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  1. Muffy5

    So frustrated!

    I am sorry to hear of your circumstance, but it isn't just you. I moved to CA from the Midwest approximately 2 years ago. I started back East as a LPN working in a SNF and then continued to work there as an RN. I could not find an acute care job to save my life. I immediately enrolled for my BSN and eventually moved to Cali where all of my career woes continue... I got hired in the Acute Physical rehab at a small local hospital and thought it was a great in. I have been with the company for one year and felt that I was losing valuable skills and was stagnant as a new grad, so I asked for the opportunity to orient on Med-surg and ER. After floating to those areas, they called my supervisor and said that they didn't want me back, because of my skills (we're talking starting IV's, hanging blood, etc.), nothing that has ever harmed my patients in any way! So here I am at my year review, given 3 months of what feels like probation, to "improve my skills." I am at a loss and so hurt as well. I have never had a bad review and have never felt more stuck... I feel punished for admitting my flaws and seeking help. Everyone else just sweeps what they don't know under the rug, and no one is the wiser! I don't know if I can agree with Brandon, because I am living with the consequences of taking any job, and have often given people the advice to be choosy. I wish you luck and hope you can find what you are looking for! Thanks for anyone who read this vent. California is a really tough state to be a nurse in right now!
  2. Muffy5

    Nursing doesnt define you

    My husband often tells me this very thing and it is funny that you should post this. I have recently re-located out west and have left the busy hustle and bustle of the big city for small town life in beautiful wine country. I feel very lucky to be here (and just scored a job as a new-grad RN:), but the change has caused me to become introspective about where I came from and how I have misplaced pieces of that person through this crazy journey of becoming a nurse... I love love love animals and wanted to be a vet when I was a kid. I have 3 cats (one of which is 22 years old!) and have recently rescued a 5 year old English Bulldog. I am now looking to start volunteering for the rescue I got him and couldn't be happier with my new bestie! I love wine, and great food, so living in this region is definitely a perk! Besides being a vet, I wanted to be a teacher, a fashion designer, a chef, a writer and an actress. I guess I have always been indecisive! I feel sure that being a nurse is where my life has led me and is what I am supposed to be doing, but I choose now not to forget about the little girl making paper dolls, collages and putting on her grandmas heels, singing into a hair brush and dreaming of going to mars. When things get tough in our jobs, remember that child hood wonder and do remember that nursing truly doesn't define us:yeah: Great Post topic!
  3. Muffy5

    The 5 things you love & hate about being an RN

    LOVE Feeling like I am making a difference Learning something new everyday Seeing people get better or die peacefully When nurses and doctors take the time to truly teach other nurses When nurses and doctors take the time to truly teach their patients. There are very few "non-compliant" patients, just many health care professionals that didn't assure that they really "got it." HATE Backstabbing co-workers Doctors (people)that assume all nurses are incompetent and became nurses because they weren't smart enough to go to medical school. Guess what, I am smart enough, but I CHOSE to be a nurse, because I actually wanted to spend time with my patient and my family and for the most part I enjoy people and enjoy being a nurse! Everything being about the bottom line and money. Management that does not have the best interests for their staff and patients. People that will not speak up for themselves, their co-workers and their patients. What ever happened to being an advocate?!? Family/patients that feel they know more than the doctor, because they looked something up on web-MD or has a family member "in medicine."
  4. Muffy5

    Very nervous.. can I lose my license for this?

    As the above poster replied, I don't think there would be many licensed nurses left if that was the case:) I just left a SNF as a new grad, because of the lack of support, the disorganization you speak of and just unsafe staffing in general. I also agree with the last poster that is not a place for new grads to start out. No one does anything by the book, they are berated and made to feel inadequate by supervisors when they ask questions and generally just get no support. Sorry you had to go through that. Unfortunately, in this job market, many new grads are having to settle for these SNF/LTC jobs that don't teach us anything, but to break the rules and to settle with less. I hope you find something better (as I hope to also).
  5. Don't change your mind about your career based on this one incident! It is very different with people you love. When my grandfather had a shunt placed for dialysis and my aunt had surgeries on her bunions I passed out!!! I too thought that I wouldn't be able to handle nursing, but I have been fine. There is a clinical detachment you have with your patients, which helps us be able to function and continue to do what we're doing. There are so many fields of nursing, you'll find out that's a perfect fit. Keep on keepin' on!
  6. Muffy5

    New Grad LTC Seeking Advice

    If that's the case, I'm with the other posters...I think you should look for something else. If you don't have the support of other staff, it sounds like a miserable situation...Good luck to you.
  7. Muffy5

    New Grad LTC Seeking Advice

    No, it is not you. I am a new grad RN and also work in a sub-acute rehab facility. I however, do not have nearly as many patients as you. 46, really? Well, that does sound really unsafe. I would say it took me a year to feel comfortable, not have panic attacks before work and not cry after...It will get better. Do you absolutely have to float? You could speak to staffing/the DON and request that you do not float until you have a little more experience.Pay attention to the experienced nurses that you trust and model your work after them. It is best to do something when it comes up (put in orders, charting, etc...), don't save it until the end of the night, because this will end up adding extra time to the end of your shift. You'll figure it out, after about 6 months I guarantee you'll feel different, don't give up yet. It is hard, but so was school right? You made it through that! Good luck to you!
  8. Muffy5

    Is Jevity considered "medicine"?

    I agree with the poster that stated you should speak to the DON about getting a MD order to administer the tube feeding and to put it in the care plan. We like to see our patients able to do these things themselves (if able). It keeps them independent and gives them a sense of control. I'm sorry you're going through this and the DON has been of no help!
  9. Muffy5

    what can be done????

    So you say this resident doesn't have dementia? Sorry, if I missed that part. We had a resident who has dementia, but was able to remove her tabs alarms and had repeated falls with no injuries (thankfully). All we did was document, document and eventually it was enough to get an order for a Broda chair. There is still the time she is in bed, of course. Do you guys have any sensor alarms? I usually just part outside this resident's room with my med cart when I am taking care of her,so I can react promptly. She has padded side rails, floor mats and arm and leg protectors she must wear, in case she does fall. If you are attempting to intervene, just make sure you document it, so you have proof that you are doing everything in your capabilities. Good luck to you on this one, I know it is extremely frustrating!
  10. Muffy5

    renewed confidence needed!

    I just want to say try not to get too discouraged. I work with a nurse who had severe ADD and failed the boards 4 times. Fifth time was the charm for him and I think he is one of our best nurses. I would trust him with mine and my families health. Listen to the other posters and don't answer the "real world" answer, because the real world isn't perfect and NCLEX expects us to be. I would suggest Saunders NCLEX-RN review book. I thought it was great the way it was broken up and there's an disc with extra practice questions. As far as hospital jobs go, I don't know, I work in LTC. Just keep looking, they're probably there, but they might not have the pay you had hoped for. Good luck to you. You can do it!
  11. Muffy5

    evil.. just so evil...

    What does your physical assessment show? Is their abdomen distended, how are their bowel sounds, did you do a rectal check? That would be an easy way to objectively back up the patients complaints... When I was new to LTC I had a patient come to me with c/o of stomach pain and requesting MOM. He has been known to be a little melodramatic and have med seeking behavior. While I was talking to him, his distended belly popped a button off his shirt! I immediately took him to his room and found he had nearly absent bowel sounds in his right quadrant. My preceptor told me, oh he does that, lets just give him a supp. I had to respectfully disagree and call the MD. He ended up having a strangulated bowel... Just saying trust your gut! You may be new, but have more confidence in yourself and your judgement!
  12. Muffy5

    Have you been assaulted by a patient?

    The worst in LTC was the psych pt. who had been refusing her psych meds for quite some time. In trying to check her BGL, give insulin and pills, the resident attempted to smear blood in my mouth (has been known to put feces in others mouths) and threw a walker at me. For a while afterwards, I always had a "buddy" accompany me, at least to be a witness if something happened. Lots of kicks, attempted bites and scratches, but usually from the dementia folks. One that made me laugh the other night. One of her dementia patients frequently gets rowdy and needs to be sent to the geri psych unit for observation and for meds to be readjusted. The other night the resident would not sit down and was setting off her tab alarm. Her nurse approached her and asked, can I help you sit down." The resident replies in her sweet voice, "sure, but I'll kick your A*@." We believes her too, so we called in for back up. Eventually, she sat back down.
  13. Muffy5

    What did you do before you were a nurse?

    coat checking, kennel cleaner at a vet clinic, cook, cashier, CNA. HHA, activites assistant at a nursing home (that one was my fav! I couldn't believe I got paid to do the work). Worked at an optical company, research technician for a health insurance company, LPN until I just got my RN!
  14. Muffy5

    Mad cow disease- how can you get it??

    I know a family who had CJD, because of this, none were allowed to donate blood or organs, even though the grandfather was the only person with the disease, leading me to believe that it is blood borne.
  15. Muffy5

    Pre-Screening test

    I would add an O2 sat to your VS, since the pt. is experiencing SOB.