PhyllisMSN

That is very interesting. If they’re not giving you a stipend for your personal phone I’m not sure they can require you to download an app or the jobs purpose.

I have worked my entire career in urban areas. These patients are very sick and in so much pain. They have been in the hospital since they have been infants. They have also been on hard narcotics since they were little children. It is a terrible disease and sometimes I find myself getting frustrated with them. I try and put myself in their shoes. They have had healthcare providers to look at them like they are nothing but drug addicts. They do not have normal childhoods.

No you should not feel guilty whatsoever. It is not your responsibility to staff the hospital or the unit. Healthcare is now a business and as nurses we should be treating it as a business. I know in nursing school we are taught that our patients need us and we should be advocates , but we also must have loyalty to ourselves first.

Congratulations on starting out in this challenging field. Nurses have to be extremely astute when caring for neurocritical ill patients. Neuro patients status can change by the hour. Tips for the ICU: Do not administer any medication that you have not thoroughly researched.Always try and follow your preceptor's schedule.Always be positive, show initiative and ask questions.Ask for helpDo not be a know-it-all.

I have never thought about the isolation part. I have been in the hospital for almost 30 years. I think I would welcome my cozy home! So how do you find these jobs? Do you just Google " work at home nurse"?

You really have a valid point! I have been ghosted by human resources many times. However, in certain states, you have to really be careful about ghosting employers. For example in my state, there are 3 hospital systems in the whole state. So if you ghost one, your chances of employment are greatly reduced.

I know you were probably startled when the interviewer stated there would be "culture shock". I do believe I would have asked her to explain (in a nice way of course). Did you accept the job? I have been contemplating working from home.

As a new nurse you will not have much negotiating room. However, I have known of nurses with a LPN license being successful in negotiating a higher starting salary. Once you get 1 to 2 years of experience, you will have more leverage. Good luck !

Another place to market your CPR/ACLS business to is a staffing agency. When I worked as an agency nurse, we would always have someone who needed CPR, and they could not find a provider

I did my Master's thesis on HIPAA and the Electronic Medical Record. It is not a violation unless the patient can be identified. However, there are many organizations that do not allow any postings about work on social media. I have a blog, and I get most of my ideas to write on from the job. However, I always change the names and the scenario. For example, we had a patient who coded and was resuscitated, and was put on a hyperthermic protocol. I took that opportunity to write about the hypothermic protocol. I make it a habit not to post anything about my job on social media.

The average notice time is 2-3 weeks. However, it is best to look at your organization's policy. Is your wife in management?

I have been a member of this forum since 2003. I am so impressed with its growth! The names of my blogs are in my profile! @Nurse Beth I actually read your Blog and this is what inspired me to look into writing as a freelancer!

Thanks for the warm welcome! ?

As a nurse of almost 30 years, the best advice I can give you is to continue learning everything about your patients. Ask questions, look up diagnosis, keep your medication book on hand at all times! I also subscribed to journals that was in my specialty. How are you doing now? I see you wrote this about 6 months ago.

It is so interesting to see the different orientation processes around the country. As a new grad, I would expect no less than 4 months orientation on a specialty floor. I have only worked in large teaching hospitals, and sometimes they will go up to 6 months for new grad orientation.

Hi everyone, I have been a nurse for close to 30 years and I think I am ready to become a Nurse Entrepreneur. I have obtained a MSN in Informatics and I do believe this degree will help me to succeed in my new venture. I currently have two blogs and I am applying for Nurse Writer Freelance jobs. Again, glad to be here.

I am interested also... how about we create a Facebook group?

I think you are correct. Last week we had a code in the ICU and a patient's family member was trying to come into the ICU. I told her she couldnt come in at the moment. She told my Manager I 'put' her out of the unit. My manager told me I had to apologize to her.

The Baltimore-Washington Progressive office is very busy especially if you are muli-skilled. Every Hospital I have been at I have seen a Progressive badge in this area. I think their rates are a little low.

Oh, here is the link I told you about: http://www.uwmcacc.org/pdf/tunnelled.pdf

Here is a quick reference for drawing blood from PAC. The main thing to remember with these types of catherters is to remain STERILE at all times. These PAC are very easy to become infected and they are frequent sources of sepsis. Really ,I think if you are going to be accessing and drawing blood from these you do really need a mini course. These catheters have to be accessed with a Huber needle before blood is drawn and although it is a fairly simple procedure, it is best taught hands on. Good luck with your new job.