Volley88

I don't have to listen to bowel sounds for 60 seconds each??!?!

I appreciate any health care worker making efforts to fix their personal problems.

Can you link the articles you've found? I am very interested. I am not pro/con, yet. I would like to have evidence based research to formulate my opinion.

Leave it alone. It will be your coworkers own fault if anything happens.

Hi guys! I would like to update, I GOT THE POSITION! I was immediately promoted to RN 2! Thank you for your support everyone!

Oh not kaiser. It mentioned it as an example.

Change up your brain

I plan to give myself a time limit. If I don't get the next round, I will leave my current position. It has just been a demoralizing few months. Especially seeing newly benefited coworkers transfer to other units or resigning after getting more experience. Med/Surg is my passion. Its just hard for me to think that if I left now, being most senior, that the next extra help nurse would have less than 4 months experience in our floor. To clarify how to be eligible, I have to reapply. My nurse manager DOES NOT choose. HR and Nursing Office processes a list for candidates and they send it to my NM. Then, my NM chooses from the list for interview or promotion. HR/NO only see me as lines of text in my application. Yes, I have contacted them. I get the same generic "Experience takes time" and "Get more certifications" My unit doesn't only hire New Grads. They hire experienced nurses from SNF/LTC or other local hospitals. That's the only reason I could think I get out ranked. Or my performance is unsatisfactory at this point.

It was a general way for categorizing nurse titles to hospitals. (I.e. Kaiser's Staff Nurse I or II)

Thank you. I have another meeting with my NM later this week. I will readdress how I can make myself more applicable next round. Extra Help is not considered internal at my hospital.

Yes. My manager does not select just any employee in our unit. It is up to nurse recruitment to provide a list of candidates and she re-interviews for the position. Seniority does not play factor. I have not been on the list all year. I have contacted nurse recruitment about my concerns and how to improve myself. I always get the same answer, "You need more experience." I normally would have let it go knowing some newer nurses had work in SNFs or was a CNA prior to becoming RNs. BUT lately new grads have now been benefited; which triggered writing this post.

Background: I have a BSN. I am Telemetry and CAPD certified. I am fluent in Spanish without a Hispanic or Latino ethnicity.

Hello everyone, I am stuck in a career dilemma. I want to leave my current job for a possible better opportunity, but the job advancement for my unit is within hands reach. I agree with my peers to wait it out.” I just need an outlet to vent. My Scenario I have been working as an extra help” RN 1 for more than 15 months and found out I cannot advance to RN 2. My hospital policy states any RN who has been employed by the facility is given the opportunity to advance to RN 2 after 1 year of the same unit. I applied and I was denied. I made a formal email with my Nurse Manager and asked what I could do to make myself applicable. She expressed that I am more than qualified and she would have approved my request. Unfortunately, the policy only applies to employees who are receiving hospital benefits. Extra Help” is similar to per diem, but with more shifts per pay period and without hospital benefits. I chose to work at this position because I was a New Grad living in competitive market and it was the only job offer at the time. I did not have many choices after applying across the state. It was a paid RN acute hospital care experience without having to go to a SNF/LTC. I am, however, able to advance into a benefit position as I continue working. In the past year, I have been applying to all benefit RN positions in my facility. I have been very frustrated after seeing those positions, for my own unit, given to newer nurses who were hired months later. The most disheartening was witnessing a nurse completing orientation, receive the benefit position straightaway, and then resigning from the hospital after only 3 months. I am the most senior extra help RN in my unit (not saying seniority should play factor). The seasoned nurses are aware of my situation and are advocating for my advancement. They are in full agreement that I should have been benefited after my probationary period as they did in the past. All I can do is just wait. My entire unit has been very supportive and my nurse managers expressed I am the priority for the next benefit position opportunity. Thank you for reading. I would love words of encouragement.

IMO, its only bad behavior, let it go. Seems like she passing all her classes and not getting sent home from clinical. People can have two faces: personal and professional. If she doesn't get a job or gets fired from future employees because of attitude, it her own fault.

OP, being on the opposite of your political spectrum, I really admire your points and I will not start a debate. Seems like everyone here has done that. I mean, who would change their morals/views due to some anonymous stranger off internet forums? I wouldn't. Reading through the comments, you have valid points and rebuttals of your stance in the health care field. Thank you for mentioning your background. After reading your well thought out comments, I would have written a whole wall of text disagreeing with all your points or would have reported for internet "trolling." In that case my response is: you're well entitled to your opinion. You have yet to experience the workforce side of healthcare and the issues nurses have to go through because of politics. You are currently going through the Canadian healthcare system, so I cannot speak for them given I am from USA. When you do graduate, pass your licensure exam, and your stance in healthcare is still the same; I will whole hardly respect your beliefs. I would hope one day we can have a professional debate when that time comes.

For your school's sake, just over it as best you can.

Thank you for your input everyone! I am NOT talking about a frequent flyer, hx of homeless, or hx ETOH/drug abuse. I am talking about a patient who is awake and alert, cooperative with care, and a very acute diagnosis not relating ETOH/drug. I appreciate all your opinions. In nursing school and in the floor, it was never discussed how nurses should react when they see their former patients. After speaking to my peers, no one really talked about how to handle the situation of running into a patient outside the hospital. It seemed we would have to figure it out ourselves. I am not sure if I violated any hospital rules or policies. Although, I believe it falls under our own ethics.

Thank you for all your comments. This patient in particular was in the hospital for a very acute diagnosis nothing related to alcohol and/or drugs. We had established a very good rapport during my patients stay at the hospital.

Keep going! There isn't a limit.

I have worked in a Medsurg unit for over a year in a big city (Bay Area, CA). I would never expect to run into a former patient that has been discharged recently. During my weekend off, I was at a bar with a few of my friends. Someone tapped on my shoulder and it was my patient! I did not know how to approach it. My patient introduced me to his friends as his nurse from a week ago. He enjoyed my care and happy with the discharge process. We shared a drink or two and parted ways after an hour. Was my interaction appropriate? How else should I have handled it? What should be my mannerisms for the next time I run into a former patient?

Patient (45 mins after giving IV morphine as ordered): PRN means as needed. I want it now!! You are not doing your job right and I'll get your ass in trouble."

Consider working more hours. Repetition is key.

Personally, Working in Med/Surg (days, CA) with 5 patients felt like finishing a to-do list rather than critical thinking. I start my day doing finger sticks, then pass AM meds, hope nothing happens so I can chart. Then repeat for the noon time. There are days where Primary team and specialty teams for a few of my patients don't talk to each other and the patient's plan of care consistently changes. I would just feel like a secretary rather than patient care.

If MD is your end goal, then do it!! Nursing is great, but if anyone has an opportunity to reach their goals, don't let anything stop you.

It took two years for me; both with summer school. I also took extra easy classes to boost my GPA since the nursing school I applied took in current GPA into consideration.