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Working in busy med-surg/tele/oncology floor. You name it we get it.

ANH_RN's Latest Activity

  1. hey all! haven't posted on here in a while. I have been doing some job searching and I came across a couple positions at a hospice facility. I have been doing med-surg for over 4.5 years and I feel like this is my calling. I don't really have any close friends in this field so I really have no idea what to expect. We frequently get hospice patients on our unit bc they have recently transitioned to hospice or they have been transferred from the ICU and recently admitted to hospice care and the family doesn't want to move them to an inpt unit for one reason or another. They called me the next day after putting in my application and I am truly excited for this opportunity.. the first time I have ever really been excited about a potential job interview (I've casually looked around at positions in the past). I am doing my research on interview tips but does anyone have any advice of what I could say in particular to a hospice interview? I am already anticipating a pay decrease but I do not even care. This is what I want to do. Thank you!
  2. I haven't been on here in a while and I'm not sure where I should have posted this so forgive me. But a lot has changed at our small community hospital (i.e. corporate take over, lay offs, etc) and my job is no longer secure. Not only that but everyone on my floor is averaging being called off once to twice a week. Honestly I would love to work at a different job doing something different (standard med/surg tele floor) but I realize there are a couple openings at another bigger hospital close by. I am going to call today to just.. you know, check on an application I had posted a couple weeks ago. When it comes to interviewing time and they ask why I am leaving my job, is it okay to say "well, because I keep getting called off." Heh, if it was a different spectrum of work I WOULD say (and mean) "I am looking for new experience." Can't really say that if it's pretty much the same type of job. I would like to do something different but right now the time says I just need something different asap. Thank you all in advance.
  3. ANH_RN

    Lots of blood... starting IV's HELP!

    Just press down on the arm a little harder next time. I normally have to put a lot of pressure on the arm above the catheter insertion site to keep it from gushing out. Usually it works long enough for me to wipe it with an alcohol pad or a gauze around the opening then I connect the ... connector thingy!
  4. ANH_RN

    Night Shift Differential

    presumably I would think this is how it works. the whole increase doesn't happen too often in my dept in my hospital though. We've gotten 2 raises and I've been there 3 years now. The second raise they gave us as a courtesy (I firmly believe for many reasons) b/c a lot of us were going to take paycuts with the decreased SD in the next month.
  5. ANH_RN

    Night Shift Differential

    Before our hospital joined another company we were paid $4 7p-7am. Now that someone else has kind of taken over we get 15% of our base pay which I took a pay cut by now only receiving $3.30 an hour. If I only received 0.75 cents an hour more working nights I would have switched over to days a longggg time ago. The only reason I haven't switched over yet is because we still need the extra $$. DH had to get a job (he was a stay at home dad) a couple months ago becuase on top of the pay cut our insurance went up and we just can't keep up anymore. it stinks..
  6. ANH_RN

    Sick of all of the bullying.

    I had already planned on handling it just how you 'told me' to. Thanks.
  7. ANH_RN

    Sick of all of the bullying.

    I think of bullying as putting down a person on a personal level not just how they do their job. They also act out their aggression to their face and are not polite. I see that as being a bully. And it's not always just that one person, it's a lot of people. No one seems safe. Everyone talks crap about everyone.
  8. ANH_RN

    Sick of all of the bullying.

    I think that says it best.
  9. ANH_RN

    Sick of all of the bullying.

    I just have to get something off of my chest.. I have been guilty of talking about other people behind their back but I am downright shocked at the amount of bad mouthing that goes on in my hospital on my floor. Is it like this everywhere? Seems like certain few nurses just complain about everyone they come in contact with. If it isn't the aides, it's other nurses, or pharmacy... etc. Last night a few nurses (one of which I have a lot of respect for unfortuneately) were talking so bad about one of our aides. I just can't even believe how rude they are to this particular aide. Now she may not be my favorite person in the whole world but I could not bring myself to talk about her and her intelligence endlessly in public view for anyone to walk up on. These same people that are having their livelihood put down have children and husbands and wives. I am not the most positive person in the world and I am very guilty of complaining especially when times get hard but to put down others' as a person just seems so inappropriate. Sometimes it's so bad and towards just anyone that I often think to myself 'jeez what do other people say about me?' I hate working in this.. I hate having to listen to it. Is it really like this everywhere??? I just always attributed it to the high stress nature of the job but it just seems unacceptable. Now I admit there are people that make me mad and frustrated and I vent from time to time about them but this is downright bullying! We don't let our kids do it, we shouldn't either especially as professionals in a professional environment. And just listening to everyone else's rant and rave makes you more aware of yourself and how you sound when you complain. I have been making a more conscience effort to not complain a lot especially about other people.
  10. ANH_RN

    Got my first "med discrepancy" form

    That won't be the last time you make a mistake. I once forgot to give a 0100 dose of Lasix to a pt in CHF (he was in BAD CHF, too). Yeah. That made me feel like the best nurse ever.
  11. Geez, I can not believe that it has really been one whole year (I passed NCLEX on July 26th). I can't believe I graduated nursing school or got through NCLEX let alone made it a whole year as a nurse. I do not say that because I lack complete confidence I say it because of how difficult of a journey this has been. I remember my first day out of orientation was the worst day EVER. I cried and I even had a patient family member tell my boss that they didn't want any more new nurses for their mother. How's that for a confidence booster? Today I am getting my work done. I get my meds passed, I find problems and I fix them. 80% of the time I solve my problems without feeling like I need reassurance. I think that's pretty good for me. There is still so much to learn and unfortunately more mistakes to make. BUT I FEEL OKAY! I was one of the new nurses that actually looked up different degrees online (I seriously considered going to mortuary school and into business. Yeah). I am so glad I stuck it out. I was depressed, beat down, and very pitiful the first 4 months or so. And even in my 7th and 8th month I had set backs BIG TIME personally and mentally. I was really bad there for a while. Crying at home and crying when I talked to my family about work. They say it takes you a year and by George it really does take a year. I wouldn't say that I am 100% but I am darn close. I just wanted to tell all the new nurses to stick it out! When a patient's mother tells you "thanks so much for taking good care of us" -- that's when you know you've come a long way. Definitely a big change from the beginning. And it's all worth it. :typing
  12. ANH_RN

    MRSA in Sputum, didn't know had?

    I don't know if this is a dumb question or not but I'm going to ask it anyways. I am such a paranoid freak. I know it's the type of thing that you have to encounter while working with sick people. But what if someone has MRSA in the sputum and you didn't know or incidentally got exposed to them while they were coughing or something? For a healthy person how easy is it for someone to catch MRSA in the sputum? Do you know of any nurses that have caught MRSA in the sputum and what has been the plan of action? If you have a history of determined MRSA in the sputum do they let you continue to work?
  13. First of all, I'm a paranoid freak. I worry about every little thing imaginable. This morning right before I left work I was giving a pt a pill through his G-tube. I guess maybe I didn't use enough water and it got clogged a little bit. I gave it a little extra push and water splashed all over. I know I got a few drops on my face, may have gotten it in my eyes -- don't know. The pt is MRSA + -- but it was water from the actual syringe (which was a new one btw) and I am kind of freaking out (although the syringe was hooked to the g-tube). I mentioned it to the charge nurse and she shrugged it off. I was thinking about all of the nurses I see who have vomit splash on them, etc. My question is -- should I have filed a report anyways even though it wasn't recommended by my charge nurse? thank you.
  14. ANH_RN

    Just a little venting. That's all.

    Yeah, after a while I started feeling better and I started actually loving my job. I never thought that such a huge change in technology would throw me for a loop and send me back to square one. I always feel like I'm missing something and I am doing a bad job. I know I just have to be strong and make it through this. Thanks for the encouragement!
  15. So I graduated in May of last year. Started work in August as an RN. Will be at my current job for 9 months in mid May. It took me a good 5 months to be okay and get somewhat comfortable. We started doing barcoding and EMAR documentation almost a month ago. Now I am back to square one. I feel stupid, ignorant, and down on myself. Almost 9 months in and I feel like I did at the beginning. Right now I am struggling with myself and trying so hard to be a good nurse. I love my patients so much and I care for them so much. I just feel like I am missing something. Quite simply, I feel like a bad nurse. I've made my mistakes, I've learned from them. I try to do what's right and I try so hard not to miss anything. But sometimes it is apparent that you are going to miss a thing or two and you're going to make mistakes. I am so scared of hurting someone that I'm almost at the point of non-functional. I am just ready for something new.
  16. I have a weird question. For drugs that I administer through a saline lock I always flush before and after the drug just in case anything is sitting in the SL that isn't compatible. Does everyone else do this? I ask because often I will have an LPN give me a med to draw and give IV and one flush. I think it seems better because what if you meet some resistance with the initial pushing of fluid through the IV and you end up pushing too hard and too fast? One time I was administering a piggy back antibiotic and I let some NS go through to flush it out of the line, then I unhooked the line. I did not flush afterwards for God knows what reason. Then I went to give some Solumedrol later on and forgot to flush BEFORE (geez). I told my charge nurse about it and she said not to worry because it wasn't enough to cause a precipitation. So how much does there have to be to create real problems??? I was just kind of curious what of you thought. Thank you, I hope it's not a dumb question.