Tarmstrong

Yes I have seen the board use that to remove a RN. The NM was attempting to get her fired and the review showed in-adquate training. They removed the rn from the floor and transferred her to another floor. Yes you do have to boast about your job for promotion and even then it comes out with favoritism. A co worker of mine showed up, did the bare mimium in patient care but was in good with the NM and got a 3 step raise. She did not upgrade her education or do something other significant. The board rotates out in Texas so they may be hope for next year.

It took me over 3 months just to get an interview and then another 3 months to get in the hospital system. I concur with the other post about revamping your resume. If you have a workforce commisson up there. IE unemployment workforce commission, they have a resume format that helps put key words into you resume and make it reader friendly and it is free. you dont have to be on unemployment to use that service. I was subsitute teaching as school nurse until my job came in. Dont move without a firm job offer! I also had a few phanthom job offers that said they wanted to hire me and then a week later I would find out they hired someone else.

Tough choice. I went to the hospital and worked a year. I am moving over to home health and the experience I learned on the floor is one of the reasons I was selected for the position. I do know you need to be strong is decision making because it is just you out in the field, no one down the hall that can come give a second opinion. Keep trying and good luck.

Hello Everyone, I have enjoyed reading the various post and gathering insight. I am 6 months on a post op medical surgical floor after 12 years as a medic. Can someone suggest a possible better floor or speciality area for me? I dread this job- I use to love a challenge, now I am burn out. I am finding myself too stressed during and after work to interact with my family who deserves the best. I can think "inside" the box as medics turned RN say but I feel like I have made a "step down" in my career. (That is the hardest thing to say.) I dont want to insult anyone, I know I havent found my niche and would love some suggestions so I can work towards finding that niche and be the patient advocate and excellent Nurse I know I can be. Second question- I have other floors that have "teased" about recruiting me because I am a very hard worker with excellent ethics. How long do you stay in a position/floor before moving up? Everyone seems to have different time frames. I want to "pay back" my floor for hiring me and getting my foot in the door but I dont want to spend another 6 months crying on the drive home or having to get on medication to help me survive since my BP has sky rocketed and the increased workout regimins are not cutting the cake. Hmm cake...he he

This has happen to me too. I politely replied back, " I know that but I am asking you for help because I have other duties that are semi life threatening for the patient now."

I just completed paramedic to ADN bc I ran out of time. My former job starting making cut backs and a lot of EMS lost jobs due to budget cuts. I am on a post op medical surgical floor and after 6 months I truely hate it. I feel I have "stepped down" in my career path. I know I havent found my "niche" and it will be an uphill battle. After 12 years in EMS I do think inside the box but miss the critical thinking that comes with EMS. ER and ICU would be a better fit but I wanted to get in the system so I am doing my time to justify my training and learning all I can from this floor. It depends on where you go as to whether they are looking for ADN or BSN. My facility hires you in at a higher grade if BSN but I am actually better prepared for a lot of stuff that arises on the floor than the BSN nurses. It is a tough call. Since I hold two degrees I would say go for the BSN if you have the time and money. The NCLEX was easier than the paramedic state board so relax in that area!

New Grad of less than a yeat. I work on a post op medical surgical floor. I knew it would be busy coming in but I was desperate to get a job in this area versus communiting 1/5 hrs each way to work. I would have sunk by week 2 if not for my ability to multitask and my 12 years as a medic. My nursing school just taught me a little bit more about certain topics and health issues, the rest I learned through real life experience as a medic. Sad to say, the phrase, "Nurses eat their young." Still holds true. I have found valuable resources in other newer Rn to the floor who remember how it was to be thrown to the wolves and overloaded with acutely ill patients and expected to master everything at once with no backup. I go to them with questions daily. I keep a running log of little tidbit note that apply to my floor to help keep everything straight. That list is up to 7 pages now. I have rooted out those on the floor who are willing to work as a "team" and not work as "this is a competition and I'm going to win not you." We are here to take care of the patients not see who can get their assignments done so they can surf facebook. If I have a lighter patient load I will offer to help other staff members so they can get finished and sit down too. I am a firm beleiver in good karma and treating everyone with respect, your co-workers, the complaining patient, everyone. Remeber people in the hospital even for long term are not at their personal best and are bound to feel cranky and be grouchy. We can go home after a 8,10 or 12 hour shift, they must stay there till discharged.

Lisa, I beleive we are from the same school. I started with Saunders after rave reviews but struggled and sank in the mud with it. I switched to Exam cram and made it through the entire book. I checked out Kaplan from the local library and read it and did the test. I am working on Lacharity right now and although I miss about 1/3 to 1/2 depending on topic, I review the rationales and figure out why its correct and internet search concepts or terms while takinf the questions. It appears to sink in better. I do beleive it is "all about how you take the test." All my study prep has been book version for I too am out of money. Good luck and keep trying!

As much as it must sting, this is a blessing. I hate it when someone with a lower "education level" (and I say this kindly) is going behind and un doing what is the "right thing" for the patients to cut corners. Regretfully I am seeing that more and more these days in various companies. While they will profess "high patient care " standards, they cut necessary staff each shift and would rather "react" to a problem such as a high census of patients for one person to care for on a shift and hope that no one "goes down" with an emergent situation. Also, with no paper trail, or formal written warnings, it does sound like wrongful termination depending on what state you are in.

Several people have suggested the Lacharity book stating that the Nclex is almost (40%) delgation and priority. I completed Excelsior's medic to Rn and my CA told me that figure. I will try to get it on the next payday.