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NightBloomCereus's Latest Activity

  1. I would suggest just looking at the hospitals in your area and keep applying. Something will come through. You can look outside the hospital as well, such as in long term care or rehab facilities. I live in a major city and the healthcare staff is very diverse. If English is your second language, definitely ask someone to look over your cover letter, resume, etc before you submit it. Employers may disregard an application if there is even a small grammatical or spelling error. Best of luck to you!
  2. NightBloomCereus

    New Grad Nurse -LTC Blues

    It's not you, it's not nursing, it's your work place. The reason many nurses don't want to work in LTC is the unsafe nurse to patient ratios, plus you're dealing with an unsupportive learning environment. Apply to other jobs. You may or may not be able to get into a hospital, but it's worth a try. You can also try home care, hospice or maybe psyc. I work in a hospital and only have 4-5 patients. Good places are out there, but you just haven't found a good job yet. I pray you don't leave the profession because of a bad first job. A lot of us wish we had the foresight to go into nursing right out of high school. Bravo to you! You're going to be a seasoned nurse before half your peers have figured out what they want to do with their life. You'll be much more financially stable too. You'll do fine in nursing.
  3. NightBloomCereus

    Two weeks in, and I need a vacation!

    I know, I know. It stinks and it's so upsetting. I had a choice between taking a job I would not like that was not safe (a nursing home with up to 60 patients for 1 nurse on nights) not knowing if or when I would ever find something that I liked, or to stick out the unpaid internship for 3 months and end up with my dream job as my first job. I love the floor and in a couple months I'm going to look forward to going to work every night. I figured that's what matters more in the long run. I just wanted OP to know you're not the only one being treated unfairly as a new grad. It's bad for all of us right now. Even those of us who are actually able to find work have hurdles. If you like the work environment, it may be worth sticking it out because I know so many new grads who are miserable in jobs where they got hardly any orientation and have unsafe assignments. Hang in there buddy :)
  4. NightBloomCereus

    Two weeks in, and I need a vacation!

    The only way to get into my hospital as a new grad is to do a full time unpaid internship for 3 months. So I have been working three 12's a week under my license unpaid plus going to class, unpaid. It's legal because I'm an "intern." What they're doing to new grads is horrible. But I'll still be employed before half my class finds a job, and I'll be one of the very few with a hospital job. I guess you just have to grin and bear it in this economy.
  5. NightBloomCereus

    I need advice from newly licensed grads!

    I passed in 75 questions. I find that 95% of what it takes to pass happens while in the nursing program, studying thoroughly every day and not cramming. Once you graduate, it's too late to learn content. You just have to do tons of nclex questions. I wouldn't suggest Saunders for the questions because they're too easy. I used Kaplan and a bit of Lippincott. The most important thing is to take your time and review every single rationale. Sometimes I would spend 15-20 mins reviewing a single question's rationale, looking up the information and reading all about it until I understood why the answer was the correct one. I'd do this even if I got the question right. If I did 50 questions it would take me 30-40 mins to do the questions and 2-3 hours to review them. Lippincott has a book that's entirely select all that apply questions, "Lippincott's NCLEX-RN Alternate-Format Questions." It helped me get over my fear of them. Remember if you're getting a lot of them on nclex it means you're doing well! About 1/3 of my nclex was alternative style but don't worry, they were actually pretty simple and straightforward, much easier than the ones in nursing school or kaplan. In short, just buckle down and do tons of questions, and really review rationales. Put your powerpoints and books away, and do not review content unless it's in reference to a rationale. Also, do not wait too long to take it. Don't wait more than 2 months after graduation, preferably 4-6 weeks. Best of luck to you, hope this helps :)
  6. NightBloomCereus

    So disappointed in hospital RNs and MDs

    As a new grad one month into my hospital orientation, this was very helpful, thanks! I'll always make sure I assess every patient.
  7. NightBloomCereus

    Don't Let Nursing Job Resumes Intimidate You

    I'm a new grad and at my interview they were extremely impressed with where I did my clinicals and the specialties of those units. I interviewed at a suburban hospital but did my clinicals in major city university hospitals. The other candidates had only been to other small suburban hospitals. The interviewers knew I was exposed to more challenges at the city hospitals. I got the job.
  8. NightBloomCereus

    How to not make patients nervous as an orientee

    I find the first impression is important in a patient establishing trust in you. As a new grad I get patients to trust me by being very confident in my assessment, and also having a clear understanding of any issues I know they have, before I walk in the room. A head to toe is something that every new grad can do confidently and fluidly, and doing so immediately establishes trust, I believe. If I'm doing something by myself, like changing a bag of saline, I might say, "Your primary nurse X has asked me to change your saline bag for you." This helps them to know that the experienced nurse is aware of what I'm doing and trusts me to do it on my own. I think the patients just want to know that they'll be safe with you, that you're not going to do something that will hurt them. Sometimes asking my preceptor questions helps them to establish their trust in me rather than having the opposite effect. It's the way you ask that matters. Like if my preceptor tells me to get supplies for an IV med, I will bring the needle and syringe into the room where she is waiting and say in a confident nurse-y tone, "Before we give this, can you double check to make sure these are correct?" if I'm not sure. This helps them to know that I'm not going to administer something unless I know it's safe. Just holding your head up, smiling and speaking in a confident tone does a lot to keep a patient from being nervous.
  9. NightBloomCereus

    New graduate job

    I live in the same area as you. I managed to get a hospital job but I worked there throughout nursing school. Many of of friends have found jobs as new grad ADN's and these are some of the places they are working. Check them out: -Horsham clinic, Ambler -Chapel Manor, Philadelphia -Watermark, Philadelphia -Manor Care, Langhorne -Kindred, Philadelphia (I think?) -Some doctor's office -Genesis, various locations -Behavioral Health services, Philadelphia (person worked there while in school) -Some nursing home in Newtown (she didn't say the name) -Corrections nursing (not sure of location) -Holy Redeemer, Meadowbrook (worked there while in school but worth a shot) Besides myself I only know of 3 or 4 others who landed hospital jobs and we all worked there while in school, so LTC or psych might end up being your way in. Being that you're very close to NJ, it may be worth getting reciprocity so you can check out places in Mercer County. The process takes about 4 months though. Good luck. It's common to wait this long.
  10. NightBloomCereus

    New Grads-how long for first job

    Six months between graduation and starting hospital new grad program. Program is 3 months long. I think a lot of it depends on location, whether you're already working for the organization, what kind of experience you have and what type of degree you have.
  11. NightBloomCereus

    NJ Board of Nursing - What the Heck?

    I tested in June of this year during the "busy time" and my license # showed up in a little over 2 weeks. I also called them 1 or 2 times for updates. Good luck!!! :)
  12. NightBloomCereus

    New nurse need advice

    I'm sorry others on this forum are being so harsh. I'm sure you're doing everything you can to learn and become the best nurse you can be. Otherwise you wouldn't have posted asking how you can be better. Major transitions are hard and the first year of nursing is extremely hard. Just take care of yourself and be patient with yourself. I've been working in healthcare for a while and find that people just don't like it when new a new person can't fend for themselves and they forget how incredibly stressful it is to be new. When you're doing the best you can and find that you keep messing up and forgetting things, it's naturally disheartening because you're human and because you genuinely care about doing a good job. The best thing you can do is forgive yourself for not knowing everything and know that this stage will pass. In one year you will be much more confident. Just never forget what it was like to be new, so that in 5, 10 years you can put yourself in the new nurse's shoes and give them what they need to be a successful nurse.
  13. NightBloomCereus

    Afraid of being trained as a bad nurse.

    Thanks so much for your responses! My gut feeling tells me it's bad practice, and I will definitely do a full assessment on my patients regardless of what I'm seeing other nurses doing (or not doing) especially since it's my patients' lives and my license on the line. In time I'll figure out what I especially need to look for depending on their diagnosis. I appreciate the helpful suggestions to know my hospital's policies (danceyrun) and the list Lev I know there are many things you can assess in your patient from just talking to them, helping them to the bathroom etc. as iPink pointed out, and it's true that there is no way I know whether every nurse is doing what they're supposed to. But I followed my preceptor around for 12 hours and she did not use a stethoscope even once. There's definitely something missing there. But I'll be sure to do what's right and bring up anything with my manager that I really feel I need to. It's comforting to know that you all think in time I'll be able to pick up if my patient is declining. I'll do the best I can...Wish me luck!
  14. NightBloomCereus

    Afraid of being trained as a bad nurse.

    I'm a new grad orienting on a tele floor. My worst fear as a nursing student and now as a nurse is not having the skill and foresight to tell if my patient is declining. I don't ever want someone to get worse because of a lack of skill on my part. I always thought the key to this would be learning good assessment skills, so this is something I want to perfect so I can anticipate my patients' needs. I'm confused because I'm orienting and have not seen a single nurse conduct a head to toe assessment on a patient. If the nurse has not had the patient before, they spend maybe 30 seconds on the assessment. If they had the same patient the previous day, they just "check on" them, look at the IV or the wound, maybe a pedal pulse, but that's it. We chart by exception, so the nurses are essentially charting that things are within normal limits that they never even checked. I've seen nurses go their entire shift without using their stethoscope, and many don't carry one. I know nurses are extremely busy, but I'm honestly terrified right now because I don't want to pick up any bad habits, neglect my patients or be "that nurse" who didn't notice when their patient was going down the tubes. I'm wondering whether what I'm observing is bad practice, or normal and ok. How do you assess your patients at the beginning of your shift? I just want to make sure I'm on the track to being a good nurse and not a bad one.
  15. NightBloomCereus

    New Grad Residency

    My hospital has a 3-month new grad residency that includes classes/education, certifications and a preceptorship on the floor. It is open to internal employees only (who worked for the hospital while in nursing school) who have passed NCLEX. It is unpaid, but leads to a job upon successful completion of the program.
  16. NightBloomCereus

    Starting clinicals this week and I'm TERRIFIED!

    My clinical instructors were always telling me to take a deep breath and relax already, so I can somewhat relate to being nervous a lot. Looking back on nursing school, clinical was really not bad at all. You won't do procedures without your instructor or an experienced nurse, and they're there to teach you. Nobody is going to leave you on your own to do something you're not sure of, or put you in a position where you'll hurt someone. At least in my experience, it's very hard to fail clinical without doing something completely dumb and unsafe. I saw a couple people get clinical warnings and believe me, they were asking for it. The lab and the actual hospital are very different, the clinical environment being much better. In clinical, it's not like you're being "tested" per se. You're there to get your feet wet and learn. My clinical instructors were some of the most supportive people in my nursing school experience (most of them, anyway). You may want to let your clinical instructor know you have an anxiety disorder, since it can be stressful sometimes and you don't need them making it worse. The only part of clinical I came to dread was getting up early. Enjoy yourself, clinical is fun.