All Content by Steffy44
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Force to change unit in the middle of shift
Of course they can. If the other floor is desperate for help and you're qualified, they can float you at any time. It's about the patient and not our feelings. As much as it stinks, sometimes it's a necessity.
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Interview..what to do?
Be open and honest. I interviewed the year my son was graduating high school. I respectfully told them me taking the job was dependent on me being allowed to attend. My boss actually worked it so I was done precepting on day shift before the event and started precepting on nights after. Honestly usually works well.
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Getting Sick as a Nurse
I've called out twice this week. I have only called in 3 times since I started in March 2015. I have also never been this sick before. I drug myself in to work yesterday but was only functioning at 50% at best. Whatever demon has invaded my body needs to leave. If you're a threat to your patients...call in.
- A Negative Workplace Can Be Contagious
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Someone in my charts....
It's a HUGE HIPAA violation and I'd turn him in. If he'll go through your charts with you standing right there who else's records does he go through. If I need to give a med for a busy nurse I can slip a note in the chart starting this so if there is an audit they will see why I was there.
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Racial Discrimination in the Nursing Profession
See it all the time. Our midlevel boss was up for a job to be floor supervisor. She'd been doing it pretty much before the other floor sup was fired. Did she get it...nope. An external hire got it. She was BFFs with the head of the hospital nurse. She's a horrible boss. I'm not sure after a year that she even knows my name. She worked at this hospital a long time ago and all the older nurses said she couldn't nurse her way out of a paper bag. 🤷ðŸ»*♀ï¸
- Thinking about quitting after first day
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What is the Registered Nurse Patient Ratio at your hospital?
Med surg/tele/ortho/urology/no one will take me because of my psych issues and I want to torture you for 3 months... used to be 4:1 on days but lately has been 5-6:1 with no care to acuity or crazy. Nights started out the other night with 8:1. An accident or catastrophic error waiting to happen.
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What type of nurses work regular hours?
All of the school nurse jobs in my area require 5 years of nursing experience.
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I Desperately Want Out
Yep...in my state you have to have a BSN for almost all of them. Plus many years of experience.
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Is this reasonable or just over the top?
Stupidest stuff ever. Just hire a robot. We're supposed to do bedside report too with the magic script. You sound like an idiot. If I know the nurse I will probably talk her up but if not...nope. I will NEVER wake my patient up if I don't have to. My place is adding electronic rounding. You have to go into the room, ask the same 5-6 scripted questions and log onto a computer to chart it. Computer garbage is more important than patient care. Incredibly frustrating.
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Non-profit Nursing Facilities: A place to heal from burnout
You can keep my not for profit. Constant short staffing and figuring out ways to cut like having no spare TP on the floor so you can restock the pt bathroom or visitor bathroom. Putting one change of linen in the closet because we pay by the pound to clean. 2 washcloths and 2 hand towels in the closet for bathing. Linen stocked in the room once a week. Cutting unit secretaries and then never any CNAs on the floor. Staff burnout is high on my floor.
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Miserable nurses
Oh darling I assure you we do NOT get extra money for our DEU time. We don't get a choice to even do it. You just get assigned. Until you walk in this nurses shoes you should stop judging. If you're so offended by this nurse yelling (I don't condone but totally understand) you're going to love some doctors who take great pride dressing you down in front of patients, families and your co-workers. I had clinical with a very cold nurse. Today I work with her. I didn't let her attitude affect me. Now that I work with her I can see she provides better patient care than ANY nurse on our floor. Her attitude is still poor but I'll take 10 of her over any perky nurse who can't see her patient is about to crash.
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Accepting verbal orders from another nurse?
Nope. You did the right thing. It's one thing to give a med for a nurse when it's in the system. No way I'm going to enter an order and give a narc with NO information.
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Was I wrong?
You did the right thing. You used your critical thinking skills and saw the pt was genuinely in pain. She may be a drug seeker but the disease causes lots of pain. Perhaps she should experience it to appreciate the level of pain. Nurse needs a new attitude.
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Patient's "right" to abuse nurses...I need your opinion
No. A patient does not have the right to abuse you and it's not right that your leadership would say that even in jest. Why would they assign the abusive to the person two days in a row let alone 5. That's just inhumane. We have one of those right now. She was discharged and returned within two hours twice now. This is the third admission. The first two were for no reason. No one will take her because she's psychotic. She took great pleasure in calling the nurse every 5-10 minutes for 12 hours. It was horrible. Hospital won't see a dime for this patient either. Uninsured.
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Does years of experience matter?
I can't imagine going straight from new RN grad to NP but I have a former classmate doing it. She has zero experience as a nurse and was a piano teacher prior to graduating. Now, in 6 months she'll be graduating from NP school and JUST got hired part time as an RN.
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Age Discrimination in Nursing
I'd die without those "older" nurses. They are the critical link in helping inexperienced nurses like me along the way. Sadly many do not want to help mentor the younger nurses. I'm fortunate that nursing is a second career so I'm a bit advanced in age...they help me. The ones I work with avoid charge nurse like the plague. They just want to be nurses...and that's ok. Personally they can keep the chump change they pay for the increased headache that is charge. 😂
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Starting nursing school at 37...
I started nursing school when I was nearly 45. It's never too late.
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Refusing to change/toilet pts
I absolutely help toilet my patients when I can. However, I have RN tasks I'm trying to work through. Recently my facility turned vitals over to the nurses. They figured it'd be beneficial to the nurse and free up the tech to potty patient and respond to call lights. Wanna guess how it is working out...I'm doing vitals while running all over pottying patients and trying to get assessment done on 6 patients and meds passed. The tech is nowhere to be found. I usually find them in the break room ignoring call lights while they eat breakfast. While it's incredibly frustrating to have that nurse...as a nurse it's even more frustrating to have that tech. I can do your job but you can't do mine. You may have no idea what I'm dealing with. 15 minutes into my last shift I was sending someone to critical. Sorry I couldn't take time to potty a stable patient. Her BP in the 60s trump potty. Have you had a conversation with the nurse? I'd advise going to nursing school so you can see it from the other side.
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Why? Why is it so hard to find a job I like?
I started out as a new nurse on night shift. I figured out pretty quickly it wasn't going to work. Thankfully I got offered days within 6 months. It's def 10x more chaotic but I don't regret it. I'm almost 50 and I can't do the constant switching of times...not with kids.
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Calling patients by "pet" names.
Here's a thought...ASK what your pt prefers to be called during bedside rounding. We actually have a sign on the room locker to write what they prefer to be called. Anyone called me honey, sweetie, darling I would not be a happy pt. It's unprofessional. You are not my honey, sweetie, etc.
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Navy Corpsmen Caught
They are NOT nurses. They are enlisted people who are basically CNA like with a few more privileges. Of course the military plays by different rules. The Air Force lets their enlisted techs start IVs. After she blew my vein upon first stick she proceeded to hit the bones in my hand. Hopefully all of these people will be court martialed and booted out and never touch another patient.
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The Patient's "Guests"
Wait until you actually graduate and are in practice. Until you've dealt with some of these families you'll never understand. Wait until you get the ones who berate you because you didn't immediately run to the room. Sorry, my patient with breathing issues is more important than fetching your soda. Then the ones who like to videotape you doing your job. Come back to us 2 years or so after you start working as an RN to give us your thoughts. 🤣
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Rejected from dream job
Perhaps they were willing to give you a shot even with limited experience. However, maybe they hired someone with more experience. With shortages, having a lot of experience saves the unit in the long run. Don't give up though. People move all the time. Keep plugging away and get that experience. Next time you'll be the one hired. 😉