fabiusgile

I'm sorry to hear. I graduated in 2009 also this market is very bad. I took anything I could get and worked in nursing homes for 15 months. Then relocated accross the country from massachusetts to arkansas. You may have to go where the jobs are. Thats just the way things are and once you get experiences doors start to open. I wish you the best of luck and am sending prayers and kind thoughts your way. Apply for anything. Remember its easier to get a job when you ahve a job.

I had charge and 3 other nurses assess her. Would a port x-ray show it? The cardiologist was aware of the A-Fib. I think his thinking was that it wasn't sustained and because of the D/C of amniodorone would cause it? I'm not sure

Hearts are just interesting. Maybe when it said evacuated 400ml it was in the pericardial sac. Mechanical electrical plumbing all in one

she didn't get the dopamine until she was on the unit.. All the cardiologist gave me was boluses. When I read the md note it sounded like the clot was in the heart is that possible?

My unit manager and the ICU/Tele manager said I did fine my documentation was all there etc. But I want to better myself and be prepared for those "Oh Crap" moments.

Where to start. First off I Was in there every 15-20 min reassessing inbetween giving 4 units of blood. 2ndly her heart sounds did not change she was a very large women. I was looking for input. Not I failed to assess my pt. Her rhythms didn't change to the heart block until after we were actively transferring her. blood sugar fine. I was checking the monitor and asking my teletech if the rhythm had changed shift. I can't watch it the whole shift. She had no kneck distention and they had been drying her out her Lung sounds were clear. All I had was the symptomatic BP her Pulse was 80-100. I was asking what would you have done. I think I did the best I could with what I had presenting but IF I hadn't would you have done. Tests Assessments etc. Not I failed to assess my pt.

I had a pt last week S/P CABG 2 wks prior with complications. who's BP dropped to 74/40 and was symptomatic cool clammy. Presented on tele NS- low ST. Called cardiologist got orders for 250ns bolus. some improvement on BP she dropped again. 2nd order of 250ns bolus. MD mentioned he thought he had dried her out to much because of pleural effusion. 2nd bolus didn't help. I put got an EKG A-fib nothing on tele (strip started with PVC) so looked funny. Got 2nd NS. updated MD of info. 3rd NS 250 bolus admit to ICU NO Dopamine tirate bp What would you have done in this situation? Anything I can do to improve care if similiar situation comes up? Come to find out they evacuated a 400ml clot in her heart that was pushing on her chambers (is that possible?) and did a pericardial window.

Think its funny that women think we have it better... we get sexually harassed all day (not that i don't mind), but have to be careful of what we say back because it carries more weight. I've had a nursing supervisor speak to me about leaving a toilet seat up. I've dealt with nurses who outright disrespected me because I was a man. But I've also been told by many people that they view the male nurses as more caring and better caregivers. On that note I think its due to the fact there are less male nurses and the ones that are there doing the job because they want to and truly do care. I've met many nurses doing it because its stable work mothers hours etc.

+1 @ malenurses post... I'm an ADN.. I only got an intervbiew at one hospital because l knew 3 nurses there and they pulled strings its not nice out there. I had PCAs in my class who couldn't get jobs at the hospitals they worked in. ObamaCare froze alot of the hiring around that time. There is a nursing shortage of "EXPERIENCED" nurses but that doesn't help new grads. Suck it up apply everywhere take the first job you can and just keep plugging out the applications. I've been a nurse a year and have already had 3 jobs. The last one l love and will be there for awhile.

Not true... I graduated in massachusetts and was only able to find jobs in nursing homes put out 100+ applications worked a year in LTC and ended up moving 1500 miles away to take a hospital job depends on where the needs are and if there willing to invest the time and money.

I ended up getting a job in arkansas. Can l get the fingerprint card from the local state police baracks... I live in massachusetts and am moving to ark.

I recently gave up in mass. I work subacute right now... but can't get a hospital to return a call... flying out of state this weekend for an interview

I live in massachusetts currently have my MA RN license. Does anyone know how to get the information to apply for a license in a compact state. Also do l have to live in the state or can l just apply

Farren Care Center Turners Falls.... LTC psych... good times

It sounds very nice of you... and I do not mean any disrespect. But as an aide I would get them something small. I've always felt aids work way to hard and are way under paid. I always buy them dinner when we order out... idk thats me. Any nurse who trained you will appreciate you for the hard work... Dunkins is always nice tho :-D

Reminds me when my nursing manager brought me into her office and tried to repremand me for not putting the toilet seat up.... I threatened to sue and she was much nicer to me.

my 25$ is base... but 19 sounds so low l have a friend doing medsurg with 16mos exp making almost 40 with diffs in med/surg

I live in the in central mass and i'm making 25$ for subacute... your getting jipped... which hospital are you working in? Cost of living is very high here.

is your pharmacy pharmerica?

I need a new job..... 3-11 we have 20-30 residents in the subacute.. With myself and a working supervisor. so like 1.5 nurses. I run run run.

I got like 2.5days... Sink or Swim

Take the job and stay for atleast 6 months... I took an inpatient psych position 50 min away 3rd shift after putting out over 100 apps. Now i'm in a subacute 25 min from my house. Gonna start looking for a hospital job in another 6 months. Our nursing generation will be stronger do to the extra work were putting in. I have friends who love VNA

Let me start off by describing myself and I'm male 26 year old nurse.who is in the end of my first year. My unit is subacute usually 20-30 patients. With 1 nurse and a working supervisor. My supervisor was hired the same time as me and has as much experience as I do. She talks down to me and when I want to collaborate on something she says what do you think your the nurse. When I work with her I find myself doing my job and part of hers. I'm just concerned with the way she talks down to people and the lack of assessment/experience she has, at times I feel l have more experience than her. Last night we had a man who refuses to sit up laying flat with a hx of GERD and some other GI Dx C/O CP. I was doing my med pass and had an aid come up to me and say Super is sending pt zero out. I said ok whats going on. He complained of CP, The aid asked me to check his vitals cause supervisor asked her to get a set while she called MD. I lock up and do my assessment he's flat. VSS 152/80 Apical 82 everything else fine. No sweating etc. MD ripped her a new one for wanting to send him out without getting any assessments and I believe paged the DON after he got off the phone. Weekend supervisor was finishing up her day shift and was thinking the same as me. I got him maalox and put him at a 45 (won't go 90 backpain). He said it was feeling better 15 min later. Super dupervisor comes in and says hows your CP. Do you have any feelings of dread. You think its a HA. Do you want me to send you to the hospital? and she looked terrified. She called MD back and said well he wants to go and its his right. Weekend supervisor was BSed and so was I. Guy goes out enzymes (-) EKG (-). Hosp kept him for UTI ?CP and nausea. Asked my opinion after and told her I would of tried treting the Gerdy symptoms then checked Resp.. with his VSS. Update MD and continual assessment. I asked her if she got his vitals and were they stable. She said no the aid got them. I said you should assess a unstable patient yourself. She said well she's in nursing school and I trust her assessment. Its My license I can do what I want. That floored me. If she kills someone and I'm on shift won't they come after both of us? I'm just frustrated that I didn't know what was going on and she was more anxious than the pt. Weekend super who is awesome keeps telling me just ignore her she'll hang herself eventually. Later that night lil old lady with SOB O2 86% R 24 who we just took off 2L cold turkey who was stating 93-94 on 2l (asthma excab, COPD). I put her on 1L and wait to see if she comes back up... she goes to 91-92. And Super Dupervisor telling me I can't just throw o2 on her. Which I know l can from where I worked at before stabilize pt then get orders. She wouldn't call MD so I had to and asked him if I could write a titration order. There's some newer nurses in the facility and I feel like they come to me rather than her. She doesn't have the nursing skills/experience. I'm doing my job and her job. last night i didn't get out till like 2a cause there were orders that needed to go in Tx left etc. she left at like 1230. The whole time I have her telling me. I feel flustered (spoke to DON about me doing her job few months back) because i'm inexperienced. But the last 2wks census been down and I've been on the dementia unit with a 40:1 ratio running unit with no issue which helped renew my confidence. Thanx for listening to my vent. Should I just sit back enjoy the show cause she ****** off our facility MD like weekend super is saying. Speak to the DON. Any impressions or suggestions on the situation greatly appreciated.

I'm working on my resume... and if this is the wrong forum l apologize. I've just graduated last year and have been working for almost 3 months. I'm happy I have a job but feel unfulfilled i'm a charge nurse at nights on a 25 bed mental health LTC unit. Couple questions. Now that I have nursing experience should l put my work experience section before my clinical and school experiences? This is what I have for my job experience so far. ¨ Night charge nurse of a 25 bed mental health unit. ¨ Administer resident medications and document effects of medications in the MAR provide. ¨ Head to toe assessments and documentation of changes from baseline. ¨ Responsible for 24 hour chart checks, glucose quality testing, medication ordering, responding to codes. ¨ Update and implement care plans and treatment plans. ¨ Provide skilled nursing; ie. G-tube care, wound assessments, antibiotic therapy, IM injections, and crisis intervention. ¨ Overseeing the tasks of 2 CNAs. ¨ Communicate to the physician changes in patient status; both psychologically and medically. ¨ Knowledge of application and proper use of restraints. ¨ Responsible for doing treatment, Mar, and lab editing. ¨ Documenting and writing referrals to patients to other healthcare providers and lab services. I'm just wondering if I am writing to much or not getting the key concepts in. It feels like I do so much more but when I put it on the screen it seems empty. I need to also make a new cover letter. Thank you in advance i hate this whole resume job search thing.

If thats the case so be it. Atleast l will know that my gtube patient didn't drown for his hob being left low. She also gave my preceptor attitude. I need to do what I feel is right for my patients and if l'm shown the door. I will network and find something else.