amandan08

I love my LPN when I have one. It's better since she can do a lot of the skills, the biggest meds. She has taught me some more of the core nursing skills, like foleys and baths and stuff. But my management consists of money hungry witches. I just called to tell them I'm still feeling awful and they said to come in. I'm running a fever and the pts on this unit are immunocompromised without me making it worse. I refuse. Screw a notice longer than that. I technically didn't have to give one according to HR at the main facility. I hate this . . .

Thanks everyone for responses. I am planning on seeking other employment without posting this on my resume. I also intend to quit when I go in and feel the pt ratio is too large for me. I hate that my manager comes on the floor and I tell her I've never done a procedure and she gives me a funny look and says "where did you go to school". I nearly cry everytime. I can see advantages and disadvantages. However, I feel like this isn't good for me. Thanks everyone. :)

Hi all!:)So despite my happy face in my intro, I'm actually rather upset at the moment. After searching relentlessly for a job for 6 months, I moved to a new area and found one at a small local hospital that is an affiliate of a larger one. I was thrilled. It is a medsurg/er position (float to er when needed). I was excited!I was told in my initial interview that I would be given atleast 4 weeks of orientation and then we would go from there if I felt I needed more. They also said they had never hired a new grad but i seemed mature (im freshly 21). They portrayed the staff to be a family, which sounded kind of nice. Being both excited and desperate, I accepted. The first day wasn't bad although my director made a nasty remark about my scrub top being too tight which hurt my feelings. I didn't wear it again. I'm off subject though. So I had a great preceptor. She was nice and a great caring nurse. Day one ended up going well. Day 2 they sent my preceptor home at 3 and had a "charge nurse" who does only paperwork for the hospital I think come in. I did the pt care alone. To cut it shorter, I ended up having only 9 days (3 weeks) of orientation before my director told my preceptor not to show up at all. I was alone with 7 pts, 6 of the on telemetry, 2 total care, 1 with a coma score of 5-and the only other staff on the floor was a cna who wouldn't do what I asked and left the hospital twice on the clock to go to town. I was overwhelmed so much but didn't even have time to cry. My preceptor had been in the er as my director had told her to be and came back to help me once the director left. I stayed until 9pm with not even a single break. So without further adue, I don't feel this is an appropriate environment for a new nurse. After 3 weeks of on/off orientation, I'm not ready to be the only licensed nurse on the entire floor. Fellow nurses not at the facility have told me to run, it's not worth losing my license. But I may not find another job for months and I have bills I can't pay. And I can't transfer to the big hospital in the system until after a year. I know the first year will probably be the most stressful, but this seems to go beyond stress into unsafe, which I feel is a priority, especially in nursingAdvice would be much appreciated. -frazzled and confused, RN

Thanks for your input. Well, I'm living in the Garden City area. I have applied for... umm.. DMC, Henry Ford, Oakwood, Botsford, the VA in Ann Arbor and Detroit, Karmanos, U of M, Garden City Hospital, Beaumont, Mercy Memorial, St. Joes, St. John, St. Mary Mercy. I've also applied to nursing homes and clinics. I do all RN positions on career builder, home care, dialysis... everything... I search every day and apply for every job there if there isn't a 5 year experience requirement. I've considered and looked into volunteer work, but I don't want them to take the time to train me if I am going to have to move again to be able to even get a job. I just turned 21, so my employment history is mainly just an externship I did on a telemetry floor. But seriously, I got A's in all my nursing clinicals, my nursing class had a 96% pass rate (best in the state where I went to college)... I went to a University competitive summer program (for each seat, 15 applied) when I was 12! I graduated with a 4.0, top of my class, college was a 3.8 ish, dean's list, honor society... I don't see how I could have done anything better I'm just so upset because I've applied for probably 600 positions (I've been applying since May) and only one hospital even called back. What am I supposed to do? I hate to sound like I'm throwing a pity party, but I've had my resume reviewed by everyone I know, and they say it's great. No grammar/spelling errors, just the right amount of info. I just want the opportunity to show them what I've got! I even applied at fast food restaurants, and nothing. I mean, I can't even flip burgers because no one will take me

I'm new to the area, and a new RN, and I think it is not good for me... I have 3 job offers from where I used to live, but I can't exactly go back now. I have submitted probably 300 job applications here, and I have only gotten one call back, and I didn't get that job. I can't get anyone to talk to me at all. I feel like I made a huge mistake moving here, but it wasn't just for work... Anyways, any tips/advice would be helpful. I feel so depressed! It wouldn't be so bad if it weren't for the fact that I have offers from where I did my clinical rotations at... Does it have something to do with them being unfamiliar with my college maybe?

Worked for me... used my iPhone in the parking lot. LOL:)

I also took my NCLEX yesterday.. got the good pop up... Still waiting.. I had about 20 SATA and lots of meds I didn't know... Was a pretty hard test. I used Saunders NCLEX review book and took Rinehart review. Good luck!

That makes a lot of sense. I'm going to make some revisions... Definately change the priority. I'm just so used to my instructors screaming AIRWAY! at me all of the time I always assume that would be the most important thing, but I suppose that with a CVA the tissue perfusion would be first. I really appreciate your help! I really hope that one day I'll be a nurse as great as you! Thanks bunches!!

Thanks! I know I really didn't... I really don't know what else to tell you though! Here are the ones that I actually wrote: 1. Ineffective airway clearance r/t retained viscous secretions AEB rhonchi on inspiration. 2. Ineffective cerebral tissue perfusion r/t interruption of blood flow AEB changes in motor responses. 3. Impaired physical mobility r/t neuromuscular involvement AEB inability to purposefully move involved body parts 4. Self-care deficit r/t neuromuscular impairment AEB inability to perform ADL's. 5. Impaired verbal communication r/t neuromuscular impairment AEB inability to produce verbal communication. Those are in the order of priority, and I hope that part is right.... My supportive/assessment data for Ineffective Airway Clearance is -Trach in place -Oxygen at 10 L/min -Yellow viscous secretion produced by coughing -Rhonchi on inspiration Goal: Client will maintain patent airway with breath sounds clear Interventions/rationales: (((I don't know this part yet....)))) And that's all I have :) Is that even right so far? What could some interventions be and I have to do the assessment data, goal, and interventions for another diagnosis...

OK, so I went to clinical and now have my first care plan due tomorrow. I am utterly clueless on how to do this... I really need help.. Here is my client's information: Medical Diagnosis: CVA (other diagnoses include Hypertension, CAD, Hyperlipidemia, Angina, Dermatitis) She also has a trach and a peg tube. She is practically non-responsive. She can't move her body or speak. She is a total care patient. She doesn't have a foley, her oxygen is at 10 l/min via trach. She has all nutrition via her PEG, doesn't have an IV. I figure that one of the most important things is Ineffective Airway Clearance, but I don't have a r/t statement by it could be aeb SOB? I really don't know... Any assistance would be helpful.. Thanks :):)