Gisellee

Patient: "Why is my nurse the one I divorced years ago" Nurse: "Mr.patient, I am your nurse here, not your ex-wife."

1. Doctors have their ways or times how they wanted to communicate with nurses. There are some who don't want to be bothered unless there is an emergency. You can do what you want to do, but he is not going to be the happy one if you do not care their preferences. 2. You can say "I do not know" when a patient asks a question and you have no answer. But make sure to find out and follow up 3. Do not take someone else's report to do their favors. Then you have extra patients to be in change until new nurse takes your report. You get the report when you actually take care of them. 4. I take care of patients and their health. I can't take care of myself when I take care of them. My back, knees, and all joints hurt by the constant walking. 5. Nursing care is the combination between the practical skills and interpersonal skills. You need to learn how to communicate to other people. You need to have a good sens about people. Communication skills are always changeable depending on the person you deal with.

my patient wants to see the manager without making any comment to me. "Am I in a trouble?"

I've been losing weight about 7lbs ever since I started working in LTC. I'm a new grad and it's my first job here in LTC. I am still doing my orientation which I am not sure when I am ever going to feel comfortable working w/o another nurse on my floor. There are about 30+ residents and 2CNAs under me. Every day there are one or two episodes of hyper/hypoglycemic events which require to call supervisor&doc. I get extra paperwork which we call "DQI" for those who get skin tears, wounds, or any unusual health problems. DQI happens at least once every three days. It's been a month since I started to work here. I am kinda getting used to the med pass. But I got no other time for treatment like putting creams/ointment on and changing dressings. When something happens on my floor, it takes so much time to resolve and I can't finish my tasks on time AT ALL. I'm always trying to do best I can. In result, I get no time to sit down other than 30mins of meal time out of 8.5hours. Sometimes, I don't even have those 30mins. I am way to exhausted that I can't do nothing at my home but sleep. As I mentioned earlier, I lost 7lbs ever since I started working here unintentionally. I don't want to 'quit' and leave, because I wanted to work in this field. I love geriatric population and I love communication with them. But now, I am so tired to listen a few residents who have mental problems/difficult personality. I do not want to be mean, but one resident keeps crying when she doesn't get what she wants. She wants to be the priority. She doesn't understand that the staff have to take care of everyone in the facility. She keeps repeating 'because you are a nurse'. I can't ignore the patients who have unstable mental status. She wants PRN meds often as well. I need to explain why those meds can't be given every hour. There's another resident who never follows the diabetic management. I have to call supervisor and doctor every other day for him. But he doesn't want to get those insulin either. So I feel like I put my effort for no good result. There's one man always get upset for everything I do. I am scared of those who yell at me for no logical reason. There are a few old people who have dementia that I have to persuade to take meds. I do not know if it is about this facility or all LTCs are like this. Is LTC care just not a cup of my tea? or Am I struggling just because I am a new nurse? Am I going to be 'unhappy' to go work everyday like now even months later? Some says nurses should try at least a half year or one before to make a decision to move, and I don't know if my attitude changes months later. I need nursing experience to move somewhere else as well. But I hate what I do now. I hate going to work there. I did not like the hospital setting when I was a student nurse. Now, I think it is worse here. I need good advice how to deal with those people and how I can enjoy the environment. or what should I do?

Hi. I am confused about the continuing education(CE). I graduated nursing school last year, got my RN license in Summer. The expiration date for my RN license is in Oct. 2016. I was out of the country for months and just got back to PA. Now, I need to figure out about CEs. Since I am still a new grad nurse, I have no resource to ask about it. I guess I need to take 30 hours of CE before my license expires. 1.What is the time frame to take CE for renewal? I mean how early can I start taking CEs? 2.This is my first year holding the RN license. Do I need to take 30hours of CE before Oct? 3. I'm currently in RN-BSN course taking 10credits in this semester. Do my college credits count as CE? or do I need to take real CE courses? 4. Which website do you use the most to get your CE? Since I do not work yet, I can't find from workplace. Thank you for your reply in advance!

$28/hr at a LTC in PA. $5 differential and +$3 for weekends. New grad with no experience. average benefit packs with no raise & no 401kmatch. But I am satisfied with the salary itself.

Sorry for your experience, and I know how the culture is in Korea. It is one of the main reason why I do not work in Korea as a RN. I am a Korean-American who was born and raised in Korea. I moved into the U.S years ago, graduated the nursing school here, started to work as a RN. What I can tell you is there are many Korean nurses who got the visa to work in the US especially in the area where many Korean populations are in. It is not easy to get the visa, because the hospitals have to pay extra to hire you. Though, KEEP TRYING. There are agencies looking for EXPERIENCED nurses(not new grad). I still learn English Everyday since my mother tongue is Korean. I had to concentrate every moments in clinicals in hospitals and classes. I graduated with decent GPAs, got my license and had no problem communicating w/ my peers, docs, and patients. Keep trying girl. You speak good English :)

I was born and raised in Korea. I graduated nursing school in the U.S. I've only worked in the U.S, but I know a lot about the Korean cultures and the hospital cultures.. If you got any questions, I may be able to answer for you unless she answered yours :-P