cleback replied to angeloublue22's topic in Nurses
How is asking a doctor to see a patient over a medication issue acting "above" doctor? It's recognizing the doctors expertise in medication ordering... sounds like the doctor didn't like being asked to do something... silly.
I don't know if you have clinical depression or would be helped by medication, but I do notice maladaptive thought processes in your post. At the very least, counseling should be able to address those with you. There's no reason to continue being unhappy, OP.
cleback replied to Seeing Myself Out's topic in Nurses
I successfully went from inpatient psych to medsurg... during a recession, no less. It's not impossible. You may need to 1) relocate to a more favorable market or 2) change your resume or refresh your interview skills.
Whatever your path, I would knock off the "am I an ahole" bit. In my lifetime, whenever someone asked me that question, yes, their attitude could be adjusted. It definitely is negative and won't help you land a new job.
cleback replied to designer-mommy's topic in Nurses
The cons to the rn supervisor position are big to me. Money can't always make up for poor working environments. Also, would you want to be the kind of nm that leaves early? I know a few that did that as a staff rn... never saw them on pm shifts, didn't get the impression that they really cared about how the unit ran.
I'd vote um position. You could like it and be good at it.
I tend to see coworkers who swear constantly as those who are loose cannons/don't have good control over their emotions. I dread having to tell them something I know will set them off. That, or I really don't trust their judgment that something is truly urgent... because they swear like everything is the end of the world.
That said, I do appreciate it as a release... I just do it out of earshot.
Meh, I assume a good percent are trolls... like the one who was going to be a prostitute because, you know, money... or the one that said "my coworker was inappropriate with a patient and I told her she should've been dressed." Yeah... no.
The run of the mill "make my life decisions for me" don't bug me much.
I miss clinic work but not the hospital. Everyone is just so pressed for time and stressed in a hospital.. you need one thing and it's like you're asking for their firstborn.
I can't say what exactly I do know, but it's more like consulting work for uncommon diseases.
This was my first time hearing anyone refer to IMC as critical care. My understanding is that IMC/progressive care is poorly defined. My old hospital system defined it as med surg requiring tele. If your interest lies in actual critical care, you may be disappointed with option #1 and may not have any advantage over other medsurg nurses looking to transfer to icu.
I didn't read your whole post but that's what stuck out to me.
His wife may have seen your earlier interactions and was insecure, pixierose. Now the doc feels he has to ignore you. That would be my guess.
Everything is annoying me lately. My coworkers have been commenting on my heavily pregnant self... "where is she? Must be waddling somewhere." "When are you going to start exercising again?" Etc. Would like to tell them nunya...
Hated doing assignments as charge. No one liked their groups. Everyone felt targeted with an admission. Sounds like you have an especially crappy team to work with. I too would gladly relinquish assignments. But if I had to do them, I would insist on doing them my way. Too many cooks in the kitchen and you won't know the recipe they're going to blame you for.
Is experience at a small local hospital better than what, no experience? Of course it is. Also, nurses from small hospitals rock. Whereas tertiary hospital nurses have access teams to place their ivs, rt to give nebs, phlebotomy to draw labs, code teams to manage spiraling patients, it's just the nurse at the small hospital. So I'd lose the elitist misconception.
Security for patients with those unacceptable behaviors. You do not have to tolerate being assaulted even by unstable patients.
I'm a bit confused though. With unpleasant or icu patients I'm usually the one wheeling their bed down to the different unit myself? Especially when I'm behind with my other patients?
cleback replied to iheartnursing91's topic in Career
I was charge my first night off orientation as a new grad... because I was the only regular staff member there (working with a bunch of travelers). It was inpatient psych but still no bueno. I'm just lucky nothing happened.
This is despite a policy that charges should have 2 years of experience.
Plan to get out asap.
Opening a new floor before having the staff doesn't scream leadership that cares about ratios. I would bet they're staffed 6:1 more often than not.
The other is more of a mystery. I would also ask to shadow if possible. Otherwise, I would pick the best pay/benefits or commute.