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seconddegreebsn has 1 years experience.

CNA transitioning to RN

seconddegreebsn's Latest Activity

  1. seconddegreebsn


    Someone who was in for intoxication complaining about "all the sick people keeping (me) from getting some rest!" Sorry that old lady's vent is bothering your precious sleep, mister.
  2. Is this really true though? I've worked at three hospitals in Brooklyn and all three are packed to the gills, admitting a huge chunk of people coming into the ER and very long wait times for beds. The ERs are certainly beyond capacity, putting people in the hallways on folding chairs. I'm an ED nurse and half of my patients on any given day are holds that are waiting for a bed, and have been waiting for 24 hours or longer...
  3. seconddegreebsn

    I Love Night Shift

    I wish I could have gotten my sleep scheduled sorted out - it KILLED me. I mean, I could not sleep more than an hour or two during the day time and that going on for weeks drove me to the brink. But everything else you mentioned made it pretty great.
  4. seconddegreebsn

    Ambulatory to hospital PACU?

    Plastic and derm - your garden variety of plastic and reconstructive procedures (face lifts, breasts, lipo, tummy tucks) and some derm (mohs). I think I will join AORN, thanks for the suggestion.
  5. seconddegreebsn

    Ambulatory to hospital PACU?

    I'm starting a new job working in ambulatory surgery (after 9 months of med surg on a terribly dysfunctional floor) working as a circulating and PACU nurse for a small in-office surgical center. I'll be doing set up, circulating during cases (local, MAC and general) and will be in charge of transitioning the patient to PACU and sending them home. Ideally, I'd like to do this job for a few years and then transition back into the hospital setting, either OR or PACU since floor nursing was really not for me. Will hospitals take my ambulatory experience or will I be stuck working ambulatory if I want to do surgical nursing?
  6. seconddegreebsn

    Certification exam tomorrow!!!

    Good luck!
  7. seconddegreebsn

    What's the meanest thing a patient has said to you?

    "Can you get all the nurses to line up so I can pick one of the pretty ones. I don't want to have some fatty touching me." Unattractive, middle aged man. Sir, I think you've mistaken us with a brothel.
  8. seconddegreebsn

    What's the meanest thing a patient has said to you?

    "I hope your husband regrets marrying such a stupid whore!" after seeing my wedding ring. Well, he bought it so he's stuck with it, stupid or not.
  9. seconddegreebsn

    9 months in, quitting to work private practice

    Thank you so much everyone for your input - I accepted a new position today that offers a lot of autonomy and I will need to quickly bring myself up to speed, but it seems like a good challenge. I'm scared but ready for it!
  10. seconddegreebsn

    New York City RNs Hold Strike Vote

    I don't clock out they just refuse to pay me for that time (which is catching up on charting) because I'm supposed to have finished my work in a given time frame, even if that time frame includes being two nurses short and having two RRTs and transfers to critical. Not very realistic...
  11. seconddegreebsn

    9 months in, quitting to work private practice

    Unfortunately blocking transfers is the only way she can stop staff from bleeding (more like hemorrhaging) from the department, and there seems to be a fresh batch of new grads constantly flowing in. In my time, a third of the people in my orientation group have left and didn't even make it a full year. Thanks for the words of encouragement, I am going to explore the PRN route should I feel the need to be "nursey" and to help me keep some of my skills, but overall I feel very excited by this opportunity and challenged by the task of what I'll need to learn for this new job.
  12. I've been doing nights in med surg with all of the usual complaints - extreme short staffing (we are often two nurses short), high ratios of acutely ill patients, bad management. When I had started the job I had determined to try and stick it out a year. I've had two consecutive shifts that were so bad I didn't pee in 14 hours and could barely walk afterwards. I just hate working nights and weekends, I hate what working nights is doing to my marriage and how much strain it's put on us. I hate how much stress I bring home with me and how it bleeds into the rest of my life. Day shifts are even busier and still short staffed so it's not really a fix, plus there's the added "bonus" of having everyone's family there. I hate the abuse from management and patient's families. I know this is part of what's in the package deal but it's really bleeding me of empathy and it seemed like a bad sign that I'm burned out this fast. Everything I'm struggling with about bedside nursing comes down to bureaucracy, which is the same everywhere. My manager has refused to allow me to transfer and honestly, it doesn't matter because it seems like other areas are dealing with the same issues. I strongly suspect bedside nursing is not right for me. On a lark, I went through an agency that had gotten me a CNA job years ago and interviewed at several private practice jobs and ambulatory surgery centers and found myself with several job offers, much to my surprise. Money was similar to hospital (benefits unfortunately were not, they stunk, but I have insurance through my husband), 9-5, seemed like the nurses had a high degree of independence and self-sufficiency and were overall happy with their jobs. I just worry I'm kneecapping myself professionally by leaving this job so early. The hospital has a horrible reputation and we're on the verge of a strike, but I'm not closed to ever working in a hospital again - just not in med surg. I'm glad I learned what I did at this job but part of me feels thrilled with the idea of being able to have some semblance of a normal schedule and be able to see my friends. I'd love to hear from nurses who have spent most of their career outside the hospital setting. Is this a great opportunity or a terrible mistake? What are the challenges that come with working in a private practice setting and how does the stress compare to working in a hospital.
  13. seconddegreebsn

    New York City RNs Hold Strike Vote

    Yeah, I'm at one of those facilities who are claiming that - we routinely have 8 fresh postoperative patients and outcomes are not so great. A lot of hospital stays that end up transferred to critical care or stay longer than they should. I end up working closer to 14 hours, with the last two of it being unpaid overtime and I rarely get to take my unpaid break. Their solution is to hire more middle management that refuses to help in any hands on patient care.
  14. seconddegreebsn

    New York City RNs Hold Strike Vote

    I would really like to see this effect some sort of REAL change, like staffing ratios in California brought here. Maybe I'm being optimistic, but we work in violation of the ratios set by our contract more often than not, and the facility I'm at has been sued over it and lost and still it continues. Watching and waiting to see what happens...I'm with NYSNA on increasing staffing over accepting a pay raise.
  15. seconddegreebsn

    NYSNA Strike Authorization Vote

    New York State Nurses Association Threatens To Strike « CBS New York "NEW YORK (CBSNewYork/AP) — The union representing 18,000 nurses at 14 private hospitals in New York City says its members could go on strike if negotiations with management fail.New York State Nurses Association members said Wednesday they are fighting for higher staffing levels to protect patients. We believe that our patients' lives depend on this, and we just can't allow this to continue anymore,” union President Judy Sheridan-Gonzalez told 1010 WINS. She said nurses are overworked because hospital are understaffed. We've gotten extraordinary amounts of support from the community,” Sheridan-Gonzalez said. They trust us. They know that what we're talking about is true. Any patient who has been in the hospital knows that there's just not enough nurses to take care of them. Nurses are running around, often working 12-hour shifts without even being able to go to the bathroom.” Sheridan-Gonzalez said hospitals have refused to work with them on the issue. Nurses have been threatened with arrest for just discussing staffing with co-workers. Some nurses have been escorted out by armed security guards for talking about staffing,” Sheridan-Gonzalez said. This desire to intimidate us out of advocating for our patients is unconscionable, and we're not accepting that. We're not going to be silenced.” Four days of negotiations are starting Wednesday. The New York City Hospital Alliance denies that the hospitals are understaffed. NYSNA cannot point to a single shred of evidence that supports their claim that current staffing levels are unsafe or inadequate, which is not surprising given that these hospitals are all nationally recognized for the excellence of care they provide,” said Farrell Sklerov, a spokesperson for the Hospital Alliance. Sklerov said the Hospital Alliance is extremely disappointed” that the union is taking steps toward a completely unnecessary strike.” We have remained committed to bargaining in good faith and have put forward a significant proposal that demonstrates the value we place on our nurses, who are the best in the business and should be rewarded for their essential role in the delivery of excellent care,” Sklerov said. Each of the hospitals has put together contingency plans in the event of a work stoppage. We hope NYSNA rethinks their bargaining strategy at this critical moment, rather than putting the city on a path towards an unnecessary and completely avoidable health care crisis,” Sklerov said. The nurses have been without a contract since around the beginning of the year. (TM and © Copyright 2015 CBS Radio Inc.)" -------------------------------------------- Curious to hear from other NYSNA nurses what your thoughts are on this...I voted yes, staffing has been crushing and I've protested assignment during 75% of my shifts this month. We got a letter from administration telling us that striking would make it "financially unfeasible" to hire any more nurses, making our staffing even worse than current levels.
  16. seconddegreebsn

    Threatened by patient

    So let's say I did call the police, against the advice of security and nursing management. The patient hasn't actually touched me yet, he's just threatening to do so (both in the present and in the future "I will find you and make you sorry" variety)- mostly likely they'd come and tell him to stop and that'd be the end of it until he actually did hurt me. And now I've put myself in a position to be dressed down by management for going against their advice, and I prefer to stay away from management whenever possible... Somewhat of a lose-lose scenario here.

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