silveryscrape

Your story is amazing and horrifying. It's really helped me remember and reconsider interactions with management I've had in past jobs. I would hire you in a second and be confident in my decision. Have you ever considered writing as a hobby/adjunct career?

Luckily you'll have plenty of time to work on your tolerance for negativity, since you sure will see lots of that as a nurse. ?

Flatliners with Kiefer Sutherland and Julia Roberts. Just watched it a couple of weeks ago. Shocking themselves "dead" to see what it's like, then after a couple of minutes, shocking themselves back to life and then going out for coffee.

It took me more than 5 years to learn to love nursing, because I felt so incompetent and stressed out. Now I dislike the barriers to good care that I push against every day: Staffing, bad planning and processes, leaders who don't remember what it's like to actually deliver the care. But I love what I do and I love my patients and their families, even the jerky ones, because they are who they are and the fun part for me is figuring out how to give them what they need even when they're struggling so hard against that. Mainly what kept me going for those first 5 years or so was the feeling that I was building a knowledge base, and quitting would invalidate all the hard times I went through. I do feel lucky to have made it to this point, though. The deck is so stacked against good nursing care, in so many ways. You have to learn to tolerate mistakes and bad outcomes *that could have been prevented* and that can be so, so hard.

I gave a renal pt 5mg of Ativan IVP, instead of 5mg Valium. I was a new nurse in a new job. The medication machine didn't have individual pt profiles, you just logged in and took out whatever medication you wanted. He was fine after a long nap in the ICU. I learned that anytime you have to access multiple vials to get your dose, stop and think! Yikes. I quit that job and went somewhere that had better protocols (and didn't give med/surg nurses 9 pts on days). I will never forget that feeling.

1. WI 2. 10 yrs 3. Outpatient Medical Oncology Clinic 4. 28.90 5. Nope - But we are closed nights, weekends, & holidays :) 6. I wish. 2 bedrm flat on the East side of Milwaukee, $700/mo. Cost of living is not too bad here.

Additionally, the hospital wants to limit or eliminate CRONA's participation in the Clinical Ladder review process. Many nurses view this as another attempt to weaken CRONA, which would be a sorry thing, imo.

We also do aggressive hydration with lasix, seems to work very well. I have worked on a unit that required foley insertion for the infusion/post infusion period ~48 hrs or so, but we didn't do CBI - the rationale was to make sure of output even overnight, which lasix will manage. I have heard, for what it's worth, that CBI in the absence of active bleeding can be very irritating to the bladder - never saw the research on that one, but there you go.

Howdy, you asked this a month ago so I imagine you've gotten your answer, but if not... Sprycel is a tyrosine kinase inhibitor like imatinib (Gleevec)... so yes, chemotherapy, a targeted therapy. It causes fewer rashes than Gleevec, but can cause pleural effusions and worse myelosuppression than Gleevec. It's given when pts fail Gleevec. I understand there's some research into giving the two together, too.

Are you familiar with Froedtert? I worked there last year, not in neuro rehab, sorry. I ask because they have a unique scheduling system. Everybody works 7/70: Seven 10 hr shifts in a row, then a week off. So there's an "A" week team and a "B" week team, and you pretty much know your schedule until the end of time, unless you're a transitional rn and get moved around from shift to shift (AM, PM, or NOC). The shifts overlap, so there's always time for lunches and ed and meetings, stuff like that. Some nurses job share, and end up working 3 days one week, 4 days the next. I loved Froedtert. Would work there again in a second, if it weren't located in the Land of Snow.

Actually I'm sure you're right, esp. about the reliability thing, and as I'm someone who has trouble calling in sick even when I am (guilt), I guess what I'll have to do is discuss the needs of my current contract with my possible new employer, see if something can be worked out. Thanks for the much needed perspective.

Hello, all. I'm 5 weeks into a 13 week contract in San Francisco, and have come across a fantastic opportunity to go staff in the same facility on a different unit (an outpt clinic, actually). What would be the consequences if I cancel my contract in order to be hired in a different area of the facility like this? I will certainly look at my contract and talk to my recruiter before I do anything (I travel w/ Cross Country), I just want to hear from anyone who may have a first-hand idea of how this works. Thanks!

$2350 per mo stipend to live in SF itself. I pay $1650 for 350 sq ft, $125 for parking (which is cheap). My company wanted to house me in Pacifica - 30 or so miles down the coast, not convenient by public tranportation - so the expense and tight quarters seem worth it to me.