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Why so afraid of directors, I see that a lot, people afraid of charge RN's, directors, and CNO's etc. Do you not realize that most of them are bullies, they go after these positions just to be "IN POWER". Whats the best way to deal with a bully, stand up to them. You stated your end date, your reason for resignation, and that's it. What she does or doesn't do with the schedule is not your problem. I personally would start sending emails in writing with HR copied on all of them. I would ask for clear definitive answers period. They are just people relax.

wow I think all of you just got trolled lmao.

I understand your pain but unfortunately most managers don't want to hear why you are struggling they only want you NOT to struggle. I would make sure and get everything in writing and I would reply to everything in writing. My manager knows that any conversation she has with me I request in writing so I may reply in writing therefore it is official. What you wrote was actually impressive and I would consider sending an email to your DON as a response to her evaluation. Other than that, being a new grad I would say don't take it personal. I train new grads in the ER all the time, and the first thing I tell them is leave the tears and drama at the door. We are professionals and nothing I tell you is personal its just the career we have chosen. I always remind them that this takes time to master maybe even a few years before you will be comfortable with most critical procedures. The most important teaching I do is actually how to stand up to management and other RN's who find it enjoyable to put down new grads. I have been told by my preceptees that this has prevented many a crying episode because now they walk around with confidence enough to not take any !@#$ from anyone.

I am posting this because I need some feedback. I work at a SW Florida hospital and well just like the title says, everyone is white lol. The entire executive team, all the board members, and to be honest, in a department with over 50 employees, I am the only minority. The hospital has this website where staff can post questions to upper management and then they post an answer. I am tempted to ask why the disparity however to be honest I am afraid that I will be terminated if I do so. Has anyone else experienced this kind of discrimination and if so did you speak up about it? Please don't ask me what hospital or what department as I have to be anonymous for fear of retribution.

I didn't read any of the other posts but I did med surge for 6 months right out of school, got placed on suicide watch by my wife, transferred to the ER and its been paradise since. It is YOUR career and YOUR life, you tried ER, you don't like it then bounce with no regrets. I would youtube different departments and you will see Rn's that have made videos about how ICU vs ER vs Floor vs CM vs flight and the list goes on and on. that may help, best on luck.

you get whatever shift is available when hired, then you stay on that shift until YOU request a change or your manager may offer you one but that is rare. In the US you have much more control of your schedule. I have never seen a hospital that operates the way yours did.

I wouldn't worry about it, your probably doing such a good job in your assignment they don't want to move you. Remember charges and managers love it when they can stick the same person in an assignment knowing they will handle it and not bother them all shift. I've had the problem my entire career. I basically had to buy my time and shine when I finally got into a critical room. Since then I do nothing but traumas, codes, pediatric codes, strokes, etc. Let me tell you something... I AM OVER IT!!!!!!!! I pray everyday to be back in fast track and triage everyday lmao. Becareful what you wish for!!!

Based on the OP, it would be hard to tell immediately why the patient crashed, they could have had a bleed, septic shock, heart failure, I mean who knows. However I must ask, if the patient was in PEA, why did you give succs? according to your post the pt was already dead. This reminds me of a time I went to a code on the floor and primary RN said pt is in Asystole and charged the zoll, she was quickly asked to leave the room. Another time during a code the pt's belly was about to blow and I warned my coworkers, the PA running the code offered us Zofran...she was also asked to leave the room. I think your ER needs to run some mock codes TBH. You don't give a paralytic to a patient that's already dead, honestly an RN should have caught that and stopped the MD. Other than that I wouldn't stress it, sometimes its just that time.

Get your EMT, phlebotomy. EMT will help but the skills our ER looks for in techs are the following: IV skill gota be on point, including US guided IV's. Know how to do an EKG. Know how to participate in a code. Learn the equipment, u can do this online. Once you have all this...then talk to your ER director, otherwise it will be tough. Now if you are in RN school, don't worry about any of this and just get your license and apply only to ER's, you will get in.

Well granted for billing purposes sure, that's like a hospital system in SW Florida is currently being sued for billions because they were billing inpatient when the patient was a hold in an ER bed. I am not that familiar with billing etc, however I was told by a colleague in accounting that they cannot bill inpatient if they are an ER hold and physically in the ER. I think this is a lesson learned for everyone, don't hang yourself out on a limb cause when you look around you will be only one there and there will only be one rope. Your coworkers are just that, coworkers, they will not ever back you if there is a risk of losing their job, family first. It sucks for Julie but based on my own personal experiences I would have kept my mouth shut, taken the patient and kept on paying my mortgage. Ill let someone else be the hero.....

I have read and seen that the topic of sexual battery has been covered however I will reinforce, as a male ER RN it is my biggest fear, especially with a pediatric female patient. Remember once the accusation flies, there is no recourse for us, we are guilty outright without due process, we get suspended even arrested and our reputation is tarnished forever even when we did nothing wrong.

I work in an ER and have only worked Med surge for a year at the beginning of my career, 0 ICU experience, I would hope that the people judging this poor RN have actually worked in an ICU. I personally worked for Plantation General hospital, which is the sister facility for Westside, also owned by HCA, and in the ER it was this bad before I left. J-loops ran out so we were told to just hub with picc line caps that were not in the picc packet. OK, then we ran out of those, so we were told to hub the IV with a 3ml syringe, so we resourceful ER RN's...began to open those really expensive picc line kits and taking the caps and tossing the kits. This went on for two days before they decided to order us more J-loops. HCA is a disgusting hospital system, Julie if your reading this... getting fired sucks, but count your blessings. Now the one part I don't understand is why floor RN's are all bugged out about acuity and ratios. In the ER we are 5-1 regardless of acuity. I routinely have 3 ICU level patients on drips even sedated and vented. Plus my other 2 patients which are ESI 3's. 4 and 5 ESI the main ER never sees. Now granted I am not caring for this patient for 12 hours but when we have holds, we don't get floor ratios so please help this ER RN understand what is the big deal.

Run for your License, I have been in the LTC/Rehab world for three years now and I am currently a nursing student and, speaking just from my personal experiences, I will never work in a rehab. Maybe reporting the nurse in a hospital wouldnt be a problem but in a nursing home, well good luck with that. These places are corporate run and ALL ABOUT THE MONEY, thats it, a head in a bed. Nurses are rewarded for keeping patients in-house at all costs. They dont care about your license, and if you think this is bad just wait. The day will come when a marketer brings in a patient without a payor and your administrator, under the direction of corporate, will tell you, we need to get this patient out fast make something up, call the doctor, we are not getting paid for this admission and they gota go. If you refuse they will find someone who will and you may be out of a job at that point. Even the doctor's are in on it so there is no way to prove fraud. Again I am speaking from my experiences.

I have been a marketer for a SNF for a year now, almost 3 years working for them total and I can tell you, ITS ALL ABOUT THE MONEY!!! Now I am a nursing student and, speaking only from my experience, in the city I live, I will never work for a nursing home once I get my license. Truth is, they dont care about your license in a bad way. I have seen a DON walk out, an Administrator going into the chart herself (she is not a nurse) and LPN's and RN's just flat out leave when asked to purposely document something to either get paid or discharge a patient that they were not getting paid for. If you refuse, you get fired (they find a way). I tell my girlfriend all the time, I CANT WAIT TO BECOME A NURSE and get out. Patient to nurse ratio is ridiculous, 25-1 or more at times if someone calls out. Personally I think Skilled Nursing is going to hell in a hand basket and fast, again I am speaking just from my experiences.

Hello Nurses and fellow students I have a question; I am working on my careplan for Maternity clinical rotation, I saw my first ever live lady partsl birth start to finish, IT WAS AWESOME (I'm a guy)!!!!!!!!!! So here goes: What is the most common type of anesthesia used during an epidural block? I know lidocain is used to numb the site prior to injection/insertion of the catheter but when I try and look it up I get a list of many different meds and combination of meds. Is it up to the Anesthesiologist in regards to preference? Is there a standard medication most use? Any help is appreciated. Thank you very much.