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If it sounds too good to be true........
1. If they offer you a bonus, get it in writing.2. If you're the first person they have hired, since taking over, RUN!3. If they keep telling you, things will get better, just hang in there, RUN!4. If they the never keep their promises of training, follow-up meetings, communication, RUN!5. If management makes excuses for others' unprofessional behavior, RUN!6. If coworkers have complete disregard for P&P and verbally say they don't care, RUN!7. If anyone says they are there to just do their job and nothing outside their tasks, RUN! Healthcare is not a solo profession.8. If your gut says get the hell out, RUN!9. If you're harassed and management makes excuses, RUN!10. If a manager witnesses harassment and walks away, RUN!11. If PCT's and LPN's openly defy your RN opinion and management won't put a stop to it, RUN! Especially, when your RN assessment of the patient and course of treatment saves a life, time and time again, RUN!12. If management thinks it's only 'fair' to have everyone rotate an after hours job, one which a PCT is qualified to do, and justifies paying an RN's to do it as 'fair.' then complains when you take OT to do what only an RN can do, RUN!13. When everyone, management, PCT's, LPN's, and other RN's think their jobs are equal to one another, RUN! People are equal, but education, licenses, diplomas, certifications will always create a ladder of authority. A Phd has authority over an RN just as an RN has authority over a PCT. Does the Dr listen to the RN and the RN listen to the PCT, yes. But I would never openly disagree with a Dr in front of a patient and a PCT shouldn't do that with a RN. It's not who's right and who's wrong, it's not about who's better, it's about professionalism, and doing what's right for the patient. 14. If you received your education from an accredited nursing school, never work for a company that will hire nurses educated from a non-accredited school. Your asking for trouble.I know I made mistakes, punching the time clock on time is not my forte. But the worst one was staying, hoping, trusting. Thinking I could continue to be the best nurse I could be and require the same commitment out of everyone else, was a huge mistake. Especially when your working with people who don't understand what it means to be professional, show confidence, admit they don't know an answer, feel they have to belittle you to make themselves feel better. In the end I was terminated by a letter sent Federal Express and never allowed to speak or defend myself. Their reasons were based on unsubstantiated accusations of misconduct, from the very same individuals who were known to have harassed me earlier in the year. As the nurse before me wrote in, tell yourself, remind yourself of all the good things you are.A. I'm a GOOD PERSON, with a good heart!B. I'm an excellent nurse and have always been an advocate for my patients and their families.C. I deserve to be treated fairly, and I am the only person who can stand up for myself.D. Hold my head high, I have been true to myself, my license, my patients. I ran into a doctor I had worked with prior to this position and gave him a synopsis of my horrible experience. When the shock of the accusations about me left his face, he said "sounds like a bad case of jealousy to me." I'm going to start my own campaign and write former co-workers, nurses, nurse practitioners, doctors, managers and ask them if they could write a letter of recommendation for me. I wish I had asked for that from them throughout my career. It always helps to have the recommendations for future employment, but its also something tangible that I can refer to anytime I doubt myself.There are good people in this world and they do outnumber the nasty ones. I'm determined this time to find a job from a company that places value in education, knowledge, common sense, humor, professionalism, and has zero tolerance for harassment, selfishness and two-faced talking.Thank you for reading.
If you think your underpaid, trust your instinct.
I have been in nursing for 16yrs and my daughterhas been in for 3yrs. She went right through college and graduated with BSN, no experience and I went from CNA, LPN to RN, paying my own way one class at a time gathering experience on the job, as well as time in class. However, she obtained ajob in a highly skilled, critical care area with no experience earning what my base salary was at same hospital. Where as my base wages stayed the same. I don't want put my daughter in a bad light, however youth and a degree are paid well, yet she is not satisfied and is looking always for a position paying more. She has watched me struggle with patient load, called in to work during times of hurricanes and disasters working to extremes and no bonus, thanks or whatever....In Florida there is no union to represent the worker (nurses), no real benefits to say, we pay for everything we get, so to say they allow us to purchase our healthcare plan, insurance etc. as for tuition repayment, you must sign a contract to work exclusivly for the employer for less than acceptable wages paid elsewhere for however many years they think is neccessary. I believe that with my experience I should be making 35.00 hr with paid benefits as I find most of my shifts aredifficult due to the new inexperienced nurses not sure of what to do next syndrome. I lead most of the shift, iv starts and proper drugs, most nurses know that their patients are having problems, its making interventions that are crucial to patients positive outcomes that is important, these new nurses are nieve of how badand how fast a bad outcome will occur if they sit and ignore their patients. I love to care for patients and I always will, that is why I chose this career, however I never thought I would be battling and struggling my employer for a decent wage. A safe patient load, and a healthier environment to work in. Its a battle everyday, we as nurses should unite and have a national union to represent us so that patients are guaranteed safe care. How many patients could you handle safely? After all, this patients life is in your hands for 12 hours, not so bad when one starts going bad, how about 4-5? Charge nurse is off the floor having a smoke, doctor isn't returning your call, house supervisor is in a code...not an easy 12hrs, how much do you think your worth at this point?
The Direction of Health Care
As most of us know Health Care is about numbers and money. Loyalty doesn't have a place in the corporate world. Nurses work from the heart. If we didn't we wouldn't be good at our jobs. Regardless of education, length of employment, loyalty and ethics, nurses are still considered a liability on the "balance sheets". We cost companies money. Where do companies cut costs? Reduce employees. This is a never ending cycle. One that cost our patients the care they deserve. Heavier patient loads, more paperwork, more chances for lawsuits,.....not encouraging. Hopefully, someday things will turn around. In the meantime, chart everything you do. If you don't, it is not done in the court of law. Do your best to give great patient care. Continue to LEARN everything you can! We will prevail!
Watch out for promotions
Like everything else that seems to good to be true, getting promoted can be a trap full of punji stakes. I was promoted from a case manager's position to that of Director of Professional Services on a Wednesday and fired from it the following Friday. While I grant that I am a job jumper, this is ridiculous! I was fired by a social worker who knew NOTHING about the field of nursing and was willing to admit it. The place is now imploding around him. I got a quick lesson in office politics, which I will admit is not anything I am either interested in nor care so to become. I will admit to having made a mistake on a visit to a patients' house, but it was nothing of even a minor nature. I guess the work ethic is out of vogue these days as ethics in general seem to be in the killing pursuit of money and power. I'll know better the next time I am offered any promotions, but doubt that will happen as I am 63 years old, white and a male.
I think it is fair to say that we all enter a job interview with a minimum compensation amount in mind. If the topic wasn't presented within the first 1/2 hour of the interview, I would raise the issue myself. Why waste the valuable time of the interviewer, or your own time, if the compensation is not acceptable to you? You know your experience, skill levels, and areas of expertise or specialty. You've worked hard to attain these goals. If the money isn't satisfactory . . . walk.
Fired after 9 1/2 years at same facility!
It all stated many years ago when I was first out of nursing school and was made charge nuse when I was only approximately 4 months out of school. During that time we got minimimal feedback from administration and how they wanted to have things run. I concentrated on the nurses working for me, and making sure those nurses provided appropriate patient care no matter what else happened. When I changed jobs to go in the ICU at the same facility my montra remained the same.. Take care of my patients and their families as best as would could, then help the other nusrses take care of their assignments the same. I have always been oriented about what was best for the patient and the patient family. Not necessarily if it was the perfect administrative way to handle it. I even went to work with school based nursing for approximately 3 years. I really enjoyed that work - one on one with the student trying to make a difference in their daily lives. I feel like I had an impact on the students there and hopefully an impact on the way they will live their lives. I decided to go back to working full-time in the hospital setting in the ER. I had worked some relief there but decided I liked it enough to go full-time. I love how you never know what will come in the door next. It could be a GSW or a tooth ache. In between the trauma, you get really sick patients who need to be taken care of as compassionately and quickly as possible. Their family also needes a moment to try to grasp what is going on with their family member. This is where is am partly my best. Yes I can stablize a pt near the brink of death, but that doesn't mean anything unless the family can be there to be with their loved one. I had to do this last weekend - call a family in Texas and tell them their mother had a massive CVA and would not be able to recover from it. Thankfully, both brother and sister made it to the bedside before she passed away. That makes me feel good that the children were able to be with their mother at the time of their passing. That's what nursing is to me - taking care of the patients and the families. My problem evidently lied where I was too vocal and adament that a pt be moved up stairs quickly so the family and pt would be more comfortable that being in an ER. I also expected alot of my nurses to move patients efficently either toward disposition or admission. If everyone isn't working toward a common goal, it can become lost and gridlocked. Everyone has to be a team member - the doctor, nurse, resp therapist, tech, secretary, radiology, phlebotomist, house keeping, food services, etc has a job to do that helps take care of one pt. All to often there is a breakdown in one of these teams that cane affect how a pt gets cared for. That is where the Charge Nurse comes in. It is his/her duty to make sure everything runs smoothly and everyone gets the job done for the patient and the family. As a charge nurse I worked so hard to get the patients into the er and get them back out of the er as quickly as possible. Find out want was wrong with them along with the other team members, develop treatment plan, and either admit the pt to the hospital or send the pt home with the proper advice and follow up. It has been said that not all nurses appreciate what I am trying to do in moving pts as quickly as possible. They complain that they don't want their rooms filled up with pts again, that they haven't had their smoke break, etc. The floors complain that the patients come upstairs too soon even though the patient has been waiting in the ER on a stretcher for 12-15 hours waiting for their room to get cleaned. I think if you know that a patient is coming to a room you should be ready whether it comes in 5 mintues or 5 hours. Ambulance drivers not knowing what they are bring in or the severity of what they are bring in also makes the life of a charge nurse anxiety ridden. Have they diagnosed the pt correctly and started the apporpriate treatment or have they made things worse. Did the medic bring the pt to the wrong hospital. What was the pt and family's wishes. This can call for heated exchanges between the ambulance personnel and the charge nurse. But no matter in the end the pt is the one we will take care of no matter what. I always felt my job was to #1 take care of the patients and their families, #2 make sure my staff was taken care of and was doing their jobs correctly and efficiently, #3 Be the go to person for when anyone needs advice or a skill leason, #4 was there for my staff when ever or where ever they needed me. They could always count on me to be there for them. Administration just didn't like the fact that I took care of all these people so loudly that I "shook the cages" to often. I only wanted to provided the best care to the patients, the patient families, and to support and care for my staff of doctors, nurses, techs, and secretaries to the best of my abilities. Maybe I was to vocal or took to much one at one time. I would like another chance to concentrate on patient care again. I will miss the ones I concered by extended family.
Nursing appears to be a very territorial profession and sadly, many compete for the favor of our doctors. If you ever have a preceptor who takes more smoke breaks than work assignments, ask to be re-assigned (forget about hurt feelings) your livelihood is on the line.When switching from one department to another; when asked, be carefull how you portray the old department.
Coming off probation
After being off probation and told you would have an increase to bring you up to where you should be, how should you handle this?
i am from other country. i worked in a hospital for 14 months. let me tell you the truth. we had some pca's who are hard working, two of them does not do their job and sit on the computer looking for the next shopping sale and other stuff in the afternoon, after the supervisor leave. so i used to work hard to finish the job, including their job. i got tired of it. one pca leaves the floor to somewhere.And by the end of the day my legs start hurting and i am young. no health problems as such. these people get away with it too. they know how to talk nice and please the managers. i thought i should get paid for both pca work as well as Rn job. but to be honest you and i know that is not going to work. i finally got tired of it and went for night job so i don't have to feed patient 3 times a day which the pca should be doing. i think if all nurses think this way there won't be any nurses during the day. pca will have to do the RN jobs too.
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