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NurseyNursington

NurseyNursington

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NurseyNursington's Latest Activity

  1. NurseyNursington

    Preparing to apply to medsurg/ER positions

    I'm not trying to crush your spirit here, but you should really consider Med/Surg first before ED. You've only been a nurse since late 2014 and from what I'm reading you don't have any floor nursing experience. Coming into floor nursing in the ED is not really the way to go. My hospital has a bad habit of hiring new grads with no experience to the ED, and they last maybe 6 months before the experienced nurses stage a coup and have them transferred. ED is not the place to start and I've seen many a new nurses question their choice of careers just because they bit off more than they could chew and feel like they made a mistake. Med/Surg floors will give you solid experience with just being a nurse, which is really important at this point. I originally wanted to be in the ED, and now that I look back there is no way I would have hacked it as a new nurse there. On Med/Surg you'll learn basic patient care, how to deal in the environment and what being a nurse is all about. As my preceptor used to say: "you're not ready for another floor until you've led a code blue twice without hand holding." She's right, and I'm glad Med/Surg was where I started.
  2. NurseyNursington

    Major Dilemma

    Agreed. If you're heart is in school nursing, you kind of answered your own question. Apply for the job and then go PRN at the position you were hired for now if you get the school gig.
  3. NurseyNursington

    Hilarious Conversation with a Patient

    Omg these are hilarious. You guys all made my very long shift last night entertaining.
  4. Definitely get certified as a CNA and try to get a job in a hospital. Nearly all my classmates who were CNA's at hospitals during nursing school were offered RN jobs after graduation.
  5. NurseyNursington

    Hilarious Conversation with a Patient

    My floor tends to get a lot of older adults with either confusion from a UTI or dementia. Often they are my favorite patients because while confused, they're usually sweet and pretty funny. I've had some really confused patients tell me hilarious things, but my last shift takes the cake and I had to share. Here's the conversation I had with my confused female patient: Me: Hi, Mrs. _____. I'm _____ and I'm going to be your nurse tonight. Pt: Are you a boy or a girl? Me: (Look down at my pink scrubs) I'm a girl. Pt: If you're a girl, why do you have such short hair? Me: Because I like to. Pt: You'll never get a man with that hair. Me: Well, I'm already married. Pt: That's what's wrong with you girls nowadays; short hair and wearing pants. Men don't respect us because of it. We'll never get the vote now. Me: The vote? Pt: Yes dear. Don't you read the newspapers? Don't you want to be able to vote? Me: Ma'am, what year is it? Pt: Don't you know? Me: I do, but I want to make sure you know. Pt: Well, 1932 of course. Me: Ahhh, this conversation makes a lot more sense now. I promptly excused myself from the patient's room and then proceeded to laugh hysterically. Apparently because of my hair and wearing pants I'll never get the vote. I've never been so entertained at work. Anyone else have a hilarious story of things their patients have said?
  6. NurseyNursington

    First RN job offer - assisted living. Will it kill my career?

    Well, it depends what type of experience you want. What is your overall goal? If you want to work as an ICU or ED nurse, this may not be the best idea to gain skills. When I was in nursing school I had a clinical instructor who always told us that you lose a lot of your skills the first year if you're not actively using them. She apparently took an assisted living RN job out of school and struggled to get into a hospital later because she was super rusty on things like IV starts and wound care. I was in the same situation as you a few months ago, and ended up moving to a whole new state because new grad opportunities didn't exist where I was. I'm glad that even though I waited many months to find a job out of school, that I made the right decision not settling.
  7. NurseyNursington

    Another nurse tried to get me in trouble

    Thank you everyone for really making me feel better. I agree that the entire situation was just a mess and shouldn't have happened anywhere like it did. Thankfully the Administrator said she's uninterested in pursuing it further (as in the nurse's complaint), after the charge nurse explained exactly what happened. It felt good to know that the people on my floor we're backing me up 100%. After a situation like this, I'm glad that I do hourly rounds and that I document my rounds on the patient's white board in their room.
  8. NurseyNursington

    Another nurse tried to get me in trouble

    Today I feel like I'm still in high school after another nurse deliberately tried to get me in trouble with the Administrator of the hospital. Here's the situation... I work on a Med-Surg floor, and had a fairly light load with five patients. One of my patients was a fully alert and oriented elderly woman who was weak from an infection, but understood not to get out of bed without help (and hadn't tried days prior). About 30 minutes after I had rounded on the patient a charge nurse from another floor came to our floor's nurses's station and began asking who had that specific patient. I let the nurse know it was me, and she began to tell me that the patient got out of bed without help and said she'd been calling for two hours on her call light without anyone checking on her. I followed the nurse down the hall to the patient's room and explained I had just seen her, especially since we round hourly, and she had been asleep. She then began to complain that the patient's IV was leaking and she was in pain. I was completely confused why this charge nurse was even in the patient's room, until I realized the charge nurse is the patient's granddaughter. The granddaughter took it upon herself to change the patient's IV, even though it was fine after I tightened it and re-taped it, and gave me the nastiest looks while demanding pain medication for her grandmother. I explained that I had already given her pain medication 30 minutes prior and it may not have taken full effect yet. She then lectured me about how her grandmother should be in a room closer to the nurse's station, as if I somehow picked the room myself. I told my charge nurse what happened, and 20 minutes later my charge nurse tells me that the granddaughter called the Administrator of the hospital and complained about me. Even though we round hourly on our floor, I had only finished my med passing an hour ago AND we had two techs on the floor who answer call lights, the granddaughter still felt her grandmother was being neglected and attempted to get me in trouble. I'm just angry about the entire thing. My charge nurse is backing me up 100%, but the Administrator is not someone I want to mess with in general. I understand advocating for family members, but she was being ridiculous. I just need some words of advice, or comfort. I'm feeling pretty bad right now.
  9. NurseyNursington

    Frustrated with angry, demeaning doctors

    I didn't mean to start an argument with my topic, but I understand where everyone is coming from on this issue. While I agree that a doctor has no right to treat me poorly simply because he has a hard job, or because I woke him up (for a good reason), hanging up on the doctor would put me in a bad situation. I'm sure my director would have words with me if I did that, and as a new nurse I never want to be placed in that situation. My preceptor is always there when I make phone calls, and I'm nothing but professional and courteous (and especially apologetic if it's really late). Rude people are something that can't really be changed, I understand that. This is my second career, with my past life being in construction... rude people galore. While I cannot change their behavior, or report them every time they go on a tangent, I can control how I deal with it and react to it. It doesn't excuse their behavior, and in certain situations I would have no problem calling my director if I felt the doctor was completely out of control. Most of the problem doctors aren't employed by the hospital, but simply have admitting privileges, which is why they don't really have a boss I could go to if they were being a jerk. I think this is one of those moments where I learned to suck it up. I mean, yes, I'm still scared as crap to call, but I think I just needed some encouragement that it's not just me. I'm sure all new nurses go through this moment where something scares them, and this might just be mine.
  10. NurseyNursington

    The New Grad Job Search

    I was in exactly the same situation as you when I graduated in June. I started applying for jobs while I was still in nursing school, as a lot of the hospitals take their sweet time making hiring decisions. Out of my class of nearly 30, only 1/4 of us are employed, and I come from an area highly saturated with hospitals and opportunities. However, I found out that just being enrolled in a RN-BSN program wasn't nearly good enough. Competition is fierce, and it is all in who you know and the experience you already have. I tracked every job I applied for, and I was at 120 before I received two interview calls... neither of which ended in a job offer. The only reason why I am currently employed in a great hospital on a Med-Surg floor is because I took a risk and applied to other states. I'm five states away from my home, and while this is definitely not my dream job, it is an open door to it. The majority of my classmates had blinders on and weren't willing to apply anywhere but their local area. Those are the ones who still don't have jobs. If you want a real shot... look at areas where they are hiring new grads: New Mexico, Texas, Arizona, North Dakota, Wyoming, etc. They may not be where you want to permanently live, but they are a real foot in the door to that L&D job you want, even if it starts on a Med-Surg floor.
  11. NurseyNursington

    Frustrated with angry, demeaning doctors

    I wish I would be able to see the doctors when they round, because your suggestion, scaredsilly, about asking for PRN's is the first thing I would do. However, most of the doctors don't round each day and if they do, it's way after I'm already gone. One of my patients, who has been there for over a month, said she's seen her doctor a total of 3 times. I thought she was exaggeration, so I looked at her chart. Either he rounds and doesn't chart it, or the patient is completely correct. I do try to keep in mind that the doctors have incredibly hard jobs. I would never want to be in their shoes. I'd like to think I'd be nicer though when it's something that's obviously in the best interest of the patient. I guess I just need a pep talk. Being a new nurse is way harder than I thought, and getting yelled at when you're trying to do the right thing makes it that much more difficult. Something I do take pride in, is that I haven't cried once. I'm a crier... and even though I'm anxious I promised myself I wouldn't let a doctor put me in that place.
  12. NurseyNursington

    Frustrated with angry, demeaning doctors

    I'm on my second week of orientation on a very busy Med-Surg floor. My preceptor is great, and I'm catching on to the ancient charting system and learning through a lot of "by the way" conversations. My main concern, and what literally keeps me from sleeping, is calling the doctors during my shifts. I literally have panic attacks just thinking about it. It's not because I'm unsure of myself or I lack confidence in my assessments, it's because every doctor I've encountered at this hospital is an enormous jerk. I work the night shift, so I try to call early if a problem arises and not wait until 2am and wake them up. However, it seems like the same rotation of doctors, whom my patients have as their providers, are just plain rude on the phone. For example, last week I called a doctor because my patient was having severe heart burn, and didn't have an order for anything to solve the problem. I called the doctor, having my ducks in a row before and knowing her vitals and assessment, and he actually "huffed" at me over the phone, shouted to make her NPO and then hung up on me. He did this again the following day for another patient when I was giving him critical lab values for a H&H. A few times my preceptor has called doctors for me, since I'm not 100% up to speed, and they've yelled at her too. I just feel like I can't win. I'm not super thick skinned, like a lot of the nurses. While a mean doctor would never stop me from calling when it's really necessary, I just have so much anxiety and frustration surrounding it. I've yet to meet a nice doctor here, and even a urologist was on our floor throwing things around because he couldn't find something. I just don't know what to do. It's literally making me question my want to be a nurse if all I do is get yelled at by doctors. What kind of career is that? Words or wisdom... anything?