Does anyone have experience attending the nursing program at Pacific College of Health and Sciences? I’m trying to get a better understanding about the quality of the program in the New York Campus. Thank you

Hi! I currently work at a small community hospital right now in an inpatient rehab unit, and recently got offered a position at a larger hospital paying more and in medsurg/tele. I was wondering how to go about asking if it is possible to go prn or part time at my current job. They do offer people positions or make positions sometimes for people so I was just wondering because I don’t want to fully quit rehab. Also just in case my new job doesn’t work out I can always come back if I’m prn. Thanks

Regularly irregular; it’s like 2 beats and a pause?

Basically the title. My job has been treating all of the RNs like shit for the longest time. I work in a crisis unit, and while my coworkers are great, we have a very acute patient population. I have been feeling burned out for months, and because of that, I had several call outs. Which is whatever, I know I was in violation of our attendance policy.

On Friday, I had a meeting with my two supervisors, a rep from HR, and my union rep. I was expecting a write up, because like I stated, I was well aware that I had more call outs than the policy allows. I wasn’t mad about that, I really didn’t care. What got me angry though, is that they put reckless and negligent behavior on the write up. They stated I was “negligent in following hospital policy”. My union rep argued that it was probably more reckless and negligent for me to come to work when I was sick or otherwise incapacitated, as I was more likely to make a med error or harm a patient in some way. HR disagreed, of course. I signed the write up and my rep and I left.

I went home and I was very upset, because I know what kind of nurse I am, and I don’t think anyone would ever call me reckless or negligent. My wife (also an RN) pointed out that I have been miserable at this job for months. I dreaded going to work. It was one shit show after another with no support from management. No wonder there’s a “nursing shortage”.

Anyway, I put in my notice through our employee portal tonight and emailed my supervisor. I have 13 shifts left. Not that I’m counting or anything.

I was recently admitted to a psych NP program and am trying to decide if the money for the degree is worth it. My goal is to function as a therapist and be able to prescribe meds for my patients. I already know I'll have to do a lot of side training for therapy as the programs don't focus on training for therapy. I obviously know there are other paths to becoming a therapist but this might make the most sense for me. I'm wondering if anyone here is a PMHNP in the outpatient setting and would be willing to chat about their experiences getting a job and working in that capacity. Thanks and please be kind!

I am currently six months in on a night shift med surg stepdown I don’t enjoy it and have received mixed reviews on if it’s okay to leave the staffing has decent it varies week to week good people are overall nice I just really find nights and nursing super stressful. The floor is very fast paced as well and I am a slow learner and thinker. I applied for a psych day position received the offer but decided not to take it. The reasoning being if I leave this job I have to stay at least a year if not more at my next job even if I dislike it more than my current job. My current job just has given me a lot of anxiety and depression. I have been in therapy and on medication prior to nursing. This also sparked my interest in psych bc I have my own psych history but got through it and honestly since starting a nurse I feel like my job has brought me back to my old days except now I have a full time job and patients to take care of lol. Anyways I’m trying to get through to a year to say I have the experience. If I’m being honest I don’t know if I will make it I mean I could but my mental health is already in shambles at points lol. Needless to say I have an interest in psych and I understand it can be stressful but have been told the pace can be a bit slower that is why I applied. I now still currently work as a med surg step down nurse on nights starting month 6. I would love to be able to get involved into psych somehow without fully committing to a full time rn positions do hospitals around nyc//rockland/westchester/New Jersey /Connecticut offfer programs for nurses interested or should I try and pick up a per diem tech job what is the best way to approach this because I also don’t really see the point in staying on med surg for a year if I plan to go to psych anyway bc psych hospitals around me pts have to be medically cleared so no IVs, foleys, etc. if anyone has advice about that please feel free to sure thank you nurses and psych nurses and everyone has left a comment prior your knowledge and support is very much appreciated it!!!!!

I’m a (41m) was in the military for 10 years, I was going to reclass to a medic but it got denied because of an upcoming deployment. I’ve spent 20 years in IT and want to get into nursing. I have combat lifesaver certification (run IVs including hextend) nasal pharyngeal tubes, needle decompression, cpr, Lucas, more than basic first aide training. I have a BS in Information Systems. What would you recommend where I start? I’d like to work in an ER or ICU at a VA.

Hey yall-

So I'm finishing my second semester of a two year ADN program at a community college next month. The third semester doesn't start until fall, and because I still have to maintain a full time job to pay the bills (I'm an inpatient pharm tech), I wasn't really able to find any compatible RN externships. So, I'm looking for ways to fill my time this summer besides working and saving money.

One opportunity might be a phlebotomy course? I'm interested in ICU/periop nursing after I graduate, and so I've read venipuncture is probably going to be somewhat more important. I got like a week of practice on a dummy arm in my actual program, which I know is pretty standard, but also pretty much nothing. There are phlebotomy courses near me I can complete in like 6 weeks for around $2k. Think it might be worth it to add something to my resume?

Other considerations are:

-ACLS/PALS? I have BLS from AHA (as required by my program) but maybe I could try something a little more advanced...

-Spanish class? Even an online program. The area I'm moving after I graduate has a high Spanish-speaking population (northern CA... I know, I'm doomed finding a job either way), so this could really give me a level up to put something like "basic professional Spanish" on my resume....

Any thoughts?

I have worked in LTC for around 12 years now; 4 years as a CNA and now 8 years as an LPN.

This is the only career I have ever had. My first job was as a CNA in LTC.

However, I feel like I have been getting burnt out on bedside nursing and would like a change. I know I don't have as many opportunities available to me since I am not an RN, but what would be a different field of nursing I could possibly pursue?

Has anyone had a patient who was a nurse that presented/was admitted for alcohol withdrawal or other illicit substance use?

Without going into detail, it’s very apparent the person is not sober while at work. How would this be reported without violating their HIPAA rights?

I left healthcare for business.

I came from healthcare working for cancer patients. I used to care so much about people. After engaging with people in the business field, I'm learning that the people there don't give a crap about others. People with egos and an inflated sense of self-worth are among the worst people to deal with - but these ones are harder to deal with than doctors, because at least doctors actually have skills behind their (some) douchey attitudes and can (sometimes) pretend to care enough to not harm or traumatize the patient - douchey dudes (and gals) in business have no real substance to justify it (just an inflated ego because of the car they drive and the clothes they wear - that's it). It's hard for me to care about these people - because they literally do - not - care - about - people (beyond themselves).

Coming from a highly empathetic environment to the corporate environment is feeling like a walk in the wrong direction. I hope it becomes worth it, b'cus I'm definitely not there for the people - the interpersonal dynamics are toxic.

Stepping outside of healthcare, where I genuinely cared about all people, I now realize how naive I was. I had previously created a "bubble" of unicorns and rainbows, and welcomed my patients into my inner world (mind & heart) as a place for their healing to take place. Now that I work with a huge population of people outside of the hospital walls, I see who my patients (likely) really were. No wonder I burned out so fast - I cared too much. There's a fine balance of caring. In healthcare, you care about others and don't care what others think about you. In business, you don't want to care, and yet are forced to pretend, because if you don't - you will not get anywhere

However, I never before realized what a**holes my patients could have actually been outside of the hospital - I never knew it - I just cared deeply and quite authentically about them, naively - an outsider might see it as I kissed their asses before I wiped their ass, but, no, I genuinely cared. It's really hard for me to see that my ability to care so much has now come to be a liability to me in my new line of work (I have to deny my emotions, stonewall them, because emotions are not tolerated). And further, I don't want to let my gaurd down and befriend an a**hole - that's how people get roped into commiting fraud. I hope they aren't all bad - but the majority of them are a lot worse than healthcare workers. I used to despise healthcare workers who were in the field for money - but it turns out that these kind of people who value money over people and compassionate relationships are just the majority of the american population. They can't all work in business - not enough positions!

Guys and gals - healthcare might not be business, but - it still is customer service. Please, care about your patients - if not for them, for your own sanity, but don't care too much, because you could burn out. I miss being in my prior inner world, where I actually could care without it being a liability to myself. I wish I had balanced my empathy better, and never burnt out, because the alternative of business... well, the business world is a hostile place in its own way. Business colleages are cold, and business clients are cold. Healthcare colleages can at least pretend to be warm, and clients can be weak, so it's just naturally easy to have compassion for them. I miss healthcare :( Just wanted y'all to know that what you've got is the real deal - don't blow it up, like I did.

It's a MUCH better life experience to care for others when you don't know what they are all about (this is more attainable in healthcare - with patients and healthcare colleages - you're likely to end up better-off by caring). It's harder to care about people when you know all about and disagree with what they are all about (this seems to be the default in business). So care, fellow nurses - care away, because your life experience will be better - and you are in the prime environment to care - caring is welcomed and you will be rewarded for caring. In business (the alternative) - if you care, you become a liability to yourself because caring is not welcomed. My life experience is just - grey - no more unicorns and rainbows.

I realize that my post is just a rollercoaster of emotions - but hey - I warned readers that this was a rant.

Has anyone else started the PULSE show on Netflix? I’m almost done with it, but probably only because I feel like I have to finish every show I’ve started. I really want to see what anyone in here thinks about it cause I’m probably laughing constantly about inaccuracy and the main character being 🤢 & that’s coming from someone with basic hospital experience (I graduate nursing school in May). Drop thoughts in the comments

I’m a nursing student and had my first day of clinicals in the NICU. I asked one of the nurses if I could follow her while she was doing her assessment on one of the babies and she agreed. I was standing by watching what she was doing when she asked me what a good temperature for a baby is. I was really anxious, and I have trouble recalling things when I’m on the spot even though this was very simple. It’s stupid but I just couldn’t remember what we had learned in class and said that I thought 97 degrees F was okay. Even though it’s a little low, I thought that this was still acceptable, just on the low end of the range. When I told her this she immediately said “97 is not a good temperature for a baby. It’s not even a good temperature for an adult. What year of school are you in?” I answered that I was in my third year and she said “well you should definitely know this by now. I don’t know why your instructor didn’t teach you. I’m gonna print out a paper of temperatures for you.” If she said this in a nicer way like she wanted to help, I would’ve had no issue. However, just the way she said it was really harsh and I was embarrassed. I didn’t interact with her for the rest of clinical and followed around another nurse who was nice, but the first nurse never ended up giving me a paper with temperatures on it. When I google it, I’m seeing a lot of mixed ranges, but from my understanding, 97 F is okay for a baby and an adult? Please tell me if I’m wrong here. I genuinely want to learn and become better; however, I’m just really confused and embarrassed over this interaction. Thank you!

Hey people I'm hosting a Webinar on a topic of great interest in our field, AI in Healthcare systems and public health, under the organization HPHTO:Help people help themselves

"Al, Equity & Public Health: The Next Frontier"

It's gonna cover how Al is being used in healthcare, what that means for fairness and access, and where we go from here. Should be pretty interesting if you're into public health, Al, or both.

FREE

📅17 April 11

📍On Zoom

Sign up here:

https://Inkd.in/dmTzaE28

Or scroll down on the official site and

click "Register now":

https://Inkd.in/gP3_iixg

Honestly, I think this kind of convo is super important right now - Al is moving fast, and it's wild how little we talk about its impact on hea' ity, especially in lower-resource set

I moved to Northern California from the midwest a couple of years ago and now I’m considering moving back because I don’t love it here, can’t find a social network (or a BF) and I would like to be closer to family/friends.

Things I’m struggling with:

*I currently make (pretax) 165K as an RN and even with cost of living, I’m able to save a lot. My benefits/health insurance are really good. I do 4-10s, actually get breaks, and have Saturday-Monday off. I also don’t work weekends or holidays and have a pretty flexible charge RN. Obviously every job has its trade-offs but overall, I realize I’m pretty lucky to have this job.

*I know what it’s like to be an RN in the Midwest. And it ain’t cute. I would be taking a hefty pay cut and likely going back to poor working conditions. And with the uncertainty of everything right now, I don’t know if that’s a smart move.

As much as I wish we didn’t have to, we spend the majority of our waking hours working (or being tired from working) so will I regret giving up being a nurse in California for the Midwest so that I will maybe be happier on my off days? I should add that I’m mid 30s so the goal is to settle somewhere.

hi if there are manangs/manongs from the university of san agustin, may I ask for your advice for upcoming freshmen? I cannot decide which school should I pick, I am having a hard-time since I only familiar with the quality of education of WVSU and CPU. Is it worth it po ba to choose san agustin, is it a best option po ba?

(Please be kind) I am extremely sensitive and level one autistic and I've got OCD, and as a result I have gained PTSD from working as a PCU / IMCU nurse for the past 5 years from seeing patients suffer and sometimes die, terrible patient: nurse ratios, etc etc the whole bit. I have also done home health and I have floated to medsurg multiple times. Home health doesn't pay well at all and is extremely boring but is mostly relaxed, and medsurg seems to not get much respect in the nursing community and would not use the skills I've gained as much. I need to make a switch. I plan to work PRN exclusively whatever area I move to. What are your suggestions? Should I just try medsurg for a while even though the pay is slightly less and seems like a step down as far as building skills as a nurse? Since it could save my mental state? Would it even save my mental state?

If none of these, what area of nursing should I look into?

Prior to graduating nursing school I went back and forth on whether to do PICU or ED. I ended up doing my role in the ED and really enjoyed it but PICU for some reason always seemed more attractive. Now 6 months into my PICU role I hate it. The culture is toxic, people are uptight and rude, every little inconvenience is a big problem, everyone is high strung, the gossip is nonstop and I’m over it. The patients are completely manageable but I hate my coworkers. Do I transfer to the ED where I know the culture is more lax for work that’s less acuity? Or do I push through and hope I find my ppl in the PICU and learn to drown out the toxic folks?

Will be graduating this year and curious as to what you make as a new grad if you started this year or last year. Looking into SC, UT, GA maybe CA. Thanks!

We are short CNAs tonight. Seems to be a pattern but tonight it’s egregious. In 1.5 hours we will have 1 CNA sitting 1:1 and the other two will have 23 patients each. RN ratio is 1:4-5. Should a CNA accept such an assignment in an LTACH? A few telesitters, trachs, a couple of fall risks. As a CNA, to say that I’m apprehensive about accepting this for the remaining 8 hours of my shift is an understatement.

I saw tidbits of advice sort of scattered around the internet and I just wanted to share how I passed it myself. I studied over 4 days. No joke. 4 exact days. I’m busy working 3 shifts each week, nights, been in my ICU as a new grad for 2 years. I really believe my inquisitive nature as an ICU RN has helped me in understanding a lot of the material so it made the 4 days of locking in and studying easier.

I purchased the AACN premium question thing with around 580 questions. Their platform is awful but I would do around 10 questions, finish and read the rationales in each of the 7 topics then repeat until I did all 580 questions.

Then I read my Barrons book completing each set of questions after each chapter and reading every rationale, even the ones I got right.

Lastly I tore through Archers free CCRN study question platform. I did 780 of the Archer questions before I ran out of time. Honestly, I think the Archer and Barrons benefitted me the most. I know the AACN makes the exam but their website was so slow and felt outdated it really bogged me down using it.

I used Archer to help me pass NCLEX when I came out of nursing school so I felt it was a huge risk using them for CCRN since they’re program is new and I didn’t see any reviews online anywhere (also a reason why I’m writing this comment for other RNs wondering if it’s worth using it)

Well it worked for me. I honestly thought I was doing terrible but I passed :) I also had 50 mins of extra time by the time I completed all the questions I swore I messed up.

TLDR: Passed CCRN, studied 4 days, used AACN Premium 580 sample questions, Barrons Book, and Archer sample questions doing 780 of their 1,000. Also leaned on my ICU experience as well.

I did it and so can you!

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I’m about 4 weeks out from graduating with my BSN and I’m considering job options now. I’ve seen several things online about nursing in the navy or air force and was wondering if anyone has experience and can give me the real non-recruiting information about it. If anyone could I would super appreciate it!

I’m crying multiple times an episode- and I’m only on episode 3!!! Guess I have a lot more trauma than I thought…🫠 anybody else?