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Found 3 results

  1. TheCommuter

    So You Want To Move To Texas?

    So, you're thinking of moving to Texas? Welcome to the well-established club, because many others have made the exact same move over the past few years. Although the state is still second to California in total population, Texas has gained more people than any other state-at least 529,000- since the last major census figures were released (Aaronson, 2011). People are definitely migrating here, especially from other states. After a lifetime of having lived in California, I personally took the plunge and relocated to the Lone Star State in 2005. After an initial period of painful culture shock, I am still living here nearly seven years after having made the move, so that should say something. If you are a nurse, nursing student, or other type of healthcare worker who is seriously considering relocating to Texas, there are some points that you may wish to take into careful consideration. I will mention a few of them below. You've probably heard that Texas is full of nursing jobs.The small towns, mid-sized cities, and extremely rural areas of the state still have plenty of job opportunities. However, newcomers to the state have the tendency to settle into the major metropolitan areas. Unfortunately, the majority of the big cities in Texas have had tough employment markets over the past three years. Many newly graduated nurses have not fared well due to extreme competition in some large metro areas, but applicants with experience should have an easier time finding work. Masses of people have moved to Texas in recent years.I reside in one of the major metropolitan areas and can attest to the fact that nurses from around the U.S. have been relocating here over the past few years. Since I have been living here, I have met nurses, nursing students, and other healthcare workers who moved here from Iowa, Virginia, New Mexico, Oregon, California, Mississippi, Georgia, New York, New Jersey, New Hampshire, Missouri, Utah, Oklahoma, Kansas, Michigan, Pennsylvania, Florida, Louisiana, Ohio, Arkansas, Arizona, Illinois, Massachusetts, Alabama, Wisconsin, Missouri, Ohio, Indiana, Nebraska, Colorado, Maryland, Wyoming, and many other states. I've also seen numerous nurses who moved here from abroad in recent years. I've met nurses from the Philippines, Nigeria, Bosnia, Kenya, Great Britain, Liberia, Canada, Uganda, Ukraine, and other countries. Since the newcomers frequently gravitate toward large cities, this translates into local employment markets that present fierce competition. If you already have your heart set on moving here, I'd like to welcome you to Texas! work-cited.txt
  2. traumaRUs

    Preceptors and Preceptees

    Being a preceptor is one of the most important roles a nurse can fill. It’s a vital role as nurses transition to practice whether new grad or experienced nurse. allnurses.com's Community Manager, Mary Watts, BSN, RN interviewed Kelly Powers, PhD, RN, CNE and Julie Pagel, MSN, RN, CCRN, SCRN, CNE-cl at NTI about precepting Some of the important skills that new grads need to learn when they take on their first nursing job include: Prioritizing care for the included population Becoming a team member and integrating into the unit Learning or further perfecting procedures needed to care for patients Becoming familiar with Institution organization: how to page a provider, who to call for specific issues Charting in an electronic medical record The preceptor experience depends on several factors also: The type of unit The acuity of care Type of patient Experience of the preceptee Individual learning styles The Transition to Practice Study recommends "6-12 months for a successful experience. Hospitals using established programs had higher retention rates, and the nurses in these programs reported fewer patient care errors, employed fewer negative safety practices, and had higher competency levels, lower stress levels, and better job satisfaction. Structured transition programs that included at least six of the following elements were found to provide better support for newly graduated RNs: patient-centered care, communication and teamwork, quality improvement, evidence-based practice, informatics, safety, clinical reasoning, feedback, reflection, and specialty knowledge in an area of practice." Some skills that a good preceptor needs include: Being supportive of new grads and new employees Ability to adapt to individual preceptee’s previous experiences Knowledgeable about unit/hospital policies Willing to admit they don’t know everything and provide resources for the preceptee It’s very important that there is a helpful and supportive environment for the new grad and new employee. It can be a stressful experience for both the preceptor and preceptee and it’s very important to match learning styles with the information provided. There is a national nursing shortage so it is imperative from a business model to have a successful preceptor program. Training is, of course, necessary for the preceptors in order to provide a positive learning experience. This is necessary for many reasons. Preceptors need clear expectations, solid training in the educational model and how to teach. Role-playing is one part of this training. In order to improve programs feedback is important. Preceptors need training in order to be successful and to improve their experience. By contrast, new grads look to the preceptor to be their role model and provide clear expectations. Precepting can be very challenging, exciting and rewarding. One of the pluses discussed in the interview includes, "It’s so great to see the “aha” moment from new grads." It is also important that the organization rewards and recognizes preceptors. The preceptor/preceptee relationship is often the key to nursing retention. Here is the entire interview:
  3. Nurse Beth

    How to Choose My First Nursing Job

    So far, the majority of nurses I have asked said they chose their job because it was the only offer they had at the time, however, that is not my situation. I currently have four offers (2 different med surg floors, a neuro floor, and a cardiac floor) and still have a few more interviews left. The med surg, neuro, and cardiac offers are at a bigger hospital about an hour away from me and the other med surg offer is at a small hospital (59 beds total) about 30 minutes away from me. I have had clinicals in both of these hospitals and shadowed on all the potential floors and truly enjoyed them all. I'm struggling with deciding how to pick which one would be the "right fit" because I honestly feel like I could see myself in all of the positions. I could really use some advice about how to go about picking my very first position and things to be mindful of when choosing the hospital. Any advice would be SUPER HELPFUL! Dear New Grad, Congratulations on having 4 job offers! It's a buyer's market in your area, and everyone wants you. 🙂 You have a lot of choices, and it's important to pick the best one for you. Clinically, they all offer a wonderful opportunity. Neuro is more of a specialty, and if you adhere to the broad before narrow way of thinking, med-surg and cardiac offer a broader foundation for practice. Large vs Small Hospitals Larger hospitals typically have more resources than smaller hospitals. Generally, the smaller hospital's training and onboarding will not be as developed or structured. Are either of the hospitals part of a larger system? A benefit of working in a large system is that you can transfer within the system down the road, retaining benefits. A benefit of working a small hospital is that you become a generalist, with a broad skill set. The culture in a small hospital will be different than the culture in a large hospital. Think about your life until now and whether you are more comfortable in larger groups (previous communities, schools, churches) or smaller groups. Healthy Practice Environment Within hospitals, not all units are the same as far as practice environments. In a large hospital with multiple ICUs, each ICU will have its own unique culture, and within any given ICU, day and night shift staff have their own micro-cultures. Ask about unit turnover as an indicator of the health of the practice environment. High turnover and short staffing can be (usually is) a sign of staff dissatisfaction. During your interviews, ask what the unit's attitude towards new grads is. Are they welcomed and supported? In what ways? Ask if they ever had a new grad who struggled, and how it was addressed. Find out if they have shared governance, and if so, if the unit based council is active. What projects are they working on? Support Ask about the length of orientation. An orientation that fully supports your transition to practice is invaluable. What specialized classes are provided? (ACLS, Basic Arrhythmia). You can also ask how long is it before new nurses have to float, and what training is provided for floating to another unit. Is there an educator for your unit? If you need help clinically, is there a dedicated charge nurse, well trained RRT, and a clear chain of command? Standards Ask what nursing uses for clinical guidelines. The answer you want to hear is that they follow evidence-based practice, whether it's by using Lippincott, or corporate based policies and procedures. How are patient care assignments made? The best answer is that the nurse's skills are matched to the patient's needs. As an example, you should not be assigned to a patient with a continuous bladder irrigation (CBI) until you have demonstrated competency with CBI. In a stroke certified hospital, you should have your NIH stroke certificate before managing a stroke patient. Benefits What shift do you want to work, and is it available? Does the hospital offer tuition reimbursement, and is that important to you? Does the hospital have a clinical ladder program, and in what ways is professional development encouraged? These are just a few questions you can ask to help determine a good fit for you and a safe practice environment. I really hope this helps you, and good luck! Best wishes, Nurse Beth Author, "Your Last Nursing Class: How to Land Your First Nursing Job"...and your next!