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Reyn04

Reyn04

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  1. Reyn04

    New Grad hired in the ER, question.

    I am of 2 minds on this. As a new grad, I was hired into a Progressive Care Unit. Critical care in which I had 5 months of orientation. With the right preceptor I learned a lot & soon, experienced nurses who floated to us were looking to me for help & couldn't believe I'd be so calm doing XYZ. With 18mos under my belt, I changed jobs to a new hospital. With no ICU/PCU positions I took a med/surg job (already planning to transfer asap). It was still an amazing learning experience. Did I fall in love & stay? No. I have since moved on to a variety of critical care positions in different hospitals & in different states. It wasnt't my dream job, and I couldnt wait to get back to critical care, but it was a year out of my life that taught me a lot and actually gave me some great opportunities. The nurse educator was used to wotkingbwith new grads & while I was experienced & initially found her grating as I wanted to get on with it I'd be a fool not to be thankful for her. She would go out of her way to ensure we saw new things, tried new equipment, and had our backs when doctors or residents got a little too high & mighty with us. So, in a way, you're right. Often new grads are pulled to a certain area. While most instructors will direct students to the med/surg year a few of mine said to go for what we wanted. I was interested in critical care but never imagined I'd get it asca new grad. Fearing not landingba job, I applied to everything I technically qualified for. I remember after the interview I said to the hubs "they were nice & all but I'm going to be a new grad. My only question was did my resume hit the shred bos before or after I'd made it to the front door of the hospital." Imagine my surprise when that was the job I got! But 8 years later and from working with new grads on med surg AND students AND experienced nurses in a (new to them) critical care setting I will tell you newbies (and even experienced nurses) dont always know what they dont know... Some ARE amazing, some aren't. That said I still encourage some med/surg time. You never know what you can get out of it. What do most really lose in a year by doing it? I wouldnt say to you nope, dont take ER (especially since you got it), but I will say its foolish to disparage the med/surg year without experiencing that. Its recommended to new grads for a reason.
  2. Reyn04

    Essential Oils in the ICU

    I know this is an old post but had experience with a family that slatheted the pt in scented oils (they were "treating" him with oils & refusing many meds but thd pt was so slick with oil its a wonder he didnt slide off the bed.) Out experience was that the scent was overwhelming in the unit & many people with sensitivities & allergies complained. Several staff members were unable to care for the pt due to the smell. This is why many hospitals use fragerance free items to begin with.
  3. Reyn04

    Which Area Has the Most Compassionate Nurses

    I've worked in 6 hospitals. Med surg, icu, pcu, procedural... I've never seen things like that. Sounds possibly specific to that unit/ staff. I mean - not everyone you meet will be the "super nurse" with the heart of gold. But even in a worst case scenario... who has time (or if time, desire) to research patients online?! Who cares about the sexual orientation of the patient?! And anyone who knowingly mocks a sexual assult victim is just slime. My advice is to figure out what you love & bring your best to it. If you love the type of nursing you're doing find a better place to do it. I think you'll find all facilities are not created equal but its the people that make it unique, not so much the place. When I look back on rhe places I've worked, its not the policies and procedures that stand out - its the type of people I've worked with. Good luck.
  4. Reyn04

    Many nurses do not chart?

    Perhaps its a time management issue? I chart regularly throughout my shift & rarely leave late & have never been "dinged" for charting through 5 hospitals both paper AND electronic. I do a final chart check 30-45 mins before incoming shift (time permitting, but always before I leave). I've worked ICU (2:1), PCU (3 or 4:1), Med/Surg (5 or 6:1), Procedural (4max :1) at times with being Charge or a clinical teacher to 2 & checking their charting. What I'm saying is I've experienced a lot of different scenerios & census ratios. I stay late on rare occasions but as a rule am out on time. If you're staying late nearly every day, something you're doing or not doing is not working. Find someone whose charting is complete & appropriate & who leaves on time & maybe get a tutorial? Or talk to staff ed/ informatics for a charting review and or streamlining discussion.
  5. Reyn04

    Not Applying to Nursing Residency

    I was hired to a unit but all new grads had a separate new grad training period for 3 months where we spent time in different hospital departments & lunch meetings with nurse educators. Next place I worked, the new grads had a floor job but spent a full year going to residency education programs & even doing papers for it! Current place I work the new grads worked x number of weeks in different units and then applied at the end of that "residency". Different places do things differently. I'd suggest applying for a residency as you may get a better transition from student to nurse & more education as to how things actually happen. But is it the be-all/ end-all if you DON'T? I'd say no, not if they are fully aware and agreeable to taking on and training a new grad. But my full advice isbto apply for everything & see what comes up.
  6. Truthfully, he sounds dangerous & was possibly covering for his ineptness by placing blame where he felt it was easy or safe: a younger, female clinical instructor. Fact remains he would have made the same mistakes with a 50 yo male instructor because he was not prepared. Anyone who goes into nursing these days should anticipate learning from a variety of caregivers. As others have mentioned, older nurses can still be new grads, younger nurses may have more up to dates skills. We all work together. Regardless of age, regardless of RN vs MD that student still needs to understand safety comes first. He should have been dismissed from clinicals that day & sent back to skills lab for reeducation/ remediation.
  7. Reyn04

    Nurses with children always go home early?

    As a non parent I cant say i entirely disagree to a point. I get that kids mean a lot of unexpected juggling but I know from my own childhood thats why it takes a network of people. Parents, friends of parents, grandparents, aunts, uncles... sometimes any one of those people would take me home from school or to afterschool activities until one of my working parents could get there. Ideal, no but I dont think it warrents automatically being favored all the time either. My last job we frequently got cancelled. One could request "first cancel" and once, I did. About 2 weeks before the work day. Day cane, I didnt get cancelled - I figured we were full, shrugged it off & went in. Thats when I found that a coworker with kids called in that day to request cancel because she was tired. I was so angry, I saw red. What I'd asked to be cancelled was just as important to me. The kids werent sick or injured, she just didn't coordinated her nightshift sleep time into her day. But all she had to say was the magic word "kids" and the standard protocol of first come first serve was shoved aside to accomodate her instead. I agree that a set protocol needs to be in place to accomodate all employees.
  8. Reyn04

    Fired from my first RN job after only 2 weeks.

    As a new grad in PCU I was given 5 months of orientation but most of my classmates who accepted med surg positions were given 6 weeks. That being said, it sounds like your preceptor was not meeting your needs. If you were started with 5 patients in week 1, you should have spoken up at the start that the expectations placed on you were unfair especially in light of the other new grads assignments. My problem was the opposite & I was only being given tasks rather than building skills to manage a full assignment. I actually spoke to staff ed via the new grad portion of my orientation (asking who they felt I should address) and they ran with it. By the following weekI was transferred to my night shift preceptor to train with her. MUCH better fit. In your place, I'd still file a complaint with HR especially if you requested a new preceptor and/or more time and were refused. But beyond that, move on. On another note, 8th grade I had trouble with science. I failed more than passed (uncommon for me) the teacher told me I should "Stop wasting (my) parents money & get my a** in public school where I belonged!" (Catholic private school). I now hold an ASN, BSN, & MSN all earned with honors. This is why I tell you: I'm not sure what issues they had with you but the statement the boss made about you're not being sussessful in any position are unprofessional & likely wrong. Personally nothing makes me happier than to prove some idiot like that wrong, so find a job that will help you do that. Even if you never see her again, with each new success you can think of her & think "suck an egg, look at me now!" 8 patient assingments are not appropriate in any hospital I've worked at in 3 states. Maybe this is a blessing in disguise.
  9. Reyn04

    Dear preceptor

    My first preceptor as a new grad was my worst. I came into a Critical Care position that afforded me 5 months of orientation but at 6 weeks in, when my fellow new grad (with different preceptor) was moving from managing 1 patient to 2 (it was a 3 pt assignment in that department), I was still only being given task oriented assignments (as in: give NGTube meds here, now go watch peritoneal dialysis there, watch this chest tube canister change on that one, watch this wound vac dressing change over there...) not growing my full-on big picture skills. In spite of 20 years experience, my preceptor was seemingly disorganized & would stay late (by 1-2 HOURS) to complete her charting and that was without taking a lunch break every 12 h shift! Even her shift report was so interspersed with personal stories & "I forgots" that nights was often delayed in starting while she took 45+mins to report on 3 patients. Thankfully I was in new grad orientation where we were had regular meetings with staff-ed & the other new grads to talk about our experiences. I sat down with staff ed & told them I was not getting what I needed from my preceptor. By the next morning a plan was in place to move me to nights to work with a different preceptor (it was a day/night rotation position I was going to train on nights anyway but they moved it up a month). It felt like a punishment - the way it was dropped on me, but it was a blessing. My new preceptor was excellent & I learned a LOT about organizing my shift, charting (paper flow sheets) in a timely manner, and time management. I learned to use the tools at my disposal to see the BIG picture in patients & how small changes could make a huge difference in patient condition. I dont mean this as a slight to younger nurses but I am glad I became a nurse at a middle age, MY earlier self may have been to meek to speak up about the poor training. As for the preceptor... we were co-workers for less than a year when she moved on but later, she went into teaching (at the school I'd attended). I hope she does a better job with them.
  10. Reyn04

    The Men in OB Debate: Help!

    If you're good at it & you love it, I say go for it. As with any other nursing you will respect the patient's wishes so, if a patient is uncomfortable with a male nurse I'm sure wherever you work will find a way to reassign that patient. Clearly its not an issue for the manager of that department. As for a "uniquely female" experience you cant relate to - I have issue with that. I guarantee you I have not experienced most of the many diagnoses of the patients I've cared for over the years, that doesnt diminish my ability to be their nurse. There are plenty of OB-GYN MDs PAs NPs etc that would likely also take issue with such a sexist view of the male caregiver. If these were other nurses that made such comments they should get with the times. If these were "regular" people I'd take it with a grain of salt. You will run into many other people's opinions in life & far too many will tell you what THEY think you should do, how you should live, where you should live. What matters is what makes YOU happy. Be good natured but seriously, let you do you. Finding what you love in nursing is a gift, I wouldn't let that go.
  11. Reyn04

    BSN is a joke

    Every facility that I wored that wanted it or had it wanted BSNs only or at least a higher percentage of BSN to ASN. As magnet journey can take some time once facilities decided to try to obtain that, I recall it being amoung the first notices to go out.
  12. Reyn04

    BSN is a joke

    In a breakroom years ago I worked with a BSN who (surrounded by ASN & ASN students) whi groused that he should be making more money than ASNs. Someone, rightly, pointed out tgat they all had the same license & all did the same job but when he got mote experience (as he was a new grad nurse) he had more potential over time to move into higher paying positions than they did. I was a CNA & an ASN student at the time but I remember that clear as a bell. Years later this is my experience. I got my ASN & a job. I hear my hospital wants MAGNET & as a result wants BSN nurses & are pushing ASNs to go back. They also remove all ASNs out of permanent Charge Nurse positions: BSNs only at that level. Now, all ASNs are only floor nurses. We (unrelatedly) decided we were going to move to a new state & I hear about the heavy preference BSNs receive. I went back to Chamberlain's online BSN program so I could say I was enrolled for a BSN. I didnt get a single call back until I'd completed it a year later. Not 1 interview for a trained, licensed, 18 month experienced critical care nurse in multiple hospitals. Hospitals who only stated BSN preferred not mandatory. Finished coursework submitted an application: got a call the next day (literally). Took the job. Several weeks later supplied my diploma & letter from the college stating my official graduation date (i didnt attend), gave that to my HR dept: got a raise for having my BSN. While there with my BSN I was able to both train for charge & become a clinical teacher for the attached University's BSN program (working under the CNE). I was offered other opportunities such as being a Jr. Nurse Educator. 2 years later I moved to another state and already had my BSN so I dont know what hiring was like without it BUT. I've worked a few places & 1 place (MAGNET) states they need a certain percentage of BSNs for its certification. I decided to get my MSN because I know I have 20+ years to go & physically may not be able to do bedside for that time. I want opportunities. I just completed the coursework in Aug & I'm glad I did it now because I wont have the pacience later. & if you wanna talk about learning stuff you wont need to know: do your MSN. As an ASN studen my school made it clear to us that the ANA's goal is to make the BSN the minimal standardbeducation for nurses. It is one of the necessary steps of moving nursing from a "job" to a "profession" (long lecture but that was the upshot. So while it was "only" an ASN school at the time we were being told that we would need more to be in nursing long term. So why? Um. Because. If you ste a befside nurse & thats all you want to do & feel your facility will never push for more, then dont. You're right in that it wont make you a better bedside nurse. But if you want to advance positions, change facilities, move... have the potential to earn more later, or dont want to get stuck if they mandate it 5 years before you retire or something, get it out of the way & be done with it.
  13. Reyn04

    I hate nursing

    [quote=~♪♫ It's not them who don't understand, it's you. You are choosing to be miserable and to slowly kill yourself because of a belief that you must continue to do a job that you hate... not one which you dislike or which isn't fulfilling or any of that... one that you HATE. Nursing is not in you. You weren't a nurse when you were born, it is something that you chose to do, something that you were trained to do, and something which you are paid to do... it is something that you do, it is not you. If you really have a servant's heart and derive fulfillment in a role of service then either pick a job that you don't hate which still provides that fulfillment or find another job and do volunteer work at a nursing home or an orphanage or at a homeless shelter or a home for abused women or... something. Or find a nursing job that is free of the conditions that you hate so much. You are literally choosing to kill yourself, albeit not quickly, but most assuredly. Do something desperate to get out of the abusive relationship in which you're living. It's your life, choose to live it well. There were a lot of points in this post I agree with. What struck me in reading the OP post was that much of the complaints were other peoples fault: People are going to yell at you You didnt want to be a nurse but your family somehow made you. You're not a smoker but are somehow smoking. You moved to Fl (a state that has a lower cost of living & therefore lower income - something that is easily researched online) but seem surprised you make less money. You announce you hate your job but get annoyed when people tell you to leave it. You hate nursing but some cant leave because its in you” which makes no sense to me because while you may have the education, because (again) somehow your family made you be a nurse I dont really get that sense of you being driven to be a nurse. Other people dont make life happen to you & at some point you have to take responsibility for your own decisions & actions. Which also tells me that you have to make your own actions to move forward with what will make you happy. There are jobs & careers that pay outside of nursing. In spite of the inevitable comments about being a mean nurse (& yeah, I probably am), I'm actually saying this because I've been there. Not in nursing but in the 8 years I spent in various marketing jobs before I became a nurse. 8 years where I hated my jobs, hated struggling for money (especially with one boss who bounced our paychecks while he & his family drove new cars every 6 months), & yes... bored family & friends to tears with how awful my job was & how trapped I was because how else was I going to make a living? You've spent 12 years in misery. Set a 5 year plan to move in a direction you want to go. Pay down your debt, live simply, research job & education options in a field you want to work in, explore entrepreneurial options in your chosen field. You may not wind up where you set out to go (I sure didn't) but maybe you'll be in a better place anyway. At what point do you make a conscious decision to be happy? At what point will you take responsibility for who you are & what you do? I know the feeling of hopelessness in going to a job you hate but when do you begin to take charge of your own life?
  14. Reyn04

    Just another "no friends in nursing school" rant

    I tend towards quiet & while in the day program found a few people who were friendly but nobody ever got together. When I switched to the evening program it was different. I was invited to an organized study group, we shared resources, we went for a drink after tests. We got together once in a blue moon outside of school. We're friends on facebook & I'm happy for their successes but I dont know if I'd call them friends in the true sense of the word. For your grade.. its up to you if you choose to share but imho, its not grade school. Be proud of good grades, I would think that alone would draw people to you to share knowledge. Maybe you could organize a study group if its not to your detriment. Finally, real friends are rare. It took me a long time to recognize that few and good is beyter than many who dont really give a darn. Be you and be happy with that, friends will come.
  15. Reyn04

    Only Crusty Old Bats will remember..

    I had a M*A*S*H* glass iv bottle vodka dispenser... But even in my secretary days the bags were always plastic. But we DID have carts of dressing supplies on the unit unlocked with boxes of scalpels wide open on the top in the halls. & a push button call bell system with a button for each room.
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