ButtaflyRN

I posted this as a reply in another post but think that it's more appropriate here. My previous hospital was using EMR since at least 2009 when I was in nursing school, I started working there in 2011 and we were trained to chart by exception, our EMR was rather detailed though. We would of course chart if something happened during the shift, or if a physician was called but that was about it. Enter my new hospital in a new state, nurses notes are loosely expected q2h or at least staff feels that way. These notes on nights are mostly that the pt is resting in bed, respirations even, or if the pt is medicated for pain. I get that that is an exception except I work on a med-surg floor, so not really and the eMar requires you to document the pain level, so it just seems redundant. Now if something happens, injury, change in condition, code, rapid response etc, I will note the event down to the minute to the best of my ability and it will be very detailed but resting in bed eyes closed is too much imo.

My previous hospital was using EMR since at least 2009 when I was in nursing school, I started working there in 2011 and we were trained to chart by exception, our EMR was rather detailed though. We would of course chart if something happened during the shift, or if a physician was called but that was about it. Enter my new hospital in a new state, nurses notes are loosely expected q2h or at least staff feels that way. These notes on nights are mostly that the pt is resting in bed, respirations even, or if the pt is medicated for pain. I get that that is an exception except I work on a med-surg floor, so not really and the eMar requires you to document the pain level, so it just seems redundant. Now if something happens, injury, change in condition, code, rapid response etc, I will note the event down to the minute to the best of my ability and it will be very detailed but resting in bed eyes closed is too much imo. I

Thank you, I didn't think it was really but the floor I float to doesnt do much more than that which is why I wondered.

This is my timeline from last year, it does take forever but when I did mine online had just become an option but with out of state hard card fingerprints it didnt make it any quicker. I happened to have this still saved on my phone: Mailed 6/14/2016 out of state endorsement mailed 6/22 CA BoRN received 6/17/16 Check cashed 7/22/16 Status on Breeze changed to open 8/23/16 on 9/12/16 they were processing 7/1-7/14 mine was technically received 7/22 9/13 they said they never got my license verification so I had it from resent from my state I called BoRN regarding the delay and they told me to call on 10/3, as they also said my fingerprints still hadnt been verified. 10/3/16 called; all documents received, was told to wait 2 to 2 1/2 weeks. By chance I checked Breeze that same day and I was licensed. It's a pain in the a** process but it does happen.

I moved to California from the midwest and at my old hospital which was honestly more critical than my new one, every floor took care of pts on tele monitors. We didnt have tele techs on my floor but we could have up to 6 pts on a monitor. We gave meds like Metoprolol and Hydralazine IV, no drips though. We treated pts based on the rhythms called to us and called drs appropriately. Where I now work I float to the Med/Tele floor and apart from having the monitor in front of me, the tele tech isn't and we don't analyze our own strips other than glancing at the monitor when it alarms. To me it seems very similar, do I get to put on my resume that I have tele experience?

That I cant do if anything I'll start out traveling and look for a perm position from there.

Thank you :) :) I'm looking to move to the central valley, Modesto, Merced, Sac, Stockton etc I will not move to Stockton but would move to any other city.

thanks I appreciate your insight!

I rewrote my resume in December with hopes of moving back to CA. I have over 5 years med-surg experience, ACLS, TNCC, BLS and I've been to TCAR. I wonder if it's my resume or the fact that I'm out of state. Anyone want to maybe critique my resume and offer some pointers? Maybe I'm expecting too much I have no idea. I started off applying for SICU, ED and ICU with absolutely no bite at all so I figured I should just apply for what I know best so I have and nothing, even at a hospital where there were 4 med-surg which makes me think they really needed help. PROFILE Registered Nurse at a 200 bed Level 3 trauma center with comprehensive knowledge of nursing principles; dependable and highly organized, with excellent attention to detail and follow-through; personable, able to develop positive rapport and empathize with patient and family; enjoy working as a team member or individually [h=1]WORK EXPERIENCE[/h]Current hospital 08/2011 – Present prior RN experience ltc 01/2011 – 06/2013 PROFESSIONAL EXPERIENCE o Pre/Post op care for surgical patients o Care for 6-7 patients effectively and efficiently o Chart, document and review patient information vital to my care via Meditech o Patient care and discharge planning, recognize and communicate changes effectively with physicians regarding patient condition and plan of care o PEG Tube management, NG tube insertion and management, as well as feeding pumps o Simple and complex wound care as ordered by physician to include wound vac o Unit Based Council member since 2012 o Clinical Coach for staff new hires o Charge Nurse experience which includes responding to traumas of classifications 1-4 as well as participation in multiple Massive Transfusion Protocol alerts. o Educate other nurses during annual competencies LICENSURE and CERTICATIONS Registered Nurse, State of Kansas January 2011 Registered Nurse, State of California October 2016 TNCC expires 03/2020 ACLS expires 11/2018 BLS for health care worker expires 10/2017 TCAR June 2016 EDUCATION Associates of Applied Science in Nursing

Thank you and lol I know it's not the greatest place to live but it's a good place to start and maybe since they are hurting for nurses I'll get what I'm looking for. Good luck with graduation and boards!! I swear I replied to this already but disappeared

Can you look at doing psych as an intake nurse? My daughter went to the ED a few years back when she had self harm thoughts, she met with the intake nurse in the ED as it was pretty late at night. I dont work in the ED but imagine it would be hard to follow up on a pts psych issues when they are only there for a limited amount of time and if they havent said the key words to actually be admitted. I think your heart is absolutely in the right place but the system is unfortunately.

Thank you, my best friend lives in Merced and after being away from CA for 11 years I'm ready to be close to her again. I have my endorsement, more just wondering how soon I should apply to hospitals. I think I'm going to start soon with the holidays coming up. I'm sure at some point I'll make my way back to San Jose, but this is my starting point back into the state. My daughter is 19 so at least she's not in her formative years in terms of development. Thanks again, I really do appreciate your insight.

Thank you :) So far the hospitals I've looked at say that minimum requirement is an ADN but that BSN is preferred so hopefully they actually will take me. Another good thing :):) I spoke with my cousin who lives in Sacramento and she knows of some hospitals that take ADNs so that gives me hope.

anyone have thoughts on any of my questions?

I feel like, I got my license...now what? I got my hard card and certificate so essentially I'm ready to go, only I'm not just yet. It's not that I'm trying to hold onto where I am, but kind of I am I'm ready to go but I want to stick around through the holidays. My goal is to be in Modesto after the first of the year depending on if I get relocation assistance, if not it will be later in the year. My questions are: How long after you applied did you get your job and when you did get it was your employer rushing you to get out there? If my goal is to get a job in January, when should I apply? I have 5 years acute hospital experience. I was thinking I should start looking in November. If you are a domestically educated nurse, did the hospital you work for offer you relocation assistance? I am an ADN, I keep saying I'm going back to get my BSN and really need to get on that but am wondering if not having it will keep from getting a job. Here in KS it seems like certain hospitals such as Via Christi will only hire BSNs, wondering if there are hospitals in CA like that as well. Side question for anyone reading this, what is it like working at Kaiser? I was a patient there for 20 years and as far as I remember it was a good place, matter of fact I hope to at least get insurance through them again. Is it a good place to work?