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newrse

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  1. So I'm looking into transitioning to utilization review, my experience is pretty much only in hemodialysis. My resume's one page. Currently I have my job experiences with its responsibilities, education, and certifications (basic BLS, license, and a conference I attended in 2013). Is there anything else I should really be putting in it? / How do I cater it to a utilization review position?
  2. Thanks for the reply and input. I'm not newly licensed + I have experience in dialysis already- Do I count as "entry level"? I thought I would have some room to negotiate.
  3. I suppose you have a point. I guess I'm just torn up 'cause the company that's buying us wouldn't give me much of a raise.. And what I'm currently at is way less than the average at the hospital, which is why I figured I'd negotiate with HR. Do you/anyone know how to handle that? Also, with this new job (as with hospital ones), I'd be doing on call. I guess I'm just weighing the long hours of dialysis + on call on top against my "low" pay... And I'd hate to gamble a year or so in med surge and lose all my dialysis skills. Sorry if this seems all over the place, I just need some guidance.
  4. I had made a post before, but I didn't really get that much feedback. Today I went in for an interview and was offered a job for an acute/apheresis dialysis position. All was well, but the manager mentioned that I'd be making the same pay rate as I do at my current job in chronic dialysis. I didn't feel like it was my place to discuss rates with her- Isn't that something you discuss with HR? She said they will contact me. Do you think it's worth accepting this job if it's the same pay rate with "more" responsibilities? I do value learning the acute and apheresis side. And I always imagined staying in dialysis for the rest of my career.. But money is money is money. So I have pressures telling me I shouldn't box myself in this one specialty (no matter how much I love it)..And that med/surg unit is the way I should be going, and I'd probably get more money. I personally don't have a passion for bedside nursing. Advice, please?!
  5. Hi all. I was wondering if someone could give me some advice 'cause the anxiety I have is almost debilitating right now. I got my Associate in 2013, graduated with my Bachelor in 2015. I had a miserable LTC experience for a few months, and then got a job as a chronic dialysis nurse. Truthfully, I like it a lot- I can imagine myself doing it for a long time. However, I have so many external pressures for moving on to a hospital, and ideally, that's what I'd like to do. I see an opening for an acute dialysis nurse in a hospital...But everyone says you need to have MedSurg experience to advance anywhere. Truth be told, I've never enjoyed that rotation. I'm completely out of floor practice at this point (no clinical for my BSN program), and I'd rather not have to go back to that. So my questions are: 1. For anyone with the specialty: Can a chronic nurse move on to be an acute nurse? What can you tell me about the differences? Is it a good career path? Any advice for moving up? 2. What are the options for me? Honestly, in my soul, I don't feel like I have it in me to do MedSurg..And if I have to go down this route, how can I prepare for it? I do like desk work/research and traveling. Can I even do anything with those? External forces are just telling me "It's best to be in a hospital." My hope is riding on that acute position.. I guess I'm just looking for some validation here, as someone who became a nurse very young in life and I'm just making my way through a system that doesn't seem to be working for me.
  6. So I got my first job at a LTC facility as a PRN. Average ratio is 1:30+. Oriented for a little over two weeks over 2 months on day shift even though I was told I'd be able to be oriented on evening (which is my shift). When I was finally granted these last 2 orientation days, my preceptor left me on the cart alone; she didn't really check up on me, and when she did, she'd rag on me for not being fast enough. There was a point where she basically said I was incompetent. I was not allowed any more orientation days, and there was a month gap until I was called in (on purpose, which is another issue). My first day back was a disaster. Came back the second day and I'm 99% sure everyone had heard about it from the looks I was given. It was better but I didn't finish everything. Third day, the other staff nurses literally argued that I should be on the subacute floor, and so I was floated off even though the bosses had said I wouldn't work there (yet). So..I don't know any residents, and there were admissions coming in. I'm still working at my medications, so the supervisor had to take them. I walked in on her complaining about me. I also ended up being reprimanded by this supervisor and the incoming night nurse for different things. I've been coming home in the early hours of the morning. Currently scheduled for a few more days. I've left out a lot of details, but these are some events that have been bugging me. In a a couple of months I will have my BSN.. My physical and mental health have taken a turn for the worse. So would it just be better to quit and wait it out until I have it? I feel bad that I only have 3-4 months of experience, if you would call it that.

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