FDE123

What kind of "corporate setting" are you referring to? I am looking to get away from bedside nursing and into something along the line of Utilization Review/Quality but am disturbed by the large pay cut I would be taking.

I have a friend who works for Cigna and she has been trying to get me to come work with her for a while. I've dismissed the thought because I've always heard that insurance review doesn't pay as well as bedside nursing (I'm currently working with an agency making hourly in the high 40s). However, I'm about at my absolute wits end with nursing as a whole. I'm fed up with being a slave to people who are disrespectful, demanding, and belligerent on a days basis. No amount of money can make that okay for me. Does anyone have experience with this type of job field as an RN and what would be an appropriate pay range? Thanks!!

I have worked for HCA hospitals since 2015 and just recently began working for HealthTrust. I am in TN, so I can't speak about the staffing ratios in Florida. However, in TN the most patients you can have on a Med Surg floor is 5 and in the ICU is 3. The onboarding process was easy and the recruiters that I had were very helpful with HealthTrust. I recommend this company to all my Nursing friends. Plus, the pay is competitive.

I have been nursing since 2016, beginning my career in an IMCU and now currently an ICU. I was also a CNA for a year and a half while in school. I was struggling with the Nursing field three months after graduating but chalked it up to being in the wrong specialty. I moved into an ICU and was promoted to charge nurse within the first 6 months. That is currently when I am now. Unfortunately, I am still very unhappy with Nursing as a whole. I feel more like a waitress than an actual medical professional. I have also found myself becoming less empathetic toward patients and their families which, in my opinion, means I need to do something else. I am interested in anyone's advice or recommendations on Nursing jobs away from bedside. I've found many case management jobs online but am unsure about details. Can anyone tell me how they got away from bedside nursing and what they went in to instead?

I am still a baby nurse and just recently began working in a Neuro ICU. I previously worked in an Intermediate care unit for 7 months at a comprehensive stroke hospital and had confused patients often. I am am having a hard time adjusting to the neuro icu. I have been off orientation for 2 weeks and am struggling because I don't think I like it. When I accepted the position, I was expecting strokes, tumors, etc. Patients that were truly sick and needed care. This is not what I am seeing. The majority of our patients are minor strokes and most of them should be on the floor. I hardly see vents or drips. The patient I am having the hardest time dealing with is a confused frontal lobe glioma patient. She does not meet icu criteria and is actually a med surg patient but has been placed in the icu because her son works for our cooperate headquarters and she gets "VIP" treatment. Well, for me that was the first trigger. I believe all patients should be treated equally regardless of the "status". I feel as though this is abusing the system and occupying an icu bed that should be held for a truly sick person. She will not stay in bed and is extremely confused. Her husband gets aggressive with staff and threatens to "call the supervisor and president" because he is listening to what his confused wife is telling him. The doctors have doped her up so much that she is hard to handle. She does not sleep through the night, abuses the call light, pulls at her lines, crawls out of bed and will not comply to nursing staff. I am really trying not get frustrated but I am seriously at the end of my rope with patience for her. Are there any suggestions that anyone may have to help me not get so frustrated and handle the situation in a professional manor? Even for in the future? I don't want to be that jerk nurse that refuses a patient but I also don't think i will be able to provide the best care because of all the circumstances.

The floor that I came from is considered a critical care step down unit. We got a lot of tach vents and drips that couldn't be on a med surg floor but didn't meet CCU criteria. I also came from a level 2 hospital and was a tech on the floor a little over a year before I became a nurse. During the interview i told them what experience I had with the drips, vents, bipaps, strokes, etc and that I was really eager to learn and advance my knowledge. I also am not ACLS certified but most places allow 6 month grace periods for certification. in your case, I would recommend becoming ACLS certified. It will show that you are ready to move onto the next level of nursing. And in your interviews mention what kind of patients you have. Post op heart cath, CABAG, etc. Also,mention you work on a telemetry fooor and are familiar with the 5-12 lead EKGs. Those are all things that boss's like to hear. If your interested in cardiac, maybe a Coronary Care Unit or a CVICU would be a good start for you. I hope this helps :)

It is. However the hospital im at gives us critical patient with a medsurg staff ratio so it's extremely overwhelming

I expected that. But right now I come from a floor with 4:1-5:1 all bed jumpers and drug addicts and needy patient who won't stay still and pull off their tele and Ivs. I feel like the Neuro ICU will certainly have its challenging moments but at least I will only have a max of 3 patients within my general area being wiggle worms instead of 4-5 of them all at the end of different halls jumping out of bed and being self destructive or calling 1000 times in ten minutes because they want their pain meds or food trays or coffee. I really don't think anywhere could be as bad as the unit I'm currently on.

You're not housekeeping a skyline and I'm pretty sure you are not housekeeping at Vandy either. That just doesn't make any sense quite frankly.

The ratio is 3:1 in all of the Skyline CCUs except the trauma ICU where it is only 2:1. However, trauma unit nurses often get floated within the hospital depending on census :)

I am leaving my first job as a new nurse after 7 months to embark on a new adventure into Neuro. I have accepted a Neuro ICU position at the second largest hospital in my area. My first job was a Pulmonary Intermediate Care Unit. Thankfully, the hospital I'm going from is a comprehensive stroke center and I do have experience with some stroke patients. Are there any experienced Neuro nurses that could give me some advice for this new job?? I'm very nervous since I have no ICU experience and Neuro is a very assessment based specialty. Thanks!!

I have only been nursing for 3 months on my own as a new grad nurse. I work on an Intermediate Care Unit that has high acuity patients in a level 2 trauma hospital. As of right now, and basically since I have started nursing, I am realizing that I might have gotten into the wrong profession. I feel disrespected, over worked, under paid and taken for granted on a daily basis. Is there any jobs out there that I can still use my nursing degree but not have bedside practice with this little of experience. I believe I would love trauma ICU since ICU nurses typically are more respected in my opinion, but I feel trapped on the floor I'm on since I have only been here 3 months. I would have to transfer in house (we are the only trauma 2 around). I feel like I need more challenges to possibly be satisfied. Anyone have some advice...? Should I just suck it up, stay for 6 months and transfer? Should I look for another job, maybe in the corporate world? Is there jobs for nurses is the corporate world? Help?!

I am a new grad nurse that began working on a floor that I had been a tech on for over a year while in nursing school. I was hesitant to apply for the floor since I knew I wanted something more challenging than a basic med-surg floor. After speaking with several people, including my director, I decided that starting at the bottom and gaining basic time management and nursing skills would be easier for me on a floor that I was familiar with. After my first day of orientation, I felt I may have made a mistake. When I was being "interviewed" for the position, I committed to my boss 18 months to 2 years. I did not sign a contract but I believe that your word is a very powerful tool. Once off orientation, I became bored. Our ratio is 1:5 and we have trach-vent pt, total needs, trauma, etc. Our floor is technically an Intermediate Care floor but sometimes it feels like a catch all. I have now been off orientation for 7 weeks and I am so bored at work I feel like I could do my job well and take on more responsibilities. My ultimate goal is to go to a trauma ICU. I currently work at the only L2 trauma center in our area and I feel as though if I were to apply to our trauma ICU before I complete the 18 months, my director will hinder my chances and potentially cause me to not get the job. However, I truly do not think I can stay on this floor for 18 months to 2 years. I may be able to manage 6 months maximum. I have so many complaints about the way our coordinator and director are managing the floor and both are so over worked they seem irritated when I present a concern that I shut down. The way things are now is not what I agreed to when I gave my director my word to stay. I am so confused...I feel trapped. Any advice on this?