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2ndchance85

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2ndchance85's Latest Activity

  1. I moved to an acute care setting and it present different challenges but not 20 patients! The most I have now is 10 with a LPN to help me. I can't believe I dealt with so many patients before! I've gotten better at putting IVs in and if I can't get them I have more help putting them in now. Sometimes I do have a patient that won't work with me but having 1 out of ten is much better than 1 out of 20.
  2. 2ndchance85

    Keep on getting passed on after interviews

    I've honestly never done a mock interview with a friend who is a nurse, that's a good idea.....the door closes pretty tightly after an interview though with managers here, at least the places I've interviewed at. I don't bring a portfolio, maybe in the future I will. I have my EKG and phlebotomy certification but I honestly have excluded them from my resume because I took them a few years ago, never really used the skills so I feel like it's false advertising because I don't feel comfortable performing those skills.
  3. This post is more directed towards nurse managers or people who hire nurses: I currently work in a long term care facility and am trying to transition into an acute care role. I currently just had an interview for an acute care role, I thought the interview went fairly well but I was passed over. To be fair, I know there's a decent amount of competition and it was a magnet hospital in NYC, it's possible that they just liked someone better. The issue I'm having is this is the 4th time I've been passed over for a role. Of course I get a little nervous with interviews, especially since each one tends to be a little different, the last one in particular because they focused on my assessment skills from working in a LTC facility and how I would do in a acute care setting. My resume and experience is attractive enough to be called in for an interview, does anyone have any advice on possible blunders that I might be committing besides the obvious (I wear a suit, make eye contact, have answers prepared)? Any input is welcome.
  4. I think the major difference between a hospital and a long term care facility is the nurse to patient ratio- I work in a long term care facility which is nicer than most, and the nurse to patient ratio for long term care/ short term care is 1:20 (this is not as much as other places which can be 1:40 😮)....the things you usually get report on are abnormal VS or antibiotics, something really important because otherwise everyone just depends on the computer or if there's a regular nurse they'll help, but sometimes them helping makes things worse because they waste your time telling you things you can see easily in the computer, or they haven't worked the assignment in a month and they get patients confused. I think that's really why I don't like about it....you have to do so many task driven things you really don't know the patient's conditions (you get some ideas by their physical condition and types of meds they have), you just don't have time to look through the file for 20 people.
  5. Thanks for the tip about asking for an alternative way to give a med and volunteering to do a task to gain experience, I will try both. If I know the patients I can arrange my med pass on how combative/uncooperative they are, but if they are all new to me they are all new to me. That's one of the skills I'm looking to work on, I've seen more experienced nurses able to convince patients to cooperate (sometimes it's just a matter of letting them warm up to you and coming back to them later), but this is extremely hard if you have 20 patients, and 5 of them are not cooperative. And sometimes, even with support, they are just not having good days and will not take medication. Ideally I would like to say that I would like to take the holistic approach and try and see if there was an underlying problem (there is a great instagram post: "If the residents are giving you a hard time they are having a hard time."), but I'm already so pressed for time I can't. I think a lot of it has to do with how well the patient knows you as well.
  6. Hi All I know this subject can be redundant and for everything else that is going on with a pandemic I feel like it's out of place, but I'm going to post this anyway! I will reach my 1 year anniversary as a nurse in mid April, and I feel like I should be more adept/confident/faster than I am....I am always running behind, and especially when I'm floated and don't know any of the patients. First of all, let me say I work in a Long Term Care Acute Facility, so the patients ratio is 1:20 on non vent floors and 1:10 or more on vent floors if they are short staffed (it happens often). On the non vent floors I'm pretty comfortable (though slow), because patients tends to be less intense (don't have to take BPs 3x per shift, every other patient isn't on contact precautions), but really that's on an assignment I know (even short term patients are there at least a month). If I don't know the assignment, I feel totally overwhelmed and incompetent. Types of meds are different, wound care is different, etc. Does anyone have advice on how to prepare for new patients and develop a flow so to not feel like your drowning? I look up general things about patients like wound care and starting tube feedings but there's only so much time before you need to get moving. Is this something that becomes more comfortable with time or am I missing something? The other nurses I work with are supportive but I still feel embarrassed that I feel so behind. And even though I am more comfortable with familiar assignments I feel like I am always behind. (Experienced nurses how are you so fast at med passes!) Technical skills....things I passed on a nursing school exam on a dummy but now feel totally ill equipped and terrified to do...IVs, Inserting GT tubes...I rarely do them so when they come up I have an anxiety attack and ask for help, but then never get the experience I need to gain confidence....how do I get past this hurdle? I want to learn the skill but am terrified of hurting a patient, and I can't bother everyone for everything especially when we are short staffed. Am I being too soft/lacking confidence? If so how do I change this? I don't mind the facility I'm in I just feel overwhelmed sometimes. I'd like to say it's just the patient to nurse ratio but I don't think that's it. I want to move to a hospital setting because I want to learn more but am sometimes worried if I feel incompetent in a LTC facility if I would make it in a hospital....I hear it's more difficult. Any advice to a new nurse who's trying to gain confidence/get it together/manage stress is welcome. Thanks!
  7. 2ndchance85

    Attempting Accelerated Degree again

    Thanks for your feedback! I think I'm going to try for Associates degrees because the sciences are less (and some are even taken during the program). I've heard of that before, but I've heard sometimes it's more difficult to find work with it.
  8. 2ndchance85

    Attempting Accelerated Degree again

    Hi I wanted to create a post requesting anyone's opinion about accelerated nursing degrees. It is somewhat unique because I actually attempted to do an accelerated program about 7 years back and did not get into the program I wanted so I chose not to pursue it. About 2 years ago I was taking care of my grandmother with simple things such as preparing food, helping her to the bathroom, making sure she got into bed, etc and it reignited my interest in working with the elderly in this way, which got me to thinking about nursing. I know that schools that offer accelerated nursing programs do not accept science credits that were taken a few years ago(I think someone told me the limit was 5 years) so I would have to take them over, and I did not have great grades anyway(Bs and Cs). I just wanted to ask, am I beating a dead horse? Is it practical to invest time, energy and money in pursuing this? Any feedback is welcome. Thank you!