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bbie17

bbie17

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  1. It doesn't seem like a good environment for a new grad. I would not work there even if I was desperate for a job/money. What you need is a nurturing environment that provides you a good foundation on nursing practices. When you're new and just starting out (in any job, not just nursing), the most important thing is doing the job correctly and safely. Being fast, efficient and knowledgeable will naturally come with time. Is it the norm to have patients run out of meds & to have to borrow/steal from another patient's meds? This is acceptable- if your patient needs ambien 5mg, another pt has ambien 5mg. Same dosage, same med, it's ok to use the other patient's med. However, only do it when you absolutely need the med and it can not wait. Don't turn it into a routine practice because you can easily make mistakes (ie. wrong dosage/wrong med) Is it normal for nurses to sign off on whole med passes & treatments & not actually do any of them? wow, absolutely not. Is it common for nurses to skip vitals on multiple patients & then just "come up with something" to put in the chart? absolutely not. Is it common to meet what seems like an excellent nurse only to have to do a double-take when they sneak a pill out of the patient's cup of meds on the way down the hall & pop it into their mouth - slide of hand? Not common, but one of my coworkers got caught stealing narcs and was fired. You need to report this nurse before it becomes a problem. He/she needs help. This reminds me of that guy in New Hampshire who stole Fentanyl and got people infected with his Hep C. This could've been a result of unreported events. I feel so bad for the residents at this facility...
  2. bbie17

    heartbroken needed to vent

    Unfortunately, wherever you go you will have doctors/preceptors/coworkers/bosses/family members/patients who are rude, mean and treat you like crap. The best thing to do is not take it personal and just do your job. If it's a preceptor that's giving you a hard time, try your best to get through orientation. Once you're on your own, it will be much better and you don't even have to go to them for help. If it's certain coworkers you dislike, bond with the ones you do and schedule yourself so that you're working opposite days as the people you don't like. You can't change jobs every time you don't like your coworkers or change your assignment b/c you don't like a patient. Learn to work with people, especially the difficult ones, and you will go a long way. Goodluck on your job search.
  3. hmm I find it strange that nurse managers would think you "have no nursing experience." Either you didn't talk enough about your experience at interviews or you just happened to be competing with a pool of experienced applicants. Like other members, I suggest you keep trying. You definitely have what it takes to work in the ER. At the ER I work in, we don't hire new grads without experience but we do hire new grads who have worked as techs in our ER or who were army medics. Goodluck on your job search!
  4. bbie17

    Did I get "too excited" too soon?

    You did the right thing. When I was a new nurse, I was jumpy over things like that as well. However, I remember one of my professors said that "always do what makes you sleep at night." Whenever I feel uneasy about something, I always get a second opinion from an experience nurse, then I go check it out myself so I can have a peace of mind.
  5. bbie17

    Pushed Around..

    She does seem very unprofessional about this matter. Although I have never seen anybody pushing somebody and not apologizing during a code, I could see how someone could accidentally do it. However, when confronted afterward about the behavior, the person should apologize. It's common courtesy. It's sad how some people can't take constructive criticism. I applaud you for going to her manager. I'm rather passive so I'd probably brush it off after talking to her about it.
  6. If you can go without a job for several months then wait for a hospital job. But you mentioned that you desperately need $$...so take the offer. Who knows, maybe you will like it there and stick out for a year before considering hospital setting. Or...maybe you'll be able to work at both places. The point is, worry about securing a position first, before worrying about quitting. When opportunity presents itself, embrace it and things will work themselves out. My friend tells me once that we tend to regret the things we did not do than the things we did do. Goodluck with your decision
  7. bbie17

    Fought the good fight...

    I agree with the post above...if you're able to relocate, definitely consider it. I live in San Antonio and there's a lot of RN jobs out here. My hospital just hired a batch of new grads for ER.
  8. Hi everyone, thanks for stopping by my post. I've read several posts on here regarding tax free stipend and I think someone said that in order to get it "tax-free" you have to own a property in another state that you're not traveling in or something like that? Can someone please explain this to me at a 4th grade level? I'm very bad with finance and don't understand all this tax stuff. I currently live in TX, but will be doing travel nursing in CA. I don't have a house in TX. The lease to my apartment will end April, which I don't plan on renewing because I'll be traveling to CA. So technically, I don't have a permanent address in TX. Is this going to affect my Tax-free stipend that the traveling company is offering me? I've requested for an increased hourly wage instead of a stipend, but my recruiter said they only offer that to someone who is living in CA and taking an assignment at a local hospital.
  9. bbie17

    What would you do?

    I agree with everyone's comments. I think what went wrong is not the fact that RRT was not called, but that the pt was not transferred immediately to ICU. Perhaps the RN who contacted the MD did not accurately describe the situation...? I just can't imagine a physician transferring a patient who couldn't breathe and had a BP of 50/0 to an intermediate unit. When a patient dies, a sense of guilt or "wanting to do more" tend to tug at our hearts, whether we are just bystanders or someone who directly handles that patient's care. A death of a patient impact us in so many ways and it especially has a great impact on the people who provided the care. I believe the charge nurse and the RN both want what's best for the patient. Having RRT at bedside may or may not change the outcome of the situation. I think it's best to provide support for your coworkers, as I'm sure everyone involved is walking away with some kind of lesson to help them become a better nurse.
  10. bbie17

    Why lie?

    I agree with others. Contact the NM and thank her for the interview. It will leave a good impression about you and lead to future job opportunities. When I first graduated, I interviewed for a position. After the interview, the manager asked for my certifications to make copies, ran background check, etc. and told me I'd hear from him on Monday. I didn't get a call on Monday, so I called him and was told he's hired someone with more experience. I still sent him a thank you card, and two months later, he called me back to offer me a job. I had already accepted another position so I politely declined. Bottom line is, don't burn your bridges and keep networking. Goodluck!!
  11. bbie17

    New to ER and getting CEN?

    Thank you so much everyone, for taking the time to give me advice. I'm very inspired after reading all of you guy's comment. All the advices were great! I will take everyone's advice and take it one step at a time. I will take my TNCC and ENPC first, then review gradually for the CEN. I was rushing to get the CEN because I really wanted to get trained in the trauma area. At my ER, only RN's with CEN can work in trauma. It's been 2 months in the ER for me and I love it! I'm so eager to learn about everything and I take every opportunity to sneak in the trauma area and watch. Hopefully, one day soon I'll play a role in that room. Thank you all again!!
  12. bbie17

    New to ER and getting CEN?

    Hi all, thank you for viewing my post. I have 1yr of Medsurg experience and just started working in the ER for 2 months. I've been thinking about getting my CEN. My coworkers tell me I should wait at least a year or until I have some experience under my belt before trying for the exam. Several nurses on my unit just took the exam and failed, and they all studied and are very experienced ER nurses. So my questions are: What is my chance of passing the exam considering my background and experience? Should I wait a little longer like my coworkers suggested? Has any new grad/new ER nurses pass the CEN on the first try?
  13. Hello and thank you for reading my post. I have 1 year of Telemetry/Med-surg experience and was recently offered a position in an ER with a level 1 trauma center. They're offering me the same pay rate as I have right now, which to me seems very strange because I started with this pay rate as a new grad a year ago. I'd expect with my one year of experience and being a level 1 trauma, they would compensate me more than a new grad salary. I just want to get a census of the average pay rate for RN who works in ER/Trauma, so if there's anyone who works in ER in San Antonio and wouldn't mind sharing your hourly pay, I'd be greatly appreciate it. I want to make sure they're not trying to low ball me before I try to negotiate. Thanks!
  14. bbie17

    CA to TX endorsement

    Hi Samstra, You can be licensed in both states and remember to renew it every year. I originally got my license in CA and got it endorsed to TX. While I'm working in TX and holding a TX license, my CA license is still active. Good luck with your job search!
  15. bbie17

    Stay on crazy med-surg or unemployment

    The unit you describe sounds exactly like mine, except mine is not Med/Surg. I think everywhere is the same. You should take the job, it will be easier to find another one when you're already working as an RN than being unemployed.
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