newgradrn2016

I will be taking a $4 pay cut for leaving and returning to the floor at a different facility. I have not been getting overtime currently as it was a salary position, but they are willing to change it to hourly. I like the work as it is very busy but not as stressful as being on the floor. going back to the floor will not only be a pay cut but be very stressful. However, one advantage is that I will not take the work home. So I am trying to weigh the two options.

I agree that this is not a good way to build a team. I have been at two other nursing facilities before this one and I would recall when floor nurses called in, our DON would be the one who stepped in as supervisor. I mean, maybe it's the fact that she specifically said "we can take turns as sup" and then when brought up about her turn, she strongly dodges it that I feel is unfair. I do understand she is busy as well and she does also stay late sometimes, however I feel like we are all just as busy with our positions. Im not sure about quality nurse or infection control nurse, but as case manager, I am always working from home. I did ask our DON before why not give more responsibility to the nurses, I mean they are the ones who see the patient so they can do their own change of conditions and as case manager I would like to just be following up with it. However according to our DON, the nurses have about 24-30 patients for medpass and she does not want to overwhelm them anymore. Therefore, they rely heavily on supervisor and CM. I would like them to at least do their own labs, but we do that also. If anything, I do understand some doctors want only one person reporting to them, so I wouldn't mind doing that, but it would be helpful if I could spend the rest of the time following up on those change of conditions or rounding on patients rather than carrying out orders all the time. In regards in your questions, this nursing facility does have frequent turnover, but I am still in contact with some of the previous nurses who have left and they said the main reason is because of the DON. I would say we have approximately the same number of case managers as other facilities this size. For the past few months, I have been the only case manager. They have actually hired another one thinking it would be better with 2, but I have turned in my two weeks...

Hello everyone, I am having this dilemma and I am in desperate advice. So currently I am working in a post-acute nursing home as a Case Manager. I really love the experience but find myself overwhelemed with the amount of work. At work, I also feel like I am doing mostly supervisor work (carrying out orders, reporting change of conditions of patients to doctors), and I am barely working on like discharges. I feel like I should be rounding on patients and following them to see if they are stable for discharge, how they are doing in therapy, etc. But the nurses there are dependent on case manager with reporting their change of conditions to MD. I mean, I do round with a few doctors once a week for their patients, but I would love to be doing this on a daily basis... I go in at 6:30 am every morning and leave sometimes at 8 o'clock at night. And when I am at home, I will still be doing work to prep for doctor rounds the next day, etc. since I will be too busy during the work hours doing labs and assessments for all these change of conditions. Anyways, recently Ive been trying to carry out a little less orders so that I would have time to round and see patient/family members so I would pass on orders that I get after 3pm to the supervisor. But then that caused me to get into a disagreement with our DON that she mentioned she would like to see me do more and wishing I would be on the floor more because I am in my office all day. She also mentioned that I tend to pass work on to others... so I was a little taken aback by this. Because she is in our group chat with the doctor, she reads the things I report late at night sometimes and knows that I work late. We also tend to be short staffed, so I notice a lot of our office nurses (quality nurse, etc. end up on the floor for medpass or supervisor). We had a meeting once to discuss this where our DON mentioned we each take turns to be supervisor. At one point we all had our turn, so I asked the DON if she wouldn't mind being sup that day and she went off saying she's so busy, etc. It was a long conversation where basically I wasn't able to say my piece as she was talking over me. I felt that wasn't fair because our work was being pushed aside and we were already behind. So ultimately, I put my two weeks in. I am still in contact with other nurses who left before me, and they also believe that it is not a good environment to work in as the DON is such. I will miss however, the pay from this position and the experience to the point where at times I do wonder if I am making the best decision for my career and financially. I will be returning to my previous position as a floor nurse at a sub-acute facility with a $4 pay cut. They spoke to me a couple times when I submitted the letter to say that they will change my position to hourly instead of salary so I can accumulate overtime. So that is where my dilemma is.

Hi guy & jeeyongso! Just wondering if you guys had your interview already? I'm interviewing this week and am super nervous.

Unfortunately, I do not /: I have an interview in a few weeks for a new grad program, but they know I recently got hired and I'm not sure if they will bring this job up.

Hello everyone, I work at a sub-acute facility and am thinking about putting in my two weeks. I'm just wondering how to properly do this? I was told it was best to turn it in in person but I'm worried that once I do, word will spread and my other co-workers will shut me off completely. I'm a new grad and recently got hired at this facility, and everyone has been willing to help me out when I need. But I realized a week after my orientation that it was not the best place for me and now I would like to leave on the best terms as possible. I'm planning on going in my next day of work to turn in my resignation letter and I'm worried my employer will spread the word out to everyone that I'm leaving and I'll be left on my own without help or support.

At the end of my orientation I have brought it up with my supervisor that I would like more orientation time, but it was denied because we're short staffed and they need an RN to start working ASAP. During orientation, I have noticed some of the nurses start passing meds right away after receiving report or will prepare them an hour early and leave the meds in the med-cart for when it's time. But that to me seems high-risk for med errors. I want to do things properly, especially since I'm a new grad, but it's hard when all the nurses tell me I should start prepping early because I'll run out of time (which is incredibly true). The EMR system won't even let us document we've passed meds until an hour before the scheduled time. But everyone's advice on giving notice two weeks early does seem the right thing to do. I'll email my employer thanking them for the opportunity of course. I am worried though that word will get out that I'm quitting. And co-workers will stop helping, judge me, or shut me off completely.

Hello, I've been working at a sub-acute facility for about three weeks now and quite frankly, am having anxiety about the job. I have a high patient load of about eighteen to twenty patients. Many of them are complex patients with GTubes, trachs, and blood sugars. I didn't realize how different of an environment it is in a nursing home. I feel like I spend all my time passing meds and then I have to stay 2-3 hours after to document. I only had one week orientation and don't feel adequately trained to take on this much at a time. I'm really considering leaving and finding another place to work, but I would like to get some insight on other options or hear what other people's stories are. Employment at this place is "employment at will" so I believe that means I don't have to give notice?

Hello, I realize this topic is old, but I was wondering if anyone had any examples of interview questions from the VA?

I'm just wondering because technically I signed employee documents.

So I got employed for a position through an agency (let's call it agency A) and they originally had a position for me. After doing the interview with the position they set me up for, I decided not to take the position. At the same time, I got employed for a position at B agency and am considering that position. Going back to agency A, after I decided to respectfully decline the position, I decided that I do not want to continue seeking for a position with that agency. So my question is, since I did not accept a position with agency A, do I have to put that on my resume or future job applications (esp. those that list "please state all employment within the last 5-10 years)? Because I'm worried it would look really bad. I did fill out an application, and they sent me an email saying "(name) employment application has been signed and filed!" I would appreciate any advice/answers. Also, how do I tell Agency A that I wish to be taken off the list of employers? Is this considered quitting, & will it negatively affect employment with hospitals, etc. if they see it on my application/resume?

Hello, I know its been awhile since the last reply on this post. Im wondering if OP ended up taking the job as a new nurse.

The agency Im working with stressed that they want to make sure Im trained and comfortable. Which does makes me feel better. Plus, Ill do a lot of reviewing for the cases they usually see. For the nurse in your post, did you mean she only had to give oxygen once in 2.5 years? Can I ask what lead up to the situation?

I am a little nervous. They said they were going to give me a day of orientation (and more orientation if i need it). They really stressed wanting me to be comfortable since ill be in there by myself. Plus I will have number to call a very experienced RN if I need it. I believe I will be working with insulin pumps and g-tubes since they asked me how comfortable i was with them. They didnt mention anything about trachs or vents.