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NightNerd BSN, RN

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NightNerd has 5 years experience as a BSN, RN.

BSNRN 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, but I also like music, books, and hanging out with my boyfriend. I run and do yoga to counteract my cupcake worship.

NightNerd's Latest Activity

  1. This was common practice on my former unit, so I rolled with it until we were told not to clock in that early. Nope, nope, nope. This nurse is not working for free. At the unit where I work now, we're honestly lucky if the assignment is even done by 645. I found it useful to take those extra 10 minutes when I was brand new to the hospital, but it was more a way to assuage my own anxiety by developing a plan before my shift. Now I feel like I am more comfortable getting report, doing my own assessment, and putting together the rest of the details from the EMR. That said, if it's helpful to you to get a headstart on looking up your patients, there's nothing wrong with that. I don't think you should expect yourself to be there 40 minutes early, though; I'm sure there's stuff you'd rather be doing before spending 12-13 hours at work.
  2. NightNerd

    Tired and burnt out from the abuse

    I've totally been there. Sometimes you do feel yourself losing patience and motivation, and it sucks! It's really sad to watch yourself change like this because of work-related stress. That's why it's so important to look out for yourself, which is why I say use as much PTO as possible and remember who you are outside of work. If nights are making it even harder to deal, maybe consider transferring to days; just know that the patients and families will all be awake and clamoring to have their needs met. If you've been on that unit for a while and feel it's time to try something different, you can do that too! There's no right or wrong, it's just about what will work for you and allow you to take the best care of your patients. Ultimately, bear in mind that these 36 hours per week are not your real life, even if some of themare awful. You are going home to a fiance and, I assume, other loved ones and various hobbies and possessions that bring you joy. If you can keep this in mind, while also remembering that for your patients this very much IS real life, you may buy yourself some time from burning out.
  3. NightNerd

    Tired and burnt out from the abuse

    Very much agree with Kooky Korky on this one. Not that I don't think this patient was out of line; it sounds like she was rather mean and she should have expressed her complaints differently. She could also probably use a reality check, because it's a hospital and obviously isn't going to be as comfortable as home. However, from what I'm reading, you essentially told the woman to stop bothering you. Using the call bell is how we want patients to contact us. Like, it's understandable that you were annoyed, just having checked on her five minutes before and found her sleeping. But this is part of the job, and I'm not sure that was the best battle to pick at 2 AM. Believe me, I am all about zero tolerance for abuse, verbal or otherwise, and I don't think being sick or scared is any justification for cruel speech or actions. But it sounds like this woman, while maybe a little needy, was merely expressing anxiety and discomfort at first and could have used a little extra attention. Instead, she heard that her issues were not urgent and she needed to stop calling the people who are there to help her. I don't want to dismiss your feelings - the struggle is real! Night shift does take a lot from your life, and sometimes you do wonder why you're doing all this for precious little thanks. Use your vacation and personal time liberally, vent on here to us, and consider looking for a new job if you don't feel adequately supported. Everything you're experiencing is, unfortunately, sort of common, so you absolutely deserve to acknowledge those feelings, and figure out how best to address them so you can be a dynamite nurse and also live your life outside of work. I just think it's important as well to think of how you might phrase things differently next time - sometimes our own choice of words can make or break a patient interaction. Stand up for yourself when necessary, but also try to recognize which patients might just need a softer approach. It's not allowing yourself to be disrespected in that instance; it's just trying to keep things peaceful for the patient AND you for the rest of the shift.
  4. Just curious about others' experiences. Just had an occ health employment for a new job, and it was honestly one of the most, um, personal experiences I've ever had at work. They had me wear a gown for a musculoskeletal assessment, which I've never been asked to do before and thought was a little odd. They also had an awful lot of questions about my medications, including herbal supplements, vitamins, etc. Like they had me fill out a list and then asked me to have my pharmacy send them a list of prescriptions as well. I expected to answer a few questions and give a urine sample for drug testing, but this was on another level. Is this weird? Anyone else have similar experiences?
  5. NightNerd

    Something Has to Change

    I work outside of the hospital currently, in research. The amount and kind of nursing experience you need varies through different kinds of research, but I know where I am they didn't need a lot at all to be considered. The downside is that you don't practice any skills or critical thinking, and I have found it to be extremely boring and unfulfilling. Based on the little I've seen in clinicals, clinic and home health nursing may be a little more fast-paced with better variety. However, you also probably won't have as many resources or enough time to learn the skills you are using every day in the hospital. As I understand it, those are jobs where you need to come in somewhat prepared and independent already. I know it's not what you want to hear, but you may want to strongly consider staying at this job for a little longer. If the thought of staying a full year gives you hives, maybe 10 months would feel a little better - or if not that, at least six months. I can empathize with the issue of the commute, so if there is a hospital closer to home that you are able to work at, that might be a better option. Chin up! I know it is so discouraging to realize the reality of bedside care. You're right, we often don't have the staff and resources to do everything we want to for our patients, and it doesn't feel good. But the fact that you are there doing everything you can is still meaningful! I think if you stick it out in the hospital a little longer, you will start finding joy and pride in the little things that you are able to do - and realize that they're not so little. Good luck in whatever you choose to do!
  6. NightNerd

    New-ish nurse dilemma

    Prolly go for the floor and schedule you want, unless the "crappy" hospital is known that way because it figuratively craps all over the nurses. If it's just not as renowned, that to me isn't as important as working in an area I'm interested in with a schedule that works for me.
  7. I can so sympathize with you. In my experience it hasn't been helpful to tell my age, as it can feel like you're getting drawn into argument about whether you're qualified to be a nurse. That said, it depends on the tone of the conversation. Most people are just chatting or trying to joke with you; there are others who are trying to intimidate or who may be genuinely wondering if you're able to take care of them. In those cases, I try to cut to the root of the concern: "I've been a nurse for x years, I'm certified in this area of nursing, my preceptor will attest that I'm competent to perform this procedure, blah blah blah." Whatever lets them know that you are capable of being a good nurse to them without getting caught up in age. For someone who is just trying to be playful, a lot of the responses above are great.
  8. NightNerd

    What experience would I need...

    To work at Planned Parenthood or a similar clinic? Would it be beneficial to gain experience in L & D, some kind of surgical experience, or is a background in med-surg/tele probably sufficient? I know they require ACLS, but wondering what other experience/certs/skills would be helpful down the line.
  9. NightNerd

    Rejected by Patient

    I always let my patients know in advance, usually at hs meds, that I will be rounding on them periodically, if I'll need to take vitals or do additional assessments at any point, etc. I ask if I can leave a small light on or leave their door cracked in advance. If they say no, at least they have a heads-up that their door will be creaking open every so often and my little face will be peaking into their room. I've been fired once (which I was VERY grateful for in that case), but this scenario isn't why, so it may be a good approach. Also, for checking foleys and stuff, a small flashlight is really great to have at 2 am. It does suck to be fired, especially over something that could have been quickly resolved. Just take note of this since it will help you with future patients. Even if you are the most reasonable, kindest, most prudent nurse in the world, you won't make everyone happy, unfortunately. It doesn't mean you're not a good nurse.
  10. NightNerd

    Guys, I'm an unintentional job hopper.

    @Tink87 honestly, same, lol. In five years I've technically had four jobs (but I don't count the first one because they didn't pay me, which I think is a fine reason to leave a job), and the one I took at the beginning of this summer already has me ready to jump ship. So, I get it; there are probably a lot of us who can. It sucks not feeling like you've found your work home, dreading going to work every day, and seeing no way to deal except to find something new - again. I don't know about you, but I'm finding that I *always* hate my jobs at the beginning, but months down the road I usually feel differently. Is it possible that what you really hate is being a novice? If not, what is it specifically about your current job that makes you dislike it - and what about the cath lab makes you think it will suit you better? I think good, honest, and thorough answers to these questions will help you make a better decision about your next steps. The poster viprn21 gave some great advice about figuring out what you need from a job and only taking jobs that will accomplish that. For me, I want opportunities to learn and progress from novice to mentor in a certain specialty, a great team dynamic, a sense of purpose, and good work-life balance. The thing is, it actually helps to look back at the jobs I was at for a couple years and really evaluate what was good and not so good about them to make this list. Otherwise it's easy to get into a pattern of feeling like you just always choose terrible jobs, rather than giving yourself time to get comfortable in positions you picked for a reason. Another thing that put it in perspective for me was someone's comment on one of my posts several weeks ago. A lot of nurses, myself for sure, derive much of our identity and fulfillment from our work. And we have every reason to be proud of being nurses! But even when you're in a position that isn't hitting the spot, it's important to feel anchored in something outside of work too, which makes it a little easier to handle a boring, unfulfilling, or just plain bad job for a little while - at least long enough to limit the lines on your resume. I'm being a total hypocrite right now, lol, and like I said, I can completely sympathize; it's not easy to live your life when such a significant part of it feels miserable. Only you can figure out the best thing to do and how you will be happiest in the long run. I think it's just important to give yourself a break from finding the perfect job and take the time to figure out exactly what that is before making another move. Whatever you decide to do right now, I wish you the best!
  11. NightNerd

    Social Media and Doxxing - Your Thoughts???

    I can agree with a lot of what you're saying. I'm not saying that it was a good idea to include his own likeness, especially not in a photo with the hospital logo, in his efforts to cope using humor. That part was absolutely a mistake. However, as an avid lover of nurse memes, I guess I understand the impulse to share these things online with other nurses, so it's not quite as scandalizing to me that someone would think to post something like this nurse did. It was clumsy. It needed to be corrected. He shouldn't have been terminated. I also think that the general public's limited awareness of the harassment and/or abuse that nurses face at work is part of the problem, as are many hospitals' nonchalant responses to it. Would I venture too far to say that perhaps the photo struck a chord with that particular hospital because it's an inconvenient reminder that this issue still needs attention? This is a somewhat common experience for the workers who staff hospital floors, and I think anyone who has worked in customer service knows it sucks to be yelled at or cursed at. Why conceal the reality of that? I'm obviously being very led by personal feelings in this discussion, lol, not gonna deny it. There's a lot to unpack with this story!
  12. NightNerd

    Social Media and Doxxing - Your Thoughts???

    Mmmmm...Knowing the nature of the post now, I kind of see it both ways. Still think firing him was too much, though glad to hear he's working again. I get why that's not an image and quotation the hospital would want associated with themselves; however, they essentially fired a man for using humor to cope with patient hostility - which probably most of us do from time to time. Being told to eff off and die by a patient is pretty tame by comparison to some things that happen to nurses, but it was his first day and maybe it took him back a bit and he wanted to share. This would have been a great opportunity to re-educate staff regarding appropriate social media use, while also reinforcing to the public, "Guys, this photo may have been in poor taste, but it makes it clear that our nurses don't like to be sweated at. So, please don't do that." Kinda address a couple of issues with one incident, you know? (I get that this is never a thing that would happen, but this hospital could have looked so much better after this than they do now.)
  13. NightNerd

    Social Media and Doxxing - Your Thoughts???

    So based on this summary, it sounds like the patient wasn't identifiable, right? So I guess I don't understand the big deal about the photo at all? I have no social media now and can't foresee a day when I'd be adorable enough at work to take a selfie anyway, BUT. On your first day of work, in your fresh new never-been-puked-on scrubs, as you're walking in feeling absolutely radiant...come on. That's a beautiful moment - as is surviving your first day. I can understand wanting to take a picture of that. This seems like more of an argument against having last names on work badges than anything else. I feel like the person who made the effort to *UNBLUR* and report a first-day selfie was way out of line, and I would like to know what hospital policy was violated in particular to warrant firing a man over a picture he took of himself. ETA: I can't see the version of the photo someone posted. What was the tone or nature of the comment he made?
  14. NightNerd

    Seeking advice for possible position change

    Holy smokes! I'm sorry this has been your experience for so long. It sounds like you are a great asset to your unit and want to do the right thing; it's a shame management will not step up to the plate with you. It's not normal that it's like this, but I too would be wary of moving to another hospital, lest you find out it's just as bad. That said, every place has its issues, so you have to find the one that lets you have the rest of your life back. If you are experiencing physical symptoms and mental and emotional strain as you describe, something needs to change. Your unit appears disinterested in that, so unfortunately that leaves it up to you. I know you said you don't want to take a pay cut because it would mean your wife possibly needing to go back to work. How does she feel about that? Is it an option, even part-time or temporarily? What you're doing now for her is really great, but I'm sure she doesn't want you stuck in a job that makes you miserable. As you mentioned, maybe cutting back on some spending could also make it more feasible to change jobs, although I know it's hard to do that. It sounds like you have a solid med-surg background behind you, which is great; that can take you a lot of places. If you investigate psych and decide it's genuinely of interest, go for it, but I wouldn't do it just to get out of your current situation. What are the other medical units of your hospital like? Would it be an option to try a different area where you will be the newbie for a little while? Or is the poor management pretty much across the board?
  15. NightNerd

    Questionable actions that make you go hmm?

    I have met at least two nurses who didn't know the difference between types one and two diabetes. One of those nurses and I were chatting one day while I was eating my dinner, spaghetti, and for some reason my partner's diabetes came up. Her eyes got HUGE and she said, "But you guys are so young! He must have gotten it eating all that pasta you make!" I explained that he was type 1 (and I really don't make that much pasta, lol). I got a perplexed stare, followed by, "But you still get that by eating too much sugar, so..." Oof. I blew her mind when I told her the difference.
  16. I totally get this. I really enjoyed my job as a hospice aide pre-nursing school. There is something very fulfilling about leaving your patient clean and comfortable at the end of your shift. Like you, I also enjoy playing tech for a day. I've found that I do like the education and puzzle-solving that comes with nursing. How can I make this patient feel better? How can I talk this guy down from escalating to aggressive behaviour? What's happening to this patient that's making me feel like something isn't right? That is SK very gratifying too.

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