RN yogi

When I was working as a CNA on an oncology floor we had six patients die in one night. The transport guy couldn't keep up. He was back and forth to the morgue all night. All I could think of was Monty Python..."I don't want to get on the cart I'm not dead yet." "Yeah, but you will be." I died laughing every time a saw him. Sigh...I'm such a bad person.

The dialysis center and I have parted ways. I wrote my resignation letter today after my second preceptor told me this morning that my work was unacceptable. Could be my fault, could be theirs. Either way I know in my heart that I tried my best.

i didn't shadow the clinic before i took the position. i will take this valuable lesson with me into the future.

thanks for the hug! i needed it. it really is hard not to take these things personally. and, it's challenging to be trained by someone who doesn't have anything to lose, like say, an RN license. i will try to stick it out. at least until the RN training is over, but will still be looking for other job opportunities meanwhile. dialysis is not my passion. it's just a job i took to pay the bills.

Guttercat, to answer your questions i'm not even sure i like dialysis. i'm not sure i particularly enjoy the patients. some are fun and nice, others are miserable and not afraid to let you know it. i can't say i really blame the miserable ones. i'd be miserable too if i had to live their lifestyle. i've been thinking over the weekend and i've come to the conclusion that i'm going to try to stick it out at least until the RN training is complete. however, i can tell you that i am not in this specialty for the long haul.

i told her straight up that this was the most toxic work environment i've ever been in. her response was "i know." she said she was going to have a staff meeting about it next week. meeting shmeeting. from what i understand this has been the culture there for years. i don't think i'm being pessimistic when i say that a meeting isn't going to change anything, especially when people have been allowed to behave in this manner for such a long time.

hello all, i am a new nurse and 6 weeks into my training at an outpatient dialysis clinic. let's just training has been hell. the culture at the clinic is intolerable. i have worked in healthcare for almost ten years and i have never experienced coworkers being so disrespectful and down right mean to one another. my preceptor goes so quickly that i can't even learn. every patient i have seems to bleed all over the place after treatment or is so hypotensive that it is unsafe to let them leave. then i get reprimanded for not getting them out the door quickly enough. one morning, without notice, my preceptor told me that i was expected to prime the whole bay. she said there was no reason it should take me so long to prime 10 machines. she wrote on my weekly review last week that i lacked initiative. umm...i just busted my ass for two years to get an rn degree so i doubt it's that. regardless, instead of taking it personally i showed up every morning this week 15 minutes early to get a head start. the faster she pushes me the more i **** up and the worse and incompetent i feel. she is frustrated with me and i am equally as frustrated with her. i questioned whether or not a patient should be put on the machine today bc they were hypotensive and very close to their dry weight. she told the manager. she no longer wants to work with me and spoke with the manager. i spoke with the manager immediately afterwards and told her my side of the story. i have serious concerns about pt safety. i have worked so hard to get my license and i feel that my question re: pt safety are valid even if my preceptor has worked in the field a year longer than i have. she's a tech mind you and not an rn. i cried today for the first time ever at work. i am not a crier, but i can't take the speed i'm expected to perform at while ensuring patient safety. yesterday i was reprimanded by a tech for saying something to a patient that i never even spoke to. everyone seems to have an ego bigger than the room they occupy and tongues like daggers. at this point i'm thinking that i just want to put in applications elsewhere and get the heck out while the getting is good. i want to succeed, but i want to be happy more. has anyone else had such experiences working dialysis? did you leave? would you stay?

Don't feel discouraged with those scores just keep practicing. I also used Kaplan and my highest score was a 65. I passed the first time and you will too. Study but don't neglect yourself. Take some time to relax and exercise. Best of luck.

I am an atheist.

Dansko XP pro. They'll cost you an arm and a leg and I'm not sure if you can get them in white, but they are by far the best shoes I ever put my feet I into.

Relax. Do something fun. Exercise.

Just remember when you go to take the test again not to psych yourself out. Visualize passing in 75 questions. Fifteen of those 75 questions are throw away questions, which leaves 50. You only have to answer 25 of those 50 questions correctly. You CAN do it!

Have you tried any of the reviews like Hurst or Kaplan? I did Kaplan and although it's $$$ I thought it was well worth the money. And, they refund you if you fail. All I really did to study was the practice questions and read the rationales. If your problem is strategy and not content then I highly recommend Kaplan. I would also opt for the in person class as opposed to online. I passed the first time. Good luck. If you made it through nursing school I'm sure you can pass your boards.

The paycheck. The ability to relocate anywhere. Pressure to get my life going. A foundation on which I could build and grow.

Thank you, Medic2BSN13. That was exactly the advice I was looking for!