RNKX

Only time I have used and will ever use a restraint is if they are an immediate threat/danger to others or themselves. JC is not a fan of the use of restraints especially if the patient is redirectable with a sitter.

When I worked for a SNF and LTC as a new grad, I actually learned a lot!! I learned time management, all different sorts of meds, and wound dressings... Etc. You won't be "losing your skills" because right now you don't really have any as a new grad RN. Would you rather sit a year unemployed as a new grad in hopes of getting a "acute care" job, or do what most ppl do and take a job in something less desirable until you become more desirable... Remember, to always look at everything as an opportunity to learn and grow from. Every encounter ends, and every encounter matters. Change your attitude, change your life.

I thought so, crane! Had a co worker tell me that I had to slow down the maintenance to the same rate as the Secondary line so to avoid giving it too fast.

Oh here's another: there was no RRT (rapid response) on night shift last night!

When a patient has IvF maintenance running at say 125 mL/hr & IVPB 10meq of K is to be infused at 56 mL/hr... If I set up the IVPB on another pump & hook it to the primary maintenance line so that I can run the IVF simultaneously... Do I then have to slow down or lower the maintenance IVF rate to 56, too? If not, isn't my patient receiving a faster rate of K?

What do you guys do if there is a MD 1:1 ordered for a confused, high fall risk patient but due to inadequate staffing, you were unable to get that 1:1. How would you document that? Do you mention "no staff available for 1:1" in your notes (I'm guessing not) I've run into this problem numerous times

Wish my professors would have warned me about the harsh realities and problems nurses have to put up with

Wow, seriously

I thought this post was brilliantly written! Your use of descriptive words painted a vivid picture of how my "Bully queen" acts and looks. Without the imagery, it wouldn't have been an interesting read! Is it mean to talk about how ppl look or their "class"... Yes... But I find it interesting that your picture of the Bully Queen matches the exact description of mine! This is your personal experience and some ppl are unable to handle it because they probably identify with the description in some way, shape or form.

Update: I am extremely devAsted to report that I did not get my #1 choice because of an internal candidate hire. However, I don't regret my decision about turning down my other option! Everything happens for a reason. Only in time will I discover the reason!

Don't mention it! Never a good idea. I'm speaking from experience! Accidentally bad mouthed unsafe staffing issues & the manager just happened to be promoted to "director of nursing" and pretty much defended and stated "all hospitals have some level of feeling like their assignment is due to unsafe staffing" bad idea! Besides, the "want to go to critical care" is a better reason & should be the only reason

I dont consider myself "new" as in "new grad." I've been a nurse for three years. After much consideration, although the clinic job has nice hours that are compatible with my family & personal life... It isn't compatible with my school. I'm in a cohort program at this time and would have to put school on hold for another year (something I really dont wish to do at this time). The clinic is also a dead end job and not much opportunities available at the end... At least in the hospital I am exposed to more opportunities!

@theCommuter : thanks for your post. You are right...I subconsciously made my decision and seeking validation/support and other opinions before acting upon it. It's not a bad thing to do this though. Im always open to hearing the opinions (whether I agree or not) insights of my fellow nurses to make sure I'm not being irrational or crazy. Although your opinion and approach to this situation is logical and safe... There was just a gut/ intuition telling me that I shouldn't. With that being said, thank you everyone for your advice! I will let u know the results in a week or so.

They've already given me three days to "decide." But it doesn't matter now, I just declined the position without a guarantee at the hospital! I'll just have to hope for the best. I will kick myself if I get neither! Thanks for all the posts/advice. I'll update you guys on here!!

Not a new grad

I think I am going to turn down the offer and hope for the best. Sounds stupid, but I really hate to quit after 2 weeks. It looks really bad on my part. I am also going to tell them the truth on why I am rejecting the offer and hopefully they will understand and extend more time for me to think lol Would telling them about the other job be a bad idea?

If I do take the offer & end up getting the night position as well... How would I tell them I no longer want to work there?

I've got a job offer at an Endoscopy center with great hours (mon-fri; 7-3) no weekends;no holidays! I have until tmrw to make a choice! However I have another interview at a hospital working straight nights (my #1 choice) but it's not till next week! It's not a guarantee that I'll get the position though... So what should I do about the job offer? My husband is telling me to take their offer & just quit once I get the other job, but I don't want to burn any bridges or upset them in case I want to apply there again in the future!... If I do take the offer & end up getting the night position as well... How would I tell them I no longer want to work there?...

I've come to the conclusion that I really dislike Med/surg! The workload is extremely heavy and feel overworked! I've always had good work ethics and love fast paced situations... But med/surg is just stressful! I've always wanted to work in ED but wondering if I should even apply knowing how crazy/stressful inpatient med/surg is! Is the ED any different? Thanks in advance for your insight!

When I started on my own after three weeks of orientation on med/surg, I was so nervous about being on my own! But I actually noticed that I liked it a lot better! No one breathing down your neck telling you to do it this way or that way. No more trying to impress my preceptor. Although the first few weeks were a struggle of me running back and forth about forgetting flushes or luer locks.. I learned from the struggles and set my own pace. I have gotten better since. If you are nervous about IV rates, have another RN double check with u until u feel more comfortable. Good luck!

How many aides for how many patients? We are 56 bed unit with 4 aides

Just curious to know what staffing is like at your work. Trying to compare Facility: Hospital Floor: Inpatient Medicine/Med/Surg Days: 4-5 Pts Evenings: 5-6 Pts NOC: 7 Pts

Just checked out icufaqs website! I am sooo happy you mentioned it! It is a wonderful and very informative site!!