link51411

Why did you put a dinning room light by the front door. You said you wanted an open concept.

I have been in the same situation. I worked ICUs for 2 years and then transferred to Research for 3 years. To my surprise I ended up being hired on a Gen Med floor with working in Units again being completely off the table. What worked for me and advice to you is always write a cover letter explaining how your past experience will benefit the dept. you are applying for. For example, a lot of HRs did not know what a research nurse was or did. So I simply would explain the roll and how it was still fairly clinical. Also, I explained how after settling into the roll I would love to continue in research or project improvement boards. This showed that not only am I capable of doing the job but also add something that others who are applying likely do not. Your experience is obviously different but do not be afraid to sell your skills. If you think you are an acceptable candidate for the posting explain why. If you can not write out how you meet the requirements then I would save your time and not apply. In other words focus your time on positions you actually can get and be successful in. Last comment which is the most important. Always write a new CL specific to each position you apply. This shows HR that you care about and are passionate about this opportunity and is not simply a shotgun application of someone who wants a paycheck. Do not write a general one that you simply attach to every application.

A lot of the patients/parents are chronic or at least been dealing with the given issue for an extended period of time. Because of this they are very educated on the disease process which means you have to also. It is a very difficult field with a lot of turnover. My personal perception was you either stay in the field for 6 months or forever. I would love to give you more info if you have more specific questions.

I never understood why nurses are so quick to run to the managers office but so slow to run into your room and help/educate if they are that concerned.

You need to relax. Sounds like you spouse needs to step up a bit, I can say that because my wife just graduated with her CNM degree with the help of me working, taking care of our son, and cleaning the house. You will be better off owning the material. Reading all of it, maybe even to your child as a bedtime story, I am not kidding. Further more understanding it and being able to explain it, your child is a great listener I am sure. I have a learning disability and I know what it is like. But, once you are capable of explaining material to someone you are good to go. My son at the age of 3 now says he wants to go back into my wife's tummy as well as enjoys watching open heart surgery on the TV. I am not saying this is normal but I do not see anything necessarily wrong with it.

The CDC immunization schedule is based on compliance. So think about it as when does the patient come in for normal checkups, that is when the doc is going to hit them up with immunizations, but not more than say 4 at a time. and then you have to think they try to schedule them as close to possible to the time when the patient is close to being at risk for developing the disease they are being immunized to. If you understand the diseases you can see if you schedule makes since. Honestly, I can not believe you are being tested on this. Even the Pediatrician have a chart in front of them when they are seeing if a patient is up to date or not. they need to be testing you on critical thinking not the ability to remember a chart that you will have in front of you the rest of your career.

typo I meant shifts

I was a Waiter, Bartender, and Line cook. I worked the 1530-2330 shift friday the 0600-1200 and the 1530-2330 on Sat and the 0600-1200 on sun. As well as every other 1530-2330 tue. I used to clock out and sleep in the closet at work on Sat between *****. My parents could not support me through school because my brother received all their support after graduation to become a missionary. Believe me, you can do anything for a few years to get by if you have to.

All white Air Force Ones 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

To be honest Peds is one of the hardest specialties to break into. I would suggest getting experience in one of the more difficult departments such as neuro, hem onc., research, etc. Then sub specialty into peds from that specialty. Once you have the peds experience and you are in a children's hospital system your good to go.

My wife was just hired in Cary and I am applying mostly at UNC. We are looking into the area also and rent is just crazy expensive as well as smaller homes are very costly. We may be buying a bigger house and try to rent out a room. Have you found a good place to live or are you still looking into the area? How long did it take for you to get hired after you applied? Why did you choose UNC over the other hospitals in the area? We are moving from Atlanta and I was shocked at how strong the rental market is in the triangle.

I do not understand what you are asking can you narrow in your question. I may not be the best person to answer your question since I do not believe qualitative research is reliable anyways. But I know you are not going to get an answer because you question does not really make sense.

I graduated in early 2010 when the econ. was rough and it was very difficult to get a job as a new grad and basically impossible to get a job in Peds or Mother/Baby. My school offered me a rotation on a unit I did not want to work in and in a hospital I did not want to work at. At the time I was working PRN as a PCT in the staff float pool at the local university hospital and met a nurse in the unit that I wanted to work in so I asked her to precept me and it was approved. I was offered a job before I graduated and actually hired and started orientation before I even passed boards. Working in the Neuro ICU opened up doors immediately to basically do whatever I wanted and wherever I wanted to do it after a year of experience. I do not want to tell you not to precept in your passion. But think long term and future goals and what is the best way to get there. Sometimes you have to tough it out in the most demanding/difficult unit at the lowest paying hospital on the night shift in a city you do not want to be at in order to get where you want to go. I would also say that whatever you chose it is not going to affect your nclex. If you are relying on your senior preceptorship to help you pass your nclex after all the book work you have had to complete in your program you are going to have some problems passing boards no matter where you are.

Overall I am very glad that I went into research and I do not want what I say below to prevent you from giving it a shot. You will learn a completely different perspective and there is a lot of room for growth and development. Research has also given me a different perspective on life and in my practice. My eyes have been opened up to importance of global and community/public health. I also now see the importance of questioning everything from hospital protocols to the research articles that the protocols are based on if they were even research based to begin with. It is a completely different mind set though. In any research you are no longer treating patients. When I first started, I was somewhat shocked when I was told that I could not get a BP on a patient prior to consent because if I left the hospital I was allowed to do it on the city streets. So for me the whole concept changed from using your knowledge and abilities to save lives to doing something because the protocol simply says to do it and nothing beyond the protocol. The one place where it pays to be a good ICU nurse is in the role of safety reporting and being able to connect the dots and find relationships. There are many more frustrations in research compared to working in the units. For example, you will be shocked at how much the nurses in the hospital dislike us. They blatantly do not do orders, get labs hours late, or will sometimes get a VO from a resident to cancel our VO, that we put in under the attending/PI for study purposes, and then send the your patient home so there is no chance to get needed data. I was also 1 on three staff in both departments that I have worked in. The first was Int. cardiology and I was essentially on-call 24/7 365 because I was the only one who was consistently was close enough to the hospital. Now I am the only nurse in the department with 2 coordinators. So I get pulled in 5 different directions to draw blood, give study drug, etc... for the coordinators because only I can do these tasks. At the same time I am expected to keep up the same number of regulatory binders and do the same if not more data entry and safety reporting because of course I will get all the drug studies since I am the only nurse. It gets overwhelming to say the least. There has been a very quick turnover in our department of research nurses for the above reason.

families of oncology patients perceive their loved ones to be in pain and emotional/spiritual distress during end-of-life treatment. There is a testable hypothesis right there. Now make a questionnaire to give to families on your floor and see what you get. If the answer is yes take it a step further and say Patient/familes that recieve _______________ do not perceive their loved one to..... We do QOL and pain assessments often in our patient population. from what you are describing above it sounds like you have 5 different research questions. Try to come up with one hypothesis which pertains to one patient population and then say how can we test this and do not take time collecting data that does not directly relate to that hypothesis and population. Then when you finish move on to another pt. population with the same question or come up with a different hypothesis all together. Right now I work with some MDs that do not have a lot of research experience and I am stuck in a study that has been going on for 5 years because, as opposed to just finishing their original protocol and then creating a new one, they just keep adding stuff to the study and we can not finish it or publish anything because the data is all over the place. The second problem I see is when the hypothesis is not proven to the liking of the investigator they do not write the paper and attempt to publish. No is just as important of an answer as yes and we need to share the info either way if not only to prevent others from throwing time and resources down the drain. I have a form that I use that a friend from Harvard shared with me that helps me control/orginize research ideas that come to mind contact me if you would like a copy and you can use or toss it.