nurseletDZ

I don't think you can *exactly* apply that term to this concept, technically speaking, but I totally see what you mean. With all the hospitals trying to get Magnet status they are hiring lots of new BSNs (including me) trying to change the culture of the nursing staff.

Me too ^_^ I kinda like how nursing is somewhere between blue and white collar. Light blue collar?

I recently had a confused patient who insisted that the urinal was his wife's water bottle.

Well THAT makes my blood boil. Gawd.

Bless your heart. Thank you for being that family's hero.

Not quite as bad as exploding and wasting a perfectly good bag of blood as others have done, but I disconnected a pt from the blood tubing and forgot to clamp it and poured about 30 cc of bright red saline/blood punch all over his freshly remade bed right at change of shift. Charge RN walked in at this inopportune moment and gave me the most pitying, disapproving look. And then promptly got me clean linens. :)

Here's some recent salary info for new grads--can't tell you specifically what it would be for 21 months experience though. :) https://allnurses.com/pennsylvania-nursing/starting-salaries-for-484645-page3.html

Sad that they needed you to point this out to them, but good for you for standing up for yourself!

Yes, you were absolutely right to turn her! Good on you for looking after your mom's skin (and all her other needs so carefully). You did exactly as you should have done, and to me it doesn't sound like the movement in any way could have contributed to her passing. From what you've told us, it sounds like she was "on her way out" so to speak for the several days before she passed. Not eating or peeing are subtle signs that the body is closing up shop, as is withdrawal from interpersonal interactions. She was a very sick lady, and she had been for years. I'm sorry for your loss, and I'm sorry that you didn't get a little more "warning" or time to acclimate to her final decline. Just know you did all you could for her, and if she could tell you know, I'm sure she'd be so grateful for the loving attention you gave her up until her last moments. Be well.

Hi. I work on a mostly-medical (plus GYN surgery) floor at Temple, where we have centralized tele so we get a good number of pts on the monitor. We also get lots of onc pts on my floor as we have all the chemo certified RNs. The 7th floor is cardiac - stepdown and CVICU...the SICU is there as well. For med-surg, at least on my floor, the RNs are almost always 1:5, 4 on slow nights, and 6 in a pinch (but this hasn't happened to me so far). The charge RNs on my floor will take 1 pt about half the time. I work nights so this could be a bit different for day shift. For ancillary, we usually get 3 CNAs for 35 beds (generally 2 on holidays or weekends or if someone has to be pulled to be a 1:1 sitter). IDK about the cardiac floor but I would guess that the pt load is probably 3-4. I know on the respiratory stepdown unit most RNs have 3-4 pts. (They get all the fresh post-op lung transplants, needy pts so I hear...I got pulled there one night and didn't have the training to deal with many of the pts, so I had three easy ones all night...it was delightful!) I have a good friend who works in the CVICU at Temple and really likes it--very robust transplant program and oodles of trainwreck pts. I'm thinking of shadowing her sometime to see if I have a taste for critical care. I got hired as a new grad last fall...several of the hospitals that are going for Magnet, such as Temple, seem to be keen to refresh their staff with lots of bright-eyed BSNs. With that comes a bunch of, to me, annoying stuff like endlessly trying to get us involved with councils and projects so they can qualify on the Magnet application. (Side note, I'm not really down on that kind of stuff in principle, but to me as a new nurse, I'm just so exhausted with the work that anything extra is overwhelming, and I know the hospital is doing it for financial gain not because they My fiancé works at Jefferson on a post-surg floor. He almost always has 4 pts, they are easier than mine, too--oh how I envy him, though his floor does not have ancillary overnight. My good friend from school works on Jeff's cardiac stepdown, 5W, with all the VADs and they just recently started their transplant program back up. He really likes it, and so did I when I had clinical there. I also really liked clinical on their onc/tele unit (3C). Pay for new nurses at Jeff is comparable to Temple--the best in the city. Temple is union, though, so contracted raises and pay scale for more experience are better there. At Jefferson most nurses have to rotate days and nights, work every third weekend, with 10% differential for nights (20% if you get permanent nights). At Temple you're one or the other and shift diff for nights is 13%, commitment to q other weekend. Comparing pt population Temple to Jefferson, at Jeff the pts are more middle class and white, the hospital is "nicer" in terms of almost all private rooms, always having supplies and whatnot. At Temple our pts are mostly low-income black and Hispanic, we scrounge for supplies, and almost all our pts are stuffed into semi-privates. Jeff generally has better ratios, but there seems to be less control for when a floor is suddenly understaffed. My fiancé was working one night on his small floor, 1 of 3 RNs had to go to the ED with chest pain, so he was stuck with 9 pts for the rest of the night and the nursing resource office never pulled an RN to relieve them. With the union at Temple, I don't think that would ever happen--even though, though try as they may, the union has not gotten the hospital to agree to mandated staffing ratios. Well I typed more than I meant to, that should get you started anyway. Tidbits about other hospitals as far as I know--Hahnemann is known for understaffing but they unionized last year so things theoretically should be getting better. And what people say about Penn being up its own a$$ seems to be true, the hospital is very into its reputation for research...my friend who works there gets a lot of "homework" she is supposed to do on her own time to brush up on EBP. That's baloney, if I have to do it you better pay me, know what I'm saying?? Hope that helps.

You were brave, competent, and professional. I admire you. Please take care of yourself. Hugs.

Nope, not a typo. My friend just got hired at HUP. They start pretty low compared to other hospitals, but there is a clinical ladder, and I guess when you get bumped up to Clinical Nurse II you get a pretty steep raise. Kinda nice if you are happy enough in your first position to stay that long.

OK I found out more... - Penn $27.25 (something like that), IDK about diff, but automatic $13 raise at 18 months - Temple $33 as of last year, automatic raise for going off orientation and yearly increase means $3-4 raise within first year, raises go in effect in October

Everything I know: - Jefferson $33.76, 10% diff for evening/nights, no weekend diff - Christiana $28.15, 15% diff for nights, 10% weekends, 20% 11p-7a - CHOP $27.50, $4 evening diff, $2.50 weekend diff, $5.50 weekend nights - Einstein $30, 10% night diff, no weekend diff - Hahnemann $30.75, 12% night diff, $2 weekend diff Keep in mind that Jefferson pays one of the highest wages for new grads, but they have no clinical ladder and pay doesn't increase as much over time compared to some of the hospitals. Would love to find out about Temple and Penn.

Yikes, dude.