JoI8815

HAHA I hear you. I know that there will be moments where I will be under some stress. The CM position is a lot of work, but its all telephonic and its a different beast compared to the bedside in my opinion. I think the culture of the environment makes a BIG difference. I'm just concerned about where would I be if this company decides not to take me on full-time. I think it would make my chances of landing another job in the clinical setting more difficult, since most CM jobs require at least two years of clinical experience. sigghhh...I guess I'll just have to do refresher courses if it comes to that.

I thought about that but I was also thinking you need a lot more experience for PD jobs? Were I live, you need 2 years experience for almost every job that's out there. I was actually surprised when I landed this one with limited experience.

I really really would like some advice from my fellow nurses! I will try to keep this short. Thanks in advance. I was recently terminated (February) from a LTC facility after being assaulted by a patient. That was not the first time. However, I already felt unsafe working at that facility (actually for various reasons) and was planning to leave in a month when this happened. After the incident, I was back on the hunt looking for jobs. Now, I absolutely LOVE nursing, but feel somewhat turned off by bedside nursing (mostly just LTC). So, I started applying for RN case management jobs as well as for ER positions outside of my city, since where I live is almost impossible to land a hospital position without experience. I ran in to a temp agency where I was able to land a TEMP position as an RN case manager with a very reputable company in my city. At the same time, I also interviewed for an ER position 2 hours away from where I live. The interview went very well and I feel pretty good about my chances of landing that position as well. So here is my dilemma. I only have 11 months of experience as a nurse, so essentially, I'm still very new. Though I love the case management position so far (not just the work but the culture of the environment, no weekends or holidays and they pay well), I keep thinking that I need more clinical experience, because at the end of the day, I think its going to make me not just more marketable, but a better nurse (and case manager if I choose to go back to that specialty). I just don't know what to do because I already started the assignment with this company (while falling more and more in love with it every day), and I don't know what I would do if I'm called for the ER position . While I don't want to burn bridges with this company, I also do not want to miss out on an amazing opportunity (though the transition will be a sacrifice) to gain more clinical experience in an area that I've always been fascinated by (the ER). So my question is, should I stay with the CM (where I am happy and stress fee) and see if they would hire me permanently at the end of the assignment, or should I move to another town to pursue more clinical experience?

Hi Nurses!! I'm reaching out to all of you for some advice concerning which path is wisest to take. However, a brief background. I'm a new nurse with only 11 months of experience in the LTC setting. I thrived at the bedside and was very good at what I did. I even got promoted to nursing supervisor 9 months into working there. However, I did not love it. I always wanted to be an ER nurse, but felt like that opportunity was way beyond me, especially as a new nurse in a large city where the competition is fierce. I was fired at 11 months after being physically assaulted by a patient. It wasn't the first time it happened, but I must admit, I did not handle it well at that particular time and deserved to at least be suspended. So here I am again looking for jobs. I noticed that almost every position requires at least 2 years clinical experience. So I become desperate (I gotta pay bills), and I reach out to an agency who sent me to an extremely reputable insurance company to interview for a case management position. One week later, I hear that I got the job, BUT I also have an interview for an ER position later on this week, AND a friend of mine who works at another hospital, her supervisor said she was going to pull my application. I also got a few calls for positions from other hospitals outside of my city. So you can say my job hunt is coming along well. The problem is, I'm afraid to accept the case management position because my job hunting experience has showed me that it is very difficult to land a job in nursing without the clinical experience. Also, this is a contract position, and I keep thinking that when this contract is over, where would I be? I'm not sure if I can apply to other case management positions, even with the experience, because most case management positions also require years of clinical experience that I don't have. I'm not crazy about going back to the bedside, but I know that bedside experience is just necessary in the world of nursing. What would you do if you were me? What if the ER miraculously offers me the position (this hospital is 2 hours away so I would have to move). I feel very conflicted, but I want to make the most beneficial career move for my future . Would my nursing career be doomed without clinical experience?

Hey I know I am super late with this threat. I was looking through similar threads to see how other nurses get past HR after putting they were fired on online applications. I was recently terminated after being physically assaulted by a patient. Wasn't the first time I was assaulted, but that particular time, I handled it unprofessionally by talking about the incident openly with the supervisor, and I said that the patient was ungrateful and had no right to put his hands on me. Well, the patient heard me and reported me to administration who then fired me (patient is always right) Although I learned from this, I would hate to go on a job interview and tell this messy story. I feel terrible. I've been putting "resigned" on my apps and I think a few recruiters wrote me off because of it. No clue what to do. How did putting you were fired work out for you?

I def realize that now. I didn't tell on her because I was trying to snitch her out...like I said, its a long story. I was talking to the supervisor about why I was upset and that was part of it. That conversation was supposed to be in confidence...but regardless of the reason I did it, I truly regret doing it because like you said, people cut corners at these places and I understand that. I also suspect that she's gathering her army. The other day she was in the office with a bunch of CNAs gathered and when my new mentor walked in, she said everyone stopped talking. I assured her it wasnt her, it was me. Afterward, some of those same CNAs who were not even there were being passive aggressive toward me now. I really don't think its worth it to stay if im going to be on that unit.

Thanks guys. Awesome advice. I'll try to answer all the questions because somehow my phone is not allowing me to use the quotes.1.why she did it? Because the patient refuses his meds so they usually have to crush them and disguise them in the food. Still does not make it right.2. I'm currently working on going to another unit but when I spoke to the supervisor at work yesterday, she assured me that when I got off orientation, I will be going to that unit. That particular unit do not have any permanent nurses (only part time and agency, hence the reason why the med cart was so crazy and disorganized) and since I'm a permanent nurse...3. The reason I wanted to avoid going to the DON was because I wanted to respect the supervisor and her work. Going to him would say I'm not satisfied with how she dealt with the situation so I'm going over her head. What do you guys think?4. Yes its a LTC skilled nursing facility.Other than that I think you all are right. I will write things down. I thought I was continuing orientation on that unit yesterday so I went there at the beginning of my shift. The nurse wasn't there but I could still feel the tension with the CNAs as they stood there looking and whispering lol. I dont want to be paranoid, but like someone else said who wants to work on a unit where some people's goals will be to throw me under the bus? I feel like anything, and I mean any little thing I do will be reported. I was willing to stay on the unit and orient regardless of it all but the supervisor said she told the DON that I didn't like how the nurse trains, so he said I should finish my orientation with the mentor I started with.I also want to point out that that nurse was technically not a mentor. Somehow, because there were no permanent nurses, they just kind of use the most experienced person to train me. Obviously that didn't work out. Sigh...I will keep you all up to date with what's going on. I really would like to reconcile because it would at least provide a healthy start, but thats def a two way st and she also has to be willing to do so. I understand her pain. I mean the new girl reported you for doing something wrong so you're angry. Thats a natural consequence for doing the wrong thing. But can she put her emotions to the side and work in harmony? Not sure. We'll see.

The thing is, I didn't see or experience any of that on other units. Everyone so far has been so awesome. I would hate to leave because of one person but it kind of looks like I may have to if things continue down an ugly road Not what I wanted to hear but you're probably right.

Hey guys. So today was a rough day. It was one of those I dont want to go back to work days. A seasoned nurse got in my face to the point two people had to hold her back and escort her out the room. Sigh...I absolutely hate conflict. I need some advice though. But first, let me try to make a long story very short: I've been orienting as a new nurse with a certain nursing home for a couple of weeks. I was told that this is rare, but I love the job so far. Every person who have trained me, and every unit i've worked on has been rewarding in some way, until today. I began orientation today on the unit im supposed to be working on permanently. Orienting on a new unit always feels like starting fresh because i dont know the patients, the med cart is different and each mentor has their own way of doing things. Well this mentor literally just gave me the cart, told me to go do the med pass, as she retreated to the nurses station. So here I am, 1st day, by myself with a cart I've never worked on and patients I'm not familiar with. Not only that, but the cart was in a hot mess! There were all kinds of hippaa violations on the cart etc. So while I'm slowly passing meds, one of the CNAs came to me and told me that I need to give a certain pt all his meds...including his 6, 8 and 10pm meds all crushed in one...and put it in his chocolate milk at 4pm. I told her that its not safe to do so and that I will give him the meds that's due at this time. She goes and gets my mentor who came, crushed all the meds including the ones due at 10pm, and put it in his milk. Now the CNA is looking at me like im stupid lol. Fast forward... I'm in the managers office crying because I'm so overwhelmed by everything that's happening on the floor and I felt like I was alone. I had no intention of bringing up the med incident to the supervisor but I did. The supervisor then insists on bringing it up to the nurse because we all know that you need an order from a Dr to do something like that. She goes upstairs then 5 mins later, I hear the nurse/mentor, angrily page me over head to come to the floor...that's where she got in my face, saying how dare I call her actions unsafe...she has 30 years of experience etc etc. I kindly and calmly asked her to move her hand out of my face, and that's when two people grabbed her and took her out of the room. As she is leaving, she says that she was going to bring this up to someone and write a report on me. Now I don't know what she's going to say, but the only thing she can do is lie, or throw herself under the bus. As I was leaving the floor with the supervisor, I see her at the end of the hallway with the other nurses talking. Problem is, I now feel like an enemy, because nurses/women/people tend to form bonds at work that no one can get through, no matter how wrong the person is. I have to go back on that floor and train with a different nurse. I do feel intimidated and afraid of what's going to happen. I dont want to work in a hostile environment. I do not want to be that nurse on the floor no one likes because one person in the clique has an issue with them. Its just not healthy. Im wondering if I should go to the DON and ask for a transfer to a different floor, or what should I do. Im so clueless right now. And I'm honestly afraid. Help!

I see. I got the two recommendations but I was denied the position anyway. Was really really looking forward to working with this organization. Guess its back to the drawing board (not that I left lol).

Got a rejection letter today. So sad

Thanks so much for this information! I'm more than willing to move (although moving from a place like Philadelphia to Arkansas sounds really intimidating especially alone and without a vehicle). I will do some research to see what that process would look like. Philadelphia is def not a good place for new grads. Its the total opposite of what's going on in AK. There are at least 6 nursing schools/schools with nursing programs in the city, so its extremely competitive. Most of my graduating class had to move. But thanks a bunch for the info. Its good to know there are still places that actually need nurses.

I'm an old new grad who is currently out of work...my situation looks really gloom because not only am I an old new grad (graduated over a year ago, recently passed the NCLEX on Oct 25th), but I have absolutely NO experience in the medical field. I often feel like there is nothing on my resume that would jump out at employers to make them want to hire me. Currently I work on an on-call basis with a catering company, and when I'm not working, I'm looking for work ...you can only imagine, or maybe identify with, how difficult it is some days. How do I cope? Well, I'm not sure how many people on here are "religious" or what their beliefs are, but I continue to trust in the Lord. I find my rest, peace and comfort in Him. When I want to vent, I run to Him and I find peace. I know that although my hands are empty, His hands are full and He is able to open doors for me. Yes some days are hard, but I walk in peace regardless of my situation thanks to God. I'm going to keep looking, and praying, and serving where ever I can since I have the time to do so. Volunteering to help others out have a way of taking your mind off of your situation or being thankful by realizing that it could be much worse. I don't intend to get out of the field because I believe whole-heartedly that I was called for this. So quitting is not an option. Be encouraged everyone :)

Hey, I applied for the Medical residency program. I turned everything in on 25th but have not heard back from them as of today. I'm really nervous because I reaaally think this is an awesome opportunity for me. Will try to keep you posted.

How long did the entire process take? I recently applied to the Medical Residency program that begins in February 2014. I also wanted to call to confirm that they got my packet but no phone number is available.