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spaghetina's Latest Activity

  1. spaghetina

    Burned out on telephone triage

    I took a triage position in OBGYN about 4 months ago for a change of pace from direct patient care. It's not strictly phone - we also handle the physician's in basket messages, where I'd say 80% of questions/problems/complaints come from, and I'm already burnt out. I'll be leaving in less than 2 weeks to go back to what I consider much more normal patient care, where people need to yell at me to my face, instead of sending vitriolic messages or getting snippy with me on the phone. I don't know how anyone does it long term, but I'm thankful that I had the opportunity to try it out, so that I can now say that I don't ever want to do it again.
  2. spaghetina

    License in jeopardy?

    If they're telling you that in the interview, I would run away. That said, I don't think it's common in the outpatient setting, but it's not uncommon either. Because most outpatient clinics aren't overseen and scrutinized in the same way as inpatient facilities, lots of places bend the rules to suit their needs. It's up to you how you practice, but ultimately, you are responsible for protecting your license and places without strict protocols in place do have a tendency to be a little less...rule-followy, in my experience.
  3. spaghetina

    Going from bedside to OP 9-5

    I've never done bedside, and I've been a nurse for close to 3 years. Not for lack of trying, but right out of school, I missed all of the new grad programs that my cohort got into because my state nursing board took their sweet time getting my ATI to me (6+ months), so I started my career sort of behind the 8 ball. I tried for acute care jobs because I thought that's what I was supposed to do. We were trained as nurse generalists. I was ready to generalize my little heart out. I busted my *** in college and graduated in the top 1% for the school, so I was pretty disappointed that I didn't land a hospital job right away. But the truth was, I never really even liked acute care when I did it in clinicals. I would leave at the end of the day and sort of go, That's it? And while everyone else was really gung ho about foleys and ekgs and IVs, I was just sort of... meh. It wasn't really the holy grail of nursing to me, and so I took a clinic job in a private practice derm office. It was the best thing I could've done. Monday-Friday, normal-ish hours, holidays off, no endless IV pump alarms, no cleaning urine and feces, no turning patients, no med pass, and I got to develop a totally different skillset than what I learned in nursing school. Actually, when I first started in derm, I was shocked (and maybe a little frustrated) that absolutely zero things I'd learned in school were applicable to my new position, except how to do a head-to-toe assessment and to put a needle into a patient bevel up for comfort. But I learned almost every other skill I now possess on the job. Bedside isn't for everyone. Even out of those that DO bedside, many don't really enjoy it, it's just where the money is, and where people have developed their skills to feel like "real" nurses. But I'm no less of a real nurse in the outpatient environment, and I have the job title and salary to prove it. In school, we're not taught very much, if anything, about the options outside of the hospital, and I think it's a shame. It may just be that the opportunities for outpatient RNs are harder to come by and they're pretty competitive, but if you can land one, I really think it's the bee's knees. So just because you're currently in a position you think is coveted by others, it doesn't really align with your end goal, which is to be an aesthetics nurse, so it doesn't serve you much to stay where you don't want to be. Most people will probably tell you to stick it out so that you're more marketable and have more career flexibility later if you decide against aesthetics, and they're not totally wrong. I just think that if you know what you want, you should go for that instead of wasting time on a what-if. And if you're still working your way to your end goal, you might as well be doing it in a job that you don't hate in the meantime. I think you'll find getting into the routine of 5 8's is pretty easy. Being able to live like a normal human being instead of doing shift work is luxurious. Having all of your weekends off to be able to participate in your typical weekend activities is awesome. And in case you think that you'll get stuck or pigeonholed in that specialty, I assure you that you won't. I started in private practice derm and moved to a fancy pants affiliate clinic in OBGYN (SUCH a different world...), and I'll be going back to cutaneous oncology at the end of the month with the fancy pants hospital system. I've gotten to choose where I want to be, and what I want to do, and I'm able to enjoy my life spending time with friends and family during normal hours on normal days. So for all of the people that will inevitably say, stick with the hospital job, at least here's one person - me - saying take the outpt job!
  4. I've seen a lot of questions regarding negotiating pay within a hospital system, but what about in the ambulatory/outpatient sector? Is this something that is typically done, or do most people just accept the offer immediately? I must admit that I am out of my depth when it comes to salary negotiations, and have quite literally never done it in my life. My fear is that I could unintentionally appear ungrateful for the opportunity, or god forbid, have the offer rescinded. I don't want to start a new job on the wrong foot, looking like I'm greedy and money hungry, but I don't think it's unfair to ask for another $2-3/hour either. If it came down to it, and I either had to take their initial offer or stay in my current job, I would take their initial offer in a heartbeat, but does that mean that I shouldn't still try to negotiate?
  5. Hi, all! After a crushing and humiliating first interview experience for a new grad position a couple months ago, I've finally landed another one. This time, with Adventist Health in Hanford, CA. So my question is twofold (or like eight-fold, if I'm being honest) to keep from clogging things up by starting 2 new threads. First, does anyone here currently work for Adventist Health in California? If so, can you tell me a bit about what the work culture is like? I admittedly know very little about how faith-based hospital organizations are run, and while it doesn't put me off in the least, I am curious about it, especially being agnostic. Is there as much prayer as the initial pre-application screening questions have led me to believe there is? I'm actually very supportive of prayer for those who believe in it, but I might be a deer in the headlights if anyone asked me to lead a prayer with them - mostly because I don't know any. (I can foresee it going something like, "Dear God...um... we ask you to please, um, take this woman in your arms...? Wait, no. Aack. Don't take her yet! Don't. Don't take her!" aaaaaaand fired.) Second, did you begin the interview process with the Hirevue digital interview? If so, do you remember if you're able to practice and then leave the session altogether, or do you have to complete the practice and the interview in a single session? I'd like to practice for a couple days, and then get to the interview this weekend, but if I have to do it all in one sitting, I'll definitely just practice into my webcam without the software prompts. Also, if you had the Hireview interview, do you remember how in-depth the questions were? Were they general sort of behavioral questions, or were there any clinical scenarios? Were there any questions about faith or religion? I know most interviews ask the same sorts of questions, but if anyone remembers being asked anything that stood out to them, please elaborate, if you don't mind. I am terrible about tripping over my own tongue and starting, stopping, and restarting sentences from the very beginning if I don't word things the way I want to, and it's something I need to work very hard on correcting (I think it comes off as being scattered and inarticulate), but without proper preparedness/rehearsal beforehand, I already know I'll be a mess, so the more info I can get, the better. Thank you in advance!
  6. spaghetina

    Hirevue, digital interview at Montefiore.

    I'm interviewing for a totally different hospital, but I'll also be doing a Hirevue digital interview. Can you tell me if you did the practice run throughs, and if so, were you forced to do the interview in the same session or were you able to practice and leave the software for another day? I would love to get started trying to practice a bit, but I'm terrified that once I start, I'll be routed into a loop that I can't back out of.
  7. spaghetina

    Adventist Health New Grad Program, Central Valley

    I know I'm resurrecting an oldish thread here, but for anyone who is currently working for Adventist Hanford, or has worked for them in the recent past, do you recall what your video interview was like? I'm wondering if I can record, and then erase and rerecord my replies, or if it's a one-and-done type of deal. Also curious as to whether or not there are any faith-based questions to answer, as I'm not religious at all, and would probably need to think of the best way to word things. (And if you happen to remember any of the interview questions, that'd be super helpful as well!)
  8. spaghetina

    Good Samaritan New Grad StaRN program San Jose, CA

    It's just under $32/hr during the training period (13-16 weeks), and then you start at the hospital's pay rate of $50.40 afterwards. There is a 2-yr contract that begins after training ends. I just interviewed (before you ask, I totally bombed it, so there's one less person in the running, lol), and although I did get the rundown of the program, I wasn't specifically told anything about whether or not it would be possible to switch units during the 2 years. I've read conflicting things here on AN about that, but I imagine it's at each hospital's discretion to allow unit hopping or not. I spoke with another person interviewing, and was told that she considered the pay incredibly low for the area, and that she was already making almost the same as an LVN, so that's something to consider, if pay is your biggest concern.
  9. spaghetina

    Kaiser New Grad Salary - Bay Area

    Thank you for the clarification. :) I do understand your frustration with freely giving information, and then having people take it for granted - like it was owed to them. I have tried Googling, and I have gotten ranges, but I know that in the Bay Area, for for new grads especially, the salary can be a bit different than for other parts of California. I'm actually not even sure if Kaiser regards new grads in their program as RN I's, or if they're categorized under some other pay grade. I'll keep looking. Thanks for the reply, desert. :) The wages in California are definitely higher than Nevada, but then the cost of living is pretty astronomical here, in comparison, too. I've definitely had moments where I've toyed with the idea of moving to Reno to get away from the uber expensive housing here. Between $40 and $60 leaves a pretty wide gap, hehe. I read in another thread that someone who was working as an RN II at Kaiser was trying to break the $200k/yr barrier, I think? They didn't quite hit their goal, but they did end up making...$170k-ish. I'm not sure if that's an anomaly or something that's expected around here. I have heard that Kaiser pays the most out of any hospital organization out here, so I would assume that it's closer to $60 an hour, but I'm really hoping that someone out there has more specific numbers. Earlier today, I spoke with someone who has worked for Sutter for the last 18 years as an LVN. She was saying that the pay at Good Sam ($50.40/hr) was pretty low for an RN, and that she was already basically making that as an LVN. It REALLY made me wonder what the new grad RNs at Sutter were making!
  10. spaghetina

    Kaiser New Grad Salary - Bay Area

    Thank you in advance? Lol. Please don't take this the wrong way, but I really don't know why you would reply in the manner that you did. So you have the information, but are unwilling to share it. You didn't really give me a chance to show gratitude before seeming to assume that I wouldn't, did you? Anyhow - irrelevant. Can any new grads please reply?
  11. spaghetina

    Kaiser New Grad Salary - Bay Area

    I'm sorry, I'm not quite sure I'm catching what you mean. Can you explain?
  12. spaghetina

    Kaiser New Grad Salary - Bay Area

    I know there's a lot of talk about salary, but I haven't seen anything current that quite answers my question. I'm trying to gauge what the top end of a new grad salary is in the Bay Area - specifically what you were making the day you were hired, not after your 6 month/1 year raise. Can any recent new grads (2016 and beyond) working for Kaiser comment on what your starting salary/hourly is, including any differentials? Those hired on as new grads at other hospitals, please feel free to add the name of your hospital and your starting salary, too. I'll start, although I'm not working for this hospital yet. Good Samaritan, San Jose: $50.40/hr with a $6 night diff, and $2 for weekends.
  13. spaghetina

    Going back to school at 30

    Those sound a lot like theory classes. Is pathophys maybe in your prereqs? It should be in your curriculum somewhere, followed by/along with pharmacology.
  14. spaghetina

    Going back to school at 30

    Have you had a pathophysiology class yet? If not, you should have one in nursing school. A&P and microbiology will prepare you for patho, but you'll get most of what you need to get in the one class alone (and it's usually a bear of a class for everyone anyway, so you won't really be starting with much of a deficit). That's how it was for me, anyway. As far as you starting again at 30, I can relate. I went back to college shortly after my 30th birthday, after starting and quitting college no less than 6 times (first, it was too much partying, then it was laziness, then it was horrible anxiety about finding a lab partner, etc., etc., you get the idea). At first, I selected a program and a college that I knew I could be successful in, which was not nursing. I went one of those for-profit vocational schools to learn medical office billing & coding because I knew I wanted to do something in the medical field, but wasn't sure that I wanted to commit to something as rigorous as nursing, or if I'd even like it. Fast forward to a year into that, and all I could think of was becoming a nurse, so before I'd graduated from school #1, I had my applications submitted for a transfer to a state university. I graduated with 2 associates degrees from school #1, and most of the credits transferred. I was 32 when I started my nursing prereqs and 34 once I actually started nursing school. I started off without any attachments to anything or anyone, and had sworn off relationships, but you know... life happens, and so I got engaged shortly before nursing school began. Being an older student in nursing school didn't hinder me at all, except that maybe I didn't have quite as much energy as the younger students. I had much more focus and drive than I would have had in my younger days, though, and when the younger students were trying to balance school and partying, I just kept my focus on school. I went into it knowing what I wanted, so there wasn't a lot of wishy-washy indecision on my part. Having more life experience can help when dealing with patients and co-workers, too, because you can empathize. I love that you're taking steps to make this happen. Going into nursing has been one of the best life decisions I've ever made, and it sounds like it could be the same deal for you.
  15. spaghetina

    NCLEX Apps

    Yep, UWorld is the best out there. I paid $400 for Kaplan because it was mandatory through school, sat through their multiple-day in-person review where we just sat in a big room and answered questions together, and felt like I knew less coming out than I did going in. Once I got UWorld, I essentially never went back to Kaplan. UWorld's questions are far better written, more NCLEX-like, and their rationales are second to none. People seem to fail all the time using Kaplan, but I've heard of very few not doing well using a combination of UWorld and some form of content review.
  16. spaghetina

    Nclex Rn and Uworld

    I've tried to figure out the passing percentage for UWorld for weeks now, but I've never gotten a straight answer. What I can tell you is solely from personal experience, and that is that I didn't finish the QBank because I only began studying 6 days before my exam. I completed about 1200 questions, ended up at around 63%/85th percentile, went back and redid about 20 of my incorrect questions, and I passed in 75 questions with relative ease. That's not to toot my own horn, and it's not because I'm some genius - I'm most certainly not. It IS because I studied the rationales, took notes on them in the UWorld app, and listened to content review lectures. With a 61-62% average, you're well within the range of passing, depending on whether or not that percentage is based on you answering the questions correctly because you KNOW the answers, or because you've totally guessed at them. (Not that guessing is all bad - there will be a fair amount of it on the NCLEX.) Review all of the rationales in UWorld, not just those you got incorrect, and review promptly after completing each test. Research/look up anything that you're unsure of to be certain that it sticks in your mind. Write it all down so that you can refer to it in those moments when your brain gets farty. Find a content series that you enjoy and listen to the sections that cover your weakest areas. 3 weeks is a ton of time for review. Contrary to what a lot of people believe, you don't need to review everything you ever learned in nursing school - it's too much. Focus on labs, electrolytes, pharm (broadly - you ARE going to get drugs and diseases that you've never heard of in your entire life - the NCLEX isn't testing your knowledge of these, it just wants to know that you can think critically about whatever they're asking you), and priority/delegation. Brush up on your most basic procedures (donning PPE, straight cathing, etc.) because that seems to be where they like to ask drag-and-drop questions. You can do it!