HereInTX

Hey LostSoul123 I don't know the details but feel your pain. I recently made a medication error and my confidence, trust in self, desire.....gone!!! It's been a struggle to make it in my last couple shifts & have one more to go before I have 4 off!! I made a friend request on here if you need to talk. Wasn't just me but also involved another nurse and a double verification med, the patient is just fine but I feel like everyone now knows and thinks I'm an idiot! After 12 years I have never been counseled or reprimanded and even a week later nothing has been said by management which makes it almost worse!!!! I'm not sure if job burn out is contributing but I'm sure it is, as well as going from adult ER into pediatrics & now feel like a new grad!! please reach out!!

To update this thread for those looking for information. They do offer now a one day recertification class though there's not many out there at this point. It's a self study kinda deal. They've now put five sections of content online and you're expected to review all that on your own. It's briefly touched on in class at the end as a review and I think that's where they get across what's important for testing purposes. As far as testing they do a kind of "mega code" as someone mentioned. But it's just basically a head to toe and assessment that usually involves airway & uncontrolled bleeding since that is what TNCC stresses now. Everything is "I am checking for external signs of hemorrhaging" This is my third recertification taking the two day course, and I found this written test a little more challenging as some of the questions do try to mess you up! More so there seems to be 2 answers that could be right but if you don't have test anxiety it isn't bad, but I was still mad at the ones I missed because I KNEW the information. Just like the ENPC, there is tons of new information and honestly I think there should be 2 full days with lecture content, followed by a separate day of testing. By the end of the second day you receive so much new information (and are so tired especially if you're a night shifter like me) that it's hard to then go right into the testing. At least it can be challenging for me! So pretty much read the book from front to back well in advance before the class. And so you don't overload yourself with information, then just take notes in class paying special attention to what they tell you to focus on and that's what's on the written.

"Intense" in hospice Im sure is much different than the ER. Im sure it has it's moments, but when your juggling 2 critical patients and 1 demanding one at the same time, I'd rather drive 300 miles a night verses doing that! Staying up 12 hour nights sometimes not being able to eat, take bathroom breaks, or even sit, isn't easy either.....

It isn't 24/7. I'd be on call 5:30p until 8:30a for 7 days then off for 7. Just after hour nights, days off. After the last three days I just had in the ER, Im taking it. If anything I can try something else.....one of the many perks of being in nursing! :)

So, long story short been in healthcare 22 years now, past 7 as an RN. Most of that time has been in ER but getting burnt out just due to the "treat 'em and street 'em" mentality, even if admits! Its about how fast you can get them through most times. As an aide years ago I use to love home health care and worked many of hospice cases. Now, I wonder if I will like it as a nurse? I was offered an on-call 7 days on and 7 off with a large company, with locations to move to if I wanted, but am nervous to leave what I know. A big shock is it pays about what I am making now in the ER! So....for you on-call nurses that do it....do you like it? Have you stayed in it? I'm also considering PRN at a much smaller ER to do a shift a week on my weeks off. Just want some input from those that have experienced it. Especially those who have left a unit to do so. (FYI-I'm now 41 closer to 42 and my body isn't liking the ER pace much anymore either!) Thanks :)