Larry3373

Suck it up, and find another job. Also get rid of the attitude that your problem is this older nurse. More than likely you contributed to getting fired in some way. Since you can only control your actions, I suggest finding another job and kissing some butt till you make it through orientation (being facetious, but you get the point).

About 11 months

To answer the OP, the PCU I worked for had many ambulatory patients that could take care of their own hygiene for the most part. Some of them were pretty sick as they had recently undergone heart surgery or were awaiting a heart cath. If your PCU gets all the heart cath patients the many of the can ambulate after 4-6 hours femoral, or immediately if it was a radial heart cath. We occasionally got some overflow from other floors. At least you have a tech, but don't abuse that. She/he is only one person, and they have things to do also. Sometimes you are going to have to clean some poop, empty vomit or sputum. That's just the nature of nursing, and you're not always going to have a tech around to do it.

The basic idea is when you read to ask yourself how you would apply the information in a given scenario. For each objective you should make yourself some flash cards showing what you as the nurse would do and in which order you would do it. For example, if you are studying chest pain or acute coronary syndrome, ask yourself how you would apply that info to a patient who walked into your emergency department complaining of chest pain. Not saying this is true or false because I haven't looked it up in a while, but it used to be MONA or morphine 1st, oxygen 2nd, nitroglycerin 3rd, aspirin 4th. They want to see how you would apply the information you are learning and what is your priority in any given situation. The basic premise is that you should be prepared to take the NCLEX on graduation.

https://allnurses.com/nurse-practitioners-np/acnp-jobs-990136.html

Oh I'm sorry, I read your post again and it seems like you meant what states are acnp able to find jobs. Not sure about the states you mentioned.

My research has revealed that acnp can work in specialty practices like cardio, neuro, etc or surgery. They also can work as hospitalists. I have seen them in the icu as well. ER may be difficult because they would want you to be able to see all ages.

I transferred to float pool after almost 4 years bedside including 2 years in the ICU. I'm not sure I would fare well working in every unit of the hospital (excluding L&D and surgery) if I did not have that background. I would say it depends on the orientation and educational opportunities offered. At my hospital, float pool means we work in every unit. We are full time employees that are paid more than 10 dollars an hour extra for working float pool. So the advantages are that my check looks great, I know where most supplies can be found in the hospital, I get to meet many new people, and I'm building a great resume. I do believe that I might have made some serious errors by now without 4 years of nursing experience. Again, with a great orientation and some awesome coworkers, perhaps I could make it as a new grad, I don't know. Maybe float pool doesn't float to the critical care areas in your hospital. You can always try it out, and if you're not comfortable with your orientation, you can resign, or ask to be assigned to one unit only.

I agree that anything is better than nothing. I know a few people that started out that way and were able to find acute care positions later. It looks better than no experience at all, that's for sure. You may be able to get your student loans extended if you call them.

My 2 cents is this. If you stay for a while you will get better and your anxiety level will go down. That being said, there are plenty of other areas in nursing that you would likely enjoy more. The problem is that most of them require a good bit of experience, and the easiest way to get on of these positions is to stay in that hospital and transfer. Outpatient surgery and pacu in particular is low stress in my opinion. Interventional radiology or cath lab both seem cool and not particularly stressful. I personally enjoy the ICU, because once you know what you're doing it can actually be pretty fun with the added bonus of only having 1-2 patients to focus on. Peds is easier imo because the parents do most of the adls and are always in the room. I wouldn't apply at med surg or telemetry if nurse patient ratios are a concern. In any case, the experience you are getting now sounds like it will look good on a resume and help you to land that dream job. Hang out a year if you can, but if you can land something better (where you know you want to be long term) then go for it.

It may have been causing the patient some discomfort, but it might also have caused discomfort if you tried to start an iv and were unsuccessful a few times. Then you would have needed to find someone else, which would require a third attempt. Also I can say from working in the emergency room, that an iv is started in the AC often because this is a larger vein, which makes it easier to hit and obtain blood for labs.

I worked just over an hour away for nearly a year. There were days when I struggled to stay awake on the long drive home, but most of the time it was fine. Just take a good nap the first day and go straight to bed each day until you have a day off. I agree with a pp about not sleeping all day on your first day off. I tend to get my days/nights mixed up when I do that. The good thing is that the 12 hour shifts can allow you to schedule several days off in a row so you can have a mini vacation before you have to go back to work.

I can answer number 2. Try becoming a patient care tech and working at a local hospital before you graduate. Then you are more likely to get hired after graduating. The best thing to do after that is to try to get your New York license and start applying. If you cannot get a job in NYC right away, try applying where you are now to get some experience. You also may be able to land a position that would require a longer commute from NYC. To answer number 3, you can call and ask to speak with the nurse manager, explain your situation and ask for an interview.

Everyone I know in south MS able to find a job with no difficulty

I'm enrolled in an emergency dual role nurse practitioner program at the university of south Alabama. Basically it's just the family and acute care nurse practitioner certifications all rolled into one. A large part of my clinical rotations will be in the ER.