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T.Dix.Nurse

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  1. I'm been interested in informatics even before I got my nursing license. Unfortunately, I don't land in a nursing job that involves computer stuff.Later this year, I am planning to apply on a masteral program and my first choice is informatics. I have my BSN. I am currently in rehab unit. I really interested in dealing with computers. When I was in high school, I'm helping my bro on his programming projects. I have an introverted personality and very creative and highly organize when working. So how is the job market for Nurse informacist. Please let me know. Thank you all.
  2. If you stare hard enough, the light bulb will talk back to you Michael. Trust me, I'm a nurse.
  3. I don't think the manager for that nursing home facility will hire you if you say you might quit if any of the hospitals call you. I wouldn't waste my time (with all the orientation, training) to an employee who is just gonna leave anytime soon. I suggest to just get a part time or on-call position if you're really skeptic about nursing homes. Also, piece of advice, find a nursing home with rehab unit. I got hired by a big hospital even I have a few months of rehab experience in a small time facility.
  4. Hi to all cardiac nurses, I'm just curious about this. I'm fairly new as a nurse. I've been encountering BP meds so far that has systole-only parameters. for example; Lisinopril, do not give if systolic is Then on a certain shift, I got 112/40-sh for a patient. She has Lisinopril, do not give if systolic is I got worried about the diastole being on 40 but my other co-nurse was saying it's okay to give it because the systole is okay. Then a co-nurse questioned me why I didn't give it knowing systole is not below 100. I said I'm not comfortable administering it because diastole is low. I'm new to my job place and this is my first hospital I encounter that doesn't set parameters on diastole. My question is: Is diastolic not as important than systole anymore?
  5. or It's just me???? Okay. So I got new job as a night nurse. I got 3 months orientation. 1.5 month I will be trained on night shift. 1.5 I'll be trained on day shift. I found out that I got assigned by the best nurse in the unit (she's really awarded as one of the top nurse in our facility) as my preceptor for the first 1.5 months. So when I started, I was thrilled that this person will be my trainer because I am expecting to learn a lot from her. During the first week, I met most of the team and everyone regarded him indeed as really great when it comes to care. I did notice it during the first few days. He's very attentive to patient, helpful to co-worker. She will answer my questions with thorough explanation. Customer service is her best suite. After a 4 days, she let me try to do everything on my own while on a standby assist supervising me. She knows I'm fairly new as a nurse. So she was guiding me as much as possible. Cueing me all the time. Which is cool. I got a year of experience already so I'm familiar with all nursing routine and time management stuff. I told her straight forward that I'll be needing more guidance when it comes to skill. The 5th day is when the things she do starts to tick-me off. She should know that it takes time and constant routine to get fast paced on this kind of job, and that's what I am trying to figure out on this 5th day, independently. But everytime I am concentrating into figuring something out, SHE interrupts to remind me a patient is waiting for me & I DON'T MIND AT ALL! But she has to ******* make me feel like I make my patients wait and not prioritizing them, like whenever she caught me paying attention to small stuff (like figuring out where the items and equipments are, reading their infos, figuring the software) which I deemed integral if I want to be faster and more independent. And when I focused on patient care, SHE will then butt in or tell me afterwards to document STAT and research into something for the change of report. IT JUST UTTERLY make me feel I'm bad with not getting stuff ASAP. I know she just wants me to get things done within a timely manner. The intention is good but stating-the-obvious really what gets into my nerves! Here's an example: I'm focusing on my documentation and reviewing my infos because the software complex. Then she taps me and tell me my patient's light is on which I didn't notice because I'm so focused. And I'm like, "cool, I'll check on her (the family was there and I know they requested to have the patient transfer back to bed from w/c) ". I'm almost done with documentation(like 15 seconds away) and she just wants me to literally DROP EVERYTHING and attend the patient like I AM SERIOUSLY neglecting someone. She's like "Cmon! Time management! Patient's first. documentation can wait, patient's don't. Please just stop. You gotta pay attention to this stuff, don't ignore those lights!". I'm like, who said I'm ignoring it???????! I DON'T know why but her BEING THE BEST NURSE in the UNIT is not really that helping me. She's trying to make me practice perfection in a short amount of time. It's annoying, and discouraging if you keep stating the obvious like us ORIENTEES purposely neglect our patients. She sounds so demeaning and discouraging whenever she proves her point. The "no-sh**-sherlock" point which is, patient's first, time management.. etc. I believe all nurses's mantra prior working as a nurse independently. I mean, I used to precept to and I don't know how to let her know that YOU CAN tell us what we're not doing right while you are on 3rd Person point-of-view, but you that doesn't mean you understand WHY we're doing it that way. Another example is I collected the UA specimen before getting an order written. AND she got pissed like I will go to jail for not getting an order first. I told him got verbal ok from the main MD who does rounds everyday! but still unacceptable to her. My point is, I want to save time and get ASAP result, and it's UA. what's the biggie? Idk if it's because she's a young nurse, with barely 4 years of experience, she's acting so perfect.. or because she's trying to prove she's a good preceptor. But clearly, she's giving me a low morale for a starter. She only been training 6 people so far in her career in the unit. she told me she likes me the most because 'I'm fun'. Her past trainees have 10+ yrs of experience and she just watch them take over her shift but me, she said I'm different. I'm young, 2 years younger than her, I'm a curious creature and only had 1 year exp. so she's telling me step by step, prompting me what to do. Yet, she keep warning me i will not get prompts no more if I'm out of orientation. IN FRONT of our other COLLEAGUES like I'm being spoon fed since day 1. Idk how to react so I just flat out ignore it. I already have information overload, and have to learned so skills in my first days and SHE EXPECT ME TO GET THINGS DONE her way. Well, I'm trying to get my own way of preparing things but she keeps butting in (to state the obvious) and it just disrupting my equilibrium. Today, I almost tell her to leave me alone till I ask for help like.. literally. Idk what I should do. whether to ask my boss to change preceptor or just endure it.
  6. Thank y'all. Just an update. Yes, I did chose the rehab position and I never felt so good choosing it. My first week of orientation make me feel I made the right choice. I found out they are a teaching hospital and there's ladder advancement. The culture they are trying to promote and encourage to their employees and everyone is hands down great. So is the advancement of their equipment. I'm about to start my floor orientation this week and studying so I won't look stupid during my probationary period.
  7. I am so torn between these offers. I am a nurse for a year now but I barely don't have experience in an acute care setting. For a year, I worked in an ALF/LTC (It was very difficult to get a job in the hospital that's why I started in LTC). After a year, I decided to advance my career so I started looking for a hospital jobs. Luckily I got into 2 interviews (PCU transition program for no-hospital-experience RNs & the other is a rehab unit), nailed both of it, got the offered on both position.. SO now, I can't figure out which one to choose. I know the obvious answer will be PCU. BUT the rehab unit position was from the a huge magnet hospital that has VERY good reputation, known to have good support with nurses, good benefits, has plenty of room for advancement (they even offer tuition fee reimbursement if ever I go to a graduate program). On the other hand, the PCU job but is located in a branched hospital in the country side. The drive there scares me but then again, for a new nurse like me, PCU would be golden for experience! Despite of it, I'm giving the rehab position a hard thought because of the organization. Anyhow, I just wanted to know anyone's opinion if it will be a good idea to take the rehab because of the hospitals reputation(*and hoping I could get transfer to a more acute care unit In the future.)? or shall I chose the PCU transitional nurse? How hard would it be to transition from rehab to a PCU/CCU unit if ever I chose to rehab position???? I really am torn, any suggestions will be greatly appreciated. (Sorry for bad grammars. English is my second language.)

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