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Serhilda ADN, RN

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  1. Serhilda

    Do nurses have continuity of care if they have a CNA?

    A CNA would likely lose his or her job if they walked off without giving report, possibly their certificate too. As nurses though, it would be patient abandonment to leave a shift without another nurse taking over. If a nurse were to abandon her patients, she would be held accountable for that, especially if a poor patient outcome were to result from it, by being reported to the board of nursing. The charge nurse or house supervisor might be *responsible* for finding a replacement, but not held accountable for the abandonment itself. Now let's say a CNA up and leaves mid shift. The nurses for those patients would be responsible for giving report to the replacement CNA, but the CNA would be held accountable. That's my understanding at least based on similar situations happening at my hospital and our policy.
  2. Serhilda

    Worsening Health, Considering Resignation

    Thought I'd give a quick update. Had my neurologist appointment finally. She did strongly feel my symptoms are aggravated by my work environment and suggested an office job instead if possible, as well as advancing my education (to increase job opportunities outside a hospital setting). Thank you all again for the advice and well wishes . I'll likely resign as soon as I have a job lined up better suited for my needs.
  3. Serhilda

    Worsening Health, Considering Resignation

    All great suggestions, Katie, thank you. I was considering advancing my education faster given my situation so it helps to hear maybe it's not such a bad idea.
  4. Serhilda

    Worsening Health, Considering Resignation

    Thanks for the reply, NurseCard I probably should've mentioned a close friend of mine mentioned putting in a good word for me at the psych facility she works at too. I'm hesitant to work with good friends but also desperate to find relief from my symptoms (and maintain health insurance).
  5. Serhilda

    What is most important to chart on?

    A good rule of thumb I tend to follow is that if something was worth calling the provider about at night, be it the on-call NP or sleeping doc, it's probably worth charting too. Also, if I document a change in status, I make sure to also document who was notified, specifically what was done, and the patient's response.
  6. Hello everyone. Looking for some career advice here, especially from anyone that's been in my predicament before. Not looking for medical advice, just to be clear. I've been working on a cardiac telemetry floor for about 7 months now, graduated May 2018. I have my ADN but I will have my BSN by fall of 2020. Job-wise, everything has been about as stressful as you'd expect for a newer nurse, but not too awful. I’ve received great feedback from my coworkers and manager alike, as well as recognition for patient satisfaction. The main stressors have been our patient population (often very wealthy, politically connected, or famous), the nature of cardiac tele, our understandably burnt-out day shifters, and the usual new nurse struggles. I've been having some health issues more recently though. I've had some worsening back issues and the pain is beginning to push my limits. I also began having worsening migraines over the past 4 months or so with frequent nocturnal seizures that have been difficult to control while trying to tolerate the AED side effects. The migraines have started causing stroke-like symptoms in addition to losing sensation in my hands. It’s all been very overwhelming and it’s taking a lot out of me, especially with it being so new. I’ve had to call out twice since I began working here and I’m currently on short term disability. My PCP and neurologist have both expressed concern that my job may be aggravating my symptoms. Being a new nurse with only my ADN, I know I'm fortunate to have this job, making this a difficult decision. We're trying a new treatment option before I resort to resigning. If I resign, I believe attempting to pursue a lower stress position (possibly psych?) may be in my best interest. FYI, I did not sign a contract requiring me to work a certain number of years here. So, my questions are: 1. If I need to resign, how should I explain this to my manager? She is aware of my migraines since I am currently on short term disability. Is resigning before the year mark automatically putting me on bad terms with her, regardless? 2. What/how would I tell future employers about why I resigned? 3. Does a position in psychiatric nursing (inpatient most likely) seem like a better alternative? I shadowed a PMHNP and the DON back in nursing school so I am somewhat familiar with this setting. The DON did also offer to help me get a job back then... 4. What would anyone else realistically do in my situation? If anyone else has gone through something similar, please let me know. Thanks.
  7. Serhilda

    Why do RN injuries keep happening?

    I recently sustained a minor back injury at work primarily due to inadequate staffing/a lack of consideration when creating the assignment (I had multiple incontinent AMS patients on a cardiac tele floor) and a lack of help from our nursing assistants. I reported the PCA for consistently refusing to help patients throughout the shift but ultimately as the RN, I'm responsible for ensuring they're cared for. The previous poster without any back injuries should count her lucky stars. I'm healthy in many ways but scoliosis complicates a lot. Often times back problems have nothing to do with your lifestyle or not exercising enough, it's simply the hand you're dealt.
  8. I refuse to prioritize someone simply because they're wealthier than the patient next to them, despite recommendations to do otherwise. They become so accustomed to special treatment that being told they'll have to wait for something is a complete shock to their system. The entitlement and constant demands wear on me. Should I lose my job or be penalized somehow for treating everyone equally, so be it. I grew up homeless and wouldn't want someone putting me last on their priority list because of that. It's completely unethical despite the norm. To answer your questions though, the challenges I face are these entitled "VIP" patients constantly hitting the call light and having family members flag random staff down if we're not there at the snap of their fingers to address something non-urgent. Their wealth and status has them completely out of touch with reality and unconcerned with the time constraints us peon nurses are facing. They're much more likely to complain to management, so my suggestion is to contact your manager if you get any inkling of any idea that your entitled patient is nearing their inevitable meltdown over something benign. They'll appreciate the heads up. Lastly, I'd suggest rotating nurses as usual, however, avoid assigning your newer nurses to these patients. They'll often consume more time throughout your shift than 2 rapid responses so assigning nurses with top time management skills is key. If you have supportive management, that may be less of an issue. FYI, I'm saying this as a newer nurse living in a very wealthy area. Catering to politicians and celebrities was included in our orientation and I'd highly recommend avoiding working for boutique hospitals in these types of areas. Burn out could not have been escalated faster for me. God speed.
  9. Serhilda

    Did this patient overreact?!

    In case other posters haven't made it obvious to you by now, NO, she was not overreacting and both of you should be held accountable for your inappropriate behavior towards this patient. Lord have mercy on anyone that treated me this way. You were both completely inconsiderate of her sense of privacy and modesty. Be more mindful and sympathetic. Even if everyone here was saying she was overreacting, who are you to tell her how she should feel with strangers seeing her nude? You don't know her background or beliefs, but it doesn't sound like you'd care anyway.
  10. Serhilda

    I don't do well under pressure. Pls help

    Why would two kids bother you? I mean this in the best way possible, but it's not a pediatric ICU, just two in a school setting. Focus on the fact that their acuity is likely low and there's no need to panic. You have time to assess them, prioritize, and intervene. If their airway is fine, their breathing is fine, and their circulation is fine, take 10 seconds to collect yourself and go from there.
  11. Serhilda

    Should I Go Right Into Psychiatric Nursing?

    You may find a neuro telemetry floor interesting and a happy medium. It's tough work from what I've heard, but plenty of psych patients combined with medical needs. If you really can't stand med surg, I'd say go into psych. I wanted to but accepted a job on a cardiac telemetry floor and I can't wait for that one year of experience to be done.
  12. Serhilda

    Do employers look at new grad grades?

    Absolutely. It was required information before applying and either a 3.0 or a 3.5 was the minimum. I don't live in a highly saturated area either.
  13. I'm somewhat of a sensitive person and couldn't be happier with my job. But I'm also optimistic and unfazed by grumpy, noncompliant patients. Interested in what these results will show.
  14. Every nursing program around me requires prerequisites prior to being accepted. Also, no, a BSN is not "universally required" like the previous poster mentioned. Half of my ADN class had a job lined up prior to graduation and the rest got jobs less than 6 months after. Many were in acute care, some were outpatient. We live near a very large city at that.
  15. Serhilda

    Not so sure about psych anymore

    I would RUN, not walk, away from this employer. It's not worth it. I'd probably move more into an outpatient community health type of setting if I were you. I'm so sorry this happened and he really, really deserved more time in my opinion. I wish you well moving on from this.