Cali_RN18

I really like the program. The pace is good because you can do as much or as little in a week. I was able to do 17 units in my 1st term. My mentor is amazing and is available to answer questions. There have been weeks where I am so busy at work with COVID-19 patients that I only am able to dedicate 1 day to course material and other weeks where I get through a lot. So it is flexible with your schedule. I Don't know how the prelicensure program is and it study habits will be different but overall I have really enjoyed the program so far. Next steps for me is wait a bit and see if the NP Program will come to California, if not within the next 2 years, I will start my MSN in Nursing Education. I Really love my job and area of nursing so I may try to get a job teaching new RN classes with my current employer or as a professor teaching clinicals. So many avenues out there!

Congratulations!! I am on track to graduate and be done May 31st?

Sounds like you need more clarification on the pay rate. I am in Cali and work at outpatient dialysis. I get my base pay for the first 8, then time and a half for the last 4 and DT after that. I have always been paid this way, and the breakdown is on my paycheck. It is California Law to be paid this way so I would check with HR and contact the labor dept if you are indeed owed wages.

Thank you all for the responses. I think the best move for me is to meet with this nurse and all the higher ups who do have the authority to terminate him and have a final written warning regarding his behavior. I truly appreciate the feed back!! I will update this post at a later date.

Hi fellow nurses! I have been a nurse for almost 3 years in an outpatient dialysis clinic. I am still learning and growing myself as a nurse and about 9 months ago I stepped up to the positions of clinical coordinator and became a preceptor in my clinic. We are trying to grow the clinic to admit more patients which translates into having to hire and train new nurses. My boss hired a new grad RN prior to me being me being a preceptor which meant he had to be trained at a clinic with a nurse who was a preceptor before coming to our clinic. This RN is in his early 20's and this is his 1st Job as an adult. He is extremely smart and knowledgeable of the nursing process and he even made an effort to try to get to know our team of nurses and PCTs prior to starting. He has memorized every P&P in our company and is obsessed with being perfect. When it was time to transition to our clinic he was given 2 additional weeks of training to get to know our patients and acclimate. He was doing okay for about a week and then his whole demeanor changed. He started quizzing the PCTs on their role, started micromanaging them and criticizing them. The team started to get real mad and complained to me. As clinical leadership I had to speak to him about why he was treating the staff like he was and that they felt disrespected and all he could respond with was a laundry list of things they do wrong and the other techs where he trained were perfect. He has been working with this kind of attitude for almost 6 months and it keeps getting worse. I have had several coaching conversations with him and he does not take constructive criticism well. He comes up with a defensive responses each time instead of having active listening or offering solutions We hired another nurse whom I did train. She is an amazing nurse. He constantly is checking her charting when she goes to break and watches her like a hawk. If he feels like she is breaking policy, he will tell her what she is doing is wrong. This behavior is making her question her abilities and I don't want to loose her! I don't know how to get through to him at all. He refuses to see any fault in his delivery/behavior. I have tried to give him examples on how to make his day go better and he just will stare at me with no responses. Since he is more concerned with what the PCTs are doing vs trying to learn and grow as a nurse he has had minimal growth. He has even made 2 major med errors. Every time I show him another task within his role he gives me 10 reasons why he does not have time to do it and complains about how busy the clinic is. I have gotten to the point where I snap at him or speak to him in an annoyed tone, but I am so over trying to help. He is miserable working in our clinic. I feel like it is his own doing. If anyone has any advice on how to get through to personalities like this please share!

It is not normal. For all my AKI patients the BUN and creatinine are elevated. Nephrology is consulted and patients are usually started on dialysis. Some patients truly are AKI and a underlying condition needs to resolve, but the labs are 100% of the time elevated, so very strange that the ones you are implementing were not.

Is this an assignment?

I had my last vaccine in 96' . When I got my titer done for nursing school I needed a booster done. I second it has to do with each individual's immune system.

I am in the process of vaccinating my patients 65 and older..Hurricane Dorian delayed the rest. I will get mine too. Herd immunity is the way to go so we can protect those whom it is contraindicated for.

I really enjoyed reading this, thanks for posting. Very relevant information as the statistics don't lie! The general public need to be better educated by their PCP when they have diabetes and/or hypertension and that they contribute to renal failure and what it entails.

I am in Cali as well and I made 104,000 in my first year of nursing....I did pick a few shifts here and there, but not many.

You pose a very valid question. I am going on almost 2 years of dialysis and it being my 1st job as a new grad. I happen to love every second of my job, my patients, my team. I feel like dialysis is a specialty that people are not very well educated on. We excell as case managers/holistic care. We "are the code team" when there is a code blue. We are the patients advocates each and every day. We have honed in our assessment skills do this specialty. We communicate with the MD'S change in patient status, do rounds with them, admit patients, administer meds, draw labs, hang abx, hang TPN. We use the nursing process each and every day. We educate, educate, educate. Fill prescriptions....and the list goes on. We may not have acute care experience but our patient population has many many commodities that we deal with daily. We use our clinical judgement and critical thinking daily. If that is not good enough, I don't know what is.

Just over a year here! My has it flown by!

@ mirahaloRN2017.... as a fellow ARC nursing program alumni, I would HIGHLY suggest to not drop names of faculty on this site. I would edit your post to I spoke with the "Director of the Program" instead.

Some of what you guys are talking about does not make any sense. You have to first apply to the BRN and pay the 150 or 200 if you are getting the interim permit. Then the college you graduate from sends the transcripts to the BRN. In the mean time, you set up your Pearson Vue account and pay for the NCLEX, and then wait for your ATT if the BRN deems your application valid and not other information is needed. Then you schedule your NCLEX and take the exam. You don't need to fill out another application or pay for another license after you have already done it. That makes no sense at all. Now I am no expert on the BRN and sending out licenses, however, all my classmates who have taken the NCLEX have had their license post on the breeze site indicating they have passed and received their official license and documents stating that they have passed (if they have passed) and all the other information that goes along with renewing and continuing education, etc. I am sorry this is very frustrating for some of you, but if your license has not posted on the Breeze site, perhaps it indicates that you may not have passed this time. Perhaps all the "vague" statements saying that you need to wait the full 2-4 weeks indicates that you are getting your candidate performance report in the mail. I don't think they can actually tell you over the phone the status of your license and you just have to wait it out.