ixchel

I just looked at a typical billing rate for TMS and I am absolutely appalled that with your prediction of 45 treatments per week leaves you with a pay expectation of $20/hour. Stop telling us what your overhead is. Stop trying to compare your anticipated income to what psychiatrists typically make. Either pay a nurse the hourly wages that a nurse should make, offer benefits, and give a competitive vacation package. Would you ever go into practice with a physician and offer them half what they should make? If you WANT a nurse, PAY for a nurse. You CAN afford it. (I mean, seriously, the last commenter here is running a TMS program. In my observation, programs offering only one type of treatment (and hiring "coordinators", no less) exist because they're profitable.) Also, for the love of god, don't hire a new grad nurse. This would be career suicide for a desperate new grad who would accept any offer thrown at them just to start working, especially if they continue to work for you for a long time. God, I'm going to have this thread rattling in my brain for awhile now. Just when we've been working so hard toward better respect between different types of healthcare licenses, stuff like this still happens.

You keep using that word. I do not think it means what you think it means.

Maybe if you take sociology of nursing or theoretical foundations of nursing, you'd actually have half a clue what you're talking about. I further add that maybe a course in research would be helpful as well. I'm working with BS students now. You know what they're learning? "early signs of sepsis, diabetes complications or new wound healing methods or new methods to accelerate healing and speed recovery" Literally. Our juniors are learning this during this semester. Speaking of people crawling out of their cubby-holes, hi, everyone. Nice to pop in again. AS1, always nice to be dragged back yet again by you. Thanks for the email notification on a 4 year old thread.

Also, if you genuinely don't care what people think, why do you keep responding?

You'll find a lot of those "go with your heart" and never follow advice or feedback folks over in the student and first year after licensing forums. Spoiler: it's not pretty.

I found nursing school was WAY more demanding of every little bit of my time (while I had little kids and a husband to acknowledge from time to time), which was horribly stressful. The first semester really was the worst, although my second one drew some tears a couple of times (mostly because I was so exhausted). Regarding post-graduation, I found my first year as a nurse to be the hardest thing I've ever done in my entire life. It was awful. I found writing about it to be cathartic, especially here. Here are a couple of articles I did: https://allnurses.com/first-year-after/raw-two-months-935902.html https://allnurses.com/first-year-after/still-raw-six-958489.html So to answer your question, they are both extremely stressful, but they are apples and oranges, in my opinion. I don't think I'd like to go back to either one. My mantra for both then and now is, "you have to go through this to get through this." I am very happy I am a nurse now. I regret none of it, even in times when I've hated it.

Is this a for-profit school?

I learned very, very quickly that you can't save patients from themselves. That, to me, was no big deal. The hardest thing? When the patient DOES want to save themselves, but there are literally no resources available to make them successful at it.

I HATE it when people try to be my friend. I feel like ADNs flirt overtly immaturely as well. They make me feel icky with all of their awkward conversation.

BY LAW, your facility is required to make reasonable accommodations, which includes allowing you light duty. For more information, you can look this up under EEOC's ADA online. Any conversation you have regarding this should take place in writing. Trust me on this.

Nope! Do share!

There is a pretty large group on facebook actively working on this exact problem. They have one gigantic group and then small groups for each state actively working to create better legislative changes. They've been looking at recent events and they are even sponsoring a rally in Geneva that's happening on Friday. People are flying in for it, and IL legislators are attending. It's a pretty big deal. I know we're not allowed to link people to stuff on other social media sites, so I wont, but if you guys want to see things change and be part of it, that's a great place to be. Beth, if you're feeling strongly about making things better, maybe a link *could* be okay for this? Keywords for searching in the meantime - healthcare workers protection act. They have a page and a group. The page is there to direct people into the group. The group is where the work is being done. It's not just a facebook group. They are a foundation promoting education, advocacy, and aiming to have laws that *actually* help.

Thank you. I really appreciate it. This is actually why I haven't been around in ages. Life seems to be hitting an upward trajectory, hopefully. I'd like to give some advice that you may take as an insult, but I promise it isn't. When you use "um" in written conversation, everything you write after it comes across as childish and ignorant. Think about it: when a person emphasizes "um" in a verbal argument, do they tend to make a well-reasoned, mature argument? Personally, I find they tend to be rude and ridiculous. I'm not saying you are any of those things, because frankly, I have no idea who you are or what you're like. But, know you are judged by writing it out in an argument.

I am responding to the OP only, without reading any comments first. OP, last year I developed persistent insomnia that at its peak, ended in me going into a psychosis at the end of a shift, complete with hallucinations. Instead of taking seriously the report I'd made to my manager on two prior shifts stating that I'd been dealing with sleeplessness (and me calling out in between those two shifts), the man assumed I was actually high. I received no medical attention whatsoever. Instead, I received a drug test. My manager received the results before I did, and I was fired before proof of one controlled medication validly prescribed was requested. That is just the BEGINNING of how my life was ruined by a person assuming I was on drugs. That was more than a year ago, and I am still knee deep in the massive pile of crap that dealt me. All they had to do was get me a doctor. You do NOTHING. Absolutely not one damn thing.

I hate how crazy med admin times are! I have a sheet I use to organize my day, and the days when I look down and see things due literally every hour are just ridiculous. BUT! My favorite thing? When med admin times actually do coordinate properly, leaving you with 4 IV meds that take 30-60 min each all due at the same time, and it's on a patient with limb precautions and 18 blown veins.

Hi, all! This week, I have learned hoarding can be a blessing. (I promise that actually is nursing related. ) Always, ALWAYS retain documentation you receive from your employer. Recreating a timeline of events in writing to describe an emotional situation can bring those emotions to the surface again, fiercely, even if a decent amount of time has passed. I'm so thankful to have LadyFree take over while some things in my world are getting sorted out. Woman, YOU ROCK!

Hi, friends, Please forgive my absence. I've received a message from the lovely LadyFree, who I've happily handed the reins over to for a short while. Depending on how the next few weeks go, I may have a story to share that hopefully others can learn from. In the meantime.... Love to all of you!

Two of my medical conditions (a neurological condition that is exasperated by sleeplessness, and now my spinal fusion) have been a bit of a nuisance and could be an issue in the future. Mostly it's the epilepsy that I'm concerned about. Twice EVER it has impaired me, changing my mental status. (before responses get icky - I've been tightly supervised and plans are in place to keep things safe and seizure free. It was a 2 week run of insomnia that caused the second episode. First episode was from a medication.) So, I have noticed the ones who recognize the atypical presentation of left temporal lobe epilepsy is those who work in the medical field. If I can't speak for myself, I need to communicate that it may be epilepsy causing the problem. Plus, it could be a good thing to mention the titanium. I'm thinking inner forearm. One saying "left temporal lobe epilepsy" and one saying "fusion L5/S1 spondylolisthesis". I could find some compression sleeves (or those adorable scrub sleeves) to ensure patients don't get weirded out by it. (Amazing how terrifying the work 'epilepsy' is to most people.) I want to prevent a disaster like something that happened months ago. I was in desperate need of a doctor but was sent home instead. No repeats of that, please!!! THIS is the situation I have not discussed here due to still pending litigation being possible. Anyway, you've heard my "pros" and we know the professional cons. My facility does require cover up. I think I'm allowed one inch visible. What are your thoughts? I need help deciding on this.

Nahhhhh I'm just a jukebox hero with the eye stars and everything. Although.... I imagine Romance for Sundowners could be a most awesome genre.

You need to google nursing buzz words. Look them over. Think about ways you've done each and every one of those buzzwords in your prior jobs. Prior work experience absolutely is relevant. You just have to figure out how, and let them know.

Glad you found it because when I searched for it again, it was not where I left it!

I am having the hardest time tapping "quote" and getting a response to post. This is really glitchy today. OP, I do not regret asking if you are a nurse. It is not childish, damaging, or whatever the other word is. Your OP and first comment read to me like an early-ish nursing student with enough med/surg experience/knowledge (or perhaps you are an inpatient CNA in school) to start gaining strong opinions on something you haven't put into practice. I stand by my question and every part of my comment. Katie, thank you for your comment on CI. The only CI coming to my brain was Clinical Instructor. Or Clinical Investigator.

I love this post. I had a Lung Ca admitted for pneumonia. Family stayed with him 24 hrs. They loved me because I listened. They felt blown off frequently, so we got along well. One night, he just wasn't right. No sure reason why. Hemodynamics were WNL, assessment WNL, lung sounds still dim, but improving. My gut said strongly - but there is SOMETHING. I grabbed the NOC MD, who said she could see a change in him as well. (She admitted him and he'd been A&O, speaking appropriately.) He was just OFF. You know what I mean. Grabbed ABGs and labs. On the ABGs, O2 resulted higher than I've ever seen. I'd never had a patient run O2 like that before, so it went against everything in me to let his sats drop. It just didn't feel right! We explained to the family what was going on so they wouldn't worry a lot. I made sure he was married to the unit tele screen so we could keep a close eye with the alarm in the room off. We got him better for a short while. The cancer did get him a short time later, though. That's one story of trusting my gut. I was born into the world of beeps, though, so they are intertwined a bit into my practice. It would be strange (at times, unnerving, probably) to go without them. I'd love to learn to get my assessment skills strong enough to feel 100% without them. I may believe STRONGLY in the "treat the patient, not the monitor" saying, but there are many shifts when I rely on those monitors to tell me when I need to check on something. (Even if it is boob sweat. )

Bookmarks is an odd space. But I just now found how to go to my previous posts. That's a start. This week (8/13) is up! https://allnurses.com/general-nursing-discussion/8-13-this-1064758.html