JB2007 ASN, RN

JB2007 has 5 years experience as a ASN, RN and specializes in LTC, Med-SURG,STICU.

JB2007's Latest Activity

1. 

   Advice

   JB2007 posted a topic in General Career

   I am considering changing jobs. I currently work in an outpatient setting that is very fast paced and stressful at times. Most of the stress is due to the culture of the facility not due to the work. Because of this I have neen suffering from a lot of anxiety and depression, so I believe a change of environment might be what I need. I considering home health, dialysis center, or case management. I would like to hear from those of you working in those fields the pros and cons. I am open to other suggestions as well. I've even considered quitting nursing altogether. Thanks to all who respond.
2. 

   I've been terminated from a position

   JB2007 posted a topic in Nursing

   I have not been active on here for some time but I need some good advice. 3 years ago I was terminated from a nursing position. It was a very small hopital and there was a lot of bullying from management on down. I lasted a few months and I was suddenly called into the managers office and handed a list of complaints from my coworkers. I was completely surprised. I had repeatedly asked for feed back from both my coworkers and management and everyone said things where going great. I could think of nothing to say. I had been a nurse for several years at the time and never had a problem with my work or coworkers. I signed the paper in complete shock and left. Looking back I would have never signed the paper but whats done is done. My old manager welcomed me back with open arms no questions ask. Faat forward a few years and I took a job at another facility. They never asked about my other job when hiring me so no problem problems there, but the job is a horrible fit for me. I need to find another job soon. I know that the job that I was terminated from will come up in some of the interview. How would you all address this? Sorry for the long post but I need some advice.
3. 

   I am thinking about becoming a travel nurse. Advice Please

   JB2007 posted a topic in Travel

   I am a RN with over nine years of experience. The past 4 years of which has been in the Surgical, Trauma, Neuro, ICU. I am divorced and my youngest child recently graduated high school. I am about to be an empty nester. I am seriously considering travel nursing. I think that it would be interesting to see how other hospitals are ran compared to the hospitals that I have worked in locally. I think it would be fun to see and experience new places and different cultures. I find the differences in people completely fascinating. However, due to my divorce I have no real savings, so I'd really have to hope that everything would work out. Traveling is something that I have considered doing for several years now but the time was not right until now. So if any of you experienced travelers would please share any words of wisdom or share something you wished you would have known when starting out on your adventure I would really appreciate it.
4. 

   Dr. placing added stress on nursing staff

   JB2007 replied to JonBobby's topic in Relations

   It is the same around this area as well. The admitting Dr puts orders in for the consult and it is the nurses job to call the consulting Dr. The admitting Dr usually does not even talk to the Dr that he wants consulted so the nurse better know why the Dr wants the consult.
5. 

   RN total patient care...

   JB2007 replied to julz68's topic in Relations

   I work in the ICU so I only have 2 patients. We do total care on our unit and I love it. I usually plan the baths around the assessment times and I can get a good look at the skin. Do my wound care at that time as well. One of the many reasons I wanted to work in the ICU. I was tired of depending on someone else to do care that I would be held accountable for. Now I know my patients are being bathed and turned like they are suppose to be.
6. 

   No rapid response for a DNR?

   JB2007 replied to AlphaPig's topic in Nursing

   DNR does not do not treat. The doctor was wrong and the nurse did tjeright thing.
7. 

   Float Pool Nurses

   JB2007 replied to Capco56's topic in Med-Surg

   When I was in the float pool I would let who ever was in charge of my assignment know that I was taking my break before I went to my second assigned unit. I knew once I got to that unit for my last 4 hours there was no way there was going to be time for a break. It is just too crazy getting report assessing and getting my pts settled. Before I knew it it was time to give report to the next shift. Good luck...
8. 

   What would you have done?

   JB2007 replied to eileeny21's topic in Med-Surg

   I would have done just what you did. The pts pain was not out of control and I would say that the loading dose was not needed at that time. I would start at the 1 mg dose and increase up to the 4 mg dose as needed. The loading dose is not always needed. Depending upon what the medication is 10 mg seems like a bit much. However, you need to take a pts age, size, and overall health into consideration as well. You never stated what the medication you was giving the pt and that can make a big difference as well.
9. 

   Reasons to Work in the Trauma ICU

   JB2007 replied to FranEMTnurse's topic in Critical

   I am new to the Trauma ICU myself and love it!! I am learning so much.
10. 

    How to say no when someone asks for your stethoscope?

    JB2007 replied to emt... rn student's topic in Relations

    I am sorry but I was getting ready to go in and assess my patient in another room. I am sure there is one at the nurses station that you can borrow.
11. 

    Have you ever lost it with a patient?

    JB2007 replied to notjustanurse's topic in Relations

    Oh yes I have lost it with not only a patient but with family members as well. They need to be told and I was doing the telling. Why on earth do people have to act like idiots is beyond me but they do.
12. 

    Loners?

    JB2007 replied to breezy7's topic in General Students

    I am not a very social person myself and I did fine in nursing school. Graduated with high honor to boot. I made one or two close like minded friends and we studied together. It is better not to get involved in all the drama that goes on. In addition I have been out of school and working as a nurse since 2007 and I am doing fine as a nurse. In fact I have been told by supervisors that I have a lot of leadership skills (I think they were just trying to talk me into a management position myself. No way.) I do not get mixed up in the gossip of the unit but I will talk my co-workers when time permits. I just do not like big groups of people. You will do fine in nursing school and as a nurse without being overly social. You will be way ahead of some of your more chatty classmates in one important skill as a nurse. Listening, you learn a lot about your patients and what all is going on with your patient by asking just a few important questions and just sitting back and letting them do the talking. Good luck with nursing school and soak up all the knowledge that you can.
13. 

    New Grad interested in Trauma

    JB2007 replied to BlueSunRise's topic in Critical

    Sorry to be a downer here, but personally I would start out on a good med-surg unit first. Being a new grad is very stressful and you have ALOT to learn. I have been a nurse for 5 years now and I only recently took a position on a surgical trauma ICU and I will tell you there are times when I fell like a new grad because there is so much to learn. And I have the basics down and am familar with the medications. I really do not understand what is so wrong with working your way into your dream job. You will be so much more comfortable starting out. I am like you I love the faster pace and way a pt can change in a min. Just some words of advice. Good Luck with everything.
14. 

    Rejection Galore

    JB2007 replied to CP1983's topic in ADN/BSN

    I would be thinking of moving if it was a possiblity at all. There are hospitals in Northeast Indiana that will hire new grads and the cost of living is less than NYC. In addition, it is close enough to NY that you could go visit family and friends when you get a few days off. Good luck.
15. 

    Thinking of transitioning to LTC from hospital acute care...

    JB2007 replied to fireball78's topic in Geriatric

    It is lots and lots of paperwork. More than the hospital from what I found. You do not have time to sit and chat with the residents. When I worked LTC there was some residents that the only time I saw them was when I was giving them their morning meds. However there is more routine in LTC and you do learn your residents little routines. I loved going in and some of the residents would smile and tell me how they missed me on my day off. I have some of my most fond memories as a nurse while working in the nursing home. Just be careful that you get into a good one. Take a good look and smell around. If the place looks bad and smells bad that is a good sign that the management does not care about the residents or its staff.
16. 

    Are any of you loyal?

    JB2007 replied to MzTayTay's topic in Nursing

    I am another person who is only as loyal to my employer as they are to me. I have seen how loyal most places are and I will watch out for myself. I go in, I do my best, and then I leave. If they expect more than I am being compensated for or they are treating me poorly I am out of there ASAP. I am always looking for a better job even if I like the place that I am working.