Jump to content

Blue_Moon BSN, RN

Member Member Nurse
  • Joined:
  • Last Visited:
  • 488

    Content

  • 1

    Articles

  • 5,549

    Visitors

  • 0

    Followers

  • 0

    Points

Blue_Moon has 18 years experience as a BSN, RN.

Blue_Moon's Latest Activity

  1. Blue_Moon

    Part Time/ Full Time Flex Position - Nursing

    I worked that once. It meant they could flex me up or down shifts as needed. Same unit. I was flexed up to full time all the time and when I complained I didn’t want full time hours they said I should be happy because the full timers were made to work 4 shifts a week. This went on for months until I found a new job. I was never flexed down. (During my interview I was told don’t worry I only need you for part time and I won’t schedule you more. Lesson learned.)
  2. Our district we have had several clinics all at one spot where all the school nurses of the county come and do them for all the staff. We have a pharmacist on site who brings the vaccines and supplies. These were during days we didn’t have kids. Then we brought back all the kids and were asked to work either on a weekend or after work. They reluctantly paid us our normal rate and refused overtime. Come to find out the pharmacist gets paid like $50 a shot. The school system gets nothing. I think it’s a big crock but all I hear is how much good we’re doing for the community. So I did it once then figured not worth my time unless they want to pay me more. It makes me mad because if a teacher works over 30 min for something then they sure get paid overtime. Anyway it would be so convenient to give them at school and not be guilted into working outside my normal hours. However considering once thawed and opened it has to be used in a certain time frame and I can see lots of teachers say they forgot to come when they said they would like they do with flu shots. I could also see them rushing in as I was ready to walk out the door or even those who would refuse to wait the whole time and trying to deal with that all while doing my normal job would be next to impossible. But considering they constantly dump more on us every year without extra compensation it wouldn’t surprise me.
  3. Blue_Moon

    Want a new career

    Being a new school nurse is overwhelming and will make your anxiety worse. Don't get down about it. Just know in the school system MOST of the time there's no true emergencies (even though teachers think puke and lice are). Don't let teachers tell you what to do and walk all over you. You do not answer to them. Set yourself mini goals for each day but your main priority is to make sure the kids who need meds or treatments get them and the kids who are truly ill or hurt go home. The rest can be done at your own pace for the most part. Also the first part of the year with new orders, meds, diet orders, health info, teaching staff about their kids, immunizations, etc is INSANE! It's like that everywhere. Don't base how you feel about the job until you get through the beginning of the year mess.
  4. Blue_Moon

    Is it wrong to stay in med-surg?

    We had several nurses on my last med surg floor that loved it, been there for years and never had plans to move. We had a lot of people float to our area that drowned and said they didn’t know how we did it. I loved the variety, fast pace, etc but alas I didn’t stay because I got a full time school nurse job offer and the hours were just easier with three kids. Med Surg needs experienced nurses who enjoy their job. All nursing jobs are important and you shouldn’t feel less of a nurse for liking med surg. A lot of new nurses want off med surg as fast as possible because they can’t handle the fast pace with that many patients at once. It’s not for everyone but if you’re happy there then consider yourself lucky you found a place you’re happy so easily and quickly. Heck I get asked all the time by kids or some staff even if I want to be a REAL nurse someday so see your above me. 😉
  5. Blue_Moon

    Nursing not for me? Extreme introvert

    There are lots of nurses who are introverts that make their career work, myself included. I used to have such anxiety at the beginning of every shift having to meet all these new patients every day. I worked one med-surg floor I hated and one I really liked. A lot depends on the culture of the unit. My favorite jobs as an introverted nurse was the nursery and post partum. The babies don't carry on conversations and the moms need lots of teaching so less time for chit chat. You could also consider post op as most patients are asleep and even pre-op they won't be there super long. I've done school nursing the longest as the schedule is great, the acuity pretty low, one or two kids at a time, you get to know them and their family's well, etc. Kids can be exhausting and most aren't into small talk and the ones that are you can just say you need to get back to class. LOL!! You do need experience and a BSN but most places will let you sub without either because they are desperate. Night shift you'd have less people interaction as they are asleep part of the night. If you think shorter shifts more often are better well not necessarily. I come home from work 5 days a week exhausted and peopled out and need to recharge. When I worked 12's (that yes turn into 14) at least I had more days off a week I didn't have to interact with the general public. You could try ICU eventually as most of them are sedated. There's also case management or telehealth once you put in a year or two. Most nursing jobs you have to interact with people but I could see in dialysis you're seeing a lot of the same patients each week that spend a lot of time with you close by and probably enjoy just chatting away with you. I'd suggest start looking for jobs in a different area. Also if you continue with your degree you could probably head towards a nurse researcher, nurse educator, etc. If you think you could handle night shift try that but either way try to find a different area. I've had jobs in 7 different areas and there were a few I hated. When you find yourself in a place you dread going to work, it's time to try somewhere new. With more life and work experience it gets easier. It really does.
  6. Well take this with a grain of salt because I am not in a doctorate program or know a lot about internships but my gut says stay where you are. Reason being, you have a young son and you're going to school and the job you have now is a lot less stress mentally and physically which is important when being a mom and a student. Also, I guarantee you will have extra shifts and call-in's, neither of which would be easy IF you got the job but there's not even a guarantee of that. Plus possible nights. I just can't imagine handling all that with a doctorate program and a small child who needs you too. There's a reason your hesitating. This will not be your only chance to get a clinical job and once you get your doctorate a lot of doors will probably open for you anyway. It would be different if you didn't have a job at all and needed nursing experience in general but you're working with moms and babies, doing lots of teaching, etc and there's nothing wrong with that.
  7. Blue_Moon

    New nurse questioning it all

    Med-Surg, Telemetry and Long Term Care are all notoriously hard, understaffed, busy, stressful... Pick literally anything else. You have a couple years of experience and have paid your dues so find something new that sounds interesting. However, most inpatient units are stressful in their own ways. Maybe look at case management, hospice, postpartum, nursery, public health, school nursing, ambulatory care, etc. The beauty of nursing is that you can keep trying new things.
  8. Blue_Moon

    Seeking Direction

    Congrats on making it a year while going to school and raising kids all while working nights! That's an accomplishment right there! It sounds like you actually like your job and co-workers which is great because many nurses don't have even that. Your biggest issue is the night shift. I was like you, in a perpetual state of zombiness and unable to sleep more than 4 hours at a time on nights. I felt sick and nauseated all the time as well so I understand that. There are many posts on dealing with night shift so maybe something there could help until you can make a change. When you say you're a little slow at charting after a year, I'm wondering why. If you're a little slow on charting on night shift then it's going to be an issue on day shift which is a much faster pace. Have you had regular performance reviews or evaluations? I'd think after a year you should have that down put unless it's just you're so swamped you don't have time to just sit down and chart. Yet once again this will be worse on day shift. If you really want to stay in this department then I'd schedule a meeting with my nurse manager and tell her you want to know what you need to improve specifically to get to day shift as fast as possible. She will know you are serious about it. Then improve upon those things and in 4-6 months ask again. 4-6 months in the scheme of life isn't truly that long. If you don't see yourself wanting to be here forever anyway, just go ahead and apply at some other day shift jobs even on oncology even at a different hospital. Your 401 k investments after one year won't be that significant anyway and you won't lose what you've put it. Most places don't match until you've been there a certain number of years anyway but that would be the only thing you might lose and it wouldn't be a huge amount after one year anyway. You can roll whatever you have into a new retirement plan at a new place of employment. You have a year's worth of experience so you have a good shot at getting hired somewhere else. If it were me I'd do both at once. Let my manager know I want to do what needs to be done to get onto days faster and what specific concerns she has and what she expects to see from you so you can work on that because that will help you with any job AND apply for and possibly interview for other jobs and just see what happens. If you don't get a job offer then you're already working towards moving to day shift. If you do get a job offer and you feel great about it then go for it! Best wishes!
  9. Blue_Moon

    How to assert yourself?

    Teachers are concerned and want action/changes immediately and they always seem afraid to call parents. I tell them anything behavioral related (depression, adhd or any inappropriate behavior) they need to first call the parent and discuss the behavior they are seeing in the classroom. I can’t do it for them because I’m not the one observing the behavior(even if they have a health problem). Then the parent and teacher can work together for a solution. If things don’t improve I recommend them setting up a 504 plan. I also get the counselor involved. Hygiene is a tricky subject because it is kind of health related. I usually ask the student if they have running water, a washer, soap, clean clothes, etc. Some will say no so we try and help the family if possible but it’s just not a high priority in some families and we can’t force a kid to come to school clean. I usually ask the teacher to have a health and hygiene lesson for the whole class and talk to the parent but nothing ever seems to change. It’s frustrating for everyone. Some things you just can’t fix. As far as the diabetic they are just worried for the child. I would make sure all my info on this child is up to date and then reassure them that you’re monitoring the situation but you are not going to tell the Dr what to do or go behind the parent’s back and make them not trust the school. If they are still concerned they are welcome to call and talk to the parent but you see no reason to at this point (unless you need to get more info on his meals and snacks or being monitored while eating ). I try to throw it back on them as much as possible whenever I’ve taken care of my part. However, I always listen to the teacher because they are with the kids more than me and can catch issues and sometimes there are red flags that need investigated so don’t automatically dismiss them. That being said, you don’t have to do what they ask. They aren’t not your boss and you don’t work for them but you are a team so it’s best to be kind but reassuring and stand your ground. Once they gain your trust it will go smoother. I’ve had teachers say well since you didn’t sent them home they better not throw up in my class. I always say well based on my assessment at this time they are fine to stay but you know things can change and I can’t predict if they will and I can’t send kids home on the off chance they MAY throw up today so if you’re worried then put a trash can by them. I also send an email every year that says “If you forgive me for sending a sick child back to class, I’ll forgive you for sending me ones that aren’t truly sick.” I have teachers that always say oh you’re right, I’ve never thought of it’s that way. Its OK to say with a smile, “I’m sorry I can’t do that.” or “ I’ve done all I can do with this situation.” and then give suggestions on where to go from there. Keep your principal in the loop as well so the teacher doesn’t go to them and say she’s refusing to do anything because then the principal will know exactly what the situation is and can’t diffuse it or work with the teacher to figure it out. Don’t be afraid to talk to your principal and do NOT complain about the teacher (that will get you nowhere and they will side with the teacher’s point of view if backed into a corner) but say here’s the issue, what I’ve done, what the teacher is concerned about, and do you have any other suggestions or just wanted you to be aware or whatever the situation warrants. Best wishes to you!
  10. Blue_Moon

    Volunteering

    Are you ever asked to and expected to volunteer at your school after hours? I'm asked to volunteer ALL THE TIME! I work in an elementary school and they want staff volunteers to help work game concessions every week, donating food for various events, volunteering for monthly PTO fundraisers (working at fast food restaurants, bingo, fall fests, shirt sales, candy sales...), donating food for several volunteer parties a year, etc. It never ends. I donate various food items or money occasionally to help but I don't want to stay after work or come back for 2-3 hours of donating my time for events. I have a 35 min commute so once I'm home I don't want to go back and then I sure don't want to hang out for an hour or two waiting for something to start. I do volunteer my time once in a while but am made to feel it's not enough. When my own kids were in grade school I volunteered at their school and helped out with fundraisers several times a year for 15 years so frankly I'm over it. Not to mention in the evenings I have my own family to take care of. My husband and I still have a child at home that enjoys supper and to have someone there to talk about their day and a grandchild I help watch a lot. After spending 8 hours with the students and taking care of so many, the last thing I want to do is hang out with them some more after work. When I was part of my own kid's PTO the last thing I expected were for the teachers to help volunteer their time for anything. If they wanted to then that was fine but our parent organization never asked them to because we knew they had already spend all day with our kids. We were trying to make their lives easier not harder so this is why I'm shocked at how much they ask for help. They want all this money to bring in fun things for the kids which I totally get but the county already pays for a few field trips a year and the PTO does a fun program or two a year but now they are wanting to do even MORE stuff and it seems excessive. Is this normal in your schools?
  11. Blue_Moon

    Elementary v.s. High School Opinion

    You have a history of working with adolescents and now you have experience working with grade school kids so which age group do you enjoy working with the most? If you have a favorite there's your answer. If you like them the same go on the interview to just get a feel of things, check out the office, etc. Not everyone enjoys working with the older, moody, hormonal teens but you can connect with them on a different level than the young ones. You can also joke with older kids a little easier. With all your experience dealing with the teens it seems like there's a lot you could bring to the table that other nurses may not already have and you'd be a big asset there. You said: This makes me think you'd enjoy working with the older kids better. High school jobs don't come open very often just because there aren't as many as grade schools so that's something to consider as well. I've mainly worked grade schools and some middle schools. Attitudes with kids are my pet peeve. They make me go through the roof really fast and I never tolerated them with my own kids. I find grade school kids have a lot less attitudes which is why I like working with them better but it's hard too because you have to play detective every day. I have to try and figure out if they don't feel well because they missed breakfast, didn't poop, are getting sick or worried about something. I don't think one group is easier than another. They are just different. I would base my decision on which age group I enjoy the most and secondly on which school has the best support.
  12. Blue_Moon

    Lpn or rn

    I think what she means is there is more clinical type jobs for LPN's in like dr offices than RN's which is true. However, you are limiting yourself to jobs as an LPN. You will make more money as an RN and there will be more opportunities to pick from. There are many RN jobs that are normal 8-4 hours. For example, there's school nursing (you may need an BSN for that though), staff educators, management, hospital clinics, cancer infusion centers, many dr offices still need/want RN's, urgent cares, radiology nurse positions, OR, contact centers, cardiac cath labs, home health, etc. However, you MAY have to work 12 hr shifts in order to gain experience for those positions. You already works as a medical assistant in a pediatrician's office so if you pretty much know what working as an LPN in that type of setting would entail. (Pretty much what you're doing now.) If you're happy with that and know that's what you want then go for the LPN and then later if you decide you want something different or more you can go back for your RN.
  13. Blue_Moon

    Advice on returning to work after time off

    You won't know where you stand until you try. If you left on good terms you already have a foot in. Start applying and see what happens. Reach out to old managers or co-workers and see if they can help put in a good word for you. In the grand scheme of things you haven't been out that long. I was a stay at home mom for 10 yrs and out of the hospital itself for 15 after having only a year and a half experience as a hospital nurse (and five as a school nurse) and had no problem getting back in. I researched good resumes and cover letters and how to showcase my strengths. I also used references of teachers at my kid's school and church that I volunteered with so there's an idea. Good luck!
  14. Blue_Moon

    This is Where the Cowboy Rides Away

    I will miss your positive attitude and great advice! Enjoy this next phase of your life! Don't be a stranger!!
  15. Blue_Moon

    What do teachers think about school nurses?

    I've often wondered the same thing! LOL! At this school I do feel my teachers appreciate me more than other places because they tell me they couldn't do my job, am glad I'm feeling better or back after I've been off, etc however, on the other hand these same teachers will cut through my office after repeatedly asked not to, will take personal calls on their cell phones in my office as I'm sitting there working without even asking so as to not disturb people in the main office, second guess some of my decisions etc. so there's that. I think they view us as more like their helper to make their life easier and if we don't they get testy. 😂
  16. Blue_Moon

    Another new school nurse

    Welcome! I hope you like it! I love the time off and making kids feel better. Pretty low stress most of the time. I hate the lack of respect, teachers/aides expecting me to do non-nursing stuff all the time, the pay, and the fact I'm bored more often than not. I have all summer off but can't really afford to do much. LOL! I am looking to return to the hospital. My kids are grown. I love working 3 days a week and done. I hate the 9-5 grind. I did not enjoy the hospital schedule when all my kids were little because I wanted to be home when they were but now that they are all flying the coop I don't want/need that schedule anymore. I would like the extra money the hospital provides to get my house paid off so I can travel some then eventually go part time/per diem. That's my plan anyway!