missbutton

There is a service at Vanderbilt run NPs that only does percutaneous trachs and follows those patients.

Earn your own internship.

It's just business. I get called off all the time and have learned to never leave without double checking my phone. But I'm sorry you had a crummy night.

Everywhere I have ever worked has had a three month probation period where either they or you can end the employment without issues because you are not yet a real employee. Its a trial period. If you get the other job just quit at the SNF but tell them something vague about how the job/location is not a good fit for your family commitments but thank you so much for the opportunity... blah blah blah. It happens all the time, so don't worry about it too much. That's why they put you on probation to start. But do not tell the SNF that you are still interviewing. You will never get off the sh*t list. If you do end up leaving right away, and you make the reason about family commitments it's hard for people to get too upset about it without them looking like a jerk.

I second looking at PACU/ ambulatory surgery for a lateral transfer. But have you looked for more supervisory positions? 10 years of hardcore er experience sounds perfect for advancing to a dedicated charge nurse position or a house supervisor position.

I'm a newish grad and that's the way I was taught to do it to. 1. As as student we were not to give meds without a nurse verifying the med were were giving/ actually watching us draw the med. 2. It is best to draw the med at the bedside. and 3. It is a huge problem with the joint commission to transport meds in an unlabeled syringe. Sounds like your new grad is doing a good job.

Required or you have to wear a mask. But I don't get why so many healthcare workers are against vaccination? It drives me crazy.

I'm loyal to my unit and direct management. I'm blessed that my direct manager is awesome and if she leaves before I do, I would strongly consider following her. But the humungous corporation I work for? No.

CA nurse practice act says that nurses are responsible for 'personal hygiene'; whatever you will make of that. Any restrictions about clipping nails are facility based. I strongly suggest that you read the nurse practice act, lots of people will tell you things about your scope that are just plain wrong. Yesterday, I had a phlebotomist tell me that venipuncture is not in the RN's scope of practice. I had to laugh. http://www.rn.ca.gov/regulations/rn.shtml 4th link down, but lots of other good things to read on that page.

Hi guys, I'm orienting to the ICU (yay!). It's a rural and low acuity ICU and we're in the middle of a really bad summer slump. And both me and my 'dedicated' preceptor are getting low censused, but independently of each other, so as a result I've ended up passed from nurse to nurse, I've only had one acute patient, and I've been low censused so much that I've only worked 5 1/2 weeks of my seven weeks of orientation. When I was oriented to med/surg ,at this hospital, my orientation was protected- no low census or call for me or my preceptor during my whole orientation. Anyways, I'm pretty upset about the whole thing, but before I get too upset, I wanted to ask what your ICU orientation was like or how your ICU handles orienting new nurses...? Thanks for the feedback

To the OP: I'm a year out and I'm still there many days. But you learn to tread water. And after switching units, I now know how important unit culture is to my professional satisfaction.

Keep applying for other jobs now. As long as you are on probation, which I assume you are because everywhere I've ever been has had a 3 month probation, you can leave or they can let you go much easier then after you are a full employee. Once you have a job, its easier to get a different job. So just keep looking.

Thanks for sharing... I now feel very spoiled by my little hospital.

I didn't realize that that's the way it is at other hospitals. In my defense, the orders are the only official notice that we get, its the only thing that even has the pt's name and DOB. Thanks for sharing.

Is anyone else expected to routinely take report and accept a pt from the ER with out seeing the admitting orders? I just transferred from med surg to the icu; and I'm now forced to routinely take report on pts without the ER sending me the order. The med surg floor that I came from insisted that the orders be faxed before report was given and maintaining that prevented a lot of problems from ever reaching the floor or the pt. It seems kind of dangerous to me, but I was wondering what you guys think. Thanks