singwithme123

I interviewed for a position a while back, and the manager told me two weeks ago that I was selected for the position, she was sending paperwork to HR, and HR would contact me "in a week or so" with the official offer. I still haven't heard from HR, but I have maintained contact with the manager who tells me that the offer is still coming. I would say send a brief email after a week, letting her know that you remain very interested in the position. Most facilities will not issue an offer until they check references, and sometimes that can take a while.

You are probably correct. I could see this being written 8-10 years ago, but certainly not appropriate now! I know it is a tired old subject around here. Just thought it was odd to see a new article about it.

Is it just me, or is it odd that in this day and age an article like this is being published?? This was from 2 days ago.. The U.S. Is on the Verge of a Major Nursing Shortage - The Atlantic

You live in SC, so you are going to have to jump through the hoops required by the SC BON. I would suggest you call them and discuss your situation and determine what your options are.

Banning family or significant others is totally against The Joint Commission standards except in certain specific situations. If hospitals are certified by TJC, they are likely moving away from "visiting hours".

Well, you know, that was a really boneheaded thing for her to do. I know that she is your little girl, but your little girl screwed up royally and will likely face some pretty stiff consequences as a result. You aren't going to find any sympathy here.

OP - Have you actually been offered an RN position anywhere yet?

There are probably hundreds of new grad RNs on this site who would KILL to find an RN job in a hospital and be able to make $25/hour.

I'm sorry, but I also wonder what you truly expected from a nursing career. I mean really. And your statement about considering making $25/hour to a "volunteer" level of pay?? That is almost offensive. When I graduated as an RN in 1986 my starting base pay was $9/hour at a hospital. At that time and even until today, I have been basically satisfied with my income in a wide variety of RN positions. No, I will never become rich as an RN, but I never expected to. Something about your position on this really bugs me...

The closest hospital to Gatlinburg is LeConte Medical Center, which is part of the Covenant Health system. It is a small facility, but a fairly new, nice building. It used to be a great place to work, then leadership changed, culture changed, and I'm not so sure now. Covenant Health has several other facilities in the Knoxville area. It's a good system, RN pay is probably going to be around $22-23/hour, but cost of living is low and there is no state income tax. (Go to Covenantcareers.com for info) Tennova Health is the other major system in the area. It is for-profit (as opposed to Covenant), and therefore the pay is likely higher. I have never worked for them. UT Hospital is in Knoxville - Large teaching hospital. Pay is probably about the same as Covenant Health. They are a magnet hospital, so if you do not have a BSN it may be hard to get considered. East TN Children's Hospital is also in Knoxville.

When I worked in the cath lab years ago, we always had an RT and 2 RNs on the call team - Two RNs in case of an emergency situation. (We had multiple labs running during the day, so scrub techs were utilized in place of RNs scrubbing most of the time. But the scrub techs didn't take call.)

Perhaps have a discussion with your instructor? We have no way of knowing how this happened...

Thank you so much for this perfectly-said post!!! I hate the posts that ask things like that!!!

Sounds like it is one of those programs that is only teaching to the test (NCLEX), not actually instructing someone to become a competent nurse.

Making sure that core measures are completed is not outside the scope of practice for a nurse. Writing the order yourself for VTE prophylaxis or the ACE-I for a CHF patient is another story, but I doubt you are being "coerced" into doing that. Core measures are evidence-based best practices for patient care. Yes, most of them require a physician's order. However, I have seen plenty of situations where core measures were missed, and it was the fault of the nurse. (M.D. orders SCDs, but the nurse never documents that they were applied or refused. There is an order to remove a foley on POD #2, but it isn't done. Discharge instructions are not complete or documented properly. Things like that..) It is probably a huge hassle for some quality nurse or your nurse manager to be crawling up and down your back to make sure that things get done. I promise that there is some hospital finance person or CEO who is crawling all over them about it too, because of the impact that it has on facility reimbursement from Medicare. Most non-profit hospitals run on extremely tight margins, and they rely on getting every single penny of reimbursement that they can in order to survive. With value based purchasing, there is a financial incentive for the hospitals to make sure that their core measure scores are high. Unfortunately, historically there has not been any sort of similar financial incentive that impacts the doctors, but that is changing. So... Take a deep breath, and ask the dang doctor for the order or the needed documentation. Even tho it doesn't feel like it sometimes, the measures really are important, and they are EVERYONE's responsibility.