MommyRN15

Thank you KP for such an awesome reply. I will definitely take your advice ?

We do more than just egd/colons. We get some very sick patients so not every one is an easy sedation. Mostly patients will be intubated for first time ERCPs, EBUS cases and some other Bronchs depending on anesthesia and pulmonary preferences. Stretta cases,food bolus and foreign body. Active upper bleed. Nausea and vomiting to protect airway they will get tubed.

And my original post should have said that we average 8 or 9 inpatients for weekend call. So the outpatients would be on top of that. But, we aren’t supposed to have overtime!!! Lol

Yes very stupid, but the issue is they want us to become phase 1. We don’t have the time or space for it, even if our nurses get trained properly. We have 6 PACU bays am do an average of 30 outpatients. When we work PACU we barely have time to move out our phase 2 patients before we run out of bays. They are asking for all kinds of trouble.

Yes very stupid, but the issue is they want us to become phase 1. We don’t have the time or space for it, even if our nurses get trained properly. We have 6 PACU bays am do an average of 30 outpatients. When we work PACU we barely have time to move out our phase 2 patients before we run out of bays. They are asking for all kinds of trouble.

I can’t even begin to express how frustrating the whole situation has become. We are a self-contained unit and do our own pre op and pacu. So 15 outpatients on a Saturday requires a whole team of people, not just a call team. The call team should not be required to do all those cases. They used to only approve the cases after they had enough volunteers. We are under new leadership and they are ruining our unit. We are treated as if we are children. There is no shared governance, staff input is NOT valued. This is at a hospital that was just redesignated as magnet. They don’t deserve it in my opinion!! The overtime is a huge issue with leadership at the moment. They staff for 7-3, but the volume goes way beyond that. We are an extremely busy unit and often finish cases way past three. They let doctors book outpatients as late as they want which could be 7pm. They expect people to stay then send them home early on other days. We work our butts off, then still have to do all the pre op calls and post op calls because we have no PAT nurse. They blame us for milking the clock without having any idea how efficient we actually work. One day we had 52 patients between 7-5 with 9 nurses and 5 techs. But they tell us we are not productive. I think I am ready to move on from this place ? Thanks for letting me vent!!!

I came here to vent and get other’s opinions... When I was hired at my current facility they explained that call was for inpatient urgent or emergent cases. Now my unit is scheduling Saturday outpatients (15 cases) and is requiring the call team to cover. The call team covers Friday to Monday and average 8 or 9 I patients. Clearly the better solution would be to fill with regularly staffed people, but leadership has no idea what they are doing. When approaching our, mostly non-existent manager, about the issue she just said she had a meeting to run off too and didn’t have time to discuss. Never came back to discuss. Ugh!

You are right. What I mean is phase 1 recovery. So patients intubated and received succs, gas, and propofol.

Looking for input from nurses on other endoscopy units. We have a mostly self-contained unit with our own pre-op and phase II recovery. Our general anesthesia patients go to the main PACU. However, they (PACU) want us to start recovering our own generals. Do other endoscopy units do this? I have never heard of this anywhere. We are concerned that this will not be safe for patients as well as not work for our high volume of outpatients. Any input from other endo nurses? Thanks!

Thanks for the responses! I chose MD Anderson. Seems like the best choice! (besides the commute í ½í¸•)

They didn't include anything on tuition reimbursement on the information they sent me. I'm not planning on going back to school anytime soon, so for me it's not that important. If I find out that information I will let you know. Does anyone think that pay may be negotiable? I am coming from NYC which has higher salaries due to cost of living but I am taking a 35,000 pay cut... seems excessive

Thank you for the response. Where are you commuting from that it would be 2 hours? With traffic in rush hour could it be two hours from Spring? That's not a good quality of life, even for good benefits...

Will be living in close proximity to spring, that's where my parents are. I have two interviews coming up in the woodlands and humble. Trying to get an interview at Houston Methodist willowbrook since that would be the closest. Since I already have two offers, I feel that I need to accept one of them in case I don't get any other offers. I'm a little nervous about the commute. Right now I commute to Manhattan every day, but I feel that the traffic might be worse in Houston... Is MD Anderson a good hospital to work for?

Hello, I am interviewing at different hospitals (all for endoscopy 💩)in Houston and have been offered positions at two hospitals: MD Anderson and St Joseph Med Center. I have further interviews at two others: Houston Methodist and Memorial Hermann. A recruiter from HCA also just called me. I need input on which hospitals are great to work for, specifically endoscopy but also more general like pay, benefits, overall nursing culture. I'm having a hard time making a decision as I think commuting to the med center will be hard, but they seem like great hospitals. Thanks!

Hi All! Just wanted to start a post on salaries in NYC for those who are job searching or considering a switch. I just switched from a medical center outside the city to NYU Langone. I went from making a base of 66,500 to 89,500. There is also an OR incentive right now of 12,500 at NYU. So a new grad in the OR would be making 100,000. Any other info on salaries out there? Please share if you can. Thanks!