madareebrahim

Hey all! excited to join HH! Almost 4 yrs experience in acute Cards and 3 years as a PCT in transplant. I'm excited to get out of the hospital and into the community! The HH company I'm going with is owned by the large hospital system I already work for! It's very very reputable, well know. I'll be busy but in a relatively small geographical area. Actually the zip code next time my own! Orientation is 8-10 weeks, they absolutely only hire RNs with several years experience? They have triage Nurses and IV Nurses... I already met the Nurse who will orient me... she's been in HH for 30 years and I got to shadow with her as well so we spent an entire shift together. anyway. Just excited to join HH... I am apprehensive though because I could sense there is a decent learning curve and being so autonomous will be a change as well... any tips greatly appreciated or links to articles regarding success in this field of Nursing.

So essentially I'm stuck? Uff! That's completely messed up. I know she's held seasoned staff for an entire 6week schedule but to deny... I may just email the recruiters who I was in contact with. Even as a new grad I got 4 job interviews and 2 offers and I was a PCT before that yet here I am 4 years and 8 interviews and nothing...??? I know CCs have new Nurse applicants up the wazoo so I'd assume having experience and on a very acute step down would help. But 8 and no offers! I work weekend program so never see the UD I'd have to purposely come in to chat with her. I think though I may follow up with the recruiters first. Ok so now I'm stuck unless I quite which I'd rather not do as I have seniority and have been with this system almost a decade!

Hey all. is this even possible? Is it legal? Im an RN in a l1Trauma hospital on a Step-Down. Been there for around 4-years. I overall have a good track record, no issues, etc. But am ready to make a change... over the past few years I've applied now and again to jobs but felt like Ok if I don't get them no big deal. I wanted to give my Unit a decent amount of time. Learn.. Ive since decided I'm ready for the change and am looking at moving to Critical Care. Some of the goals I have require some CC experience and again looking for higher acuity. im starting to wonder if my UD who is indeed known to get goofy about staff leaving is sabotaging my chances because we have such a high turn-over and I'm considered "seasoned". Last month I applied to 8 CC jobs all with my hospital system got interviews for all 8 and went and did the interview and shadowed and I assumed as I have experience and did well that I'd get at least a few offers. Nothing! zilch! zip! I'm understandably upset. Is this possible? Do I need to quit and then apply... although I do not want to do that or apply for positions in another Hospital system or what? I'm really starting to get a gut feeling the UD is sabotaging me. Any advice?

Hey all. is this even possible? Is it legal? Im an RN in a l1Trauma hospital on a Step-Down. Been there for around 4-years. I overall have a good track record, no issues, etc. But am ready to make a change... over the past few years I've applied now and again to jobs but felt like Ok if I don't get them no big deal. I wanted to give my Unit a decent amount of time. Learn.. Ive since decided I'm ready for the change and am looking at moving to Critical Care. Some of the goals I have require some CC experience and again looking for higher acuity. im starting to wonder if my UD who is indeed known to get goofy about staff leaving is sabotaging my chances because we have such a high turn-over and I'm considered "seasoned". Last month I applied to 8 CC jobs all with my hospital system got interviews for all 8 and went and did the interview and shadowed and I assumed as I have experience and did well that I'd get at least a few offers. Nothing! zilch! zip! I'm understandably upset. Is this possible? Do I need to quit and then apply... although I do not want to do that or apply for positions in another Hospital system or what? I'm really starting to get a gut feeling the UD is sabotaging me. Any advice?

I work Cards step-down and anytime we give any meds that have the potential to impact BP's... we check and then recheck an hr later. Of course it varies... like how long someone has been on a med, their baseline BPs and what their BPs are known to do after admin. But given that we give so many meds which impact the heart we obvious are compulsive with checking pressures. Clonidine and Narcs can drop pressures so yes you were doing what's prudent! That MD was a dork. Anytime I deal with a rude MD I just retort with... well if his/her pressures suddenly drop then you'll thank me for actually paying attention to them... or something along that line. Don't let rude MDs discourage you. The 2x times I've been floated to a MedSurg floor I stick my peeps on the tele and check BPs par my normal flow and both times it served me well... I discovered new Afib with RVR in an elderly pt and in another their BP tanked after a small dose of a beta blocker. Just sayin'

Well...RN here. *waves*...i really just read the Speciality forums mostly...most of the postings on AllNurses dont appeal to me because its heavy on Student threads but its great, they are able tp recieve lotsa support! So...unlurking...sorta. 🤣

THIS is why im so keen to try LTC or SNF Nursing on the side. It requires such a diverse range of skills and experience! One major downside to working in a speciality in the Acute or Critical cate setting like I do is one gets pidgeon holed and even kind of "bored" because we see the sane things so frequently that anything different is thrilling and a great excuse to learn and grow... i.e. last night i got a young pt woth a botched gastric bypass...had no idea..but i quickly got up to speed. It was refreshing... ergo...working LTC or SNF Nursing is nothing to be ashamed of!

Thank you AmoLucia. Im actually thrilled to try it and again...excellent opportunity to learn and experience another type of Nursing! I begin orientation this week and officially start in 3 weeks!

Im a Cardiac RN in a busy level 1 trauma hospital on weekend program and i just was offered and accepted a casual 1x night q wewk position in a SNF as i want to expand my skills and experience another form of Nursing which isnt hospital based. Grass isnt always greener... ALL nursing matters... be proud of your experience!

I work Cardiology and a wonky INR can be dangerous!! I have no qualms about 3am phone calls to attendings... i say be more persistent and chart everything you did. You never know... At night calls to the DON.. Akin to 3am calls to an Attending or the AOD in the hospital. If MDs cant handle stuff..not my problem.

DITTO!!!

Start applying for new jobs...i work in medical cardiology and we get many Nurses who leave LTC or SNF to try The hospital. If you like older patients try a rehab floor or even a med surg floor. Go on vacation...it is what it is...

Hi all! I work fulltime, weekend program on a very intense, acute medical cardiology stepdown. Been there for several years, Beforw that i was a PCT on a transplant floor, also in the hospital. Ive only ever known Nursing in a busy, level 1 trauma hospital. Neway, i live nearby a large, upscale retirement community with A SNF and LTC, i applied and was offered and accepted a casual position in the SNF. Im both excited but also Apprehensive as this is new territory for me. This is just something extra for extra $ during the week. What I was told was id do 11pm to 7am 1 or 2x nights a week. Me as the RN and obviously supervising...i am a Charge at work so am used to juggling my own Assignment + charge duties. Then there would be 2x Aides. I'll learn more at orientation.. Is this normal staffing? During day the SNF has 2 RNs +DON and multiple aides. I believe there r like 30 or so patients in the SNF. Im just curious what should i be expecting? Also as a side questions... SNF patients r stable and on home meds, right? So say if u have a pt Who has pretty averages BP maintained on BetaBlockers and 1 night has a lower than averagw BP, does It still get held n MD notified n pt BP rechecked or no, just jot it dowb, check pt stability n pass on in report. Also, whats shift report like in a SNF? Maybe im over thinking things...

wooow...thank you all for your advice! ...I am happy to know im not the only nursing student who stutters or feels behind the times...I am just sooo embarrassed by it and it just messes up my head...like I KNOW my stuff, but I feel like both of them combined makes me feel sooo stupid and it doesnt help when I get an annoyed look or people look embarrased FOR me due to the stuttering. I want to prove to them all that I can be a good nurse! I am going to try some stuttering tips/tricks but for me...theyve never workjed before...but we'll see...I'll keep my fingers crossed. I have decided...rather on the fly to just go ahead and apply for some PCT positions for the summer at various local hospitals...if nothing else...it'll get me more comfortable with being around everyone and talk to everyone without the stress of clinicals...which I really think I need!

Hi all. All year Ive done pretty good with clinicals, now I'm in my 3rd semester and clinical has been upped in intensity. Basically...in a nutshell. I am having some problems here and there with things and I really need advice! 1) I'm shy around new people, I will force myself to have conversations with people and have gotten better at small talk and doing assessments, so on and soforth. 2)I have a slight stutter, which gets worse when under stress. I plan to eventually go to a therapist for that again-like after nursing school ends but Ive had this problem my entire life and I did ST my entire youth and now I am fluent with people under normal circ but under stress it comes out...dept who the clinical instructor is, I stutter or not. now, I had a bad experience with an instructor which made me even MORE nervous and stressed out. I no longer have that instructor and do not want to stutter or make a fool of myself but still, when I have to give report or discuss things I still stutter! I know it irritates people but I cant do anything about it and I just cant move beyond thinking to myself that my stuttering makes me a bad nurse or i am sttupid compared to my fellow students. In turn i lack self-confidence and really need to work on that, but I dont want to make a wrong move and then get into trouble! See what I mean? 3) I feel like I am a bit "behind the times" as far as skills go. It has been a very long time since I had to do even the basic nursing stuff like flush a lock or things like that, so I feel very...i dunno, stupid because why dont I know some of this stuff, other classmates have moved far beyond some of this stuff and Im still stuck at sorta a fundies level. grr...I really need some advice. I guess clinical comes easier for some more than others but ive worked sooo hard and I do really enjoy nursing and the patients, I dont want to screw it up now! pls any advice...

Good evening all. So I'm actually a nursing student. I didnt want to put this in the student threads because I need some support, advice from actual nurses not fellow students! So Ive stuttered since I was a baby, I remember going to speech therapy as a wee child...Ive had the problem my entire lfe. Its now at the stage where majority of the time I can speak fluently I only really stutter in "stressful" situations like phone calls or when being grilled about something or when I must speak to someone who kind of stresses me out. And ofcourse nursing school is FULL of that! I feel like I am starting to get a bit down feeling about it. Most instructors are very easy going by it as are my classmates as far as I can tell, but there are a few instructors who are very intensive and who get me nervous and so I stutter with them and when I stutter Ive developed over the years a way of sort of getting around it, where I dumb down what I say, using simple sentences just to get what I want to say out, even though inside my brain I'm exploding with words and want to say the RIGHT thing that I am thinking...yet...I cant. The pressure is on more this semester with clinicals and I just feel like its getting me down...I am unsure what tips or tricks or words of wisdom you all may have. I am smart and I do know what I should know by this point in my program...but its frustrating and in turn, I also have a bit of a self esteem issue where at times I have trouble trusting my judgement and just in general being assertive. It stems from my dealing with this problem my entire life and dealing with rude people and just in general feeling that maybe I must be stupid or not smart or can not do anything with my life...yes ive been told since I was a child I couldnt do anything with my life...id be nothing...because of the stutter and for the first time in my life I actually feel like i'm doing what I am MEANT to do! Nursing... argh...I'm soo frustrated., here I am a grown adult, with a family and I have this problem!!! Please any advice. yes I do want to do stuttering therapy but it needs to wait until I finish my program in another year as I am too time crunched.

Hi all. I am trying to clear my brain and make a fresh start this semester...but anyway, Ive realized it comes down to trusting myself when taking exams. I have yet to get like this and I dont nknow why. How did you all come to the point where you trusted yourself and your instincts and chose that answer? For me, sometimes when I take exams, ok like a few questions are more based on science or whatever...like lab values or med interactions or whatever...I generally dont have problems with those as its simple memorization, what I have toruble with is the subtle questions which...I dunno, just throw me. I know i KNOW thw answer yet when I take the exam my brain goes to mush and I start to hedge and get silly. Like for example. Say there is a question dealing with diabetic adults and diet. Like so, we all know they need to watch their sugar and their carbs...yet what about the answer about them eating regular meals...to me, both is right...one 1 hand I know they must watch their diet and their intake of sugars and carbs yet also know they should eat a specific meal at a specific time and have snacks. How do you choose the best one? I have come to a point where I can sort of understand prioritization and what to watch for, but what about those subtle questions? I really need some advice for this as I find myself being stumped by those subtle questions where both answers seem equally good and I just cant for the life of me either choose the best one or follow my instinct and choose the right one! For the record I do NCLEX review stuff constantly...infact for each chapter I study I must do 2 or 3 NCLEX books as our school is very into NCLEX everything, so maybe I do good on the NCLEX practice exams yet when I go into the exam its again those subtle questions which get me. Please...words of wisdom appreciated!

I have a similar problem...cept I use NCLEX books and practice exams ALL the time and I rock those practice exams but then like this past 8 weeks just totally watched my grader fall...fall...fall and I'm at a loss to understand why!!! I like you have a previous degree so I do KNOW how to study my butt off, yet no matter how much I studied I just was sooo disappointed. I am so frustrated as I dont know how to change things. My school is very all about NCLEX stuff so we are very NCLEX preparation heavy from the start. How can I do good on the practice NCLEX exams yet do so poorly on the "weird" nursing exams...??

Hi all, I'm on here under another ID but made up a new one for this because I prefer to remain anon and I know many people also on here. anyway...I am seriously feeling traumatized by nursing school. I'm 2 full semesters into it and have 4 more to go. I started the 3rd semester in just a few short days. Basically I did really really well in the first half of this 16 week section then that was finished and we switched to the 2nd part and I totally...I dunno what happened but I went from rockin' nursing school and doing wonderfully and enjoying it to slowly seeing my grade sink...sink...sink...I *barely* by the skin of my teeth passed this last semester. Like barely...I mean barely. And, we started a fresh semester in a few days and I told myself I would NOT thinka bout it, I would start fresh but, seriously...I keep having panic attacks and anxiety attacks, if I even THINK about nursing school I get a sick feeling. And whats even more frustrating is I just dont understand why my grade progressively fell...fell...fell...fell. I study ALL THE TIME...and I study the same way I did the first 8 week portion, I review Nclex books, med-surg books, the textbook the lectures...you name it. I do a couple dozen practice questions before exams and while learning...YET when I go in to take the exams I dunno, my eyes get all blurry, my heart races and I start getting stupid AND I miss the stupidest most DUH questions...like really stupid questions...I know I dont do my gut instinct but I just can't...because I consider 1 answer and then am like...wait, it could be the other and then I weight the two up. And generally I miss them. I'm SOOO frustrated. I dont know how to change things! I'm a slightly oplder student, I have a family...yes I was taking a full course load and yes esp the last 8 weeks I was freaking out about 1 of my academic courses which sucked up a LOT of time, so yes I could make an excuse and say...OK, its cuz of that, yet I dont want too because I study the nursing stuff and I do the Nclex exams and overall on the practice nclex exams I do very well...yet when I go in for the exams... Please, I really, really need some advice...I feel like Ive fallen into a rut where I am soo negative and panicky and traumatized. I dont know what happened to me! Noone is supportive or understands who is around me and I have a LOT of pressure on me to complete this program otherwise I'm really stuck