rn-jane

If I work 7-3 we can't leave or punch out til 3:23 but most times unless running late I get out between 330-345. But there have been times I'm leaving at 400 0r 430pm

A nurse sent me this video who i precepted years ago, nice video for new students, new grads and us old timers who needs reminding at times how rewarding our job can be.

Would talk with the cardiologist or whoever is your chief medical officer about the problem. Maybe if they holler enough the lab manager will sit up and understand why its so important. Don't direct it to the techs or lab people you need to talk with the boss.

First of all say to yourself "Is this what I want?" If the answer is yes then you have some work ahead of you. Make an appointment to talk with either a guidance counselor or one of the deans of the program on how you could possibly return. If not start applying to some adn schools and see if they will consider granting you admission this year or possibly next, since alot of programs are full right now. If you want it, it's there for you but remember any dream is reachable but you may have to work harder to get there.

I say good nursing judgement. As for the doctor I think you need to speak with your nurse manager next staff meeting for this to be brought up and discussed with the doctor. There are parameters that must then be written by the cardiologist in the order. Cya. We have a cardiologist that does something similar with amiodarone and once he realized he had to write the parameters they became more realistic since it would be his butt and not ours that would be in a sling if something happened.:redbeathe.

I so totally agree! It's nice that you feel like you communicated well, you did your job now you are done. It may sound cold but that is our job to provide them care and therapeutic communication while in the confines of your care.

Congrats to your daughter! I bet mom is so proud!!!

Definitely appeal! You have rights, I would look into finding a lawyer maybe at the college if their is a law school there might be a help center where they can possibly provide you with information for free law advice.

If you have the regret then go back. I feel there are some really good schools out there and some no so great schools. Check out the schools before you apply, ones that usually have a waiting list do so for a reason. Check out their nclex pass rate, interview some students if you can and make your decision and do what you have to get accepted and gl to you.

If you have the desire the "@$%% with everyone and just "do it"! Look 14 years ago when I told my family I wanted to be a nurse I was laughed at by my family, dh's family but I had the desire and a supportive husband that said "Go for it" I was a bit younger 34 but lived as a sahm and lived moderatley in ease. I now am working on my masters, we would not be able to afford the lifestyle we have now, we own a horsebreeding farm. Dh has been laid off a few times and you know I really don't know how we would have survived without my nursing job. Dh's family always complained of me not working and raising the kids and thought i should get a waitress job. Last year I cleared 0ver $70,000 with overtime(we get paid double time) I certainly could not have done that with a job at dennnys. Don't let anyone tell you it's a pipe dream, they are envious or maybe scared you will leave your sedentary job. Just do it! It won't be easy but it can be done!

Love the pharmacist. Believe me a good one will have no problem letting the doc know the dosage is exceeding the normal limits or at least let the nurse know so they can call him.

The rules are out there to protect us, patients and family members of our patients. People have a right to privacy and we as nurses and care givers have to respect the privacy and know there is a line we cannot cross. It's one thing I think if you work for a doctors office in a small town and you wonder how a patient is doing. For years in our profession peoples rights were violated and abused. I can't tell you how many times as a nurse a well seeminly neighbor, church member wanted to know about a patient. For the most part most are not happy with"They are stable and are doing fine" They want to know all the test results and will grill the nurse to no end. I sometimes think family members do it on purpose in our area "Lets see who we can sue" Just realize these laws are here for a reason and I prefer they are there to protect everyone. A person has a right to come in to the hospital when they perhaps are having the worst day of their life and not have to worry about a nosy boss wondering if they need to be replaced. Believe me it happens!

Get yourself a book on acls and study before you go to the class. I really think you need to have some idea even before you go to the class, because there is a lot of information if this is new for you.

:up:Marissa Give yourself a pat on the back! Congrats to you. I think if you want to work in a hospital call to talk with a nurse recruiter at the local hospitals around you. Tell them you will work on any floor, they probally will put on a basic medical floor or a long term such as a skilled floor. Don't be upset if they tell you to get experience going to a long term facility or nursing home. You can get good experience in homes and can move on to do whatever you want to do. Good luck to you!

"Okay, now that I received my rejection letter, I am free to speak freely. Here's my opinion of that school: Sh*t, and I'd already decided that before I ever interviewed." Sour grapes??? Sharon turns out some pretty good nurses. I worked there for almost 7 years and precepted many new grads that turned out to be some awesome nurses. I myself am a shadyside grad from pittsburgh and Sharon doctors are top notch especially cardiology which educated me for the great position i recently took when I moved back towards pittsburgh. They best thing about sharon period is the fantastic people that work there and the fantastic staff that have great compassion about the care they give. I worked sdu and icu for the time. I agree sharon needs an overhall, they are laying off staff, the administration has no idea how to treat the nurses because the ratio sucks. So far no nurses are getting layed off yet and I really hope things get better there for the community and the staff. As for the crime... Unfortunatley sharon is like every other city filled with crime, drugs and riff raff. You think youngstown or new castle is so great than go there but honestly I would not ever be caught in some areas there in broad daylight. If you really thought this about sharon why in the heavens name did you apply. I know the teachers personally they were my coworkers and they give students a one -one you don't see in the bigger schools. You have every right to be ticked off if you felt you did not get a proper interview but did you go to the don and gripe your concerns??? I really hope you don't end up in my prestigious school or in the class at the hospital that I presently work because I for one have always been fair to students, seek out students for learning experiences and if you act this way there you butt will hit the curb so fast you won't know what hit you.

The cleveland clinic is an awesome place if you get your foot in the door. It is about 90 min from me and the students from our area that get jobs there learn so much that whatever floor you choose will be an incredible learning experience. If you want to get into peds have you tried akron childrens? Any who if you choose to stay at the cc I would do the stepdown. Telemetry experience will benefit whatever route you choose, cc is basically a hospital city, so humongous that you could get lost if you need help in the icu. I'm not saying you could not handle it or you wouldn't have great team members but this is what I would do if starting out again.

I work in an 80-bed step-down unit with both, but we are on the same team. We have levels 1-3, one being essential monitoring. 2 being our intermediate care unit which is heart patients recovering from catheterizations, CHF, chest pain, etc. Level 3 is considered progressive, during which we pull sheaths(PCI) from heart caths, fresh carotid endarterectomy, nitro gets, vents, and post-op open hearts or cardiovascular procedures on day 2.

I totally agree with mary above, I knew nothing at least it felt that way when I got out of school. I felt like I made so many mistakes it was almost ridiculous. Things really don't seem to click til you been out at least two years and finally it seems to flow together. We all feel like you do so don't worry about it, graduate and get your experience taking one day at a time. Each day is a learning experience.

Okay it seems like you are really overwhelmed. Your preceptor needs to take you back a notch. Right now you are not handeling 6 patients well, just feeling overwhelmed and losing your confidence. See if you can take less of a load for right now. Your preceptor doing your charting, ivs is not helping. I think it would be more beneficial of doing all the work for say 4 patiients and doing it well than have six patients and feeling inept. I have been a preceptor for 10 years and this is what I would do. Six weeks on orientation is not long, we have 12 week orientation for new nurses and 8 weeks for experienced nurses. There is a lot to learn in 6 weeks, I understand needing to get nurses on the floors but this is alittle fast.

Getting a new job! Actually I'll be on vacation in siesta key but the next week new job, new facility!

Realize that if you don't give 2 weeks notice you won't be able to use them as a reference down the road. Try talking face to face with your manager before giving them the letter and explaining your intentions and why you can't give the obligatory 2 weeks notice. I recently resigned from my job(last week) and you know it doesn't matter how much notice you give sometimes they still get upset.

You might want to try geting a casual job for one of the med surg floors. You can always get your foot in the door for ccu once they see you are doing well. Express your desire for telemetry nursing and how eventually you want to work critical care. Gl to you. Most hospitals will give you a 6 months to a year to get your acls through them.:redbeathe

Good luck on your first day. Don't ever be afraid to ask for help. Nobody will think any less of you. They will think you are someone that cares about your patients. Good luck and let us know how it went tommorow.

Oh erin. What can I say but send you a hug. I know exactly where you are coming from because you sound like me 12 years ago. Working on a major metropolitan cardiac sdu is tough especially in your first year, especially the first 6 months. I wanted to quit so many times, cried every day before going into work and just felt like I had no support and was scrutinized by everyone. The littlest mistakes I got terrorized about and frankly was ready to hang up the towel. I left... We moved to a rural area. The drive was over an hour.. that was my excuse to them. I ended up working in a smaller community hospital with people that actually nurtured me and guess what I went back to my old facility around 5 years ago. All I can tell you is to either stick it out, things will get better once they respect you or find a position on a less stressful unit.

You could say you feel you need more medical surgical opportunities which was not offered at your present facility for strengthening or advancing your skills as a nurse. Don't even talk about wanting to go back later or imply that.