zoidberg

Several Things... -Honestly nurse educators at my institution are more paper pushers than anything else. Figure out the role at your place of work. -At least an MSN in education is what you will likely need -Think about getting a therapist to help deal with the weight you are holding on to related to your patients suffering. You have to find a way to leave it at the door if you want to survive.

Agree with other poster. I have a close friend who enjoyed a long career in an elementary school. You need to be able to act quick and trust your instincts. If you don't like 12 hr shifts, explore clinic options. At least in my area, peds offices still utilize RNs quite a bit and you may be able to find something like that.

I honestly agree with what you did and here is why. I disagree with safety systems being used this way. It rarely solves anything. If that nurse had an issue, why not bring it up during report? "hey, I don't see a stop/start time on the heparin, can you chart that before you go? Thanks!" It corrects the action in question in real time. Lets be honest, after a shift, im wiping my mind of a lot of what I just did. don't ask me about it in a month. Maybe you could have handled it better but I relate more to you in this situation just because there are so many passive aggressive people who won't say anything to your face but love to fill out reports against you.

My program also had required testing but it was just ATI. Then ATI based review questions for those who didn't pass. ATI was much harder than NCLEX. Maybe you can provide data showing how likely it is for those who did well on ATI to pass NCLEX? But yes get a lawyer. Group together and everyone pitch in.

Please note: refer to state BON and facility policies before performing skill, some locations require additional education and/or supervised insertions prior to using this skill.

True. Though I do not know what experience OP has from being a Medic, so I figured I may throw it out there.

Look into flight/transport. If you get an RN transport job it will pay better than medic jobs but be as far away from bedside as you can get.

So sorry you went through this. To be honest I too stopped giving as much hope as usual because I was broken and had no hope myself. Every time I was remotely positive when it looked like a patient may have been doing slightly better they ended up tanking, so I stopped giving hope because I didn't want to give what felt like a lie of false hope. I was so glad when we started bringing families in the unit to say goodbye part way through.

I think its not that simple, and its more of an individual journey to burnout, not as a workplace. Yes, workplace conditions greatly influence it, but we all see different people burn out at different times based on how they deal with situations.

not as bad as the less correct alternative to purulent either ?

You have endless options. Case Management or Utilization Review may be a good thing to look into. You stay in the hospital usually but no hands on patient care. Do you have your BSN? It is often needed for non-bedside positions. Some educator type roles can be found with a BSN (often MSN). School nursing I would shadow first. Lots of meds, and you are the only person there for any medical emergencies-which happen more than you would think. Crazy stuff goes down at schools.

Great post. It took me a while to accept that those I have been with when they passed on (too many to remember) and the host of emotions that come with them, isn't something I can "recover" from, it is a part of me. Emotions randomly surface. I remember a face or a family member. You just have to feel what emotions come, accept them, and move on with your day. No one who isn't a nurse can understand what it is like.

It is really easy to technically open the chart in EPIC. Even hovering or performing a search which populates certain patient information can qualify as a violation. Be very careful. Side note, at my workplace we are allowed to open our own charts and our children's charts until they turn 16 at which time they have to sign it over before we can continue.

Don't dwell on it. If you have been with covid ARDS patients for a bit you know they need a crap ton of sedation. Just take note of what the orders say on paper so you can chart pretty (titrate by 5 mcg blah blah blah) but that isn't how this works in real life. I think you made the right choice with the prop honestly. It is a known issue that drip titration parameters are a hinderance to nursing, it doesn't fit into reality. It sounds like that unit was not doing you right as a new nurse. They should be able to provide non-punitive feedback in real time. I hope you find a good place to call home.

Whoa there. Who will answer the phones and file papers if its only us guys ? Seriously though, its about having a mix of different people and backgrounds to make a team able to connect with and provide care to a diverse population, not about being able to bro out all day.