Postpartum RN

You can definitely email or stop by and speak with the manager and let them know your interest. Ask if you can float there as a break nurse, that way you get your foot in a little and get to know the staff. Good luck!

About $22 every 2 weeks, (per paycheck). This includes medical and dental for myself, 2 kids and a husband, vision for myself, and life insurance for all 4 of us with different amounts. No deductible. Copays for doctors visits are $10

In my opinion the problem could be that English is her second language. It is obvious from her/his posts that grammar and semantics are a struggle. I have worked with foreign educated RNs who are very smart and have great critical thinking skills, but DO NOT have very good language skills. So maybe this may be the problem here. Nclex questions are difficult and tricky. OP I recommend doing a review with someone in person who can evaluate what your issue is. If you don't want to/can't spend the money to hire someone, do you perhaps have any nursing friends that can quiz you and see what your understanding of the nclex questions is? Taking an ESL class would probably help.

I wouldn't threaten with a lawyer as was suggested earlier. I don't believe that is appropriate for you as an RN. I would do what the previous poster said though, document and fax it to the nursing home, call the DON and let them know. Some RNs can cut diabetic pts nails, however sometimes if too difficult then it has to be done by the podiatrist who comes to the nursing home. If you can't seem to get results I would let the pts family know and they can bring it up with the nursing home.

I would take the hospital job. For this reason, you will already be in the system and it will be easier to transfer as an internal employee to labor and delivery. You will be able to meet more people and network inside a hospital than in home care. In home care you will be pretty secluded.

Take the icu job. It is obviously where your heart is. You will be unhappy with the other job since you are having doubts right now! In my experience, signing a 3 year contract is not a great sign. Usually they do that if they cannot retain nurses, for whatever reason. Like you said you already know the people and the way that unit works and you like it. If I were you I would take the icu job. Most places will extend your orientation if you ask for it if you feel like you are not ready

I think you should stop worrying about how you won't learn anything on night shift (you will). Just wait until you start, then come back and update us. Night shift does all the same things that day shift does, except less or non discharges, and less pts. Wing taken off floor for testing. Otherwise it's all the same nursing. You will be surprised by how many pts do not sleep at night, I would say more pts are awake than asleep. They don't just stop being sick for the night! As far as assessments and meds, yep all done on nocs too. Who told you nights doesn't have to do this work??

I'm so sorry Farawyn. Hugs!

I am so sorry for your loss. (((Hugs))) How cruel and mean of this person to do this to you. I would never cover another shift for her again if she did that to me. She had the balls to ask you to work for her on THE DAY of your brothers MEMORIAL service??? And she tried to guilt you into it by texting you her symptoms and vital signs?? Crazy..I would have said "NO", I would not apologize at all, AND, I would try very hard to make her feel guilty for trying to make me cover for her on the day of said brothers memorial service!!! She has no conscience or heart. I'm so sorry she is doing this to you. If you don't stand up for yourself, it will continue. Often those of us who are very nice and try our hardest to please people, are the ones who get trampled on. I am glad you didn't cover for her that day. Also I agree with the others, it is not your fault you got sick and not your fault your brother died, and how dare they make you feel bad about that?? If it were me I would be looking for another job to get out of that toxic environment

Although I love these and they make me laugh, I do wonder how do these doctors get away with this kind of charting? Does it fly? Or does someone audit them and they get Into trouble?

I really like reading your posts, all you school nurses. I am often shocked by the reasons students come to see you guys...even getting pads/tampons? Hmm...free right? It's just all so...I guess "different" to me.. When I was in school, I never visited the nurse, not even once in all of those 12 years! I probably didn't even know there was a school nurse until I got into high school?....

What is a high spinal?

Lol I always give my husband a hard time for not looking. Sometimes when he's I'll or his stomach hurts I ask him about his stool and he says "huh?? I don't look I don't know!" And then I tell him to look next time and tell me, and he says ew I'm not gonna look. I do always look, always have and always will. Guess I was meant to be a nurse :)

Oh my gosh this breaks my heart! That poor child bullying is such a huge issue these days. That's very kind of you to send him something. God bless you for doing this!

Farawyn gave you absolutely no attitude, she politely informed you that there is a quote feature and to "please" use it. Frankly your response to her simple statement is dripping with attitude. If this is how you portray yourself on the floor while working then......I'll leave the rest to your imagination. You want to be an RN? Good luck with that. Start working as an RN, then please come back here and let us know who you think feels under appreciated and disrespected.

Nope, not substandard. The word that came to mind for me was actually selfish. How selfish of her/him to not take 10-15 minutes out of their day to render help to someone laying on the ground unresponsive as they walk right by. Those were that posters words, she/he is not worried about being sued, simply just doesn't want to get involved. So I do find that selfish, ESPECIALLY when you have the skills/training to help that person in some way. Elkparks exact words were she/he doesn't feel any obligation to respond to a random stranger in a public place "when I'm on my own time, living my own life". Yuck, people like that make me sick

I never said I didn't want him/her to be my nurse. So I don't know who you are quoting. I said I hope elkpark never finds me unresponsive anywhere, as he/she made it very clear that he/she WOULD NOT render any care. I'm sure as a nurse to their patients they do just fine.

On my medsurg/tele floor ratio is 4:1 At the SNF the ratio was about 16-24 per RN if on the rehab/Medicare side where we has all the pts tree for IV atb, wounds with wound vacs, s/p orthopedic surgeries there for rehab, new gtubes, all sorts. On the ltc side where it's mostly the long term residents ratio was about 1:30-35. I hated the med pass, especially since most were crushed and mixed with applesauce jbffe the pts hated taking it! It would take forever..I felt like I was pushing pills all day, running around like crazy taking care of the sick pts, I never took my lunch I would clock out and continue working, there was just so much to do and nobody did any of your stuff while you took your lunch!! The most the covering nurse would do is give a prn pain med if a pt requested...I hated it there. Swore I would never go back. We would get into trouble for working OT, but then if we didn't finish our work we would get into trouble also. DON kept telling us to leave what's left to the next shift, "24 hr nursing care" she would say. Well how can I leave my unfinished charting?? If I didn't document it, I didn't do it!! That would be MY license on the line since I cannot prove that I did something for the pt or resident who had something going on that shift, since I didn't chart it! Nurses would hide in the supply closets finishing their charting while off the clock already, so that management wouldn't see them still there.. What I like about my medsurg unit is that the nurse who is covering me for break will continue the care, she will pass any meds that need to be passed and do any other tasks that need to be done...very different from SNF

Wow. So much for "caring" about others. For my own sake I hope you never find me laying around unresponsive

I worked in A SNF for 2.5 yrs as RN. I will say it is brutal. I now work in med surg/telemetry. Both places are very very busy, but it is a different kind of busy. I did have a big learning curve when I came to med surg because you just don't do all of those same things in LTC; however my time management skills were excellent when I came to med surg. I will say this though, I never ever want to work in a snf again, I'll take med surg over that any day.

Awesome post, I'm glad you're enjoying it! Yes there is hope......:)

OP, I know you are facing a lot of challenges, and many of them I don't understand as it seems complicated, however please read this advice. I do not think you will be happy working as an RN, at the bedside, if you went to medical school and are an MD. You sound very bright. You will get bored with nursing, it will restrict you. You cannot diagnose, give orders etc as an RN. You will be doing a lot of bedside care, ie cleaning vomit, stool, blood, urine, all sorts of stuff. I think you will begin hating your RN job. Many RNs are not respected at all, we are the grunt workers and all the other staff in the hospital can defer anything to "the patients RN". Doctors are more respected and regarded. Also, you may be tempted so suggest treatments or courses of actions etc to your patients doctors, and if those doctors find out you went to medical school but now are an RN, I don't think they will respect you and will probably give you a hard time. Just some things to think about. Good luck, I hope you don't give up.

Ipink which hospital or city do you work in? My goodness those are high numbers!