jcol1460

It's been a couple of years since I dusted off Edna St. Nappington of the Shire (the nickname I gave my OB text book). Any recommendations for review materials that aren't a text book to help me brush up on the concepts of L&D? I know the residency program will teach me all I need to know, but I'd at least like to refresh my own knowledge before my first day.

I accepted the position today. It was a difficult decision for many reasons, but I'm happy with the decision I made. Thank you everybody who chimed in with your thoughts. It definitely helps having a sounding board. Now I'm off to go catch some babies í ½í¸„.

I never said I didn't want it.....it is a speciality I like and applied for specifically. But that doesn't mean I don't have interests in other specialties as well. Really just curious how transferable the skills a L&D Nurse are to other areas of critical care.

This particular L&D unit is in a trauma based hospital with a level 3 nicu and specializes in high risk pregnancies. Not saying that the patients aren't generally healthier most of the time, but the potential for very sick moms/babies is more present than most. But like I said, it is one of the specialties I liked, so it's not like I'm settling at all....just curious about what happens long term if I decide to change specialities. And if I really think about it, what I liked the most about ICU was the smaller patient load with the ability to be more involved instead of running around like a chicken doing nothing but pushing a med cart from room to room only to start over again at the end of the hall because it's time for the next med pass to start (which was my experience with med surg rotations). I didn't see that the nurses really had time to connect very well with their patients because they had too high of a load.

It's not that my heart isn't in it at all....and I'm not the kind of person to bail as soon as I could. L&D is one of the specialties I liked and applied for specifically. I just want to make sure I'm not doing myself a disservice in the long run by going into a specialty that will be hard to get out of when/if I decide to go to critical care. I heard during nursing school that being a nurse meant you could do pretty much anything, but I also heard some specialties (like psych) can end up trapping you into it because the skills aren't necessarily transferable to other areas. Just curious which one is true.....

Yes, should have used the term critical care.

Acute care in my definition is ER, ICU, Step Down units. That's my ultimate goal, but the hospitals in my area don't hire new grads directly to this units. I have an offer from L&D unit which I'm interested in, but I'm concerned about getting pigeonholed into that specialty and not being able to move about into other areas down the road. Nursing is a second career for me.

In the course of interviewing for new grad positions. I had one manager tell me labor and delivery was as good a spring board into acute care as any other specialty. I could see her point as this dept has to be ready to provide emergency care and OR support. Curious as to the thoughts of those more well versed than I in this area.

i've just finished creating a new resume in preparation for a career change. i'd love some feedback. All of this barely fits on one page, so adding all kinds of 'what i do at xx job' would literally take an entire page. and the skills section is broken into 3 columns, but that doesn't translate to this apparently. My Name, MSW, RN My Address My phone and email Objective Seasoned mental health practitioner with demonstrated track record of leadership, management skills, and successfully working with diverse client populations in crisis stabilization, one-on-one, and group settings seeking entry into nursing field as a registered nurse. Skills ¨ Health and wellness expertise ¨ BAC screening/drug screen collection ¨ Psych and mental health care proficiency ¨ Effective policy and program development ¨ Trained in in- and out-patient care ¨ Mood disorders specialist ¨ Leadership/communication skills ¨ Evidenced based curriculum development and implementation ¨ Clinical documentation mastery ¨ Dual diagnosis expertise ¨ Addictions specialist ¨ Suicide risk assessments ¨ PTSD group specialist ¨ Therapeutic expertise ¨ Psychiatric population familiarity ¨ Family therapy background ¨ Solution-focused counseling ¨ Exceptional problem solver ¨ Quality management care team member Experience The place that does stuff and things Any City, XX 2010-Current Current Position: Interim Director of Prevention and Education Other Positions Held: Assessment Therapist; Outpatient Therapist; Primary Residential Therapist; Assistant Director of Residential Services, Director of Emergency Receiving; Director of Crisis Stabilization Services The other place that does stuff and things Any City, XX 2008-2010 Primary Therapist A person that did stuff and things Any City, XX 2007-2009 Primary Therapist The first place that did stuff and things Any City, XX 2005-2007 Primary Therapist Education Nifty State College Any City, XX 2017 Associates of Science in Nursing Acme University Any City, XX 2005 Masters in Social Work Sunny Days University Any City, XX 2003 Bachelors in Social Work References available upon request.

**this was posted on another board, but i figured i'd post it here too** hello all, i'm a freshly minted RN and need some wisdom from those who have traveled this path prior to me. (sorry if it's long) background: i currently work in a substance abuse agency. i started at this agency as a therapist, and have moved up the ranks to various management positions within the last 7+ years. currently, i'm the interim director for our prevention/education department, but have been over the crisis stabilization, emergency receiving, and residential treatment departments as well. i've become the 'fixer' for struggling and broken departments. my employer has been chomping at the bit for me to finish nursing school and become licensed because they have 'grand plans' for me. today i was asked what do i want to do with my brand new license in the agency and my honest answer was "i don't know". there are many changes coming to our program and many opportunities to utilize my nursing degree, but not in a hands on capacity that would build any kind of skills. think along the lines of director of nursing, developing and implementing a new mom/baby program, director of medication assisted treatment services.....you get the drift. when i expressed my ultimate goal and the dilemma i'm facing figuring out my next steps, i was asked, how long was i planning on staying with the agency. once again, my answer was "i don't know". while i have no doubt i could get into a psych nursing unit no problem if i had no other choice, i really want a break from the mental health arena for the moment. i enjoyed the unit i precepted on very much (it was a trauma step down floor), labor and delivery, and icu; so those are the areas i would consider applying to first. however, my ultimate goal is to do travel nursing, but not for at least 5 years. so my questions are..... what is my shelf life as a new nurse to get into a hospital floor setting without experiencing myself out of that opportunity? (i.e. if you saw a director of nursing applying for a floor position, what would you think as a hiring manager?) who do i even reach out to in order to find out more about what experience is considered to be relevant experience in the travel nursing arena? i welcome all feedback as i'm trying to figure out my timelines and what my next steps should be to move towards my ultimate goal. thanks

hello all, i'm a freshly minted RN and need some wisdom from those who have traveled this path prior to me. (sorry if it's long) background: i currently work in a substance abuse agency. i started at this agency as a therapist, and have moved up the ranks to various management positions within the last 7+ years. currently, i'm the interim director for our prevention/education department, but have been over the crisis stabilization, emergency receiving, and residential treatment departments as well. i've become the 'fixer' for struggling and broken departments. my employer has been chomping at the bit for me to finish nursing school and become licensed because they have 'grand plans' for me. today i was asked what do i want to do with my brand new license in the agency and my honest answer was "i don't know". there are many changes coming to our program and many opportunities to utilize my nursing degree, but not in a hands on capacity that would build any kind of skills. think along the lines of director of nursing, developing and implementing a new mom/baby program, director of medication assisted treatment services.....you get the drift. when i expressed my ultimate goal and the dilemma i'm facing figuring out my next steps, i was asked, how long was i planning on staying with the agency. once again, my answer was "i don't know". while i have no doubt i could get into a psych nursing unit no problem if i had no other choice, i really want a break from the mental health arena for the moment. i enjoyed the unit i precepted on very much (it was a trauma step down floor), labor and delivery, and icu; so those are the areas i would consider applying to first. however, my ultimate goal is to do travel nursing, but not for at least 5 years. so my questions are..... what is my shelf life as a new nurse to get into a hospital floor setting without experiencing myself out of that opportunity? (i.e. if you saw a director of nursing applying for a floor position, what would you think as a hiring manager?) who do i even reach out to in order to find out more about what experience is considered to be relevant experience in the travel nursing arena? i welcome all feedback as i'm trying to figure out my timelines and what my next steps should be to move towards my ultimate goal. thanks

the new new application won't be released until closer to the due date, so i doubt you'd be able to get your hands no that one. so if you've seen the one with the new hesi and education point structure, then you've seen the one we filled out. we weren't aware of all the changes (and they weren't announced) until just before the applications came out 2.5-3 weeks before they were due. at welcome night, they said 500 applied. get ready for frustration and poor communication. i don't know if they are purposely being vague or what the method to the madness of not answering direct questions unless pushed for an answer, but i'm sure there is some reason. stats will replace nutrition because it is a requirement for a bachelors degree. since the field moving towards bsn as being entry level, they are getting you ready for that eventual transition. good luck with your last regular semester of freedom

While the answer is clearly yes, non profits very often don't do what is easier or make a whole lot of sense 😋. Not to mention, I doubt my agency would pay what an experienced case management nurse could command in this field. I think the benefit I provide is I know their system well and already know what the needs of our clientele are in the social work realm. My nursing degree can provide another level of understanding which supplements current knowledge. The nursing staff there really have very little idea of the therapeutic needs of the client as they focus on the health/wellness needs which are within the scope of their practice.

If you pm me your email address I'll send you what the spring point system was. It may change again for the fall though due to the changes for mandatory classes they're putting into play.

Actually, yes, I do read the nursing and physician assessments. I will say though, that the medical issues I encounter are all pretty similar as they are results of drug and alcohol use. It is rare for us to run across major medical issues as clients are screened prior to entering to make sure they are within safe medical management to be in treatment at that time. Our detox unit is the medically managed unit, but once again, if there are major medical issues, clients are sent to the hospital first. As far as having just enough knowledge to be dangerous, I wholeheartedly agree at this point. I'm worried about getting in over my head while I'm trying to get through nursing school. If I have it my way, I wouldn't work on opening up these departments in earnest until AFTER I've completed at least the ASN portion of my nursing school (I do plan to go immediately into a RN-BSN bridge program once I've passed the NCLEX). But, this conversation will occur before this happens as it will also be tied into a compensatory package where (hopefully) my employer will help me with the cost of school. The discharge planning that is in the greatest need now is social work oriented more than nursing oriented, but the need for nursing oriented case management is present. So this could be something I could 'grow' into as my knowledge increases. Thanks all of you for your input and suggestions. You have definitely given me some points to ponder. Happy holidays to you.