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NightNerd ASN, BSN, RN

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NightNerd has 5 years experience as a ASN, BSN, RN.

Slightly less new RN with experience in hospice, psych, and med-surg/telemetry. Still doing the bedside thing for now, interested in some kind of community/public health work down the line. My true passions are sleeping and eating (thanks, night shift), but I also like music, books, and hanging out with my boyfriend.

NightNerd's Latest Activity

  1. I'm pretty sure they can't legally discriminate against you based on medical history. This really depends on your comfort; I know I would not want to share a ton of personal information in an interview, as it's really about how you will meet their needs as a nurse. If you feel it's appropriate, you can always briefly say that your past experience as a patient has reinforced your goals as a nurse, whatever they may be; then focus on other academic and professional experiences. Best of luck with the job search!
  2. NightNerd

    Exit interview survey, tell the truth, lie or ignore

    I just did one of these yesterday! I think it's all in how you word it. Had I completed the survey my last day at that job, it would have been useless because I would have been venting. There was a delay in me getting the form, so by the time I filled it out I was ready to be constructive. It was online and supposedly anonymous, but I never trust that and would never say anything that I wouldn't stand by later. I have no doubt my carefully expressed thoughts will be immediately and thoroughly ignored, but at least I tried.
  3. NightNerd

    Punched by a patient

    Points to echo others above: If the patient was A & O, it is probably worth a police report, though not much may come of it. Document in patient's chart and add a flag to their record (if possible with your EMR) that s/he is violent. Also, while patients can't get thrown out of the hospital just like that, I would check with their care team if a behavioral contract can be written for them. Again, only if patient is A & O and in control is this an option, but it is worth considering. The team needs to send a message that violence will not be tolerated, and some behavioral contracts will include consequences up to administrative discharge for repeated inappropriate behaviors. Finally, seek the physical and mental support you need, and take care of you! No one should have to deal with this at work, and I'm sorry this happened to you.*Hugs*
  4. NightNerd

    5 must-know tips for new RN

    Strike a good balance between seeking out answers for yourself and asking questions. Both are good approaches under the right circumstances. If something is urgent and/or you're lost on to where to find the answer, that's a good time to ask (and possibly step back and observe for a minute). Things like med admin instructions, lab value meanings, etc., you can most likely at least start finding the answer to yourself, asking your preceptor for clarification when needed. My experience has been that if you show you are working to be more independent, people are happy to help when you need their input.
  5. NightNerd

    Quitting CNA job on a work day?

    It sounds like you'd be resigning either way (with or without notice), and you said the job is temporary anyway, right? If you need the reference try to give them two weeks.
  6. Work the med-surg job for your two years, learn as much as you can, and become a valued member of that team. Once your contract is up, see if you can transfer to your hospital's L & D area. There is plenty to learn in the med-surg area, so try to view it positively and make the most of it. It might be nice to give your current manager a heads-up when you do get ready to move on, as in my experience they are usually notified anyway when an employee applies to another job in the hospital. Something like, "Hey, I saw there was an open position on L & D. This has been an area of interest for me, so I wanted to let you know I'm going to apply and learn more about the opportunity. I will keep you posted." (Obviously if for some reason you don't have a great relationship with your manager this isn't totally necessary; just something to think about if you do get along.) It might be hard to find a PRN position in a totally new specialty. I would think it would be easier on you and your employer to wait until you can do at least a couple shifts a week, if not full-time, before making the switch. That way you'll be immersed in the new job and hopefully get a more comprehensive and consistent learning experience. If you do end up looking for a PRN job, I recommend waiting at least a year. The first year of nursing in general is rough, and you don't want too many responsibilities that make it even harder to cope. Good luck! You will get where you want to be!
  7. NightNerd

    Help me, Allnurses, I make bad choices when I'm anxious!

    It is definitely very stressful to feel like your concerns about patient safety aren't being taken seriously! I'm sorry you are experiencing so much stress at work and hope you find something that brings you a little more peace of mind. I completely hear what other posters are saying in that stress is everywhere and we need to be able to cope for our own sake; but I think it's equally important to recognize when you're doing all you can and not getting any benefit from it. There is also no shame in realizing that a job no longer fits your goals, needs, values, or personality, which is where I am at this point.
  8. NightNerd

    Help me, Allnurses, I make bad choices when I'm anxious!

    Ahhhhhh! Davey, I was hoping you'd chime in, and then you went and dropped this curveball (right as I'm drafting my resignation, no less)! I am confident that moving on is the right thing for me; there are too things at this job I can't fix, even though I've developed quite the arsenal of coping skills here and am a stronger, better nurse for it. Duly noted, though; I am a little ball of anxiety and will be no matter where I go, so best not to expect the grass to be greener.
  9. NightNerd

    Help me, Allnurses, I make bad choices when I'm anxious!

    Honestly, that's the big thing deterring me from job A. I'd be going from a four-minute commute three nights a week to an hour commute five days a week. Sounds awful, and my car is already getting up in miles (besides the speakers not working; must get that fixed before attempting this). I finally got a chance to talk with my SO about it yesterday. Our lease is up a few months after I start, so moving a little closer would be possible in the fall if needed. We like where we live and are kinda sick of moving, though, so the commute may be the thing I compromise to get the other things I want - which is fine; I'm trying to be realistic. I think I can do it for a couple years to enjoy the change of pace in work environment and responsibilities. After thinking about it over the weekend, I'm leaning toward A. It sounds more peaceful and fun, the interview just felt right, and the offer is there for the taking. Thank you for your encouragement and wisdom, everyone! Coming soon, a thread we've seen a million times, but inverted: How do I make the jump from nights back to days without losing what's left of my sanity? I figure lots of melatonin, maybe another sleep aide every now and again, and the understanding that I'm gonna be exhausted and cranky for a little while.
  10. NightNerd

    Help me, Allnurses, I make bad choices when I'm anxious!

    I LOLed. That would certainly be the most financially friendly option, but I sort of hate who I'm becoming at this job. Call it burnout or compassion fatigue or whatever, but I've been noticing myself being much more short-tempered and reactive with my patients. This, combined with various organizational factors and how this job affects my mood on days off, is weighing heavily enough on me that I think it's time to move on. It's not that I don't want to take care of people, even from more challenging patient populations; I just don't feel supported where I am. It's not safe, my team is slowly disintegrating, and I'm no longer the nurse I want to be because of it. I just need a few years to quiet my mind, finish my degree, and be a little selfish before I go back to something that will require that much mental and emotional stamina.
  11. Nothing too outlandish, just tryna choose the right next job for me. I'm so desperate to get out of my current job (med-psych night shifts), have been for a while, and I don't want that desperation to cloud my judgment. Job A: An old friend is this position's supervisor, and she invited me to apply when I said I was looking for work. I interviewed and got a great vibe from the team, and received an offer today. It's a pay cut, as everything will be after five years of night shift differential, and the tuition assistance policy was a bit underwhelming (I just started working on my MSN). Otherwise the salary and other benefits were pretty good. It's an hour commute from my home, which will be a significant adjustment for me (I'm super spoiled right now), and the hours are crazy early. While the actual job sounds fascinating and would be a welcome change from what I've been doing, I know it's not where my heart is long-term. Job B: I have an interview scheduled for next Friday, so no offer yet. I feel that I am a strong candidate, but obviously that's no guarantee. This pays a few thousand less per year than Job A and has no tuition assistance as far as I know, so paying for school will be even more challenging, though by no means impossible. The commute is a little more friendly, like 40 minutes, and the hours are more reasonable for a night owl making the switch back to days. It is also more relevant to the degree I'm pursuing, and will give me more direct experience toward my career interests (although I don't think Job A would hurt anything). TL;DR - Basically, I like a lot of the things about Job A, for which an old friend would be my supervisor; the salary and benefits are good; and I have an offer. It's not directly relevant to my degree and not something I see myself doing for more than a few years. Job B has a slightly lower salary, and while I feel confident about my candidacy, I have an interview scheduled but no offer right now. This job is more along the lines of my interests and eventual goals, and the commute and hours would work better for me. Do I decline the position working with my friend (how bad of a move is that? It's bad, right?) in favor of interviewing for something that might not work out, leaving me in this job that has become toxic to my mental and physical health?
  12. NightNerd

    Women's Right to Choose

    Sooooo, you're insisting that women need to have babies out of wedlock and then refusing to offer help support these "unwanted babies" - your words. Do you see how that's sorta cray? Abortion IS a woman preventing unwanted pregnancy so YOU don't have to do a damn thing about it - God forbid you step up and participate since this is apparently YOUR belief. This attitude just reeks of disdain toward women who have sex. No woman should be punished for enjoying what men have always enjoyed without consequences.
  13. NightNerd

    I am not good at nursing

    Don't let the stress get away with convincing you that you're not good! You are new, and if the mistake that's occupying all your attention is giving a med at the wrong time (which DIDN'T harm the patient), you are not unsafe. Being new to nursing, especially in such a stressful environment, can make you feel like you're a failure, but I can basically guarantee that you're not. Give yourself a bit more time to adjust, take a deep breath, take it slow through meds, procedures, etc., and give yourself time to learn. I can totally understand wanting to move on - this is a tough life - but let yourself at least get a year or two of experience on your resume first. That will help you in leaving the bedside eventually. As for other options, maybe research? Informatics? Both of those might be good especially if you're willing to go to grad school.
  14. NightNerd

    Help! I Can't Get Rid of My Dark Cloud

    Welllllll, this morning, it was unfortunately ibuprofen and a cupcake. I'm not proud of self-medicating this way, but it does bring the mind and body some measure of calm. In all seriousness, baking actually does help; something about the precision required is oddly soothing. Spending time in my home or on the porch, enjoying the quiet and stillness. Writing fiction or music to get out of my head and into a space where everything is exciting and happy and adventurous. That sounds like a crazy rough week! Being responsible for these life-and-death matters can make it so hard for us to experience the good things in life again. I hope your Bible, coffee, and run brought you some joy and contentment!
  15. NightNerd

    Wise One Liners

    On my unit, we always say, "You don't have to be happy, you just have to be quiet."