rsbirdie

My preceptor is there every time (almost) I give meds, start feedings, and assess patients, unfortunately the manager hasn't seen that because she's not on the unit. I document on my own and the nurse checks over it later and I've been doing well. The preceptor hasn't made an effort to befriend me so it's a very awkward relationship. She has made it clear that she doesn't want to do be my teacher as she just got done with someone else. I am going to tell her that we need to be together every minute whether useful or not and as far taking care of 7 patients...I know the routine however i just feel I don't have enough days in yet to take her full load. What I feel the most is that my manager and the nurses don't want me there and I've felt that from day 1. It seems like a very miserable work place.

A little history about me...I've been licensed for about a year and a half now. I started in ped homecare because I wasn't able to find a job, but finally was hired by a LTC pediatric facility. The first week I had classroom training which went fine. The next week I began with my receptor. My first day the nurse ignored me, didn't teach me much at all and I couldn't find her most of the time. Second day I had a different preceptor because mine wasn't in who put it me with one patient and I did ok. I've now completed 5 shifts and my last shift I had 4 patients and it was definitely a struggle and I wasn't able to do all the work myself because I had meetings. As far as patient care and documentation goes I feel that I'm doing a good job, being a newbie. Well I had a meeting with my nurse manager abd she was extremely unhappy because I'm not with my preceptor enough. She said that I'm supposed to be glued to her hip. She was pretty mad. She is not a nice person, has taking a dislike to me for no reason that I know of. I assumed my preceptor didn't want me to follow her everywhere because she never tells me where she's going, and instead will tell me what to do and not follow me. No one ever told me this. It seems like no one likes me on the unit, as hard as I try to reach out and be nice. I'm also expected to take 7 patients (a whole load) on my 7th shift. Does this sound a little too much for a new grad? Does anyone have any suggestions as to what I should do? My manager gives me dirty looks, is known to be a perfectionist, very hard on her employees. And a bit neurotic. I couldn't live with myself if I got fired from my first job! It's not looking good the way she speaks to me. I am trying so hard and I feel like it's for nothing.

So I will take out my clinical experience, and other misleading I formation. Thank you the was very helpful! Do you think everything else is "selling myself"? I read an article that said nurse managers want to see that you are open to constructive criticism. Do you think I can put that in my cover letter

Hello everyone! I graduated in 2011 with a BSN (cum laude), and couldn't get a job for 18 months. I applied everywhere, hospitals, nursing homes, dr's offices...not even an interview. I eventually got a job as a pediatric homecare nurse with an agency. I have been working for 6 months now and have a good reputation with my agency. I am now looking to work at a hospital. I prefer adult med/surg to broaden my experience but will take any position, I truly enjoyed every field of nursing in school. My questions are (1) What are my chances? What will nurse managers think of me? Is homecare experience to them? (2) My resume is below. I don't want to put it out until it is perfect. Should I list my clinical rotations or employment first? I clearly have hidden the names and addresses, I'm not worried about formatting, I'm concerned with the content. (3) Any tips are GREATLY appreciated!! THANKS!! Birdie Birdie L. Shjius, RN, BSN Address, town, NY zip code CELL: (6786786- E-MAIL: [COLOR=#003366]hkhjkhkh PROFESSIONAL PROFILE: BSN educated Registered Nurse with Pediatric homecare experience and extensive clinical training at well regarded hospitals. Highly motivated with trusted independent assessment and clinical decision making ability. Proven clinical and communication skills. Aware of strengths and weaknesses, welcomes constructive criticism. Reliable, empathetic healthcare provider with the ability to remain calm and intervene during crises, and to collaborate on multidisciplinary teams to meet patient goals. BLS and PALS certified. EDUCATION: School name, town, NY Degree: January 2012 Bachelor of Science (Cum Laude) - Nursing ■ New York State Registered Professional Nurse #number ACLS, PALS, BLS Certified, American Heart Association CLINICAL ROTATIONS: Fall Semester 2011 Queens Hospital Center, Jamaica, NY Senior Externship - Medical/ Surgical Unit (260 hours). Precepted by a RN; assigned to 4-5 patients daily. Performed patient assessments and developed care plans; utilized EMR for data entry. Cared for patients undergoing vascular, GI, GU, GYN and general surgeries. Managed IV therapies, CVP lines, PCA pumps, wound vacs, J-P and other drains. Participated in discharge planning with focus on educating families regarding general disease management. Winthrop University Hospital, Mineola, NY- Cardiac Step-Down Unit Long Island Jewish Medical Center, New Hyde Park, NY- Medical-Surgical Nursing / Maternal-Child Health Cohen Children's Medical Center, New Hyde Park NY - Pediatric Medical-Surgical Unit Creedmoor Psychiatric Center, Queens Village, NY - Adult Behavioral Health Unit VA NY Harbor Healthcare System, St. Albans, NY - Outpatient Clinic/ Dementia Day Care Program EMPLOYMENT: Agency, town, NY April 2013 -Present Registered Nurse Pediatric homecare for infants and children with chronic, life threatening diseases. Provide high quality individualized care that includes complete and constant assessments, recognizing changes in conditions, adjusting care to maintain optimal health status. Administered PO, SQ, nebulizer, and GB medications as ordered. Utilized feeding pumps, nebulizers, inexsufflator machine, percussive therapy, suctioning devices, oxygen tanks and concentrators. Ventilator knowledge and experience. Exercised seizure precautions and treatment protocol. Tracheostomy and Gastric button changes and care. Therapeutic play, provided activities to aide patient in meeting physical, occupational, and speech therapy goals. Thorough written documentation as per agency protocol using Data, Action, Response format. Maintain open and honest communication with family, healthcare professionals, M.D.s, agency and nurses. Provide extensive teaching and emotional support for families. Ability to remain calm in emergency situations while providing appropriate life saving measures. Child Care Provider, town, NY 2007-April 2013 Complete childcare for newborns to children age 11. Independent Contractor, town, NY Home Health Aide 2009 - 2011 Assignments include end-of-life care of a CVA client, a client with diabetic complications/amputation and other complex medical conditions. Monitor vital signs, medication reminders, personal hygiene, and maintaining close contact with family. COMMUNITY ACTIVITIES: Volunteer, Childhood Nutrition Education Program, school Student Nurse Association Volunteer, School Anti-Bullying Program, school Student Nurse Association

Hello everyone! I graduated in 2011 with a BSN (cum laude), and couldn't get a job for 18 months. I applied everywhere, hospitals, nursing homes, dr's offices...not even an interview. I eventually got a job as a pediatric homecare nurse with an agency. I have been working for 6 months now and have a good reputation with my agency. I am now looking to work at a hospital. I prefer adult med/surg to broaden my experience but will take any position, I truly enjoyed every field of nursing in school. My questions are (1) What are my chances? What will nurse managers think of me? Is homecare experience to them? (2) My resume is below. I don't want to put it out until it is perfect. Should I list my clinical rotations or employment first? I clearly have hidden the names and addresses, I'm not worried about formatting, I'm concerned with the content. (3) Any tips are GREATLY appreciated!! THANKS!! Birdie Birdie L. Shjius, RN, BSN Address, town, NY zip code CELL: (6786786- E-MAIL: hkhjkhkh PROFESSIONAL PROFILE: BSN educated Registered Nurse with Pediatric homecare experience and extensive clinical training at well regarded hospitals. Highly motivated with trusted independent assessment and clinical decision making ability. Proven clinical and communication skills. Aware of strengths and weaknesses, welcomes constructive criticism. Reliable, empathetic healthcare provider with the ability to remain calm and intervene during crises, and to collaborate on multidisciplinary teams to meet patient goals. BLS and PALS certified. EDUCATION: School name, town, NY Degree: January 2012 Bachelor of Science (Cum Laude) - Nursing ■ New York State Registered Professional Nurse #number ACLS, PALS, BLS Certified, American Heart Association CLINICAL ROTATIONS: Fall Semester 2011 Queens Hospital Center, Jamaica, NY Senior Externship - Medical/ Surgical Unit (260 hours). Precepted by a RN; assigned to 4-5 patients daily. Performed patient assessments and developed care plans; utilized EMR for data entry. Cared for patients undergoing vascular, GI, GU, GYN and general surgeries. Managed IV therapies, CVP lines, PCA pumps, wound vacs, J-P and other drains. Participated in discharge planning with focus on educating families regarding general disease management. Winthrop University Hospital, Mineola, NY- Cardiac Step-Down Unit Long Island Jewish Medical Center, New Hyde Park, NY- Medical-Surgical Nursing / Maternal-Child Health Cohen Children's Medical Center, New Hyde Park NY - Pediatric Medical-Surgical Unit Creedmoor Psychiatric Center, Queens Village, NY - Adult Behavioral Health Unit VA NY Harbor Healthcare System, St. Albans, NY - Outpatient Clinic/ Dementia Day Care Program EMPLOYMENT: Agency, town, NY April 2013 -Present Registered Nurse Pediatric homecare for infants and children with chronic, life threatening diseases. Provide high quality individualized care that includes complete and constant assessments, recognizing changes in conditions, adjusting care to maintain optimal health status. Administered PO, SQ, nebulizer, and GB medications as ordered. Utilized feeding pumps, nebulizers, inexsufflator machine, percussive therapy, suctioning devices, oxygen tanks and concentrators. Ventilator knowledge and experience. Exercised seizure precautions and treatment protocol. Tracheostomy and Gastric button changes and care. Therapeutic play, provided activities to aide patient in meeting physical, occupational, and speech therapy goals. Thorough written documentation as per agency protocol using Data, Action, Response format. Maintain open and honest communication with family, healthcare professionals, M.D.s, agency and nurses. Provide extensive teaching and emotional support for families. Ability to remain calm in emergency situations while providing appropriate life saving measures. Child Care Provider, town, NY 2007-April 2013 Complete childcare for newborns to children age 11. Independent Contractor, town, NY Home Health Aide 2009 - 2011 Assignments include end-of-life care of a CVA client, a client with diabetic complications/amputation and other complex medical conditions. Monitor vital signs, medication reminders, personal hygiene, and maintaining close contact with family. COMMUNITY ACTIVITIES: Volunteer, Childhood Nutrition Education Program, school Student Nurse Association Volunteer, School Anti-Bullying Program, school Student Nurse Association

I was in the same position as you. What I did was I started looking at private/Medicaid homecare jobs. This led me to a pediatric homecare agency. I don't make as much as a hospital nurse and there are weeks where I don't have any hours because someone is in the hospital but it's something, and I certainly have learned a lot. Have you gone on craigslist to try to find something private? I'm at the point where I want to apply to hospitals but I'm afraid they will disregard my experience and consider me someon e who hasn't worked in 2 years since graduating...I feel for you, I know what you're going through. NO ONE would let me even volunteer! I couldn't get an interview! I hope this helps...if you live in the NY metro area email me, my agency is always looking for nurses.