thatone

I do as much as I can while still getting my other work finished. If I can manage to get the whole thing done, great! If all I manage is to get the patient settled in the room, well, that's ok too. We don't have a policy on it but if you don't get the admission done and they've been on the floor for an hour you better have a very good reason cause that makes folks very cranky. A friend of mine works in a neighboring hospital and they have a 30 minute window on either side of shift change where they don't get admissions or transfers. If ER has a pt to send, they know they have to send it by 630 or they are keeping it till 730. I'm not sure if the hospital did their own evaluation of errors or if there is solid evidence but she said the rule came about a year or so ago and was put in place to reduce the number of errors made with new admissions. She couldn't tell me if it actually worked for that but she said it did reduce the number of patient complaints about the admission process.

The only rule at my hospital is that one can't be in any kind of supervisory role to the other. That would include one being a nurse and the other a CNA or one being an RN and the other an LPN. If one is a secretary and one is a CNA, that's perfectly acceptable as would be two RNs provided one wasn't the charge nurse. Even if they work different days/shifts, their roles are what determine if it is allowed or not. I can only think of one time where it was an issue and that's because they didn't tell anyone they were related until after they were working on the same unit for several months. The daughter bragged about a nice raise after a glowing evaluation and people questioned where the manager got her info because her performance wasn't that strong. Turns out the coordinator/right hand to the manager was her mom. Someone complained to upper management and not only did the manager get in trouble, both Mom and daughter were out jobs.

It would be a raise because that hospital pays more than mine does. Even though I don't have much experience, it would be about $1.50 more per hour. That's a pretty significant pay bump for me.

Thanks for the advice. I think you guys are right. I do want to try the ER and if I want to change jobs in 6 months, I'll worry about that in 6 months!

I've been a nurse for 18 months on a telemetry floor and enjoyed it. Before becoming an RN I worked there as a CNA and monitor tech so I've been there for years and know everyone really well. However, we haven't seen a pay raise in years and won't be getting one this upcoming year either. I've also hit the point where I'm frustrated with staff/pt ratios and feel like I'd really benefit from a change. I applied for a position at the other local hospital in their ER in the hopes I'd get a little bump in pay and could also stay PRN at my current position to keep my foot in the door. Sadly, I didn't get the job and it will be 6 months before I can reapply--assuming there is a position open at that time. My current hospital just posted an opening for our ER. Transferring will get me into the ER like I want but it won't come with a pay increase and we aren't allowed to have PRN positions on one unit while working full time on another. I love the people I work with and had hoped to not give the place up entirely. Ideally, I would like to work at the ER at the other hospital as I think it would be a good experience to see what other hospitals have to offer and how things are done elsewhere. What I'm not sure about, is how transferring to my facilities ER would impact my chances. Initially I was thinking that ER experience would probably help but if it's only 6 months, is that enough to be significant in any way? Would being willing to leave after just 6 months be considered negative by a hiring manager? I'm having a really tough time deciding and ER positions tend to fill quickly so I need to decide soon if I want to put in a transfer bid. Which brings me to my other concern, I have to put the transfer in through my manager and I don't think she'll be pleased. We've been short staffed for months and she's got several new grads in training but I know she'll be upset I'm looking to leave. I don't know that she would hold it against me in the event I didn't get the position in the ER but I am a little worried about it. The other option is of course, to suck it up and stay where I'm at and cross my fingers I'll get an ER position with the other facility in 6 months. My manager still wouldn't be happy if I left but her new grads would at least have some experience at that point and if I stayed on PRN that would help her with scheduling. Since she's the only manager I've had, I am kinda relying on her for a future reference.