strawberryfields

IMO this seems unfair. It's always been days get base pay+weekend diff. And NOC get base pay + night diff + weekend diff (weekend pay is Friday, Sat, Sunday

I did! I had to submit a form and give them proof of the descriptions of the class to compare it to their requirements.

Hate to bring up a dead topic but I wanted to say I heard everyone out! This girl that approached me quit because she felt unwelcome, which is probably why she decided to help me out... she felt as though she would want the same said to her if she was in my situation. It's been almost 2 years and I still work there, I started sitting at the station and became Very close with everyone!! Also, when we get new people certain people DEFINETLY gossip about their work ethic, personality, etc. so it is a tough group. Staff do not leave the floor I work on, they are there for years; and they are very opinionated. With that said, I never engage in such gossip I always try to be the word of reason at the nurses station and I have to say we have a great team and my coworkers (who are still the same back in aug 2016) are the absolute best!

Just a general question, is it a HIPAA violation to access a chart of someone you took care of four days later? Our system asks our reasoning for accessing chart so I could type in the reason. It would be just to 'check my charting' would that be a valid reason? Pregnancy brain and floating to another floor does not make for a healthy mix so I've been racking my brain for days making sure I charted everything on a specific patient because the last hour I spent prepping for surgery and entering orders/dealing with pharmacy to make sure her home medications were continued (Haven't been back to work since) it would just be for my own piece of mind and I didn't want to violate HIPPA

So I'm new at my job so I'm pretty timid cause I'm not used working with a bunch of people (used to work 1:30 in a SNF by myself on the floor)... I have conversations with people and I'm extremely helpful when someone needs it but like instead of sitting at the nurses station I sit in the hallway to finish my charting so I can focus( it's new to me and there's a lot of charting so I don't have time to chat like the rest of them do) plus if I have a needy patient I sit near their room so it's easier. Today, I was sitting in the hallway doing these education classes I have to take as part of my orientation ... Some were due today so I was doing them ... Bunch of quizzes and you have to pass them all so I wanted to focus. One of the nurses comes up to me and says "word of advice don't isolate yourself... Engage." And I said "why did someone say something about my being in the hallway charting?" and she goes "no... These people are different not like other nurses at other hospitals ..". And she left it at that. It really urked me cause I was just minding my business and charting not thinking it would be anyone's concern that I was doing my job. Being new to the unit and a hospital was stressful enough that I am trying to be perfect at my job because I love it! I help everyone ... Talk to other people when appropriate (everyone has worked there 2+ years and are really close) so I'm trying to fit in but not be overbearing. Now I have to worry about people thinking I'm isolating myself. It's exhausting. i took her "advice" as rude because I didn't ask for it. How would you respond to it? Thoughts?

Hello everyone:) Just kind of want some encouragement as I'm feeling a bit anxious today. I worked in Post Acute care with 30 patients for about 4 years and recently got a job at one of the best hospitals in the area. They are giving me 6 shifts since I am a 4th year nurse. And then I'm on my own. Tonight I get 2-3 patients to start with (not even shadow at first ... I feel that my preceptor would be too busy to answer questions...) Should I be worried? Is that enough for someone that has just left the SNF world and is now starting in Cardiac Telemetry (NOC shift)?

You need ceus and CPR prior to clinical start date so get started on them :)

Check out Sheridan tech; I remember doing CPR and some ceus there for the program

Thank you for the input! I have all my old fluid and electrolytes made easy, cardio nursing, EKG interpretation books from nursing school and i have been taking them along with me :) Nice to hear that someone else went through the same transition !

I am so thrilled; yet super nervous to take on the new job! Does any one have any experience transitioning from SNF to acute care ? I'm going to be starting in the NOC shift. I think I'm most nervous about starting IVs in afraid of completely failing at it (we don't start many iv's at s SNF) or drawing blood (we have lab techs that do that) or hanging blood (we don't do that). Any pointers? Experience doing this transition? Advice ? Will NOC shift allow me to get comfortable?

I am doing just that! I recontacted HR and she forwarded my resume to the unit. I then found out an old co-worker works there so she had told her boss about me. Her boss stated, "I am reluctant to hire SNF nurses because I haven't had good experiences doing so in the past." But she is willing to view my resume. Rolling my eyes hard over here. But, I'll take what I can get. E-mailing it ASAP!

I was very willing but nothing panned out. I think all of that training would be incredibly valuable!

Thank you everyone for the motivational and kind responses 😊

I work in California, very tough market! But the one interview I got in Cali they told me I would be considered a new grad because I only have post acute care experience 😕

I've had two... One in which I got because the Dons family member was my patient and she got me an interview with hr right away and nothing panned out because hr said I'd be considered a "new grad" -____-

When I graduated school I took the first job that came at me because the market was very difficult. Post acute rehab. When I started I had at most 15-17 post acute patients; however, the acuity is getting increasingly worse and my patient load has increased to 25 patients and most recently they tell us 27 is our max now. I have 2nd day post op admissions, outpatient er for iv antibiotics, currently have 3 woundvacs on my assignment ( which I successfully know how to redress and fix machine malfunction... I've dealt with them so long now.) bid dressing changes for packing wounds, jp drains, colostomies, foleys... You name it... I do it. By myself! I have quickly lost faith in this company as they have increased our patient load due to money constraints ... And I've been trying for years to get into medical surgical but I quickly get told that my experience isn't equivalent! I'm a BSN I start ivs, foleys, do wound care, you name it! So as a nurse manager, how does a rehab nurse break into acute care nursing? I'm really curious! Because I've done this for four years, have I paid my dues?

@tenebrae I thought the same but I have had another interview in another state 2 years back that said the same thing... 'We will have to run you as a new grad'. I just didn't think it was all too common. And this current HR Rep knew about my experience and said "I know you aren't a new grad by any means... But coming from a SNF this is how we do things.." She said it like she knew it was undermining. -_-

Wow, thank you for all of the responses! :) I am seeing the brighter side to this (I would get a Lengthy and scholarly orientation). I guess I'm just so bummed I'm fighting for the same spot inexperienced nurses are applying for as well. I may not be chosen due to experience... They may feel obligated to pay me more. Well, I guess I will see and I'm glad I'm not the only one that has experienced having to start off as new grad from SNF.

I applied for Medical surgical and telemetry. Yes, it is very off-putting. I am competing for the same positions as a new nurses. :-/

To begin, here is a little background about myself. I have three years of experience in a skilled nursing facility. My unit consists of outpatient ER (we continue IV antibiotics), 2 day post op with rehab services, and hospice. Everyday I do admissions, discharges, collaboration with the doctors, woundcare, med pass, Ivs, the whole shebang!! With limited resources.. I am constantly using assessment and critical thinking skills to better help the doctor make decisions on patient care. While I was there I actually met the don of an esteemed hospital and she wanted me to work for her. She was confused as to why I applied many times and never got any bites so she immediately got me an interview. At this interview I was told I need to be started as a new graduate so I need to wait for new grad positions to open up. It has been months... What irks me is that I have been an RN with a BSN working for 3 years in a SNF gathering experience and I am still considered a new grad and need to wait for those coveted and very limited spots to open up. Has anyone gone through the same?

I type this as I have 5 cuts on my fingers from this work week. The cold weather is not forgiving and hand sanitizer is like an instant paper cut finder. I feel your pain, girl!

I have been working in post acute rehab for 3 yrs and then suddenly I meet the DON of a major hospital at my work (her mother is one of my patients) and she wants to hire me! She had the HR call me the next day to schedule an interview. However, my current job gave me vacation time to take off for my wedding in 2 months. How do I lay that out on the plate? And when?

No one? *bump

I got a urine culture back that has 10,000 colonies of eterococcus (spp). at 2230. When I put it on the emar I put it for 0900 because it should be taken with food. Is this wrong or should have given it at 2230??