays

    My PRN employer just announced they are eliminating several positions within our hospital. These are roles that will impact the whole hospital during a time when the staffing crisis is causing serious patient care issues. To top it off they are also cutting their shift incentives to come in on your days off. I wish them luck on their current path of destruction. We are relying more and more on agency and "visa" nurses (their reference not mine). Pretty soon there will be just as many of them as actual staff.. This current plan cements the continued exodus of good, longtime staff. Of course there are no management positions being impacted by the current plan.. They are all safe and sound.. It's unbelievable. Thankfully I saw the writing on the wall some time ago and found a different full time job. Now it looks like I'll be looking for a new PRN job as well. Who wants to work for a company like that? All changes take effect 1/1/19..
  15. xoemmylouox

    Just in time for the holidays

    Oh no.. They are expanding like crazy. They are "teaming up with" and buying out all of the other local competition.. It's absurd considering they can't manage what they have now.
  16. xoemmylouox

    Telephone Triage . . . I'm Hesitant.

    It's like any nursing role. You will learn as you gain experience. RN's have many options in an outpatient setting. In my clinic they can work as hospital liaisons (follow up our patients who were inpatient), they run the Coumadin clinic - titrating doses and providing education, in the cardiac clinic the round with the providers at the hospital, in surgery - they do surgery. There are some that work primary care and they primarily do triage, prior auths, patient education, and rooming with providers. They will do point of care testing, give medications, give vaccines, etc. Your options are only limited by the positions available and your willingness to learn.
  17. xoemmylouox

    Tired of managing children

    Exactly. I can't get them to say hi to each other, but yet we trust them to care for our patients? I'd honestly get rid of a fourth of our staff, but I don't have enough staff prospects to replace them at this time. I just hate that those who don't pull their weight are dragging the rest of the team down. I am enforcing a lot of the policies that have not really been addressed and I found that is helping certain things. I also include staff on projects that in the past they might not have been included in. I did have one staff person tell me that problem solving wasn't part of her job. I just laughed. What do you even say when someone leaves you dumbfounded like that?
  18. xoemmylouox

    Negotiating Pay?

    If they have any other healthcare experience I would say go for it. When I was a "new grad RN" I had over 10 years of experience as an LPN. I negotiated my pay. Had I not I would have been making 4.50 less an hour. I think having real work experience is the difference though. Externships are a nice way to get your foot in the door somewhere, not something I would consider "working" experience. I wouldn't be insulted or mad if someone tried to use it as a negotiating term, I would just inform them of the difference between work and externships.
  19. xoemmylouox

    Practice with Barton-Schmitt protocols

    We use BS for our peds protocols as well. Just ask your friends and family for examples of questions they have about their kids. Why have they called the providers office before? What have they been seen for recently? Recognize your calls will also be seasonal. Many of the acute related calls you get in the winter (cold/flu/fever) will be different than the calls you get in the summer (injuries/rash/swimmers ear).
  20. xoemmylouox

    Low unemployment

    1:4 - Are you kidding me?!?! Those managers should have been on the floor helping out. That's ridiculous.
  21. xoemmylouox

    Iv antibiotic running as primary?

    I always run antibiotics as a secondary, unless the provider is very specific or the patient is on VERY strict fluid restrictions. For me, I don't want to have to rush into the room and unhook my patient from their IV right that very second or force my patient listen to the scream of the pump. I HATE that noise.. Plus I want my patients to receive as much of their medications as possible.
  22. xoemmylouox

    Low unemployment

    Right. We have a ton of travel nurses and even "passport" nurses. They are currently offering an incentive pay if you work on a critically short floor, but it cannot be your base floor. That is helping to cover us when we literally have no nurses to care for patients, but eventually that pay won't be enough. You get exhausted. You can only do so many shifts without burning and crashing. We have had a run on nurse illnesses. One was admitted to the ICU with sepsis, another had a stroke while at work (that I guess was good since she got TPA ASAP) and another should have been admitted with cellulitis but didn't because she felt guilty missing her shifts. We are humans, not machines, and we are exposed to everything and anything. That being said, my hospital employer was once the best paying hospital around. Now the others are pretty close and working conditions are rumored to not be as bad so we have a mass exodus happening right now. The other week our ICU nurses were up to 3 patients. I don't think pay alone is how you keep staff. If we felt real appreciation, or received better benefits, more would stay.
  23. xoemmylouox

    Job Websites

    LinkedIn and Indeed are my go to sites for a general job search. Glassdoor.com is also worthwhile, but still needs work. If you have a specific company/organization you are wanting to hire into, go to their specific website to search for jobs.
  24. xoemmylouox

    Working on More than One Floor?

    I'm a float nurse. Some say it isn't wise for new grads to be floats, but I feel like depending on your strengths, it is a great opportunity to see and learn things in a fast paced, intense, way.
  25. xoemmylouox

    Taking pay cut for a promotion

    I hope you are liking your new job.