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RetrieverGirl BSN, RN

Med/surg tele, home health, travel

Posts by RetrieverGirl

  1. I took a 32 hour position as an RN on 36 bed medical surgical unit at a level 1 trauma hospital. Orientation was 3 months and I was trained on days and nights since I was hired as a variable shift position. I hated it at first but then it got better. I joined unit council and became actively involved with fund raising, community events, health fairs, parties and outings for the group. Joining unit council helped me to become more comfortable as a nurse while other nurses served as mentors. Serving on the unit as a new nurse gave the senior nurses insight on how changes could be implemented to make things better for everyone. I always felt like our working relationships were healthier because of our bond through unit council. 2.5 yrs later I'm still on the same unit and I enjoy the people I work with.

  2. I took my medical surgical certification exam today and I passed!!! 175 questions (25 pilot) and 3 1/2 hours later and I am officially board certified!!!! I didn't waste my money on a review course. I studied NCLEX questions, reviewed exam cram, and downloaded Medical Surgical Exam Prep by Upward Mobility for my Droid and paid $4.99. I reviewed about 400+ questions with rationale in 2 days before taking the exam. I'm not suggesting that for everyone but that's what I did prior to taking my exam. I have been a medical surgical nurse for 2.5 yrs and I have my BSN. I felt like it was easier taking the exam because it wasn't all that long ago that I took my NCLEX and graduated from nursing school so some of those questions I remembered from school (ex. theories and theorists, etc.). Good luck to anyone preparing to take this exam. It is worth the extra effort in my opinion.

  3. Anyone start up their own home health agency? I've heard of nurses starting their own companies and I'm interested. My sister is also an RN and we wanted to accomplish this together and would like some feedback. I know there are websites on how to start a home care business but it also helps to talk to someone that specifically has experience firsthand. Any information would be helpful. Thank you in advance.

  4. I don't work with children, however I get asked that question all of the time on med/surg. People can be really rude about it too. Especially the elderly. Yes I do want to have kids but its really nobody's business. I once was asked by an older man "well, what's wrong with you?" after my reply that I didn't have any children. Its hard not to say anything back when someone makes a rude comment. So I told him I haven't planned to have children yet and there's people out there that still believe in that. Ha! Well that shut him up.

    I know most of the time I get asked that question because its a common topic although I really dislike when it comes up in conversation. And people just do not know how to filter themselves.

  5. If you enjoy behind the scenes, rather not deal with patients and appreciate the science then maybe you shouldn't be in nursing? I mean how about a job in the lab. I think microbiology would be an interesting choice. I'M uncertain of the salary but it may be something worth investigating.

  6. Starting out as aide is a great experience. I began my nursing career as an aide. I wanted a real feel for being around patients as well as an introduction to nursing. My training was paid for by a local nursing home. There may be some nursing homes that still pay for training. Just do a little research. Not only did they pay for my training and my test, but they paid me an hourly wage during my classes. At the time I could barely afford the gas to get to these classes but I knew it was a good opportunity.

    I worked in 2 skilled nursing facilities, one home care agency and then began working independently in home care. I also landed a position in a psychiatric setting due to my background. All of this before becoming an RN. I learned a little bit of this and that from each job that I worked. I believe that it helped me become the nurse that I am today.

    Being an aide is definitely not a high paying job, but it is very rewarding. Some of the nurses were very approachable and helpful while went through school, others I knew to keep my distance...but that's pretty much with any job. I deal with that even as a nurse. I am faced with other nurses that are not very helpful at times, ones that leave me with their unfinished work and aides that do not do their job. But then there are some wonderful nurses that I work with that are extremely helpful, aides too.

    As for disrespect you're going to deal with that everywhere. Even nurses are disrespected. A lot of times I think the aides are unaware of what nurses have to deal with and they kind of take it to heart when we delegate tasks. In the acute care setting you will see more primary nursing than long term care. Nurses working in the hospital are doing bed changes and fetching water pitchers just as much as any aide. What is very frustrating for nurses is when they are able to do everyone else's job but not everyone is qualified to do their job. No one else can do the nurse's assessments, pass medications, take orders/talk to the physician or document. When orders are not followed it comes back to the nurse (some examples are intakes/outputs, vital signs, walking patients). In text form it doesn't seem like a big deal but it actually is. Aides are a great resource for nurses. Even when I am irritated with an aide I do not talk to them like they are garbage. They are only human and make mistakes too. I always try to encourage them and correct them gently. I try to let them know that I am consumed with something else and need to focus my attention on what is important first. I know that I really shouldn't have to explain myself, but it gives them a better idea of why I need their help at the present time.

    Anyway, don't let anyone talk you out of something you really want to do.

    Good luck :)

  7. Applying nystatin cream to nasty smelly skin folds on a morbidly obese patient. Even worse than that would be washing those skin folds. I had a recent admission that literally made me want to vomit. I can handle a lot of gross stuff but that had to be one of the worst. The smell of infections and poor hygiene including dental caries instantly make my lips curl. When I see I have a patient on my assignment with a skin infection I know it's going to smell awful.

  8. I am looking for some insight on grant writing. I am writing my first grant for the hospital that I work for and would like some more information on what to expect. The grant is for a new relaxation lounge for nursing staff. I would love to get started! Thank you.

  9. Well, just take a moment and think about everything you just said in your "rant." Would you want that same kind of person caring for your family at the bedside? Does that sound fair enough to you? If that's truly how you picture things then nursing will eat you alive. You have to at least have to have some sense of compassion to be able to take on a career in healthcare, especially being on the front line. You may need to reconsider your career goal.

  10. I agree that the shortage varies by location. The area in which I work has no shortage of new graduate nurses, but is seeing a major shift with experienced nurses. In fact, departments are actually turning away new grads because there isn't enough experienced staff to train these nurses. Most of the departments flooded with applicants are the many critical care areas.

  11. I've seen it all over this site. One person takes a jab and then others follow along and gang up on someone's post. I didn't appreciate the tone. It was quite rude if you ask me. I didn't create this post for insults, thanks. I don't mind a little constructive criticism, but at least in a tactful manner. I'm finished. It's over.

  12. Any chance of moving to another states? Midwest are hiring lots of new grads. You can get couple years of experience and move back.

    I wish. I wouldn't mind relocating, but my husband has 15 years in the company that he is working for and would only qualify for entry level work without any further education.

  13. Try going to the local nursing homes and picking up some prn work until you find a full time position.

    Thank you for giving advice instead of making attacks. I came to this site for advice, encouragement, and a way to express my feelings or concerns as a new nurse.

  14. Yep, you and the thousands of other new grads out there. Do you realize that there are some new grads who search for a YEAR before finding employment? I would say that you're pretty damn lucky. I see nothing unfair with the situation you described. It seems fairly typical of the experience of all new grads right now.

    Yep it's true what they say "Nurses eat their young."

    I was hoping for employment in a hospital, but I am very thankful for the opportunities that were recently presented. With that being said I will work on gaining more experience and then give it another try sometime later. Who knows, maybe I will love my job so much I won't want to leave. But for now I am certainly not job jumping. That's not my style.

  15. You don't have the right to a nursing job.

    Your job after graduating is finding a nursing job. I understand you're frustrated, but you sound like you feel entitled to having a nursing job without putting the work into it.

    I'm sorry, but I take great offense to these suggestions. Don't make claims against someone you know so very little. I am a VERY hard worker. I am the employee that ALWAYS picks up overtime or extra shifts, I volunteer to work on holidays because I could always use the extra money. I am a mature adult. I am responsible. I worked hard for my degree while working a full time job. I'm the employee that no one wants to leave because they actually value me.

    Besides all the above, I have accepted 2 positions since Friday. One position is a part time private duty nurse in home care. A case manager that I have worked with in the past recommended my name to a client on her caseload. It is a very interesting case and I am excited to start the position in May.

    The other position is a PRN nurse position at the mental health therapeutic facility I currently work at. My boss' supervisor approached me and asked if I would be interested in working PRN there as a nurse. They actually added a position for me and I've only worked for the company since July 2013. They are holding a meeting with me next week to discuss the position. Even though it is PRN I am delighted. I was hired as a PRN program facilitator and I have the opportunity to work as many hours as I want. I practically get dibs on the schedule if it's open.

    Maybe I was being a little impatient, yes, however I've earned my place in the profession. Regardless of being a new graduate I also possess the same credentials and college education. I will close with that being said. I didn't ask for respect, I asked for a chance. :up:

  16. Thank you everyone. I love the support of this website, it has really helped me not only through nursing school, but in preparing for the NCLEX as well as searching for employment. I am sure I will continue to utilize this nursing forum for further insight as I learn the ropes as a new nurse! :nurse:

  17. What's the nit pickiest thing you've ever been called out for in home care? These are some of the things that I have heard while working as an aide:

    Don't use too many gloves

    Use the alcohol wipes sparingly (She even wrote this on the box)

    Don't use too many towels

    Don't wash any clothes

    Don't use the bathroom garbage

    Don't use too many wipes

    Don't use too much bleach

    Don't comb his hair this way...

    You're not fixing the shower curtain right...

    Really, I am not a wasteful person at all. In fact, I started supplying my own gloves just so I didn't have to listen to her. I'm sorry, but I like to use gloves when I come in contact with bodily fluids. At most I think I use 2-3 pairs of gloves per day for a shower day. I'm just waiting to hear her complain about me washing my hands or using paper towels (I even reuse paper towels to dry my hands). She says the water bill is too high. I understand the cost issue, but I also want to have a clean working environment and try to maintain infection control also.

  18. I just accepted a job yesterday for a non-agency private duty nurse position. It is part time, but I couldn't be happier! Plus, I love the case manager. I've worked with her for a few years on the same case while I was a non-agency personal care aide. In fact, it was the case manager that recommended my name to the client's family. It's great to be able to network.

    I also received an offer from the mental health therapeutic community that I currently work at to join their nursing staff as a PT/PRN position. That works out perfectly! This job is so close to home and they are very willing to accommodate my schedule.

    Things are finally starting to fall in place :yeah:. I am so very grateful for these opportunities.