pebbles049

I am a new school nurse and start the 29th. I am extremely nervous. Its totally different then ltc. I have been talking about school nursing for at least 4 years. I have a bigger school then I would like. I have approximately 1150 students. The kids wont be back in school until after labor day. I guess what makes me nervous is that I am an introvert which has never hindered me in other jobs except that people have a hard time figuring me out. New kid on the block and extremely nervous. I want to really do some good for the school that I am in.

Thank you all for the kind welcome. I am so excited cause I feel like I am on my way to achieving a goal. I hope to be able to learn a lot before school starts for the kids. Reading here will keep me busy. Thanks all

Hi all. My name is Chris and I have just taken a position in a charter school of 1018 students. I hope I did not take on too much. At this point in my career I need to do something else. I have been a nurse primarily ltc for 20 years. I also have done some peds through home health as well as drug and detox. I just went back to get my R.N. in 2013 and now have B.S.N. as of May. I know school nursing can be stressful but a different kind. I honestly don't expect to be any easier then what I do now. While I feel confident that I can do this I am nervous. Any suggestions. I am in Pennsylvania. I will have a week of orientation . I will also have a second nurse 2 days a week.

I would have sent him especially if full code. It's all about money sometimes that is why I hate long term care

My husband and I both nurses work in the same facility. We work the same floor sometimes different shifts We have a patient on one floor who becomes very argumentative and seems to think my husband walks on water.(he just yeses the lady no matter what). She has his schedule memorized and becomes upset if he is not on his floor. This patient seems to fight with all of us women nurses. Yesterday something occured where the aides woke her up for breakfast and she fell back to sleep . She woke up and came screaming out into the hall about breakfast. I opened my mouth to try and explain that the aid was going to take the food and warm it up. Apparrently I was supposed to do it as the lady became angry with me. I went in to turn off her bell a half hour later and asked about the eggs and she proceeded to tell me that my husband deserved better and that I am a witch. I wanted to tell her what she was. I know that is not appropriate but this women is mean. She has her family members not wanting to come without being medicated. This lady then proceeded to pick on my weight. Yes I am fluffy and unfortunately probablly will always be. That was the boiling point though. I did get pissed and looked at the patient and said that is it I am done and not taking care of you today. Fortunately I knew my co worker could take her for the day as we already are taking care of one of hers. My issue is how do I handle this women. Every other day when i take care of her my presence seems to agitate her and she ends up telling me my husband deserves better and that i am a witch. She gets mean with the other nurses as well like I said especially the women. I seem to agitate her more. help tired and frustrated.

I worked New years eve. I work as a pool nurse in drug and detox. I was never oriented to 3 to 11 and have been on 11 to 7. Unfortunately the regular nurse had a fit when she saw two pool people that she really did not want to work with. Her words were, I'm working with you two? I know it would have been nice to work with people who knew it all but come on. I have been a geriatric nurse for 18 years and we get our share of brand new staff. The brand new staff drive us crazy but obviously want to help if they picked up a shift and I would rather try to help than not have them come back because maybe after a few shifts they would be stronger. I wanted to slap that girl in the face. If you want staff to work with you treat them nice and try to help. ( I dont mean to do their job). It would be perfect to work with staff that was experienced but it does not happen all the time. I am tired of running into nurses out there who think that they are so wonderful and have attitude. We are all unique in some way or another please remember that when new staff comes into help.

I am in the Philadelphia area and if one does not have a BSN then hospitals won't hire unless you have a connection . I tried to relocate up to the pocono area and had a few interviews at hospitals. I guess I did not sell my self well. I still send in applications to them when I see jobs that are open. If I could I would relocate out towards Erie Pa. cause I know a couple of people in the hospitals out there. My mom is 80 and not relocatable and I unfortunately can't leave her. I am going to apply to a private duty agency to see if I can work with peds. cases. I take care of a teen one night a week and love it except the pay. I am also looking at facilities that cater towards peds, or possibly psych. I am also working on my BSN . Thanks for your advice.

In our facility we do 15 to 20 grams of fast acting carbs and recheck in 15 min. for blood sugar under sixty or depends on patient 70. Also notify md. I would have wanted to do that and not play with an even lower blood sugar in the afternoon. It is not fun when someone is so low that you have to give them the glucagon injection. Without a doctors order I would not have administered a lower dose of insulin.

I totally understand. I have been lpn since 1995. RN 2013 and can not get out of LTC. Nothing wrong with the elderly but I am tired of the scenery. Good luck

I went back to school 2 years ago to get associates in nursing after being an LPN since 1995. My goal was to get out of LTC . I am still stuck . I do private duty one night a week but want a school case job. My private duty is a peds case. I called up an agency today and guess what they want experience in school nursing. Tried for a hospice job and I guess they want experience too. I am tired and frustrated. Hospitals dont hire, school cases dont hire. I guess the job market stinks out there too. Sorry for rambling. I feel like I went to school for nothing. I just took another job per diem and it's long term care . I dislike it allready and dont know why I took it. Burnt out with ltc not the elderly just the way the places are run. Seeking words of wisdom from someone out there. I want to find the passion that I used to have.

In our building we were taught SBAR a long time ago. The long time nurses are usually right in sending the patients out but we have to fight with admin. One of our patients pulse ox was in the 70 -80 range when I came on and no one could get him up. CRNP in the building too. WE TRIED HARD to keep the patient in the building. The administrator who has no nursing degree and feeds patients laying down tried to keep the patient in the building after the CRNP decided he should go out. The MD said that the patient should go out. We also had another patient who needed to go out and ended up on a vent (surprise). One of the patients got into bad shape on 11-7 because the DON said to do nursing measures with patient. He was almost blue in the morning. When he gets bad like this he needs to go. It happens fast with him. Thank god I did not have him that night. I have been a nurse for over 17 years and know not to send patient to hospital right away if possible and do nursing interventions. Sorry if I sound rude but I am frustrated. I work in a building that cares about the bottom line and not the patients.

Wow our management does the same. I guess its better for the census if the patient codes and then dies. (sarcastic) I am tired of the people in the office having blinders on. I have been in ltc to long I guess and I am just about burnt out. I thought going to get my RN from LPN would change things and it has not.

I am currently per diem in the facility where I work for . Have been there for 17 years mostly as regular staff. Now I am Per diem. Not my only job either. My question is does your facility mandate its pool people. Mine has this list that they go by and they mandate the regular staff and now supposedly they can mandate pool people. I have another job and would prefer not to stick them the next day if mandated . Not that we are any more special then regulars but I do have another job other than this facility . Sorry I am just bitter about my place of work right now. We have new management in the hot seat and they are showing how much of a jerk they can be. I know as a nurse call outs happen and sometimes one must stay but I have never seen them mandate the prn help at least in our facility. Thanks

Our facility went over to an ADU machine. It dispenses pills in packets and night shift stocks the drawers. we have blister packs too of the more uncommon drugs. prns that are common come from the adu machine. meds on blister cards were being fedexed to facility and we were having trouble getting them still at times. I hate the whole system. when the adu machine is being cleaned i have to wait to get prns. meds dont come into facility in timely fashion. back up pharm sends bottles so now we have bottles packets and blister cards . the back up pharm often mislables the pill bottles so its a disaster in the making. they were trying to save a dime.

Thanks Esme , I have not looked into ltac. It looks like kindred hospital is the only ltac around me which is still a little far but tolerable drive. I checked their website and they said acute care experience preferred. Still gonna put in an application. I just keep on putting in applications and no bites in the philly area. I have 3 part time jobs and could take my old one back in a minute sort of different shift but feel like I am stuck and have outgrown the facility not that I am better but I feel my path is to learn more yet scared at the same time. My other 2 jobs pay lower than my lpn wages were and really wont allow for a whole bunch of learning. (although I believe one never stops learning even from little things) Thanks for the suggestion I know something will turn up

Here goes I graduated in may of 2013 from an adn program. Prior to that I was an LPN since 1995. I have been in long term care work ever since the begining. (18 years to be exact) Hospitals in our area phased out all the LPNs so I stayed in long term care. I currently work PRN and its ok but I am going to need fulltime soon. Well I can stay fulltime at my current place which I will say stinks for benefits and I mean it. Rns have to work all holidays there is no every other holiday, health insurance is astronomical, no holiday pay. One has to fight the scheduler for vacation( she can take hers though no problem and one is left hanging about theirs.) I have been there for 16 years and have no satisfication in the place. I forgot to mention my husband who is an lpn works there to. When I am on his floor I feel like I have to clean everything up so he can have a nice shift to come in to. Needless to say it doesnt happen. Work ends up becoming our main topic of conversation so I am very hesitant to take full time in our building and company. I am kind of burnt out of long term care. I have gone on a few interviews at hospitals but it seems that they look down on ltc nurses. I keep on hearing fast paced and sick patients. In clinical and I know it was only a couple of hours in the hospital , I had some patients that looked better than my nursing home patients. Yes they had multiple things wrong with them but. I currently bust my behind in ltc work and can say the day goes fast especially day shift when doctors come in write orders, passing many meds and i mean many , stopping med pass to take people to the bathroom , suctioning the trach patient who needs to be suctioned like every hour in between running around doing everything else, treatments including wound vacs picc line dressing, complicated wounds changes, filling out incident reports, sbars when patients are sick, charting on them etc. fall prevention(lots of time there will be 2 or 3 patients around the med cart and a nurse having to concentrate on med pass to but to prevent the falls you got to do what you got to do.), explaining to families what is going on with their loved ones, What else do I do a heck of a lot . I guess my question is , is am I destined to stay in ltc forever. I am burnt out and feeling like no one will give me a chance any where else. Yes my skill set is different then acute care but I am one damn good nurse. I would love to go into hospice but I am seeing some require acute care. Oh my what to do. Thanks for listening Frustrated in Pa.

Thank you Maura. I think once I get the hang of paper work and organized I might like it. Its a matter of getting confidence I am only a fill in. The Oasis is all on paper. I was reading that people were actually getting more for soc's . It is a small agency. The agency told me about an hour or hour and half of paper work. I knew it was more than that meaning just not saying hi to patient and wam bam done. If i am supposed to be doing something than I am gonna do it. Thats probally why I cant get out on the regular floor on time, I'm gonna do it and conquer all. LOL. .0 I am driving out of my way for these but am taking an oppurtunity to learn. I do feel old compared to the kids out there. LOL . Thanks again and good luck yourself in your ventures.

your night shift nurse sounds anal retentive

Oh my I do not know what to say except oh my. I have been an lpn for the past 18 years in long term care and went on for my rn. I am official as an rn. I dont want to work in the same place as i have been for the past 16 years now in long term care and I am burnt out. Long story there. Husband works there and work constantly comes up. We feed off of each other. I went per diem in the ltc place where I am and took an agency job. I got talked into going out on the soc , sup visits and recert cases. They are hiring another nurse for the area thank goodness. Did my first soc on friday and it took forever. The agency that I am doing this through gave me an unpaid orientation. I probally am getting taken in fact i am. I honestly dont think they pay enough 50.00 per soc . I am kind of taking what i can get since i need a check coming in. I am old and places see 16 years in same spot and realize i am old. I just want to learn the paper work and move on to another higher paying agency. I was told it would take an hour or two. Well ok really. I got a chatty cathy on friday. i have to direct the convo i guess and move on . I guess I really need to know any tips suggestions. I am afraid I screwed everything up on friday in regards to soc. I am gonna call one of the nurses at the agency and ask some questions tommorow. Thank you.

I just need to say I am a new rn who was an lpn and some of the rns that i have worked with are careless in the way of orders to. lpns to . it happens. in my facility a second person is supposed to check the orders. How often does that happen? well ha ha. Good luck.

good luck

I purchased the ati nclex review and found it frustrating. I did not even finish it. It is good but very intensive. There are questions with each module and I felt like I was writing a book to answer some of the questions. I gave up on them and concentrated on nscbn's program. The key for me was to practice the questions. The nclex was frustrating for me. I get anxiety and started to blank out. I also get tired in the middle of tests. I had an I dont care attitude by the time I reached 150 questions. Relax on the day before your test and just know you are doing your best. It is all you can do. Good luck:yes:

I know what a feeling . I took my nclex on aug 1st and found out i passed on aug 3 to. Felt like I failed terribly after taking the test. Happy belated birthday to you and congrats:yes:

Doing a happy dance right now. I passed the nclex rn test. Just got the quick results. I actually dont know how i passed because I thought I bombed it. My only tip for future test takers is to answer as many questions as possible. practice practice practice. I did ati review and got irritated with it. It was a good review but I got discouraged and went on to utulize nsbcn's material. Good luck to anyone testing.

I got the quick results and I passed my nclex:sneaky: