anewsns

Yea, I have never traveled and never will. Travelers earn every cent of that really high pay as they are usually walking into very desperate situations. When my coworkers go travel I think they are usually going for the varied experience and adventure. I picture having very bad scary days while still overcoming obstacles of not knowing the hospital. and sleeping and anxious on my days off . And I have a fair amount of experience. I was always surprised to get med surg travel emails from indeed when I was in SNF.

It sounds like its a bad preceptor. If you really think you would like the unit I would request another preceptor. Otherwise you could just leave. If you did fine in your last job with no concerns from others then your care is probably fine. Your preceptor should definitely let you be more independent. It makes sense that you have only a small role in a code and I am sure you are fine securing a nasal cannula. She sounds controlling.

I think you should go to a place where you can get a decent orientation first. It's too much of a jump to go straight to traveling, but not a big jump if you can get around 6 weeks orientation. (I've worked in snf and hospital.) Once you get the hang of the hospital setting it is a big relief as you said.

I would continue to work on applications for the easiest jobs but also try to think of something else you may like to do in the future. I graduated in 2010 and some of my classmates are already doing something completely different. Once you figure out a future way of getting out of this you may feel more motivated. Do not look for your parents opinion on this, try to find someone more understanding and supportive to talk to.

Sounds like a stepdown. Do you mean CCU as in critical care unit?

As far as patients not being able to see their records until the doctor has had a chance to talk with them. There are instances when the patient having the report in front of them when they visit the doctor has prevented unnecessary surgery or treatment plans. A second opinion was requested after the patient politely listened to what the first doctor wanted to do as far as surgery was concerned which ended in a totally different treatment plan. With less chance of surgery complications. Have also witnessed doctors trying to give a patient the bum's rush and talk them into treatment and tests that were not appropriate for their situation. Yes I can see what you are saying, trytounderstand, but it is our job as healthcare providers to help the patients make sense of the information. The patients have the ultimate, final say in what their care should be, but input from doctors and nurses (the ones with years of school and training) are an extremely important source of information. I, as a nurse, certainly don't know everything, so if I am having a problem in a body system where I only have basic familiarity, a test result leaves me with tons of questions. I have also educated nurse patients in family members in their neuro conditions where they felt much more informed and comfortable making decisions only AFTER a doctor and myself have spoken to them. Healthcare professionals often know in doing their own research that they also need specialized input. There are many, many patients with very minimal health literacy that are in an even more vulnerable position. I agree with Wuzzie that if doctors and nurses are rushing these conversations and not giving the patient enough time to understand, that is a failure of the healthcare professional and that is not something that is addressed with the CURES act. It should be addressed other ways. Its one thing if its a basic lipid panel or something, an entirely different thing to find out about a new brain lesion. Why we should be able to decide when the information goes out. The whole process of delivering information should be timely (no longer than a couple of days usually) but doesn't need to happen the very instant results come in.

Is SNF your only background? I hated working SNF for the same reasons you mentioned above. The bedside nursing world is rough right now but I still recommend trying at least one other area before quitting entirely. Just about everything is more fulfilling than SNF. So you know, this is not a disrespect thing. I know first hand that people unfairly look down on nurses in SNF which makes the whole situation way worse. I have immense appreciation for people who stay. Residents and patients in LTC and SNF get kind of a raw deal because of the way they are run. Nurses who really enjoy those jobs are pure gold to me.

Is that the same as a transfer center? Like triage of new patients coming into the hospital? That is where I just shadowed and liked it..I think the lack of responses may be from the fact that the name of this role varies. You are an ED nurse? The manager of mine said ED nurses tend to be very good at that job.

Well, this is not really within the realm of a neuro nurse since we are dealing with stuff like strokes and brain tumors, seizures and the like. Make sure you are limiting caffeine before bed and getting enough cardio exercise if not already. If you still need something else then you may need to get a second opinion from a doctor or get a referral to a psychiatrist for more specific diagnosis

I agree with everyone and when they started calling us heroes, I felt like people just started seeing us as cartoon characters instead of humans.

Well, I kinda hope my coworkers don't need any monitoring or assistance at all, but desperate times call for desperate measures I guess.

Apparently patients can't see flowsheets in EPIC so everyone knows. There are also exceptions to notes that could cause the patient to do harm to themselves or others, where doctors and case workers can delay how long it takes for them to see the notes. I do not believe nurses have the ability to delays though. I already know of some who received really bad news on radiology reports without having seen the doctor first. I think we should be able to use clinical judgment to delay release of information, even if it is only by a couple of days. Also what is with all the nurses who show virtually zero concern for other nurses safety?? There are ways of giving the patient good and fair care without hurting the nurse.

There are so many really good new nurses around me who say the exact same thing in the beginning but grow to really like it after a while. I think you need to just allow yourself to be very lazy on days off and don't worry about chores too much. Make sure you are taking care of physical needs like going for a short walk, getting healthy snacks and drinking water. You absolutely can not do it all during this phase. Just the basics. I have this thing where if I am down or anxious on days off I do DTLBP Dishes, table, laundry, bed, and plants. Just the chores that make me feel at a basic level of control. Takes no more than a half hour. (Folding laundry is left for another day, so all I gotta do is wash and dry it.) Cooking wise, you don't need to be making these big meals, just very easy ones. Keep it simple and place all the other emphasis on resting and self care. I always command my orientees "go home and do not leave the couch or bed until you have to come back!" It cracks them up and when I come back I find out they did sit around most of the time but they are always refreshed. Also, definitely no chores at all on work days!!

I think Trump is old news and him and his supporters will eventually fade into the background since more and more people are voting now. We just need to keep people motivated to vote. Beerman is right, democrats keep bringing him up for no reason. ?. I personally know little about Jill Biden and would rather hear about her.

Good call, maybe a day surgery center or urgent care would be better!

This is a very 3-11 shift thing to say, and I appreciate it.

Thanks Nurse Beth! I am soon going to read a book about how belief systems are formed in light of events in recent years. I am curious about all beliefs that are foreign to mine. I do feel that a persons surroundings influence their beliefs the most. Misinformation is very prevalent in certain pockets of the population. I am always trying to assess my own biases and find all kinds of them. It has helped me create a more coherent belief system over the years. It is a lot of work.

She said in a 2 week period! We are not THAT crazy.

To be fair, there are a lot of people and situations to be concerned about but the people who want the freedoms also tend to end up being the patients you are talking about.

Maybe 1:1 with elderly people who need care at home? You may be working more in a CNA capacity but I think some wealthier families pay well. I think being an introvert doesn't mean you need to be away from people. You will just need to be with people you know and feel comfortable with. A group home could work too.

Yes I totally get it. Being toward the top or bottom of the totem pole are fairly uncomfortable at any job in my opinion, for the reasons you have listed.

It sounds like the old job will ALWAYS take you back but I'm not so sure about the new one. You could always stay at the new job and keep in touch with the coworkers you are close to and keep tabs on whether anything changed. If you take the promotion at the old job the responsibility to change will be partially placed on you. Also, maybe if you really don't like the new job after 6 months or a year, you can go back to the old one with a new, better perspective or an entirely new opportunity will come your way.

How is a doctorate in education not worth much if you value medical doctors, who need people who are doctorates in education to educate med school professors? Anyway, everyone already knows she is not a medical doctor. Do they have this problem with other professors? Are they even educated enough to know that professors with doctorates are called doctor?

In my experience yes, big time!! At first I feel like I don't bond with many people and don't even really like anyone. I have had 3 nursing jobs and this happened during both switches. Over time I develop more investment into a place and find I l like the new job and people even better than the last. If you really want to go back you can and see how you like the new job. Do you trust that things will change now that the owner of the practice knows how bad it was? Does it seem like he supports you as a person as opposed to just a really good resource? There is a difference. Also, the work- life balance is definitely better if you work less, but if you find more fulfillment in your job than in home life you may prefer to go back to the old one and see how it goes. I personally would take the easier one but everyone is different.

This is my experience as well. I used to work in acute rehab which was a med-surg like environment and I felt like there was a lot of patients who were very sick and circling the drain. Switched to neuro stepdown and it seems calmer. We do have more rapid responses than you are indicating here. Maybe 1 a day on our 37 bed unit but I think since we keep their vital signs on tighter leashes and keep up with minor changes we are able to keep them more stable. We also have a rapid response team and an ICU downstairs. Our unit is considered to have very sick patients but it does not feel like it because it is so controlled. And because it is neuro many tend to stay a while to wait for rehab. It's fast paced in other ways. I like this environment better though. The surgical complications do seem a bit sketch to me if there are a lot of them.