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910hope's Latest Activity

  1. 910hope

    "Fighting" Cancer

    Jess (and everyone else)--- I appreciate your beautiful words and totally agree...I cried while reading it. Thank you for saying it like it is.
  2. 910hope

    *Easy* things I just hate doing

    *Hunting down more isolation gowns 3 times in one shift. Grrr. Then hunting for more masks. *Dilaudid q 2hrs. ("is it time for my Dilaudid yet??!!) Get the patient on a PCA already. *Getting Stool samples *Accuchecks with the patient that says "I'm gonna eat later on"----like when??? *Admission paperwork...sticking the patient stickers on 1,000 different spots.
  3. 910hope

    How far do you drive for work?

    I drive one hour each way to work (12 hour shifts) and I hate my commute...especially the long drive home. The worst part? If you want to work consecutive days it means less and less sleep during those days. I'm new...I often finish late...get home after 9:00, eat, shower, unwind, grab some sleep and leave home at 5:30 the next morning. Also, if I lived closer I might start to sign up for an extra shift or two a month but I haven't done that because of the long commute. I plan to find a way to move closer to work...own my place and I can't sell and pay off the mortgage at this point. If you can eliminate some stressors in your life before you start work as a new grad you will be thankful later on...just my 2 cents.
  4. 910hope

    what would you do if you got cancer?

    Thank you for sharing your experience and your strength. Very inspirational! And Congrats on your new job in Oncology.
  5. 910hope

    Lost My First Patient Today

    I'm a new grad working in an Onc unit and i'm starting to feel that I need to find a way to process the grief i feel. over several admissions in and out of our unit i got attached to a patient and her family too. when i met her a few months ago she could walk and she was such a fighter. not even 30 y.o. I could see she was getting worse but i didn't expect her to pass so quickly. I hope you find comfort in the fact that you comforted your patient. i'm trying to remember the times with my patient and her mom...being a part of that journey.
  6. 910hope

    Does it get better?

    Hey! I know what you're going thru...the accelerated BSN is fast-paced and an overwhelming amount of stuff thrown at you at once...especially the first two semesters. And I hated the first month in the hospital...the smells, the poop, the feeling of being in the way in the nurses' station, not knowing the routine. After a few months in the hospital it gets better. I've been a new nurse for 6 months now...and I do cry about once a week when I'm driving home and I think about a patient...the young mom with the terminal disease wh cried to me that day about being stuck in the hospital. But I've changed my opinion about crying...I feel it's part of my life now and it's inevitable...it's a job where we connect with patients in the darkest time, during their struggle and when you take that in the stress of it has to go somewhere...it has to come out. So tears are a good thing, imo. I became a nurse to make a difference in their lives...but there's a price to pay for that blessing.
  7. 910hope

    Getting the CNAs to see priorities

    Hello All, I have the same problem and I don't know what to do about it...it's very frustrating to realize that patient care could be so much better with cooperation and teamwork from our CNAs...burn out is dangerous for the patients.
  8. 910hope

    LTC in Charge of 35. Helpful advice?

    I'm a RN new grad, worked at a SNF, assigned to 32 patients, and I tried very, very hard to make it work. The nurses training me hinted that I needed to take shortcuts to do the med pass in time. I told them no, I'm going to do it right (take BP before BP meds, etc.). I never finished my shift on time...then the DON said "no overtime." So I clocked out and continued to chart for 2 hours. I did that for a month. And I had a knot in my stomach the whole time. New admits from the hospital...when I took the time to assess the new patient I was further behind with the med pass. And then things got worse over the holidays...a CNA and a nurse calling in 2 hours before their shift!! And that's when I realized...I can't do this, I can't stay here. I became attached to some of the patients, I enjoy geriatrics, but I couldn't accept the short staffing, the sloppiness, the culture of not caring---profits, profits. I know there are better SNFs out there and I would advise any new grad to check the medicare.gov rating of the SNF where you're planning to work. I checked another rating and got some info but I didn't know about the newer medicare ratings until after I was working...Find a good one that respects the dignity and rights of the residents...and doesn't pull them outta bed at 4:00...Geez, that's just wrong!
  9. How many patients will you have? And how many of those are rehab nursing/skilled...straight out of the local hospital?
  10. 910hope

    USC university hospital NEW grad residency

    Thanks for the info. Now I know the wait is over. No, didn't get an offer.
  11. 910hope

    USC university hospital NEW grad residency

    Ohhh, the wait is getting harder as we get closer...hope we find out before 24th but if not that's coming up soon. All I want for Christmas...pleeze Santa. :)
  12. 910hope

    Staying late to complete your work

    I'm a new grad (with no prior experience) in a SNF...assigned to 30 patients...about 12 of them recent admits from the hospital with more pain, breathing Txs, etc. than the others. I was on orientation for about a dozen days during the last month and now I'm on my own. Today I finished so late that I was just starting to chart as the 3:00 shift was arriving. I don't like the fact that I clocked out and then spent another 2 and a half hours charting. But I've been lectured about the overtime and I knew the ADON would give me grief if she knew I was still on the clock. But when I had to do the monthly med recap and stocking at the end of my shift on my 1st day on the cart last week I told myself there's no way you're not gonna get paid for this extra work, so I didn't clock out and I brought my overtime approval slip to the DON. The SNF world...I like getting to know the residents and seeing them again, but the management/ownership makes me hope I can find another job in the New Year.
  13. sclpn, I had a short SNF rotation during nursing school at a public SNF...as a new grad I'm working at a for-profit SNF where the staffing ratio is a lot different and there's little to no equipment...no V/S machines, etc. But I am learning to prioritize and delegate. I appreciate the advice posted last week; I made a sheet of the patients, BS, Gtubes, other info that is helping. I also appreciate the support from other new grads who are experiencing the same challenges.
  14. 910hope

    SNF questions to ask

    Thank you, thank you SouthernBeegirl for your advice and encouragement. It helps a ton!! Nothing like Southern hospitality! I will try my best to not be so hard on myself at work and make a list of things I've learned so far. And what you wrote about taking a 5 min. break...I will take that to heart. I realize that the final hour I'm passing meds to the last of the 32 patients my pace slows a lot because I"m literally running on fumes. The prioritization skills I can learn in this SNF will help me there but also anywhere I would think. When five patients are asking for something at the same time I realize why the NCLEX had soooo many prioritization questions. And thanks for the insight on Medicare charting. I know I need to learn a lot about charting. SMUgrad---we're going thru the same newbie experiences and for me it really helps to have the support on this thread. Let's all keep in touch!
  15. 910hope

    SNF questions to ask

    I hope so...I have never felt like such a failure on a daily basis in a new job...a new grad...32 patients---combo of the transfers from the local hospital, the rehab patients, and the long term, severe dementia combative spitting-meds-out patients. No V/S machines, taking BPs, HRs, manually. Here's what I was told about the LVN/RN dynamic from the mean ADON today: "You must be embarassed because you're a RN and you don't know as much as the LVNs." I didn't respond and I left since my shift was over. But it makes no sense!! Of course I don't know as much as experienced LVNs. I"m a new grad and of course they knew that when they hired me. It's sooo frustrating and exhausting everyday. And if there are any discussions about work or patients or anything the nurses aren't speaking English so I don't know what they're saying. That heightens the feeling of isolation. Everyday I think about quitting...and then I think about all the debt I have from school and not working while I was in school full time...so I tell myself that I'll stick it out and learn more. And then the next day I go to work and around 10:30 when I'm asked "still doing meds?" I think again "Why am I here??!!" Today my preceptor for the day came to the cart as I was finally finishing the morning meds and brought up the topic of finishing late..."the state says we only have a 2 hr. window to give the 09:00 medications so after 10:00 is too late." This from a nurse who I have never seen take BP!! But documents it on the MAR. And I replied: "I know the guidelines. But I'm going to take the BP before I give BP meds." That was the end of our discussion. I really appreciate the helpful hints and words of encouragement (plus moral support) I find here. I made excel sheets of the patients and I know that helped me today. Thank you all very much!!!