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JerseyGirl2010

JerseyGirl2010

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JerseyGirl2010's Latest Activity

  1. JerseyGirl2010

    Looking for a change/passion/Informatics

    Hi Nurses! I'm seeking all of your help once again--I started working as a new nurse almost exactly a year ago (last feb 2015). I started at a very busy trauma center hospital in Newark, NJ-a very good hospital. However, due to many factors-- being a new grad, not having the strongest personality (maybe?), being a Float RN, not enough experience, not able to learn when being yelled at constantly I realized that position was not suited for me despite working the hardest I've ever worked to succeed in a position. I then took a position as an RN in a pretty busy Doctor's office. I do a little bit of everything but not too much clinical work at all. I helped implement the EMR in the office. I take orders from the doctor, help in the office with paperwrk, insurance prior authorizations, prescriptions, and again lots of documenting on the EMR and just general stuff with the EMR (when it crashes, if the doctor panics and needs help with it, which happens a lot). I have to say I like it. I don't mind not being in the clinical world, I miss it sometimes but after having the experience I had (unfortunately) I am a bit "traumatized". I want to pursue something where I can use the skills I am good at to achieve a higher level of skills. I was thinking Nursing informatics. My fear at this point is that no one will hire me for such a position because of my minimal clinical experience. What should I do? Should I try to get a certificate for informatics? Does this enable someone to be qualified for a specific informatics role? Or should I go and get more clinical experience even though I'm not keen on it at this point? Any words of wisdom or advice would be appreciated. Thanks!
  2. JerseyGirl2010

    Family practice RN

    Well, 2 out of 5 days I do house calls with the doctor, but I don't usually go into the house with him because most of his patients have tight space in their houses. I sit in the car and help him chart/document. The other 3 days I am between two offices, again basically following the doctor, seeing his patients with him and helping him chart and document (not a whole lot of clinical stuff), but I don't mind it as my first hospital experience as an RN scared me out of that setting. Can't say whole-heartedly that I would want to go back to that environment, but I am starting to get really tired of our office politics and the pettiness that comes along with that. I feel like I am stagnating by staying there and not gaining valuable experience. I was thinking of Nursing Informatics as I feel I have had a good amount of experience helping this doctor transition from paper to EMR the passed 6 months (A big part of why I was hired for this practice). Going back to the office politics for a moment--Our office was bought out by a larger corporation (well before I was hired) which owns several hospitals and practices in the area and I find that I have to be a diplomat between the doctor and the mid-level management mainly because the doctor doesn't trust/like them (seemingly only trusts me) and I feel I have to make him AND corporate happy all at the same time. For example, prescriptions. At some point during transitioning to EMR I'm sure corporate mentioned to us that the doctor would have to comply with e-prescriptions but due to many reasons we haven't been doing it. Sometimes its because the system simply doesn't allow us and sometimes its that the doctor refuses because he feels that EMR is too time-consuming to begin with. The other day, because I was reminded that e-prescriptions needed to be done the proper way (i.e. through our EMR) the doc had a bit of a fit about it. This is when I feel like I am stuck between a rock and a hard place. He has to comply otherwise it will fall on me as well, plus part of me thinks it may serve as best practice for documentation purposes (this is still yet to be proven to me lol). Anyway, I think I'm venting more than explaining. How does one get into something less clinical and more technical or "behind the scenes" so to speak? Could this bit of experience set me up for Nursing Informatics?
  3. JerseyGirl2010

    Family practice RN

    Hello all, I was wondering what some of you think might be a suitable setting for me- I have 6 years tele technician exp, 2 months float pool orientation experience and 6 months of experience at my current job as a family practice RN. I am ready for a change but I don't want to overwhelm myself. Any suggestions? Thanks!
  4. JerseyGirl2010

    Micromanagement of Nurses

    Good point. Allow me to explain a bit more- I am currently a nurse in a family practice office and I like working with the doctor however, I feel like I get bossed around by the receptionist and I get scolded for silly things by a practice manager who is MIA (she manages several other practices and makes a once a week visit-usually when I'm not there because I do housecalls with the doctor) for very petty things. These are little things I feel I should not have to deal with as much in this setting. But maybe it just comes with the territory of working in a fam practice office?
  5. JerseyGirl2010

    Micromanagement of Nurses

    Hi Nurses-Just a general question, Which specialty of nursing or Nurse practitioning is there the least amount of micromanaging from admin and docs and maybe even other nurses? Just curious.
  6. JerseyGirl2010

    New Nurse to Family Practice Needs Advice!

    I'm in the same exact situation!! Except we don't do lipo or botox. BUT my doctor is old school and has been using PAPER charts for more than 25 years. He does house calls as well! He's OCD/neurotic lol And He wants me to be his scribe for eMR until he gets Dragon (voice recognition typing thing) I have to be 10 steps ahead of him when it comes to this eMR but this is my first time using it as well! HELP! I'm getting anxious because the doctor is getting/making the entire office anxious lol
  7. JerseyGirl2010

    New Nurse Needs Orientation Advice

    https://allnurses.com/general-nursing-discussion/new-grad-orientation-979888.html Hi everyone! I am in a similar boat....if you get a chance please read my post ^....I've been having a very rough time and I really want to get through orientation, get my experience and move on in this field....any tips/advice would be greatly apprectiated!!
  8. JerseyGirl2010

    New Grad orientation trouble

    Ok, so today was my first day back after "the meeting"....I was put on a different floor than I have been on so far which is fine since I will be a float. I had a different preceptor and one of the first things I asked her is if she has a habit of yelling at orientees in front of patients (or period) and she said Never! Which I have to say is true she had a much more "pleasant" demeanor and even though I was asking her questions quite a bit she never made me feel stupid for asking....The only downfall about today was that I was supposed to have 5 total patients and due to the type of patients we had on this particular floor (it was a mix of med-surg/tele/ rapid diagnosic) I only had 3 which is good in the sense that I was able to keep up with meds/orders/assesments/charting in a more timely fashion but unfortunately the director and educator are more concerned about me "moving forward" to take on more patients since I will eventually (and very soon) be expected to take on 7-8 patients. A 3 patient load isn't going to prove anything to them. Anyway, Wednesday I'm sure I will be back to my 5 patient load. From what I've mentioned in my previous posts do you all think it is truly possible that I will be fired from this position? I'm still so worried....I'm sure Wednesday I will still be a little better than the other unit, but I still feel quite slow at figuring stuff out....like my preceptor would always catch my pending orders before I did....and then I somehow always forget to check pertinent labs....I've gotten better at that because I'm finding more time to look up medication info and associated lab results before I actually give a med. How do you find time to look up info on medications/orders/labs? Do you do that first thing in the morning while organizing your medication administration time table?
  9. JerseyGirl2010

    New Grad orientation trouble

    Thanks for the advice and words of encouragement! I will definitely try priming my bag/tubing that way from now on.....and I've been looking at some "brain sheets" others have provided here. Also, for the last poster re: my location....i don't know how to go back and change that :-/ I think that might've been my problem is I wasn't using a "brain sheet" that actually works for me.....mine was something I used a line with my pen to divide my patients and I would end up trying to write every little detail given to me in report about my patients on the left side. Then meds in the middle and by the end of all of it I didn't have room for anything else! I also think that having a different preceptor on a different floor will be really helpful.....I'm trying to think positive! Thanks again!!
  10. JerseyGirl2010

    New Grad orientation trouble

    Hello Nurses- I was so very lucky to accept a position as a Float pool RN at a very busy urban hospital in North Jersey recently. I am in my 6th week (out of 10 total weeks of orientation) and I'm afraid I will not make it to the end :-(. I am not exaggerating either. The other day my educator and director called me for a meeting (on my day off) to let me know they were very concerned about my progress thus far. They started by asking me how I thought I was doing and I was honest. I told them I have definitely been overwhelmed so far but that I felt a bit more confident with my work the passed two days. Well, I certainly felt like an idiot for that because they were also honest and said they did not entirely agree. There had been some "issues" my educator had spoken to me about before this meeting....they are as follows: 1. my time management, especially with administering meds was probably her first concern. Also I was not finding time to chart in between meds and instead I would end up charting closer to the end of my shift. 2. My preceptor said my report giving was superficial. 3. And this one I agree was definitely a big mistake on my part, I didn't check bp parameters before giving hydralazine (luckily the patient's BP was indeed above the parameters set by the ordering physician). 4. I happen to prime an IV tubing with air bubbles ( keep in mind that this happened to be the one time I had a few air bubbles in my line that my preceptor "caught" before the line was actually hung- in the previous lines that I hung there were no air bubbles but of course my preceptor wasn't around to witness those). All of this was with 4-5 patients. I admit that my orientation has been overwhelming thus far, but I have been trying to follow exactly what my preceptor has been telling me to do. They say that I have to administer meds in a timely fashion and if I do that then I will certainly rush and make mistakes. At the same time I am supposed to chart in a timely fashion...and if I do that I will fall behind with my meds. It's a catch-22! My preceptor definitely has an interesting teaching style.....she scolds me in front of patients all the time....which to some degree i understand because she is frustrated, tired and has other things to get to....but unfortunately I'm not the type of person who learns from being embarrassed in front of my patients and colleagues. With regards to the report....by the time I'm ready to give report at the end of my shift....I'm tired, hungry and I resort to going off the top of my head because my personal "flow sheet" that I write on all day is a disorganized mess. Luckily, some other nurses have given me a run down of their report....Name of pt, under care of so and so Dr, dx, hx, pertinent negatives by system, Iv/skin, pending orders and then anything extra that needs to be added. I have been working in the system for almost 6 years in another position and I was ready to enroll in a BSN program this March but I have since put that off til June considering that my director/educator aren't sure I'll make progress. By the end of orientation they want me to be able to handle 7-8 patients. I should add that I may have a "perfectionist" personality that may be why I take a long time to do certain things....Any advice would be greatly appreciated by all of you are or have gone through a similar ordeal! I really want to be a great nurse and I really want to keep this job as it is an excellent hospital to gain experience!
  11. JerseyGirl2010

    Float pool, would I be in over my head?

    Hey there uRNmyway, I'm loving this post. I was recently offered an interview for a Float Pool position. I am a new grad. I have 5 years experience as a Tele technician and I did a Student nurse externship at Bellevue hospital in NYC. Do you think I would be able to manage a position like this? I really like the idea of gaining experience in different areas and to be honest I get bored easily so this might just be a blessing in disguise...Thoughts? Any advice would be greatly appreciated. Thanks!
  12. JerseyGirl2010

    Newark Beth Israel

    Hello Nurses, I am also in a similar boat. I recently received an email from NBIMC's Nurse recruiter about setting up a date for an interview for Float Pool- which would be great experience since I am a New grad nurse. Any info on the hospital or the position would be greatly appreciated. Thank you!
  13. JerseyGirl2010

    GTPAL

    Thats what I thought but apparently its pre-term according to the exam if im remembering correctly.
  14. JerseyGirl2010

    GTPAL

    Ok so apparently im having some trouble with term, pre-term and specifically the number 37- lol In my books and notes, it states that anything below 37 is Preterm and anything above 37 is term. I know this is going to seem crazy, but im getting so fixated on this because I got a question wrong on my last exam on GTPAL question with a 37 week pregnant pt. What if a pregnant pt is EXACTLY 37 weeks?? Is that Term or Pre-term?
  15. JerseyGirl2010

    Soon to be New grad

    Wow @brownbook that's great advice. I don't think I ever realized new grads could float- kind of thought that was more for experienced nurses also, but it makes sense now. Also, should have mentioned in my first post that I do have experience as a telemetry monitor tech (almost 5 years) and am hoping that will count as something. I actually had to pick up one of our monitors today from our OR and got to chat with a nurse there and she said she started in the OR and never left, I guess its certainly not impossible! :-D and never really thought about outpatient centers either. Thanks again- its all very helpful!
  16. JerseyGirl2010

    Soon to be New grad

    Hi soon-to-be new grad here and am wondering what it will take to get into PACU asap? I know most people suggest new grads to get their feet wet in Med-surg, but I really like surgery and eventually want to work in Plastic surgery- figure PACU is the best place to get my feet wet for my future purposes. Thoughts? Any advice would be appreciated! Thank you :-)