lmrn13

For the same reason that an ED RN will document "Awake, alert and oriented x 3" when the patient can barely tell you their own name. Or document that skin is intact when they know they haven't looked thoroughly. Plus is it not possible that you could forget or fail to document something important? The type of stuff that ER nurses get away with would get me written up on my floor. I understand it's an emergent area but come on. We get stuck finishing/fixing all the things you guys don't do so please don't complain about giving me a decent report so I can take over your mess. The reason you don't want the floor nurses asking questions is because we call you out on things. I once saw an ER nurse try to send a patient to the floor with a Mag 1.3 and no orders for replacement. Keep in mind it was 3 AM. Imagine calling a dr at that time for something that can easily be ordered by an ED physician?? We on the floor have licenses just like you and forgive me if I don't want to stake mine on saving you a few minutes. I understand that this may seem like ranting but I find the original question offensive, like dealing with a floor nurses questions is below an ED nurse. We are all a team and we need a decent report to maintain patient safety and continuity of care.

Maybe Hep C??

1. South FL 2. New Grad 3. Cardiac Tele at a large metropolitan hospital 4. $24.80 base pay 5. $4 evening and $6 night differentials. No weekend differential. 6. Non-union We pay $1400 a month for a 2 bedroom 2.5 bathroom apartment in a great area, but that doesn't include any utilities. Gas here is right about $3.79 a gallon right now, and milk is +$4 a gallon.

My friend got a job at Florida Hospital in Orlando a few months after graduating from our BSN Program. She got in at the ICU but there is a 2-3 yr contract she has to finish out there. Yes I'm in the Miami area and competition is insane here. I think about how lucky I am every day because I spend 8 months looking for a job. Are you and your classmate getting your BSNs?

I remember doing a rotation in the Pedi ER during nursing school, and we were treating a frequent flyer. She was a teenage girl with cancer receiving chemo, and my preceptor told me that although she had no insurance, her parents would bring her to the ER each week for her nausea. However, they would always do this on the same day she had her next chemo appt so that she would be a direct admit from the ER and had to be treated. I could only assume that her family was struggling financially, but were willing to do whatever necessary to get her the chemo. Idk if that's something that could apply here?? Also I guess you could look up the laws in your state as far as minors being able to seek tx for STDs and pregnancy without their parents consent?? I don't really know what I would write about but I hope this helps

Congrats but I agree... never do that again. I just had a drug screen this week and the nurse told me that they can test you at any time!! At my facility if you so much as cut your finger they'll send you to employee health for a drug screen and if you're positive they do report to the BON. The nurse told me she has already seen several cases where ppl tested positive because they just took meds that were given to them by family members when they were sick and didn't know what it was. Needless to say they got in serious trouble for that cause they didn't have a script and it contained a narcotic. Not worth the risk at all.

I am a new grad as well, and have been looking for a job in South FL since last July when I passed NCLEX!! I have my BSN AND a Bachelors in Health Science and it still took me a ridiculous amount of time to find a job. I only recently got hired for a residency program that starts in a mid-March. I am not telling you this to discourage you, however you need to be aware that your job search is likely to be a marathon, not a sprint. In the meantime (and if you can afford it) I would recommend getting ACLS certified and possibly taking an EKG course. I think that really helped me in my job search.

I have spoken to several associate degree nurses who have gone waaaaay longer than 6 months. As for myself, I went almost 10. And I think I'm pretty well educated with two bachelors degrees (health science and nursing). I also have additional certifications that I did on my time and $$. I was so naive thinking that nursing was a super in demand profession.... My instructors would tell me how they had jobs lined up even before graduating!!! South FL is so saturated with new grads.... But I know a lot of other places are like that too.

I'm not telling you NOT to move to South Fl... I'm just telling you to do your research and not be disillusioned so there aren't any big shocks when you get here. Visiting a place and living there are very different. And I definitely recommend starting your BSN as soon as possible when you get here.... My bf is doing his Associates in Nursing now and I tell him the exact same thing. I really worry about him finding a job after graduation... And it's a very real concern. I think the hospitals you're looking at are good.... But there are also plenty more you can look into. Jackson Memorial Hospital is very new grad friendly, and Tenet owns a lot of Hospitals here in Fl. Definitely look there. There are also Mercy and Kendall Regional in Miami but idk how new grad friendly they are.

Advocate for the patient.... Who obviously can't do it for themself!!! Those conditions sound abhorrent and you don't want that on your conscience.... Wondering if there was more you should've done. Def let the agency know but don't let them just brush it under the rug. CPS exists for this very reason.... I think they're a resource you should definitely refer to.

Ok I sent you a private message. I hope I can help you :)

I start a new grad residency in March and honestly my biggest fear is that I make a mistake or someone gets hurt. I'm sure everyone goes through these feelings but it's so intimidating!!

The thing is idk what I would've done in those situations. I mean the ED is obviously not 1-1 so you have other patients to care for. Maybe you should've gotten a tech to assist them in the bathroom? And as far as the seizure pt idk.... I mean you said the MD didn't want a sitter and you clearly can't sit with them their whole stay. As far as the proposals I think that's a good idea.... Sort of like when a nurse makes a med error how they have to teach others so that error doesn't happen again. Not that I'm saying you made a mistake, it just seems like a proactive thing to do. And ya DEFINITELY be honest and just explain to them why you made the decisions you did. Obviously you didn't want the patients to fall so you should tell them the justification for your actions. At least that's what I would do...

I know that my instructors in nursing school discouraged going straight into an NP program without experience as a bedside nurse. Bedside nursing teaches you a lot. My instructors told me that they had seen MSNs and NPs working as bedside nurses because they had never gotten that experience. Idk how true this is or other peoples experiences, but it makes sense to me. Best of luck...

Wow that's extremely unfortunate. I'm a new grad and I haven't started working yet so I probably can't provide too much advice. I guess all you can do is tell your side of the story, be truthful and hope for the best. Definitely update after the meeting.... I'm curious how this turns out. Best of luck.... I'm crossing my fingers for you