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abouttimeRN's Latest Activity

  1. abouttimeRN

    Promotion to Management in Hospice

    Hello I am looking for tips/advice on management (this would be management of referrals/admissions, not case management) in a hospice organization. I have doubts and fears because I am YOUNG, I'm not sure I will get the respect I will need to manage a team. I am also relatively new to the company. I so badly want to accept the offer presented to me but I want to be a leader my team respects an values but have never held a management position before. Any books or literature that exist to increase my confidence or skills in managing a nursing team? Thanks!
  2. abouttimeRN

    Problems finding a job with criminal history??

    Just expunge EVERYTHING. It's worth it. I didn't and after I took my NLCEX they held my license until I did.
  3. abouttimeRN

    NCLEX with multiple DUIs

    I had a criminal history and sitting for the NLCEX was no problem, it was after finding out I passed and waiting and waiting for my license to come only to get a letter saying that I wasn't going to be getting it until I cleared up some things on my record. I went that very day to get my issue expunged and it delayed me but I am grateful I did it.
  4. abouttimeRN

    Does it matter where I start?

    I went from ICU to Hospice and it certainly helped me. I don't think it's necessary, I think you can get that knowledge base elsewhere, but you become familiar with vented patients, pain management, dosages, etc and you are forced to know your disease processes well. A lot of times you have to have hard discussions about benefit versus burden of certain treatments and if its a treatment you haven't experienced first hand (weaning from vent, discontinuing vasopressors, etc), it can be hard to speak about it in an informed way. Many of my colleagues started in an inpatient hospice setting then branched out in other arenas of hospice and are thriving.
  5. abouttimeRN

    Confused about next step as an NP/APN

    I need some guidance I am SO confused about my next step, here is my background: I have a Bachelor's in Biology/Psych then went to a Direct Entry Master's program for Generalist nursing. So I have an MS in nursing and I have been a nurse for a few years now. I do not know the next step. I want to become an NP or APN but do I have to get a DNP? What are the other routes? I'd love to go geriatrics/oncology/hospice/palliative care when I do pursue this but I was under the impression that the nursing world is shifting toward DNP's as training (getting your doctorate, very expensive...) versus alternative routes. I have no idea how to navigate this. Thanks!
  6. abouttimeRN

    What was the REAL reason you called off

    I called in saying I threw up but in reality the NP who ran the show on the hospital unit I was on severely embarrassed me and "chewed me out" in front of a patient and I went into the hospital bathroom to cry and needed a mental health day. Within a few weeks I was interviewing elsewhere then I was out.
  7. abouttimeRN

    Pay for hospice visits

    I am a hospice nurse in Chicago, my pay far exceeds what I was making in a hospital setting, I do get paid for mileage, I do not get paid per visit, this is not the norm unless you are taking on extra visits. I am a salaried employee with my company, our only hourly employees are those who work in our inpatient hospice centers. Good luck!
  8. abouttimeRN

    Sick of floor nursing, what now?

    I left the floor to do hospice nursing. I am a liaison who goes into hospitals to evaluate and sign patients up for hospice care to get them home or to their NH. It's M-F and normal daytime hours with better pay than floor nursing...something to think about :)
  9. abouttimeRN

    From the ICU to Hospice (as a nurse)

    As I interviewed for ICU positions, I explained one of my goals as an ICU nurse was to build relationships with patients and families so I could do teaching and cater to their emotional needs in addition to their glaring physical demands. I was open about this being a passion of mine. I ended up getting offers from two ICU's in different hospitals and went with one that was a very well known and very prestigious hospital. I knew it would be hard but I knew even if it was bad all I needed was a year and I could do as I pleased (even though I really thought this was the unit for me and it would be more than a job and actually a long-term career). Now that I am out of it I am able to best reflect on it: -My preceptor was mean. Call it an ICU thing, call it whatever you want but my preceptor (and most of the nurses) were very short, not extremely interested in getting to know me and were not patient. If I made an error or asked for a repeat explanation about a procedure (mind you with no negative patient outcomes) it was not uncommon to get scolded/yelled at/reprimanded by a preceptor. Admittedly though one time my patient was becoming hypotensive and I titrated the levo up too quickly. Again, no negative outcomes. -Hours were unrealistic. Shifts were not 12 or 12.5 hours, I found myself there 13-14 hours and I was on top of my charting and not really behind but the expectation was to wait for rounding MD's in the AM and if they were late or pushed back rounds, guess who was staying? -No time with patients. This seems obvious in a true ICU but something I guess I needed to be in to realize. Patients are so critical and unstable that there is no bonding, there is no teaching, there is no sitting down and holding hands. There is stabilizing then getting them to the floor. I could go on but I'd like to contrast this with hospice nursing. I have only ever done ICU and hospice nursing. I did briefly do case management but in terms of floor nursing these have been my only two. I am so happy now. I feel like such a weight has been lifted. I don't dread work or have as many countdowns. I have FRIENDS. Oh and the doctors are amazing. The ICU docs I worked with (there were 6 who circulated) were terrible. Great and smart doctors who I'd trust with my life but it was normal and accepted to cry at some point/frequently as a right of passage with them. This is something I wasn't okay with. No rights of passage in hospice. There are a lot of expectations and the positions I applied for wanted experience and I see why. There is a lot of independence in hospice nursing and a lot of clinical judgement to make on your own and doctors trusting your eyes on the patient since they are not there with you. I love it and have never looked back. Also the pay is incredible! If you are on the fence, make the move!
  10. abouttimeRN

    I did it! I finally found my niche.

    I am a few months into hospice nursing, also loving it! Congrats!
  11. abouttimeRN

    Four Year Contract

    I've been at a trauma 1 hospital hired as a new grad and my base is jus over $28 and that's without differentials which are about 30%. You can do better. I think you'll grow to resent the contract.
  12. abouttimeRN

    Receiving your ATT

    I graduated Nov 21, 2015 and I took NCLEX 12/8/15 if that gives you any insight...I am in IL
  13. abouttimeRN

    Would you take a $5 paycut for Dream job

    Since you THINK you know what you want but you're a new grad and may not actually have a grasp on what you want I would take money and experience...SICU will be there especially with a solid background. Don't mean to be offensive but I also thought SICU was my calling and I just gave my notice...!
  14. abouttimeRN

    Asking to be on-call after giving notice?

    So I gave my notice a little over a week ago...my last day is approaching and to be clear I did not give notice because I don't like my unit or coworkers I simply found an even better fit/hours/salary/everything. I am a new nurse (less than one year experience) and the job I landed as a new grad is very prestigious and impressive if I do say so myself and I don't really want to close the door completely where I gave notice. Am I trying to have my cake and eat it too? Would it be ridiculous of me to ask to be put on call? I feel like they don't really put newer nurses on-call...
  15. abouttimeRN

    New Grad confused about stipend and 2 year contract.

    I think this is a bad idea. Places that do this are sometimes understaffed and make it look attractive but it turns out not to be then you owe them money. 10/hr is not livable and not appropriate for the amount of work you will be doing. Even 24 seems low to me. Move on.
  16. abouttimeRN

    How should the "I quit" conversation go?

    This is very helpful! The timing thing does make sense although I feel like they won't buy it for some reason. I hope I am being anxious for nothing and it will go smoothly and professionally.