MJJFan1

USAJobs.Gov

First, don't beat yourself up though it's hard not to. You being told a rapid should have been called at midnight comes from armchair quarterbacking hindsight. I'm certain if you went back and reviewed the chart, you'd probably come to the same conclusion. The reality you lived in the moment was much different though. In the future, I'd say when approached with such snarky behavior ask, "are you able to help me understand why I should have XYZ because I'm still an advanced beginner in all of this and I'd love any help or tips that you can give.” If they are a bully, they won't expect that back from you and will fumble. If they genuinely care, they will provide the guidance. But go back and look at the chart yourself and put a story together from the beginning of your shift to when it occurred. I'd also offer that when you have low BP's and have to intervene-stopping the ketamine, calling the doc-be sure to increase the frequency of BP monitoring. You don't need a provider order for that.

Definitely list your previous residency. If not, your resume will appear you've gone 1.5 years with nothing. And some boards of nursing will reprimand you for not listing jobs on your resume. Have you tried entering another residency? Also look into the Veterans Affairs residency program. Search USAJobs or Nursing at VA. You've got this.

Ask a lot of questions... ask a lot of "why" questions. For example, you may have an order to insert a Foley catheter but you need to know why you're inserting it. That will help develop your critical thinking. And write everything down. Some preceptors don't like to repeat themselves.

Was years ago but I took it about a month after graduation. I had one review book but honestly there’s nothing you can truly study that will prepare you for it. It was critical thinking. 76 questions, 2 days later I had preliminary pass results. Most of my questions were select all that apply. I remember one nightmare question that I’d had and still to this day don’t know if I got it right. But don’t sweat it it, if you made it through school with no troubles, You’ll be fine.

You’re better off knowing your common diagnosis admitted to the unit and then the treatments/labs/tests/meds that go along with that

Hello all. I am seeking ideas. Currently our facility use wristbands that display warning indicators such as fall risk, allergy, restricted extremity, and DNR. Well we’ve found that when status’ change, our staff are not updating the wristband software to reflect the change. My question is: aside from an obvious DNR order on the chart, how do you communicate DNR status to others. Ie if there were a code in the hallway or in radiology etc, how would your code team know the patient is or isn’t a DNR? Do you all move forward with CPR until you find out other wise or is there some other mechanism? Thank you in advance.

We are in a pandemic. Everyone, experienced or not is being dragged into the unknown. We have PACU nurses working on our dedicated COVID unit. They are straight losing it. Everything is totally new for them in the med/surg atmosphere. We are all going to get through this. We are in disaster mode and I'm certain your executives care more than you just keep showing up. Take it one day at a time.

Well I actually opted out of benefits when I started nursing and was paid $10 more per hour, so that’s why I figured that could be why.

Go with your gut!!

Get it girl ? that makes it even sweeter

I’ve gone around the merry go round with idea after idea: mortuary, day care, sober living home, halfway house....I just can’t decide. My heart says mortuary but every time I think about going back to school for mortuary science, I just go ?....

Try Mosby’s nursing skills

Great points made TriciaJ

Good information. How do you drive traffic to the content though?

So is that one post? Or do you have multiple topics? It just seems like the page goes on and on (a lot of scrolling). I love the theme. Do you have an affiliate for the products? If not, get them and get paid for advertising.

I’ll burst the cherry.

Maybe she’s paid more because she opted out of benefits (insurance, PTO).

We should be allowed to remain true to our morals. As long as we are able to secure a willing staff member, shouldn’t be a problem

It’s a learning experience for you. Don’t beat yourself up, although that’s easy for me to say but I know you feel different. It’ll bother you for a long time probably but this will never happen again on your watch because now you’ve experienced something that’s scared you deeply. Keep trucking along.

I think it starts with nursing schools. There seems to be such a difference from when I came through. I believe we should also invest more in our preceptors. That’s what makes or breaks new nurses.

Need some advice from you all. Here is my dilemma: I'm stuck with a decision on which job to take. 1. Nurse Manager, med-surg on a unit that I previously worked and was detailed to for a short while as nurse manager. I am really on the fence with this one because of the bureaucracy, and lack of support from top leadership for this unit. I am the only one who truly has the nurses best interest in mind. In my time with them, I improved many outcomes and increased their level of satisfaction. They really want me for the job but I burned out when I was there. On the other side of that, I feel that I'm all they have when it comes to someone standing up for them. I don't want them to go back to the previous misery they had before. 2. Clinical informatics. I have no experience with it but I have always been interested in it since I began working at the facility and finally a job came open. I feel there would be less stress and less burn out but I don't know that for sure. I'm also aware the grass always isn't greener. My husband says "I just want you to be happy." I don't know which would do that for me. Help!!!

No don't mistake me. I'm saying in my experience, it's been that way and I said it's not just the older nurses that are bitter, bad, and ugly.

Thanks

Oh yes, this other place is actually the first hospital I ever worked at---left there for a contracting job on a military installation hoping to go civil service so I can add to my Marine Corps retirement---I didn't leave there on bad terms at all. Could only go PRN because all of the jobs were posted for interal transfers only so I got the hook up going PRN and then transferring from there. I feel you on the 3 shifts thing, but I've never felt like this in my life. At the same time, I'm not the type to get into the clique, all I ask is that we work together cordially. And if a person can't fake that for a couple of shifts, then i wouldn't think that would work out for me.