BeachLife_AKB

Hi. I will be starting their PNP program in the Fall. But I'm switching from another FNP program, so I already have some classes.

I have a question regarding home health utilization. I'm fairly new to home healh and my company recently started using a new company for review. I am in a pickle now to where they want me to change the frequency that I see my patient. I recertify them for once a week for nine weeks and three PRN's. Physical therapy also sees the patient twice a week. The company wants to change my visit to one week three then once every other week. I reached out and told him I do not feel that this is appropriate for this patient particularly because they have unresolved hypotension, possibly post concussion syndrome, along with essential tremors. The patient is a high fall risk as well. After I reached out, they did not want to change their recommendation. So I told them that because I did not agree that I felt it was only appropriate that they submit the order for the change in frequency versus the order for my recertification frequency and I was not comfortable signing the recertification if they change the frequency. All in all said, I ruffled some feathers. So I am just wondering am I the one who's wrong? It's my nursing license. So IDK.

Yes, sorry. I don’t think I wrote that properly. My schedule is set to the point of Monday-Friday. I could be done by 12 or I could be done by 4:30. I wouldn’t say anything either; however, I felt like it would be important to know so that she would know the importance (to me) of the appointment. ? and Thank you very much! :))

Hello. I am in a bit of a pickle as I am very unsure of how to proceed. In August of 2020 my family relocated to South Carolina due to my husband being active duty military and receiving new orders. Before moving I had the perfect job. I was PRN and able to choose between two different hospital to work plus I made my own schedule. I also had our son in October of 2019 which made this type of schedule even better. Fast forward to moving, that company I worked with has hospitals in South Carolina but they are about, at the least, an hour and fifteen minutes away from our home. When we moved, I decided maybe a set schedule would be a plus for our life so that I would not miss out on dinner time and bedtime, etc. I took a position with a stand along surgery center as a PACU/Pre-op RN. Everything seemed pretty decent from the interview and touring the site, but I was wrong, wrong, wrong! This has got to be the worse healthcare facility I have ever worked at in my 10+ year healthcare years. I HATE to say that so please allow me to clarify. “A few bad apples spoil the barrel.” The team I work with is, for the most part, great. We are normally all on the same page and we all help each other out. There are very few times that we have any issues with one another. This is great, because everyone knows that a bunch of nurses together all the time can, at times, cause trouble. LOL. But we all get along great. The issue comes about from the DON. She is wild! None of the nurses here have any say so or autonomy. Everything MUST be done a certain way. AND I don’t mean patient care, I mean things like having an IV supply kit placed in the bay BEFORE a patient comes back and taking the supply kit out after using it. If you forget, it is literally the end of the world! But, for months I was able to just keep and head down and work with issues but nothing huge that I could brush off. Then came the day that I still have not brushed off. Where I was in Pre-op and something was forgotten the previous day when I was not in pre-op. It was a disaster. To the DON it was like every RN in this facility was incompetent. Someone in pre-op the previous day forgot to give a different person the chart that they reviewed for the current day which led to the physicians H & P not being on the chart. In all honesty, it was an easy fix. His office was open, have them fax it. BUT.... the DON made it her personal agenda to humiliate the pre-op nurses. She also “threatened” that she should not have even assisted in correcting the issue so that when the MD arrived he could yell at us. Let me side track here and say, I have NEVER been yelled at (especially for something petty like this), and I would NOT have accepted being yelled at. This continued ALL DAY LONG! After this, it has just been downhill. We work 5 days a week but can never have any type of structure to be able to plan anything after. But the last straw was yesterday. I am now 6 weeks pregnant. 2.5-3 weeks ago I let my supervisor know and know the date and time of my first appointment. With my first child I ended up with severe preeclampsia that led me back to being admitted and on a MG drip after I was discharged post cesarean. But as of yesterday, I was told I couldn’t have that time off. I was going to come to work, go to my appointment, and come back (of course as long as nothing negative came from the appointment). Let’s just say that from the time of me letting her know when my appointment was to the time of my appointment would have been a good 30 days notice so I did not handle this well. Later in the day, I was advised that now I could just have the entire day off! What in the world?! They could not allow me to go to my appointment and come back but now they can allow the entire day off. I’m just conflicted. I don’t feel that this is going to turn out well. With my first I had to have ultrasounds every 2 weeks until after 20 weeks. Now with taking my previous issues towards the end of my pregnancy into account and my age, I’m concerned they may make me high risk and also require more visits. My husband wants me to quit. He doesn’t care if I have a back-up position for not. I don’t know what to do. I feel like I am doing something wrong but I also feel like I’m not. I really just want to go back to that PRN position and drive there for two days (the pay is ?) and I feel like I’d ultimately get more time with my son. ??‍♀️

Thank you all! I have thought about this situation all my days off and I go back tomorrow. But, it has become a little more complicated. The hospital I worked at for 4.5 years finally called me for an interview for the NEURO floor (they were on a hiring freeze)! I was upfront and honest with the recruiter when she asked which lead her to giving the manager my information and statement about where I work now but the manager decided she still wanted to bring me in for an interview. I decided it couldn't hurt, may help. If I am offered a position then I have a lot of think about and I am not sure what I would do. I hate that I am already not happy with the current hospital I work out. But I also hate the thought of leaving a job so quick. But if I am not offered the job, I am obviously not going to leave without another position. I decided I would give it a few more days with my preceptor before I look like the bad person and ask for another one. I was thinking, maybe she just had some stuff going on at home and all these days off may have helped her get through it. We will see what happens..

Thank you both. Yes, I apologize for the rambling. I was typing way too fast and trying my best not to make it entirely too long even though it was still long. I should have proof read it. Please allow me to clarify. Firstly, I don't want to come across to anyone as whining. I am attempting not to whine about it because this is actual questions/concerns that I am having. I know it has only been 3 days but that is why I feel the need to figure out how to address this early because I WANT to succeed, I love being a nurse in all the aspects of it. I don't mind staying late but I also don't want it to be a habit related to things that could have already been done with time allowing. I know there are days where you just don't have enough time. I agree that nursing takes a long time to become comfortable with and by no means am I attempting to say I have it figured out. I do have the idea that time management plays a huge role in the day and I think that where the problem lays with the nurse who is my preceptor. The hospital I am with will hire new nurses but they are required to be in the residency program. This program pairs you with another nurse who is considered your "preceptor" to help you make the transition into the career. I will follow/precept with her for a total of 12 weeks then I will take on my own patients by myself. The program will include classes that I go to monthly for 1 year and then I work for another year under contract or else I pay them 5K back. So, my preceptor just finished her first year. She actually just finished the classes about a month, maybe two, ago. So, I think she is definitely still getting the hang of it as well, or at least I know I would. By no means am I saying she is not a good nurse so please do not take it that way. I just think that either I am slowing her down by being there or that she is really just still getting the hang of it as well. I do hope that it gets better, maybe she just has some things going on at home and next week we both can get the hang of being together or else it is going to be a long 11 more weeks. I am not 100 percent sure on the turn over just yet. Every interview I have went to that is something I ask about, but of course it is not something that is always answered truthfully. I can say that I went to orientation with another nurse who will be on the same floor I am on and her preceptor is also fresh from the program with 1 year of experience. Also, there are at least 5 people who are new from my understanding with the exception of me and the person I went through orientation with. But when you put it in the way you did about all the new grad nurses and doctors, I can totally see the picture of the doctors being testy because of it. I guess I had just never experienced it before and I know I will have to somewhat get used to them being testy. As far as the blood. When I said it was ready, I meant that the lab had it ready for pick-up. It was hung immediately after we went and picked it up. When I talked about my wonderful preceptor, that was for my last semester practicum. She had 8-9 years of experience but I think we worked great together as a team. She was confident in my decisions and seemed to understand that I will not do something that I am not confident in myself, without asking questions. We were also on a busy floor just like I am on now and I think that is where some of the confusion comes from also because we were able to really manage our time well and take care of our patients. There were times that we were there a little late but never 3 hours. Mainly, I know that if it continues I should figure out the best way to address the situation without seeming like I am being a "bad" person or a person who is a "know it all" because I am not. I just want to succeed and reach out to others to see if some of the things I am experiencing or will experience is justifiable. I do hope this was a little more organized and better to understand. Again, thank you both for your insight. :)

Hello all. I am a new nurse and have recently started my first job and I am having some reservations. I came here to get some insight on other people's experience. So, I have worked in a hospital environment for about 8(fish) years but never as a nurse. I was a phlebotomist for years and then a nurse intern (tech) for a few months before graduating. Because I have worked in these roles plus clinical environments for school and my time spent in my practicum I never thought I would have such trouble and so many reservations. I have a wonderful preceptor and half-way through it I was caring for a full load of patients (5-6) entirely, including charting. Ok, moving along. I am now in my first position as a RN and it has been a mess from orientation to now and I have literally only been on the floor for 3 days. So, the hospital I work has a residency program just as most other hospitals around here. To be honest, I did not want to sign contract but one of the hospitals that doesn't have contracts right now is/was on a hiring freeze and the other is HCA and did not have any of their StarRN programs coming up until October. My contract payout is 5K and I am starting to think that eventually it may come to that unless they accept my husbands orders since we are technically not living in the county and they said that the orders have to be outside of the county of where the hospital is..... Let me digress!! In orientation is when I got my first shock. I have never worked for a company that was not going to be joint commission accrediated but this hospital will be. They are moving to a different body of accreditation once they run out with joint commission. They will be moving to DNV I believe. So when I get to the floor I am following another preceptor for 12 weeks until I am set free on my own. But..... My preceptor is technically still a new nurse herself because she barely has 1 year experience. So for three days now I have been at work 3 hours past getting off then I have to drive an hour home. She absolutely has terrible time management. I all of this in the nicest way possible because it is not that I do not like her as a person it is just that I do not think she is ready to have a new graduate with her. I have done everything I could the past few days to kind of lead her on patient care time management. For instance, yesterday we had to give blood to a patient and it took me hours to finally get it started (it was not emergent). She kept finding other things to get done when we could have just taken the 15 minutes and start the blood then work on the other things. Instead, we were getting the blood down and vitals 40 minutes after the END of shift. Ok, so the day before I offered to chart some and she didn't seem like I would be any help in doing so, I suppose. We were very busy and didn't get any charting done which lead to not leaving until 10!!!! Even the person who was her preceptor tried to tell her that I have a license so.... It will fall on me if I do something wrong! Keep in mind I offered to help chart because I took care of and assessed the patients, otherwise I would not have offered to assist. Now there is more. It appears there is a milieu to accept that some of the doctors will yell at you just due to being busy. So, I understand not all doctors are just super pleasant but I just don't feel comfortable with accepting this and on all the floors I have been on with school plus working as a tech I never seen other nurses accept this either. If you are scared that a doctor with literally yell at you then that is going to lead to a miserable environment. There really are more things I am uncomfortable with but this is already so very long. I want to be a nurse. I love the patient care aspect but what I am seeing is that it could be improved. Obviously I do everything I can more my patients but it does seem to go beyond this. I just want to be a SAFE nurse. I would rather question doctors orders than just follow them if something seemed "off", after all, I have a license to look after too.. SO, what do y'all think? What is the best way to handle the situation or is it something I just should get used to? P.S. I apologize if there are any grammar mistakes but I did not proofread due to it being so long.

Nah. They don't say much. But the close date was June 15, I think. You're looking at at least a month wait. Maybe soon. Good luck.

Yes. But. The next class coming in will be completely changed. I don't even know how they will evaluate the applicants. :/ wish I could help more. Maybe check the website for current info.

Congrats! I was accepted for the standard track in Brewton :)

Congrats to you too!!! :) I'm in the standard track.

Yay!! Congrats!! Brewton?

Heck yeah!!! Congrats girl! Where do you live? I live in Mary Esther, FL so it is going to be a drive but will be worth it for sure! Do you have a facebook? mine is Anna Rose | Facebook Nah, it has not updated. There is a form that you have to have sent back by the 4th and I bet it will update after that because it is saying that you accept your acceptance. lol What school will you be attending?

I don't know why those showed up as question marks because they were all supposed to be smiley faces.. :) :)

Ladies, the letters are on there way!!! I got mine today!!!!!!!! í ½í¸Ší ½í¸ƒí ½í¸ƒí ½í¸ƒí ½í¸ƒí ½í¸ƒí ¼í¾‰

Have you checked your degree plan online? Just curious to if it is still the same because mine is. But I already have a feeling I may not be making it. Hopefully I will but not going to be super disappointed if I don't. There is always next term to apply and I applied to this one with very little time to prepare. I wonder how many people apply to each program..

I figured it would be around that time before they got them sent out because of what I read from other posts on here.. Blah.. I did see a trick that someone said may work.. lol.. They said to check your degree plan online. But I am not sure if that is actually true or not. I'm sure you should have no problems getting in. I read where someone got in with 138 points a few semesters ago! I wish they gave extra points for classes you have already completed other than those three classes! argh.

Lol. No worries :)

I had everything turned in on the 15th but I also took my test for the first time on the 15th.

I took the TEAS too but I've been out of science classes for a while and was not fully prepared because I had been out of the country and could not properly study. But on my test it said that I was only slightly below national and program average. Everyone has told me to keep positive so I am going to try but I feel that I will have to retake micro to up my points. 148 points is very good in my opinion!! Good luck!!!

I sure hope so because all I have left are nursing classes! What were your points? Good luck! :)

They are not looking too good. I only scored proficient on the Teas V. I already have all my classes too but my Micro is kind old and I had a C in the class so if I don't make it this time then I plan on retaking micro and my test which should bump me pretty high. As of now I want to say I have like 120

Who all is applying to JDCC nursing for the Spring 2016 entrance? I took my test today and already super nervous because I didn't do as well as I had hoped:(