Tomascz

Do these posts ever expire? Did the OP make it out alive? (If you got out by 2018 you missed all the fun). What disturbs me about this is how many of these I've read. That goes without mentioning the ones I've heard in person. The medical business in general, docs to aids and everything in between, just seems to have more than its share of instability and emotional trauma and disfunction, up to and including addiction and suicide. Admittedly my window is small; 2010 to 2022 (5 years +/- being classes and clinicals), and there were certainly mitigating factors; but still. There's something seriously wrong with a profession the chews up and spits out its practitioners at this rate. There's something seriously wrong with the screening of new entrants. There's so much wrong with the educational portion (teaching to the tests; a system that gives no credit for emotional intelligence; piss poor curricular design exacerbated by poorly paid and systemically disrespected instructors) and on and on and on. I LOVED nursing at bedside. I retired at 70 ; 5 yrs 10 months after starting a job I think I waited a lifetime to do, after a brief introduction as an orderly in a state hospital at age 19. If you're a student reading this and you don't have steel guts and a massive amount of self respect, you might want to find something else to do. Nursing is not for the faint of heart. Trust me.

Subjective assessments like the one you apparently failed can be used unfairly to eliminate students from nursing programs who the instructors or others "feel" are not up to some unwritten standard in their performance or aptitude for the job. A core part of instruction is making sure your student has had a reasonable opportunity to learn the skill being taught. You, OP, are after all, being charged a fee for this service and, should your instructor, or their contractor, not exercise due diligence in making sure you have had a reasonable opportunity to learn the skill, can be found liable for fraud. If you decide to contact a lawyer (and you probably should) try to find an RN who has gone into the legal business. There are a few and there need to be more, IMO. Good luck.

Not sure how you were able to pass the NCLEX, which is identical across the country, and obtain a compact license, which is good in about 27 states, yet not be able to work in the sate you went to school is in, and not be able to go to work as a bona fide RN. How the hell do you get to sit for the NCLEX, and pass it, without having graduated from an accredited institution?

If you're only accepting feedback that is consistent with your prejudices, you might want to look at another line of work because nursing school is gonna eat your lunch. Sorry; not sorry.

I don't know what this means. I'm assuming your preceptor was not satisfied with your performance, apprised you of the facts (at least once previously, in writing) and then reported the situation to their supervisor who removed you to another position. That's a preceptors job. You got 5 months of good experience in ED nursing that you enjoyed. Bonus! Good for you. You didn't get un-hired so there are apparently no real hard feelings on the part of the company. This is nursing. It often sucks and you probably won't work for this company forever anyway. Get used to it. Let your supervisor know you're glad to have a job and learn everything you can where you are now. If you spend all your time concentrating on how you were screwed and looking for a way out you'll find one; probably one you won't be happy with either. Get tough, go with the flow. Be someone your coworkers can depend on. It'll work out, honest.

Wow! 27 pages of replies to this and most replies are in the negative. I've been a nurse and I've been a law enforcement officer with 45 arrests for various things with 44 of those resulting in convictions. If you're going to make an arrest and deprive someone of their freedom your complaint better be an accurate reflection of the law and contain all the relevant elements of the crime. According to a few judges I got it right 44 out of 45 times. I believe Radonda Vaught should have been arrested, tried, convicted and imprisoned for criminally negligent homicide. Actions (and inactions, particularly under licensure) have consequences. You all are intelligent enough for me not to have to explain why to you. You're RNs!!

"If you didn't chart it, it didn't happen". So if nothing happened, how do I chart that? You make a pointless, but factually true entry and sign it. This is another example of why hospitals and other care facilities don't have the nursing staff they need. It may have happened for any number of reasons including the fact you're a temp and census has dropped below X number of patients for 24 hours and some bean counter... They don't have to love you but they do have to pay you. If they expected you to come back in for free, take it up with your agency. We always had 24 hours to make a "late entry". The threat and the return trip may have been a violation of your contract.

You can not take care of 8 Med Surg pts at a time safely. They're in the hospital because they are acutely ill and they are not inherently stable. If one crashes, you might get lucky and do what's necessary to get backup and get the pt out of trouble but the more pts you have the less likely it will end well for either of you. As far as "working on your flow"; that's rich unless she's talking about holding your pee. With 8 pts that's what you'll be doing.

Get out of there as fast as you can. It's your "manager" that sux. If you're not comfortable w your skill level, get training. My best preceptors had at least 20 yrs or more. They didn't get their confidence by whining to someone pretending to be a manager about someone with little or no experience in the dept they were trying to get up to speed in that they were supposed to be instructing having normal new grad issues. OR and ER are two different planets. Cheese and rice.

The action that needs to be taken is to get "profit" out of "healthcare", and I'm not talking about wages for time spent. You can call it private enterprise or capitalism or whatever you want, but any part of the system that simply exists to extract wealth from the process without actively enhancing its function is a drag on that system. This includes insurance, excess administrative cost, pharmaceutical cost, excess disposables cost, interest on financing, dividends to "share holders" etc etc. I don't know what the answer is but I do know that ownership of the industry needs to change radically because it is sure as shi* in the process of dying; bled to death by it's "owners" and operators who are NOT US.

Well put. For some reason I've become increasingly unable to keep a civil tongue in my head in the face of this kind of naked ignorance/avarice/opportunism at the expense of people who've been giving their all for the last few years.

I could tell he wasn't an RN right off the bat. Basically what he's describing is Gig work for nurses; like Uber or Lyft or pizza delivery. As far as these guys are concerned, we're all interchangeable; indistinguishable cogs in a corporate machine. Comparing eager "new grads" and retirees as alternatives to working nurses in the field in their vastly different skill areas pretty much say it all. He has no clue. Nursing is screwed. Half the nurses with any time in have either already booked or will as soon as they can. That means large medical operations (for profit hospitals etc, and non profits too) are going to be screwed by lack of competent help. Doctors are going to be screwed. How many have you met that could start an IV let alone hang one? I'm sure they're out there but I have yet to meet one. "Helping" doctors? We're their go---- eyes and ears on the floor. We're the ones that keep the interns from killing the patients (not that they appreciate it). What a sick joke. Beyond that, who's teaching all these New Grads who are going to magically appear to save the CEOs from starvation? There are very few instructors to hire for lots of reasons including MONEY which the corporate colleges seem to be really short on in spite of astronomical tuition? Give me a break.

Doesn't look like we're going to get the reproduction rate of Covid under Ro1. Woulda been nice. So called "herd immunity" doesn't actually occur until the disease stops spreading, which is to say; when the transmission rate drops under Ro1 through whatever means this is accomplished. If you want to talk about "stupid and mean" you need to be talking about the country with 4% of the worlds population and 54% of its Covid cases in spite of ready access to a vaccine which is up to 95% effective within 2 weeks of administration, for most humans, declining at varying rates over a two to three month period. "The basic reproduction number is defined as the number of cases that are expected to occur on average in a homogeneous population as a result of infection by a single individual, when the population is susceptible at the start of an epidemic, before widespread immunity starts to develop and before any attempt has been made at immunization. So if one person develops the infection and passes it on to two others, the R0 is 2. If the average R0 in the population is greater than 1, the infection will spread exponentially. If R0 is less than 1, the infection will spread only slowly, and it will eventually die out. The higher the value of R0, the faster an epidemic will progress. R0 is estimated from data collected in the field and entered into mathematical models. The estimated value depends on the model used and the data that inform it." https://www.mdedge.com/cardiology/article/247908/coronavirus-updates/unvaccinated-people-likely-catch-covid-repeatedly?utm_medium=email&sso=true&utm_content=The unvaccinated likely to catch COVID repeatedly&uac=256755ST&utm_source=NewsMDedgeeNL103021F&ecd=wnl_eveningnews_211030_mdedge_9am&fbclid=IwAR01WKuKAv3KfuTB9zvFPosquv5aUWj1ZVimgOa_To5kaquY4KNBW0fO1ow

2 initial 21+ days apart (turns out now not to have been optimum) and a booster 6 mo's later.

If we had a cheap accurate and fast dipstick for this it would solve a lot of problems. And yes, I am not unaware of the weirdness. Some days I just want to walk away. I did for 10 months until I could get at least a little bit of a leg up. I know the vaccines are a long way from perfect but.... I took the risk. I had Zero side effects from 3 doses which actually concerns me a little.