Bella2016

I was offered a position as a Recovery nurse for an ambulatory surgery center. In recovery (California), there should always be 2 licensed professionals in the same room/unit in case of an emergency/code. The ASC also has what is called an “office based lab OBL” upstairs apart form the ASC and was told that I would sometimes float upstairs and recover vascular patients from av fistula procedures. I asked if there was going to be another nurse with me and he responded “no”. His argument is that because it’s an “office based lab” they operate differently than an ASC and therefore would not require a 2nd nurse. However, the patient is still receiving sedation (conscious sedation). And this is also something new that has been implemented. Can someone clarify? from aspan.org The intent of this standard (having 2 nurses in pacific) is that the qualified Phase I perianesthesia registered nurse who is providing care to a Phase I patient is not left alone with the patient at any time. The expectation is that the Phase I perianesthesia registered nurse is at the bedside providing direct patient care. The second registered nurse should be able to directly hear a call for assistance AND be immediately available to assist. The qualifications of the second registered nurse should reflect patient acuity as well as the number of patients in the Phase I level of care.

Thank you. I plan to reach out to HR to clarify. If there was a mistake, how should I approach the salary concern with them? Any suggestions? As I’ve already technically accepted the job offer but haven’t signed any paperwork yet.

back ground: currently employed as a per diem RN at an outpatient surgery center in Souther California (Inland empire) where GI procedures are performed and other surgical procedures. Recently applied for another RN per diem position at a medical facility. I was recently contacted to do a phone interview. During my phone interview she mentioned what they perform "GI procedures" and asked about my experience. A few days later, I was offered a rate of 45.00/hr as a per diem nurse. The nursing supervisor who interviewed me sent this from HR regarding my pay rate "You can offer 45.00/hr to Nurse B. for the RN, Surgery Center Per Diem position. I accepted. After I accepted, I went to visit the facility to meet the staff and had a in person interview with the same nursing supervisor. During this time the GI nursing supervisor mentioned there was an outpatient surgery center across the street. I didn't think much of it, I was just so excited to be given the opportunity to work for this center as a PREOP/PACU nurse and possibly be trained to be in the GI room and do conscious sedation for these procedures. Now that I look back and after listening to a recent voice message by HR; There were 2 job openings that were listed and now I am unsure which I applied for originally and which position HR is basing my pay rate from. The 2 positions were 1. RN, Surgery Center (PACU/Pre-Op) and 2. RN, Pre-Op/ PACU/GI. I met with the GI lab nursing director. And when we spoke over the phone I knew this position was for GI procedures. My confusion now comes from not knowing if I was being offered a rate for the RN surgery center across the street from the medical center. Did HR make a mistake and based the pay rate based on what a surgery center nurses gets paid? Was there some type of misunderstanding and HR thinks I'm accepting a posting fromt the outpatient surgery center as opposed to the GI lab PREOP/PACU position where the RN would be performing conscious sedation instead of the anesthesiologist? Im so confused because I received a voice mail by HR asking that I schedule a time to fill out paperwork for the RN surgery center position that I recently accepted. Would the pay rate differ within these 2 jobs that I listed? IF so, how should I bring this up to their attention. I would imagine since there are no anesthesiologist when performing these GI procedures and the RNs do the conscious sedation, the pay rate would be a little more than that of an outpatient surgery center? Is it too late to renegotiate pay rate? I still haven't gone in to sign paperwork. thanks everyone!

back ground: currently employed as a per diem RN at an outpatient surgery center in Souther California (Inland empire) I applied at a medical center a few months ago. I was recently contacted to do a phone interview. I was offered a rate of 45.00/hr as a per diem nurse. I accepted. The nursing supervisor who interviewed me sent this from HR regarding my pay rate "You can offer 45.00/hr to Nurse B. for the RN, Surgery Center Per Diem position. After I accepted, I went visit the facility to meet the staff and had a quick interview. During this time the GI nursing supervisor mentioned there was an outpatient surgery center across the street. I didn't think much of it, I was just so excited to be given the opportunity to work for this center as a PREOP/PACU nurse and possibly be trained to be in the GI room and do conscious sedation for these procedures. Now that I look back and after listing to a recent voice message by HR; There were 2 job openings that were listed and now I am unsure which I applied for originally. The 2 positions were 1. RN, Surgery Center (PACU/Pre-Op) and 2. RN, Pre-Op/ PACU/GI. I met with the GI lab nursing director. And when we spoke over the phone I knew this position was for GI procedures. My confusion now comes from not knowing if I was being offered a rate for the RN surgery center across the street from the medical center. Did HR make a mistake and based the pay rate based on what a surgery center nurses gets paid? Was there some type of misunderstanding and HR thinks I'm accepting a posting fromt the outpatient surgery center as opposed to the GI lab PREOP/PACU position where the RN would be performing conscious sedation instead of the anesthesiologist? Im so confused because I received a voice mail by HR asking that I schedule a time to fill out paperwork for the RN surgery center position that I recently accepted. Would the pay rate differ within these 2 jobs? IF so, how should I bring this up to their attention. I would imagine since there are no anesthesiologist when performing these GI procedures the RNs do the conscious sedation, the pay rate would be a little more than that of an outpatient surgery center? Is it too late to renegotiate pay rate? I still haven't gone in to sign paperwork.

. I guess my main concern is wether or not I qualify for unemployment as a per diem. I know full time and part time employees would qualify, but I’m uncertain if per diem employees qualify. As far as work, Hours have been reduced and I’ve taken shifts but have been cancelled a day prior.

Will I qualify for unemployment as a per diem nurse? My daughters school has closed and has made it difficult for me to find a sitter when I am offered a shift. I work at a surgery center and cases have been low and I’ve been cancelled. Therefore, I haven’t worked in almost 2 weeks. will I qualify for unemployment as a per diem? Also, I’m afraid when this is all over my employer will be upset and not call me in for shifts if I end up qualifying

I’m in the same boat as you. I haven’t been called in 2 weeks. On top of that I’m having issues with childcare even if offered a shift. When you find out the answer please keep us posted, I’d like to know if per diems qualify for unemployment too. And how’d that be calculated. Thanks and goodluck

Will I qualify for unemployment as a per diem nurse? My daughters school has closed and has made it difficult for me to find a sitter when I am offered a shift. I work at a surgery center and cases have been low and I’ve been cancelled. Therefore, I haven’t worked in almost 2 weeks. will I qualify for unemployment as a per diem? Also, I’m afraid when this is all over my employer will be upset and not call me in for shifts if I end up qualifying.

One week ago I had an interview with the DON for a RN position at a local hospital. At the end of the interview the DON gave me her business card. I followed up with a thank you email. She notified me she was going to finish interviews in 3 days and would let me know by then. I didn’t hear back from her so I emailed her back showing her my continued interest and if she had any updates. She replied, “I have filled the position with a candidate with experience however I am trying to get another position approved. Please be patient with me as we go through this approval process” Any advice on what to reply back. I really want this position . I recently landed a per diem position a few days ago at an outpatient center and will be getting the experience the other nurse had over me. Should I mention anything about it to the DON?

what was their pay rate? and would you recommend doing this again?

How did it go? Weee you ever able to use your license?

I'm in this same position now. 3 years after graduation and no luck with a job :/

Thank you! I'm definitely keeping all options open LTC, nursing homes, anything really. And you're right anythungnis better than no experience.

You're right I have nothing to loose with just asking my professors

Thank you I will try there too.

How's the job hunting going? I'm I'm a very similar situation :/ and it's been challenging

I graduated back in 2014. After stating the Program I became pregnant and shortly before graduating, I gave birth to my first and only child. After graduation, I decided I wanted to take a break and focus n care for my daughter ldueingnher first years of life. fast forward to mid 2016, I began to study for NClEX and knew id need more time to study since I was out of school for 2 years. So in the beginning of 2017, I passed n got my license. So now that I've been applying for jobs, I've been finding it extremely difficult and discouraging. I have taken BLS and ACLS courses. What others should I take, if any? I do not have any letter so of recommendation (I've thought about contacting my professors but not sure if its appropriate given the time frame) Should my cover letter include the GAP from graduation date to receiving my license? If so, how would I word that? And given my situation, what do I need to do differently (if anything) to get an interview? I live in Southern California (Corona area) and have been applying to other cities as well. i realize I'm at an disadvantage considering other nurses with experience and new nurse graduate. That is why this post. Any advice/suggestions is greatly appreciated.

How did your job search go after this?

No worries. I'm aware that employers have a huge pool of applicants to choose from with experience and not to mention fresh new grads. That's why I'm feeling discouraged and wanted to seek any advice to see how I can help my current situation. And thank you, I will not limit myself to just one area. Im looking into LTC, clinics, and nursing homes.

I graduated back in 2014. Shortly before graduating, I had my first and only child. I attempted to take NCLEX right after graduating and failed. My husband got a new job that required him to travel out of state for 2-3 wks every month so we decided it would be best I stay at home. That was one factor that determined my decision to stay home and care for my child (she was an extremely fussy/colicky baby and I was afraid others would not have as much patience as I did). Anyway, she has outgrown that fussy stage and soon she will be starting preschool and now I have someone who I feel will care for her well.. MY mom. So now that I've been applying for jobs, I've been finding it extremely difficult and discouraging. I have taken BLS and ACLS courses. What others should I take, if any? I do not have any letter so of recommendation (I've thought about contacting my professors but not sure if its appropriate given the time frame) Should my cover letter include the GAP from graduation date to receiving my license? If so, how would I word that? And given my situation, what do I need to do differently (if anything) to get an interview? I live in Southern California (Corona area) and have been applying to cities in Orange County as well.

I graduated back in 2014. Shortly before graduating, I had my first and only child. I attempted to take NCLEX right after graduating and failed. My husband got a new job that required him to travel out of state for 2-3 wks every month so we decided it would be best I stay at home. That was one factor that determined my decision to stay home and care for my child (she was an extremely fussy/colicky baby and I was afraid others would not have as much patience as I did). Anyway, she has outgrown that fussy stage and soon she will be starting preschool and now I have someone who I feel will care for her well.. MY mom. So now that I've been applying for jobs, I've been finding it extremely difficult and discouraging. I have taken BLS and ACLS courses. What others should I take, if any? I do not have any letter so of recommendation (I've thought about contacting my professors but not sure if its appropriate given the time frame) Should my cover letter include the GAP from graduation date to receiving my license? If so, how would I word that? And gIven my situation, what do I need to do differently (if anything) to get an interview? I live in Southern California (Corona area) and have been applying to cities in Orange County as well.

First Congratulations! I'm in a similar situation as you were. Your post inspired me. I graduated 2 years ago and failed the first time 2 months after I graduated. I gave birth a few months before graduating. Being a mommy and having a young child along with other family issues going on, has mad emotional it hard for me to fully focus on preparing for this test. I've been studying on and off for a few months now but not as much as I know i should. Signed up for UWorld last week and I hope that helps. Also doing la charity. I havent schedule s my exam because I'm afraid to fail again. I'm hoping one moth of uworld will be enough and help me gain confidence to take my exam within a month...

That might be it. My first attempt was 2 years again this month. :/

I read through that and also I tried that link. That's how i got to the breeze website. But only saw an application for initial applications. That's where the confusion sets in for me.

Hi im a bit confused on how to reapply for the nclex exam. I tried contacting the board but after 3 days, I still have not had success getting my call to go through. Am I able to reapply online? I also went to the breeze website and did not see an application to reapply. I only saw the "initial exam" application. Is the only way to reapply to send the application through mail? I'm testing in California