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  1. bigmona

    Do you think this is fair?

    You make a whole lot of assumptions here, most of which are wrong, and then you judge me for it? Like I said before, I'm part time. No benefits. Everyone else is self schedule and works when they want. My schedule is filled in for me and I am the one who has to switch if I need it. I hardly feel like a victim- grateful to have work but wanted some other nurses opinions on sorting out a situation that didn't make sense to me. So like I said, thanks to those that gave mature replies. I just got unlucky in the sense that so many holidays fell on the weekend this year but I know I'll be missing most of them in another year or two (if I stick it out working weekends for that long).
  2. bigmona

    Do you think this is fair?

    I don't have a choice right now to not work the weekends given the circumstances I'm in. I appreciate the constructive replies. All I was asking for was some perspective (not attitude) and many of you gave it to me. Thanks.
  3. bigmona

    Do you think this is fair?

    I'm in the weekend program at work, and work every single weekened. I only work Sat & Sun, so I am considered part time. We have 4 weekenders on my unit, and as a result, the rest of the regular staff only end up having to work maybe 1 weekend shift every 1.5-2 months. Since I'm a weekend person, I get the higher weekend rate. If a holiday happens to fall on a weekend, I have to work it, and I do NOT get time and a half like the rest of the staff, because I'm already paid at "a higher rate"- but when you do the math, the regular staff are making more hourly than me on holidays. Not only do I have to work these holidays at my regular rate, I am not allowed to request vacation time if it's a holiday. So basically, I don't make any extra working on a holiday, I don't have an extra holiday requirement because I'm part time weekend staff, but I'm denied any requests to take a holiday off because "that's not allowed". Does that seem right to you? It seems to me that since I don't make holiday pay and don't have an extra holiday requirement like the rest of the staff, I should be allowed to take the holiday off if I request it (not to mention I have #2 seniority on this unit). Also, as a result, a lot of regular staff get out of working a weekend holiday because the weekend people have already filled in most of the slots. I have to admit, I have a "thing" for when a situation seems unfair and get worked up about it- but am open to someone else's input and perspective to tell me I am looking at things incorrectly. My manager does not seem to understand where I'm coming from. It's hard when I have NO family time because I'm working every weekend, and then I miss out on family time during a holiday too because it happens to fall on a weekend. And no, I don't think anyone would willingly switch with me to work on a holiday.
  4. Sure. When I have a full patient assignment, I'm in charge, we have no unit clerk OR nursing assistant, and no staffing coordinator, but somehow I'm expected to successfully and safely carry out all the duties of the aforementioned positions for...wait for it....ONE WHOLE DOLLAR an hour more... it makes me want to RUN back to work the next day!
  5. bigmona

    Most RN's first borns?

    I'm a female, first born, with an alcoholic dad.
  6. bigmona

    What does "charge nurse" mean to you?

    It sounds like you're an excellent teamworker and I'd love to have a coworker like you. I believe you're doing everything a charge nurse *should* be doing. If some people aren't as hardworking and feel like you're making them look bad, that's on them, not you.
  7. bigmona

    Pregnant and Perplexed

    the previous poster is right. You'll most likely have to get a bunch of pre-req's out of the way before you even set foot in nursing school. Maybe you can start out by taking online classes while working part-time once you have your baby. See how that goes, and you can ease into regular classroom classes once your babe is a little older and you find childcare. Do you have family and/or support around you who can help with looking after a little one? That can make a big difference. Also, student loans are the best kind of debt you can have- if it's worth it to you to take out loans to achieve this dream for yourself, go for it. And definitely apply for grants, etc. You don't want to kick yourself later on and regret anything. There's never a "perfect" time to go back to school (or to have a kid, for that matter), but you can do it.
  8. bigmona

    Which Nursing Jobs are the Least Stressful?

    GI lab/endoscopy unit is definitely not stressful... paperwork, putting in some IVs, checking a few sets of vitals. EASY compared to ICU.
  9. bigmona

    Do You Drink the Karmic Kool-Aid?

    yes, I drink it. My whole life perspective changed 3 years ago when my father died young, suddenly and unexpectedly. I did some soul searching, some reading, and came across Brian Weiss's book Many Lives, Many Masters. I always believed (from a young age, around 12 or 13) that life/earth was a school to learn lessons and grow, but this put a new layer on my beliefs. The concept of reincarnation was always so absurd to me before then, but now it's one of my core beliefs. Now, I do believe we choose which circumstances we're born into and we have a set of lessons our life is focused on. This is the amazing thing about being a nurse- my path crosses with so many other lives and I find myself thinking- what are the life lessons these people came here for? When I get a patient who has cerebral palsy or some other physical/mental "impairment", I truly get an overwhelming sense of respect for that individual and find myself treating them with extra care and delicacy. I'm sure it offends many people to think that someone would CHOOSE such a life, but I believe they did, and in turn I have that much more respect for the person who lives a life in a limited way and is forced to depend on the care and kindness of others to survive. despite these beliefs, and unlike you, Doc Lori, I don't have a clue what I'm ultimately meant to learn or do- I still feel like I'm floundering quite a bit, but I try to be better each day about kindness to self and others, and be a genuine human being. I will figure the rest out later.
  10. I know the alphabet and basic words in ASL and have only had to use signing once with a patient in my 4 years as a nurse. I think it depends on where you live, though. Some areas have a larger Deaf community. I know that people who are deaf or have a profound hearing loss greatly appreciate when you're able to communicate with more than writing or relying on reading lips, especially when it comes to their (or a loved one's) medical condition. So even if you rarely get to use it, I still think it's very much worth it to know some basic sign.
  11. bigmona

    One to one assignments

    We have a 2 patient/1 nurse ratio in our MICU (rarely sometimes 3:1). We've been having some debate/issues in my unit lately about when a patient needs to be put in a 1:1 nurse/patient assignment. Just curious what you do in your unit? Do you have an established set of guidelines, rules or criteria that you use to determine this? Thanks.
  12. The literature shows that taking BP via a lower extremity does run higher than when you take it in an upper extremity. I have certainly found this to be the case in my own practice. Came in once to work and had a patient on a nicardipine gtt that was being titrated for BPs taken in the legs- when I took the pressure in the arm it was much lower and I actually had to shut the drip off. Something to be careful with.
  13. bigmona

    Pumping at work and childcare

    I appreciate all your replies! my hospital does not have OB so no lactation consultant or pumps I can use, and my state does not have a law protecting breastfeeding mothers in the workplace. I try to cut my lunches really short since I do take up other time pumping. Generally my coworkers are understanding about it, but sometimes when we're all so busy it's difficult to get away. My supply definitely takes a hit after working the weekend. I guess I'll just have to figure the childcare thing out... I did call some daycares affiliated with the hospital and none of them were flexible about days so I have no idea how other mommas do it! I guess we all just make sacrifices in one way or another (something I am learning as a new mom :wink2: ).
  14. bigmona

    Pumping at work and childcare

    I'm sorry if this thread isn't appropriate here, feel free to move it to another forum. I just couldn't find another suitable place to put it. I'm curious what other new moms who are nurses do at work who are still breastfeeding. How often do you get to pump in a shift? Are your coworkers understanding? Any issues with cleanliness or access to a clean/private place to pump? My hospital does not provide me a pumping room- I have to do it in my manager's office. Also, what do other RNs do about childcare? I work every weekend and my husband works M-F but I would like to go back to working 3 shifts/week so I have some time back to spend with my husband. However, I haven't found a daycare that's flexible with when you can drop your kid off (and shifts would vary week to week). I have no family or friends in this area who can watch my baby. Just wondering if anyone else has dealt with this and what kind of solution you came up with. thanks!
  15. bigmona

    Most memorable thing patient has said to me...

    one night i had spent a good part of my shift attempting to do everything possible to make a vented post-op patient comfortable. finally, when he was starting to settle a bit, he looked at me with tears in his eyes and mouthed "thank you" around his ET tube. a few days later i was back at work, saw that he was extubated and stopped in to say hello and ask how he was feeling. he didn't remember me. but i'll never forget the gratitude i saw in his face and eyes and the feeling that all the hard work was worth something.