rntransition727

I'm not an NP but this job sounds like a nightmare and like I wouldn't like the fact that no one listens to you there. I wouldn't put my license on the line for that.

I left the hospital setting because management seems to put scripts and other mundane duties above pt care. I got tired of being threatened with my job over such nonsense. I was never much of a customer service type of person. I got into nursing because I was passionate about helping sick people. So of course I'm going to do my job to the best of my ability. I got tired of spending hours in meetings going over scripts to say to pts, and waking up my pts to give report when we could have stayed in the nurses station. I've had a manager even correct my script in front of the pt and the pt was dumbfounded. I find that to be the most unprofessional thing you can do. I just couldn't take it anymore. So I do home hospice now.

Maybe try another med-surg specialty like ortho, respiratory, cardiac, or neuro. I did oncology as well and that particular job was too overwhelming. I do home hospice now and it's a good fit for me. I did ortho/neuro as well when I started and I liked it, but it can be narcotic city. Oncology pts do require a lot of labs, on several meds, get chemo and radiation plus many are on neutropenia precautions... The list goes on. It's a lot for even the most OCD nurse in the world, but that doesn't mean the hospital is not for you. Try other areas first.

I think it works better to give the full comprehensive report at the station or in dictation room ( private area) then go to each room and introduce the new RN and then show the IV placement, wounds and such. That's what always worked best. Unfortunately, management wanted us to follow a script and a checklist which took forever and it required a long interruption to the pts rest. Management seems to miss the point on pt care

This is why I left the bedside. I was getting threatened by my manager because of lab mislabeling. Of course I'm also trying to do 29 different things all at once. And the all needed to be done right now. God forbid we hire phlebotomists to help draw labs or have one or two extra nurses. No we overload the staff and when they mess up we threaten to take away their job.

Is the training for a DNP considered similar to an MD (general practice)? Or is it focused mostly towards research or teaching?

If I were you I would put in my notice as soon as possible. Apply to other jobs first though. I was in you position before. It's not worth the anxiety. I have a family that want to enjoy. So I quit. Still don't regret it.

Do any of you who support Obamacare even work in a hospital? It really sucks right now. Understaffing ,being our biggest problem, but we also have double charting and more new charting. If everything doesn't look good on paper then we don't get reimbursed or worse fined. Also HCAHPs teach patients that the customer is always right, so even if we do everything right, but our patients are still mad that their eggs were cold one morning, then we still lose reimbursement. Medicare and Medicaid are in the business of not paying out, that's why they have so many ridiculous rules. ACA just made it worse. It's unsustainable. A single payer option would be better but then the working population would see a 65% being taken from their pay checks and prob more if we continue to be at war with ideologies we can't control. That's just my rant. I'm done now

Move to TN. My hospital will hire, but that unit does much more than oncology. That floor is a cluster...

I'm not a fan of her choices but I also don't like taking away people's choices either. I especially don't want government more involved in the health field. Government is too involved already. I think she's already proven that she's not very willing to follow protocol and it will bite her back later. However, I refuse to sign a petition to take away her license and her livelihood. That's bullying and the nursing field needs less bullies in it.

I'm planning on leaving my job as soon as I find another one. I was promised a much better work environment that what it really is. Plus there are strict policies that threaten to write up nurses that lead to termination but we get so little help and are so busy and frazzled. It's not a safe environment for me or my license. The worst part is patient care suffers because management wants to make their money. I say that until my employer cares about my well being, I gotta take care of myself in the mean time.

Honestly, until Medicare quits dictating how professionals should do their job, nurses are going to drop like flies. HCAHP scores are a joke. Hospitals can't keep their doors open and staff the floors the way they should to provide the care that's needed. Management cares so much about the bottom line that they're willing to throw their staff under the bus. It's all a huge cluster that isn't working and it will continue to NOT work until we aren't under medicare's thumb.

So telling a nursing student your own personal experience of discrimination is spoon feeding? Yeah it may be uncomfortable to you but you don't even have to reply. It's not like OP was asking for s/s of DKA. Then I can see where you would call that spoon feeding. You know sometimes is good to help each other out. That is different from spoon feeding.

My issue was not with the first couple replies from the original OP. It was with how quick everyone is to start getting mean as soon as OP got defensive. It amazes me how people are quick to cast judgement. Like, who cares if it's a homework assignment or not? You can research that topic all you want but first hand experiences can be helpful too. I just couldn't figure out why the topic turned into an ugly fight.

Ok then aggressive. The point is who cares? If you don't like the topic then don't respond. That is all.