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| Subject: online nexium from canada *** nexium cod *** nexium cheap cananda | ||
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Author: Brittney Schmalz [ Edit | View ] |
Date Posted: 01:44:40 12/23/12 Sun | Buy Nexium Cheap! From Top Online Pharmacy! |
| Subject: will try | |
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Author: Prof D [ Edit | View ] |
Date Posted: 14:30:23 04/10/09 Fri Mel, it is hard to bring new graduates now but I will try...no promises. She needs to be proactive too and apply aggressively in other hospital...it is very competitive nowadays. Congrats for 1 year, time flies huh? See you soon. Gid bless. [ Post a Reply to This Message ] |
| Subject: Long time... | |
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Author: Prof D [ Edit | View ] |
Date Posted: 02:02:21 03/21/09 Sat Thanks Shiela for sharing. Yes, you nailed most of the main issues in Nursing, and you are right "deal each day at it unravels". Our profession is very challenging indeed. Shabeena- Ive heard Littleton got a job, good for her. Any news about Kinoshi? Mel- When do we celebrate your one year Anniversary? Ok God bless and looking forward to your entry. Prof D [ Post a Reply to This Message ] |
| [> Subject: Re: Long time... | |
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Author: Melanie Chet [ Edit | View ] |
Date Posted: 13:41:40 04/08/09 Wed Hello everyone, It has been a while..........how's everyone doing? I know that we are all busy. It has been a crazy month for me too. Anyway, good luck to everyone. My one year anniversity is 5/12....I requested off so I can go to drink with a coworker who started the same time. It should be fun. Prof D--thanks for your advice...I did speak to her and it really did help. She is more helpful now. She actually offers to help, instead of me asking. Anyway, when will you find a position for Lada at St Vincent? Are there any vacancy? Thanks for all your help.......Melanie [ Post a Reply to This Message ] |
| Subject: Resurrection Day | |
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Author: Sheila Cenac (Feeling guilty) [ Edit | View ] |
Date Posted: 16:46:33 03/12/09 Thu Hi Guys, sorry for breaking my vow.......my promise to keep in touch with you and to give you my suppport. I realized that I have deserted you a bit. I must confess that I have been procrastinating for months now to add a line to this forum. My spirit was willing but my flesh was weak. My muscles have been feeling so rusty each day I promised to write my body felt more tired than the day before. Anyway, I was on jury duty for 2 weeks. Yeah, the type of duty that you must perform whether you like it or not. I must say though that my body feels rejuvenated because I was able to get some night sleep so I thought I should write now before i start to feel rusty again. It was a good experience. I recognized how important it is to plead on behalf of a fellow citizen. The decision that we make as jurors is very critical in dtermining the fate of a defendant. Therefore, I urge you to sit as a juror if you ever have an opportunity to do so. Anyway, I must commend Melanie for keeping up with the forum. For me, I was always feeling guilty but Doug you made me feel even more guilty when you said " I think we lost Eric and Sheila..........wish them luck". I really laughed out loud because the truth is I had been wondering whether my fellow alumni would consider me as a lost case. But guys, I have read your comments and I see that some of you are frustrated. The fact is, some of the situations that we are experiencing at SVCMC is just enough to make one feel this way. For example, working with equipments that are malfunctioning.......BP machines, a crucial piece of equipment that is necessary in providing quality care may not be reliable. In some cases the BP machine has to be inflated about 4 times before you get a reading. yet, in other instances the result may be significantly different by a very large margin if taken consecutively just minutes apart. This is scary. How do you know for certain if someone is hypo or hypertensive and what remedial action would be more appropriate. (2) Staffing shortage and the inability to provide quality care efficiently and effectively for a an assigned group of patients....sometimes this can be as many as 10 or 11 patients (3) Pharmacy deficiency in dispensing prescribed medications at a reasonable time......You can spend hours on the phone trying to obtain missing meds (4)Lack of support from other staff members. I am quite aware of how the new graduates are treated because the actions are very vivid. So I share the same sentiments with you guys. I understand your frustration and even though you try to addresss those issues any attempt becomes absolutly fruitless as long as senior staff just take it ias it comes. In order for change to take place you must have a collaborative effort. At svcmc there is no such thing therefore, change is not going to hppen any time soon. So guys what you have to do is to take one day at a time and just do like the Romans do. Goodbye now and Doug I am not lost yet I just think that all my energy has been sucked out form this night tour . And yes, i know that I owe you an e-mail. I will work on it. Good night everyone rest easy, Sheila. [ Post a Reply to This Message ] |
| Subject: press conference | |
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Author: Prof D [ Edit | View ] |
Date Posted: 20:07:30 02/26/09 Thu So will I see you guys in the Press Conference Tue next week? [ Post a Reply to This Message ] |
| [> Subject: Re: press conference | |
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Author: Melanie Chet [ Edit | View ] |
Date Posted: 18:16:21 03/02/09 Mon Professor D--I just found out on Friday from my NM about the press conference. I really would like to go but I already planned a birthday lunch with my best friend on Tuesday. She had to take that day off from work for me, I would feel really bad if I cancel on her. I know they will pay you for going--that's nice. I already told my NM I couldn't attend. You can tell me about it. Thank you in advance.....Mel [ Post a Reply to This Message ] |
| [> Subject: Re: press conference | |
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Author: Shabeena [ Edit | View ] |
Date Posted: 06:26:55 03/03/09 Tue I think they reschedule the conference for Wednesday, March 4, 2009. [ Post a Reply to This Message ] |
| [> [> Subject: Re: press conference | |
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Author: Melanie Chet [ Edit | View ] |
Date Posted: 00:56:27 03/04/09 Wed You are correct Shabeena, it is changed to 3/4. But I have to work tonight. I would love to go, but I would have to make a double trip--go to the conference, come back home, then back to work at 6p. I usually sleep for 4 hours before work, considering I am awake all night. I alwas checked my email late......I told my NM that I'll try to be there if I can. Prfoessor D---how long is the conference anyway? [ Post a Reply to This Message ] |
| [> [> [> Subject: Re: press conference | |
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Author: Shabeena [ Edit | View ] |
Date Posted: 16:57:09 03/05/09 Thu Hey Melanie, I know how u feel b.c I am working the night of the conference also and plus I have a doctor's appointment schedule that day to and I told my nurse manager that I will try to make it as well. So how was the Press conference professor? Sorry I couldn't be there. [ Post a Reply to This Message ] |
| Subject: Yikes | |
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Author: Prof D [ Edit | View ] |
Date Posted: 16:13:56 02/25/09 Wed Wow Mel, having 11 pts?...we can send you to Iraq and win the war (lol). I remember those times it happened to me, yea it was tough, stressful and I felt like a chicken w/o head. This kind of challenges (despite how unfar, horrible and unsafe)...makes us stronger, wiser and courageous. Tell Lada congrats and good luck. Job market will improve soon, so hopefully your batch-mate (Shabeena) wull fine something soon.Good work. I think we lost Eric and Shiela...wish them the best. Prof D [ Post a Reply to This Message ] |
| Subject: What's New | |
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Author: Prof D [ Edit | View ] |
Date Posted: 22:04:02 02/18/09 Wed Hello, how you guys doing? Mel- did Lada took the exam yet? I am curious if all your batch has jobs now or some still looking? Shabeena- Ive heard Will has a job now. Anybody else in your group still searching? Well keep up the good work...hope to see you guys soon. Oh by the way, this might be my last semester at Lehman (not sure about SV). But whatever happens let's keep in touch. God bless. Prof D [ Post a Reply to This Message ] |
| [> Subject: Re: What's New | |
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Author: Melanie Chet [ Edit | View ] |
Date Posted: 19:45:41 02/22/09 Sun Professor D--Lada took the boards earlier this month and passed. She is putting her resume together. Heard SV is freezing all spots? Is this true? Shabeena--I am glad ou are happy with where you are. There are always flaws. I am sure my NM knows and she says she is working on it, but honestly I don't think much can be done. Shortages of supplies and staff. I had 11 pts last monday and it was hell. They couldn't find a third nurse. Many are calling in sick and I am sure because of the workload for most. I started doing some OT despite the workload--very tiring.........good luck. [ Post a Reply to This Message ] |
| [> Subject: Re: What's New | |
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Author: Shabeena [ Edit | View ] |
Date Posted: 11:49:30 02/24/09 Tue Hey, Unfortunately Rifka and Addy is still looking for a job that I know of. I am happy Wilfred found one :) Thanks Melanie for the advice...but wow 11 patients I don't know how u do it??? But the experience must be really good [ Post a Reply to This Message ] |
| Subject: I am Porud of You Guys | |
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Author: Prof D [ Edit | View ] |
Date Posted: 14:14:39 02/13/09 Fri Listen to you guys, you are so involve, concern and took outnership of your practice. Yes, that is the reality of our profession, so much room to improve. This kind of environment is accross the country, some are more pronouced and some are in less magtitude. Our workload is unbelievable, expectations are high, standards are steep and accountability is stressful. But both of you survive the challenges, able to immerse yourself and excecute in the best of your abilities and limitations. In next unit meeting or discussion with NM mentioned this issues, dont be quiet just be constructive. Listen, not all are brave, courageous, smart, fearless and a tropper....some cannot take the heat and just give up. I am not sure if you know one Indian heritage orientee (I think started with shabeena)...she just gave up and cant take it anymore. It is sad, but it takes a certain bravado to survive this profession. St John and Mary Immaculuate Hospital are closing...the economic downturn is hitting health care. So at this point, just take a deep breath, suck it in and do your best. There will be more tears, fears,pain and headaches...but I know deep inside you are made to excel despite the circumstances,because you believe in yourself. You are the unsung heroes, be proud! I always mention the 2 of you with other faculties, that you thrive in the grinds of the work environment and doing your best. We still have to meet soon. Prof D [ Post a Reply to This Message ] |
| [> Subject: Re: I am Porud of You Guys | |
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Author: Shabeena [ Edit | View ] |
Date Posted: 17:17:40 02/13/09 Fri Hello Professor, How are u doing??? In regards to your message...I would like to let you know that I did not give up..I do suck it up and put on a happy face. It's just that there is a lot of flaws in this profession and it does need to be fix. I did mention it to my nurse educator and to my nurse manager when they check up on me to see how I am doing and they clearly stated that they are working on it. I know these things take time but I am really happy with the work overload sometimes b.c it makes me better at what I am doing...I hope I did not upset u when I vented my concerns but I really do want to let you know that I did not give up and I am really happy that I am here. I really hope I did not let you down. [ Post a Reply to This Message ] |
| Subject: Thanks | |
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Author: Shabeena [ Edit | View ] |
Date Posted: 14:34:18 02/11/09 Wed Hey guys, how is everyone. Well, Melanie, Thank you so much for the advice. You are right,it is very hard getting everything done in the night time and it upsets me b.c when I get home that is when I remember that I forgot to do something. Nights can be very crazy sometimes. Not much support. Most of the time I get 10 patients and some of them can be very needy. On Monday, I had four admissions and one transfer but I managed b.c the nurse who was working that day helped me out a lot and I really appreciated what she have done and she was precepting someone on top of that. In regards to the not so much support is that we have no ward clerk and you rarely see housekeeping and we can be short of aides. Don't get me wrong, I am really happy I have a job and very thankful for it but it just upsets me when the day nurses pushes all the admission on the night nurses b.c they shouldn't be discharging patients so late. Also, there are three day nurses and the nurse to patient ratio is 6:1 so it is not so overwhelming for them compare to nights...and they should be doing most of the admission since they also have a ward clerk. I don't know but how do u feel about this???? [ Post a Reply to This Message ] |
| [> Subject: Re: Thanks | |
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Author: Melanie Chet [ Edit | View ] |
Date Posted: 06:58:00 02/13/09 Fri I agree with you 100%. Yes, we have 6:1 on days too. Whatever they can leave for us to do they will. Most of them are very unsupportive. We can bring this up with our NM but I don't think much will change cuz who are we to say anything, if the senior nurses not gonna say much. All we can do is do the best we can and learn from our surroundings. But sometimes it is good to voice our opinion, but don't do too much cuz then people will see it as complaints. It has been very busy on the unit too. I was on for three nights straight. Too tired. Anyway, good luck and have fun at the same time, cuz, yes we do have our job! [ Post a Reply to This Message ] |
| Subject: Ventilators | |
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Author: Prof D [ Edit | View ] |
Date Posted: 19:44:10 02/04/09 Wed So Eric- I've heard there are some orientees that has some issues with ventilators? Ive heard from the Director of Staff Development...? [ Post a Reply to This Message ] |
| Subject: hey | |
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Author: Shabeena [ Edit | View ] |
Date Posted: 07:21:26 01/30/09 Fri Hey guys, sorry for not keeping u guys up to date with everything. I have been very busy. I started working nites two weeks ago and it's not so bad..but some nites can be crazy. There are only two RNs and that can be overwhelming b/c u are not only the nurse but also the unit clerk as well..and when u get admissions that just add to it. But, I look at this as a good challenge b.c if I can handle this then I can pretty much handle anything. Well, this is my very last week of orientation and then I am on my own. My preceptors are impress with my work but I am always hard on myself. But, I do think I am coming along nicely :) I am working tonight and tomorrow night and then I am back on Monday. I hope I make you guys proud and most importantly myself. Oh, btw Professor, I do keep in touch with Rifka. She is having a really hard time finding a job. I told her that she needs to be really aggressive and she needs to keep calling places to find out if they are hiring and my Tibetan friend got employed at NYU. So she's happy. So how are things with everyone else. Wow Melanie, it's going to be almost a year for you. I'm jealous. 2/10 is going to be my third month at St. Vincent's. I have a long way to go. How is orientation coming along for you Eric? [ Post a Reply to This Message ] |
| [> Subject: Re: hey | |
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Author: Melanie Chet [ Edit | View ] |
Date Posted: 22:12:05 02/03/09 Tue shabeena, how many pts max are you getting? on Col12W have two nurses and get 9pts each. admission is tough when there is no clerk. heard my manger says all these forms will be computerized--i think it will get easier. of course there will be forms to back up just in case there's a glitch. a year is quick. just consider ourselves lucky we got a job. do the best we can in everything. cannot get everything done--i had to learn that the hard way. getting adjusted with sleep yet? nights are better cuz not too many orders. i am glad you are coming along nicely. eric--what about you? you must be very busy too. as we all are. [ Post a Reply to This Message ] |
| Subject: How's everyone doing? | |
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Author: Melanie Chet [ Edit | View ] |
Date Posted: 20:25:34 01/23/09 Fri Hello everyone, i guess everyone is very busy. haven't heard from anyone, miss you guys. i thought i was gonna go to the support group on the 22nd but i couldn't finished my work one time. left the unit at 10am. had lots to do. i am sure all ya all are tired and busy....have fun at work--lots to learn and explore. good luck. melanie. [ Post a Reply to This Message ] |
| [> Subject: Re: How's everyone doing? | |
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Author: eric (busy) [ Edit | View ] |
Date Posted: 18:34:32 01/28/09 Wed hi..^^ Thank you so much for your story melanie... I might be able to understand you...Anyway I am still on 8hrs dayshift. Actually I was on 12hrs shift for a week but I thought It was not enough to absorb a lot of things which I need and also for improving my English.. That's why I went back on 8hrs shift. As a matter of fact I am so tired and busy. Because I have to work for 5 days and go to the international center to practice English...however now I feel I am getting better.. Maybe all busy now...I hope all doing well..^^ [ Post a Reply to This Message ] |
| [> [> Subject: Re: How's everyone doing? | |
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Author: Prof D [ Edit | View ] |
Date Posted: 02:12:43 01/29/09 Thu Eric- are you the one requested to go back to 8 hrs shift? Did they told you you need to enrol in English school? Keep me posted. [ Post a Reply to This Message ] |
| [> Subject: Re: How's everyone doing? | |
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Author: Prof D [ Edit | View ] |
Date Posted: 02:08:59 01/29/09 Thu My apologies and Im lost in the vortex of work lately. As you all known semester just started and I was busy with SV also doing their hospital annual reports. I posted a long respond here but it didnt went through before. Mel- thanks for keeping the light lit on this forum and keep the torch burning. Would you believe in few months you will 1 year already? Time flies huh? I know you can do it, survive all challenges and still shine like a star in the midst of the darkness. Nursing is tough, but you have all the qualities to succeed. You are a tough cookie, and you know that. Keep it up. Whats up with Lada? Shabeena- you are doing fine. Dont underestimate yourself. Be strong, brave and wise. Ive heard good feedbacks, so you are in the right track. I saw Kinoshi, Littleton and the Tibetan (forgot her name)...they requested a recommendation letter and thats the least I could do for them. Maybe months ago when there was vacancy I could help them- but now, it is very difficult due to the freeze hire in most hospitals. Even Rafka looking for months now. Eric- you are doing great too. You are an experience RN so show them what you got. You know you are more smarter and better than some of the ICU nurses...show them what you are made of. They gave me 408 Koreans again and Im excited. Dont lose your dreams...it is yours now to make it a reality. Yes we are lucky, very shocking and depressing that a lot of people are losing their jobs. A lot of new graduates cant find jobs for months now. Sometimes we need to bite the bullet, take a deep sigh and just take the bull by its horn..why? because remember, the are thousands of other nurses will die to have your job. It is very competitive nowadays. So hang in there, make the most out of it. Due to budget cuts by the Federal and State in most hospitals, some hospitals are cutting staff,not hiring or closing. Ok be good and keep me posted. Maybe lets have a President's Day or Pre-Valentine lunch. Im in SV every Weds or some Mondays....lets find out our common time. [ Post a Reply to This Message ] |
| Subject: happy new year everyone | |
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Author: eric (tired) [ Edit | View ] |
Date Posted: 15:49:42 01/04/09 Sun Happy new year everyone..sorry not to paticipate furum. I am still on day shift orientation. The tension is still on everyday. Especially in emergency situation. Now I am taking one patient but usually we have two patients. I think people in my unit are so good. they are always saying to me to be relax. but as you know It is not easy because I need to listen attentively to what my preceptor or doctors are saying to fully understand. As a matter of fact, I don't know whether I am doing well or not. but I am doing my best to adjust. Most routine is similar to what i did in my country. but the name and pronunciation of medication make me confused. For example, last week in doctors rounding, one of doctors said "I will stop the propofol and start advil." I thought why pt needs advil. but It was not advil but ativan. ^^ Anyway I am learning a lot and I feel I am adjusting little by little. Maybe I need more time to adjust than others but I am not gonna worry about it. thanks for your advices!! I hope all you guys always have happy in 2009. [ Post a Reply to This Message ] |
| [> Subject: Re: happy new year everyone | |
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Author: Melanie Chet [ Edit | View ] |
Date Posted: 23:33:22 01/07/09 Wed Eric--i feel the same way when i first started. always clarify with whatever people are saying if you even have an inkling of what they say. sometimes i feel that they are annoyed by me but i need to know 100% for sure before i do it. sometimes the MDs are upset by me paging them about everything, but i just don't care. our pts come first. even though we may take more times than others to get adjusted we will get there. worry sometimes--we need a little stress too. good luck. Everyone--it was hell for the last two nights. the RN i was supposed to work with two nights ago had to float and i was left in charge with a per diem. the day nurse left me a lot to give. i had three admissions, 2 ER, 1 OR, with the per diem's admission, 4 admissions together. as soon as i started my shift, the aide went on break. pts buzzing left and right, phones ringing literally every two mins. i didn't start to take my vitals and 10p meds until almost 12 midnight. luckily the supervisor lydia came--she was great. i broke down and cried like a baby. i just couldn't think what should come first anymore. the supervisor sat by the nursing station for almost two hours, just answering my phone calls and for me to cater to the pts and start my meds. she left me with 2 aides and 2 tech for the two constants. usually we have one aide for the night. one aide is very lazy, but the other answers to every buzzing. i finished my meds and vitals 3A, took the orders for all the admissions until almost 5A, and started my flow sheets for the 9 pts, finished that around 6:30a, and start the 6A meds. i didn't take any break and left the unit almost 10A and had to come back that night. i was so tempted to call in, but i thought it was just that night. came back that night and it was almost just as bad, except that i don't have to be in charge. didn't take a break and left the unit 9:30A. for 48 hours i had 5 hours sleep. i haven't felt like this since orientaion time. gosh how i miss the holiday time. anyway, i am off for the next 7 days and hell i am not gonna go in for anyone call in, shutting off my phone and that is that. Eric, luckily you have two pts, i have 9 pts, with like a gazillion ivpbs to hang. well, just want to share with you my stress and keeping you uo to date. good night or morning, don't know which is which anymore.........mel. [ Post a Reply to This Message ] |
| Subject: Happy New Year | |
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Author: Shabeena [ Edit | View ] |
Date Posted: 04:40:15 01/03/09 Sat Hi guys, how is everyone....I know everyone is most likely busy with work. I know I am. I'm still on orientation. I haven't started nights yet. But I am happy to see that I am getting comfortable with the routine. Now I just got to master the ICP when I do admissions. So, my goal for next week is to do as much admissions as I can. My preceptor said I am coming along nicely. I'm really happy to hear that from her. So how is work for everyone else? How's orientation going for you Eric? Do u know Laurel...she started orientation with you on 12/8. Well, just wanted to let you know that she works on my floor. Melanie how's the family and work? I know you are doing good. I hope I get to be where you are someday. Just need to pass probation once I start. Wish me Luck with everything. I'm not done with orientation...will be done with it soon though. Hope everyones New Year started good. TTYL [ Post a Reply to This Message ] |
| [> Subject: Re: Hi | |
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Author: Melanie Chet [ Edit | View ] |
Date Posted: 01:02:46 01/04/09 Sun Shabeena--you will get there. really, i am only 7 months or so in this unit. not that far yet. but like we said before, we'll all get there someday. i am still learning so much each night and i am growing to like it. i really enjoyed it for the last two weeks or so--low census. i will be expecting craziness again on monday and on cuz then pts are scheduling surgeries. well, we got one another's back if you need to discuss anything. best of luck always.....Eric, what's up with you? it is tough at first but you'll get use to the routine, just like we did. don't get discourage.....Sheila, when do we ever have time to chat at work? it seems all we do is work, work, work. now that craziness will start, we will not have time to chat---guess we can meet up with everyone soon and we'll talk more.....Professor D, got everything you wish for this year? did you do your shopping?...........good day everyone. Mel. [ Post a Reply to This Message ] |
| Subject: THNXS | |
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Author: Prof D [ Edit | View ] |
Date Posted: 13:38:18 01/01/09 Thu Shabeena- thanks for the greetings and how's things progressing along? Mel- I used to work nights and I was always working New Years,it was not bad. Yea let us set something soon before semester starts. Have a blessed 2009 for both of you.Cya soon. Prof D [ Post a Reply to This Message ] |
| Subject: Happy Holidays | |
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Author: Prof D [ Edit | View ] |
Date Posted: 14:17:18 12/24/08 Wed HAVE A HAPPY HOLIDAY AND BLESSED NEW YEAR TO ALL OF YOU! Prof.D [ Post a Reply to This Message ] |
| [> Subject: Re: Happy Holidays | |
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Author: Shabeena [ Edit | View ] |
Date Posted: 19:38:26 12/26/08 Fri >HAVE A HAPPY HOLIDAY AND BLESSED NEW YEAR TO ALL OF >YOU! > Thanks Professor!!!! [ Post a Reply to This Message ] |
| [> Subject: Re: Happy Holidays | |
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Author: Melanie Chet [ Edit | View ] |
Date Posted: 21:24:04 12/29/08 Mon Just want to drop a line or two to see how everyone is doing. The census is surprising low for the last two nights--I had only three pts. I am on for new years eve and day. I hope it will be the same. Well, have a happy new year 2009!!! I hope to see you all next year for lunch or something. Stay warm..........Mel. [ Post a Reply to This Message ] |
| Subject: What's up? | |
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Author: Prof.D. [ Edit | View ] |
Date Posted: 14:09:18 12/18/08 Thu I had a Xmas luncheon today given by Dr. Carasa to all Nursing Directors/Managers...then I realized I didnt even start my Xmas shopping-YIKES! Atleast Mel did her's already, smart girl. I was just lost in the vortex of work, didnt even realize that I have life after work. Yea thats the "curse" of being a nurse, esp if you work nights. Stress, burnt-out, exhausted, and tired during work days,then on days off chores, errands and appointments. Sleep is the most beautiful thing. But try to break the cycle,make an effort to have fun, pamper yourself, socialize and loosen up. I saw Eric today and he seems more relax, confident and happy. He will get his first pay check next week, Im so happy for you. If you have time,share to us your experience. Shabeena,you will do fine at nights, it is the same thing. You reached this far so it means you are doing good. Good job. Mel so how's work? Anything new? What's the plan for Xmas? Say Hi to Lada. Sheila - How are you? Any news with old 1199 people? I still see Charlene Rubin at Lehman, btw they are stopping the MSN program next year. So my gang, hope allis well. Enjoy the holidays and God bless you all. Aim high, be proud and always help others. Hope to hear from all of you soon. Prof D. [ Post a Reply to This Message ] |
| [> Subject: Re: What's up? | |
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Author: Melanie Chet [ Edit | View ] |
Date Posted: 11:13:04 12/20/08 Sat Hello Everyone, Same thing at work, stress, stress, stress. I got a note from my nurse manager. She says that my ICP of the pts are very thorough and complete. My vaccination forms are always done for all my admissions. I am glad that at least someone noticed my work. I was happy, especially hearing it from my NM. She checked a few of my pts charts. I must admit, I learned how to do the ICP from my first preceptor, the one that I picked for my preceptor and felt really uncomfortable after a while. Anyway, I owe it all to her. One pt says I give the best subQ injections. I felt really good, although she always laughs whenever I give her subQ because I always fan after wiping the skin with alcohol. I learned from one of my instructors from Lehman to let the alcohol dry before going in. I think it does help for most of my pts. I am not working on Christmas--get to celebrate my kid's/niece birthday that day. Well, hope you all have a very Merry Christmas and Happy New Year. Stay warm..............Melanie. [ Post a Reply to This Message ] |
| [> [> Subject: Re: What's up? | |
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Author: Shabeena [ Edit | View ] |
Date Posted: 08:01:53 12/21/08 Sun Hey Melanie, that is really great to hear. LOL, btw, before I give my subq injections I also fan to dry the alcohol. Work has its ups and downs. Some days are really good and other days are just okay. Meaning some days are really heavy. I am happy you are doing well at work. I haven't started nights yet but I did started working 12 hours on Tuesday. I do notice some growth in my work. The process is gradual but we ALL will get there. Thanks for the great advice. Professor Dizon, I started x-mas shopping yesterday. I didn't get much cuz there was not much left in the stores and the lines were super long. So, Eric how is it going so far? Still in class or are u on the floor? Sheila, How's everything for U? Just want to wish everyone a VERY HAPPY HOLIDAY :) [ Post a Reply to This Message ] |
| Subject: Good work | |
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Author: Prof D [ Edit | View ] |
Date Posted: 16:27:12 12/14/08 Sun We are all in various magnitude and amplitude level of circumstances. But as Roy stipulated, "our thinking, feeling and environment are all integrated". It is human nature we try to adapt whatever difficult are the stimulus, try whatever works for you to reach your outcomes. I am a proponent of Roy, her theory works for me in my practice. Eric- it is overwelming at first few weeks, but I have confidence in you. You are one of the smartest in your group, and flexible. You will get the hang of it, just try your very best...it is not that hard really. Keep us posted. Shabeena - it seems you are doing fine since we dont hear much from you. Good work and keep us updated. Did you get your paycheck yet? Mel- you adjusted and able to define your role and a spot for you in your environment. It is how we perceive things in our life, take it as an avenue of opportunities to improve, or positive chanllenges. Always remember you are the solution for the problems.Tell Lada just to take it, it is not good not to take it sooner. Not good on her resume too that took her awhile to take the NCLEX. A interviewer/employer will take that as a negative points against here...lastly, by studies it showed the longer you take it the probability of not passing is getting greater. If some of her batch mates took it with mediocre study and they pass, the more she could ace this. Sheila - seems like you are adjusted too on your environment, but you have wisdom and knowledge how to overcome most challenges. God bless to all. Prof. D [ Post a Reply to This Message ] |
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Author: Shabeena [ Edit | View ] |
Date Posted: 16:39:44 12/14/08 Sun I am really sorry for not keeping you guys posted but I've been working 5 days a week for 8 hours and it's very tiring to work back to back. There is a lot to do at work. One of the days I was taken care of seven patients and they were heavy. One patient was in isolation. Many on prn meds and keep asking for it. One on a PCA pump and some patients were too needy. Then some were getting discharge. I did two discharge instructions and one transfer in one day. Also, one patient had a ton of medications but I am loving it. We do some much for these patients and some of them really appreciate it and some don't. In this profession I am learning a lot. I will try to make it a habit to keep u guys posted on a daily basis. Oh, btw, I did get my paycheck =) Take care guys [ Post a Reply to This Message ] |
| Subject: 12 hour shift | |
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Author: Shabeena [ Edit | View ] |
Date Posted: 16:27:30 12/14/08 Sun Hey guys, How is everyone? I am sorry that I haven't been keeping u guys posted on what is going on with my journey at St. Vincent's. Well, I would like to let you u guys know that I start my 12 hour shift this coming Tuesday. The staff on my unit jokingly said that I got a promotion. I thought it was funny. But, I am glad to say that I am starting to see growth in my career. I am starting to grasp things faster now that I know where most of the supplies are. Thanks Melanie for the great feedback. I really do appreciate it. I am also starting to grasp the routine now. I am happy with my progress. I just hope I am able to do the 12 hours wonderfully. Hmmm, so, Eric how was the first week of orientation? Don't stress, you will do fine. Melanie- how is the unit? Sheila- Welcome =) Anything new??? Please share guys!!! Thanks ^^ [ Post a Reply to This Message ] |
| Subject: Sorry for making a late response | |
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Author: Eric [ Edit | View ] |
Date Posted: 15:56:23 12/11/08 Thu Hi everybody and welcome Sheila. As you guys know I have been in an orientation. This make me having many feelings. The first day of orientation made me exciting but little bit nervous. There are almost fifty new employee and they gave me a general hospital information such as safty and hospital regulations..That's why I was little bit comfortable and I thought It's gonna be fine.. However, from second day, I was getting busier. They've been giving me too much information. Maybe other nurses absorbed easily. but for me it's been a big challenge in my life. So I felt I need to go over for catching up. Eventhough I used similar medical equipments, some of them have totally different names and operation. So I tried to do preparation in advance but when I saw the orientation schedule, sometimes I didn't have any idea about the some topics such as Accuchek and CTS until I took the classes for thoes topic. Also I think I am in a difficulties for reading a chart which writes in cursive script because I used computer charting system in my contry and have not been exposed enough so that I can figure it out. Does this sound like complaint??^^hehe.. No It's not...? Eventhough now I am little tired and worried, I think I can catch up and will be getting better..Maybe I need more time than others but now I am so happy working at ST Vincent and with you guys. Your advises and encouragements has been so helpful to me and I deeply appreciate it.. Prof D- Sorry for a late response. You might be the busiest person among us..^^ I hope see you soon. Melanie- how are your cold? I hope you're getting better. Sheila- Welcome again and thanks for your advise. Shabeena- You might be busy, isn't it? Good night everybody. [ Post a Reply to This Message ] |
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Author: Shabeena [ Edit | View ] |
Date Posted: 02:36:22 12/12/08 Fri Hey Eric, sorry, but I have been busy. Hmmm, accucheck is finger sticks to test your patient sugar level and CTS is Computerized Tube System (it's easy to use). You will see a video on CTS. Don't worry, everything will fall into place. So, Melanie, how's it going on your unit? And WELCOME Sheila =) Talk to you guys later...take care [ Post a Reply to This Message ] |
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Author: Melanie Chet [ Edit | View ] |
Date Posted: 07:32:14 12/14/08 Sun Hello Everyone, I am alot better now. Thanks. Good thing I didn't take any day off. Okay we can meet up afer Christmas. I hope everyone have a Very Merry Christmas and a Wonderful Year 2009. Shabeena-my unit is very busy as useful. Many patients compliants, as you know Sheila, they expect us to cater to them the minute they want whatever they want. Well, that ain't happening. Just do what we are suppose to do to the best of our ability, and we'll be okay. I hate it when the aides go on break, just after we start our shift. We then have to do their jobs and ours. We did brought it up to our NM but I don't think much is gonna happen. HGow is your unit? How many pts you are responsible for? Eric, just like Shabeen a said, eveything will fall into place. Even with the videos and all, I find that I learn while on the job. Right now you may feel overwhelmed with all these info that you are learning and absorbing, but no worries. You'll get use to the unit and learned their routine. Unexpected things will always come up, if you don't know or unsure always ask, anyone, the ward clerk, other nures and doctors. You will be fine. Sheila, I see you on the unit, we should chat more, even when we are busy--we'll find the time and relax even for a few minutes..........many of our patients are crazy, but think that they are depress already that they are in the hospital. Some are nasty, but we need to accept the kind of people that they are. Why am I giving you advice--I am sure you already know that. See you on the unit. Professor D, Lada says hello. She is still studying for the boards. She feels very uncomfortable. I did try to push her to take it ASAP. Melanie. [ Post a Reply to This Message ] |
| Subject: Thanks Mel... | |
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Author: Prof D [ Edit | View ] |
Date Posted: 08:22:46 12/11/08 Thu Finally somebody responded, it's been lonely here at the forum by myself. Hope you are feeling much better Mel.We nurses tend to ignore our health. Working nights (I did it for 15 years), just sucked out the lifeforce in you. Learn how to relax, take as much sleep, meditate, exercise or do something fun on your day offs. I know it's like a battlefield out there and Sheila could attest. Sheila- maybe give us tips on how to survive the work related stress through your experience. What works for you? (Eric and Shabeena) This is the time we would like to hear your "journey" to nursing. Sharing it to us is not only educational, but it is a nice feeling to share your ups and down to the people who cares. And as the responsible person (me) who paved the way for "this"- I am very interested to know the highlights, insights and views of your journey. Why"because I am indirectly responsible for openning this chapter in your lives...working at SV. I (we) cannot help you if in the future you will face some challenges or difficulties we I (we) dont know the status of your SV experience. Let's mekae the breakfast after Xmas. I am busy submitting student grades (end of semester). I am eyeing potential Lehman graduates to bring to SV...let's see.Fell better Mel, thanks again for the comments Shiela, and we would like to hear from you Eric and Shabeena. Thanks. Prof D [ Post a Reply to This Message ] |
| Subject: Houston....we lost contact! | |
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Author: Prof D. [ Edit | View ] |
Date Posted: 02:50:24 12/09/08 Tue It is quiet in the battlefield, not a stir, not even a mouse. It is like a suspense/thriller movie ala-Alien, when the best troopers were sent out to the alien world...suddenly all were quiet. Thank you very much Shiela for joining us. Shiela is a seasoned, experience and a strong nurse who has been in the field for substantial amount of years. Her insights, knowledge and "survival tooL" is an asset to this group. She witnessed the pulse and palpated the dynamics of the nursing practice for years. Thank you for the wonderful comment...keep it coming. As for the rest of the troopers, if I will not hear from you I am force to call 911, the military or mayday. Prof D [ Post a Reply to This Message ] |
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Author: Melanie Chet [ Edit | View ] |
Date Posted: 07:35:30 12/11/08 Thu Sorry everyone........I've been sick for the last week. Got flu shot on thursday morning, got soar throat/cough on thursday night. How's everyone doing? Eric--how are your first days of orientation? Shabeena--how's the floor? How many pts do you have now? Sheila--thanks, but as you know i am still coming to work at least 45 mins early--still not confident. i usually don't take my break and that is why i am leaving on time like everyone else. others are taking two hours break and i am lucky if i get 15 mins. maybe i am just plainly slow. it was good working with you. So, when can we all meet up???????? Someone please reply. Thanks. Mel [ Post a Reply to This Message ] |
| Subject: Yoohoo...anybody out there??? | |
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Author: Prof D (Lost) [ Edit | View ] |
Date Posted: 00:54:05 12/10/08 Wed Anybody out there? [ Post a Reply to This Message ] |
| Subject: Congratulations! | |
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Author: Sheila cenac (Tired) [ Edit | View ] |
Date Posted: 08:30:32 12/08/08 Mon Hi Doug, Thank you for inviting me to join the Lehman College Mentorship Support Group. I am a bit late but not too late --- reason is because I have been preoccupied and engaged in some other business. Anyway, I am on board and I would lke to congratulate you, (new grads), fellow alumni on your achievement. I am also delighted to join you and to give you my support as you as you continue to make strides. I must tell you that you guys are very lucky for many reasons. (1) You happen to take the nursing course at the right time. In this nightmare economic times I am pretty sure that it is much more difficult to get a student loan now than it was 4 years ago. (2)You were able to find a job right after graduation. Not everyone is so lucky. I know for a fact that some hospitals do not hire new graduates. In some cases, they are being told to reapply after they have gained one year experience in med-surg. You guys are blessed! You have crossed the biggest huddles. (a) You have completed the nursing program (b)you have passed the boards (c) You have found a job ------Now you can apply what you've learned in theory to real situations (disease manifestation vs treatment). Some of you are very nervous and this is quite understood. It is normal to be nervous but theoretically you are equipped to take on the task. I want you to know that the experience RNs are the very same nurses who started just like you. I have read your comments. All of you are optimistic about going forward and that's a good sign. Remember, "practice makes perfect". In due time you will acquire the knowledge and skills that you need to carry out your duties independently and effectively. So good luck on your endeavors. You all will do well! Ps. Eric, I know that you are concerned about your English but in order for one to get where you are now one would have to be able to speak, understand and write English. Wish I could speak Korean the way you write English. Since I do not speak Korean sometimes it is difficult for me to communicate with my Korean patients. But don't worry, your korean language will come very handy. At SV hosp. the patients are multicultural. Soon, you will realize that your native language is much more of an asset than a liability. Language Bank would like to have you for interpretation so put your mind to rest and keep on writing until you become the best. Melanie, you are getting better everyday. I see that you are able to leave early these days. You seem to be gaining confidence. GOOD JOB!!!! Shabenna, take one day at a time. Remember that Rome was not built in one day. Soon you will be able to lead the way. Take your cues from Melanie, she has written some good tips. Once again, good luck to all. [ Post a Reply to This Message ] |
| Subject: Great Lecture | |
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Author: Eric [ Edit | View ] |
Date Posted: 11:13:49 12/04/08 Thu I just came back home from Lehman. Today I took EKG class which is given by Prof D. It was a great lecture and easy to understand. Thanks for the great lecture and lunch prof D!! Shabeena- I have a question. Did you get any mails from the SV HR about orientation? And what time did you start at the first day of orientation. I called HR today they said they alredy sent a mail to me about the orientation. but I didn't get it yet. So I just wanna make sure.. Have good day..guys!! [ Post a Reply to This Message ] |
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Author: Shabeena [ Edit | View ] |
Date Posted: 15:49:17 12/05/08 Fri Hey Eric, how are u??? Unfortunately, I didn't get anything mailed to me by HR. After I was done filling out my paperworks they gave me a summary of how much I am going to make an hour and where I am going to be working at and another sheet on orientation. I know this may be a late notice but I was very busy this week and very tired. But, I know my orientation took place at Cronin auditorium at 9am. If u are unsure, get there a little bit early and go to HR. [ Post a Reply to This Message ] |
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Author: Prof D [ Edit | View ] |
Date Posted: 16:20:35 12/05/08 Fri Thank you Shabeena on the info Eric needs. As I mentioned to you Eric, just show up on Monday for orientation. Shabeena- get rest and once you recover share to us your week. Mel- what's new with you? Enjoy your weekend. [ Post a Reply to This Message ] |
| Subject: Hi..^^ | |
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Author: Eric [ Edit | View ] |
Date Posted: 18:58:05 12/02/08 Tue I havn't had any notice from hospital about orientation. So now I don't know where I should go at the first day of orientation. Shabeena said It will take place in cronin auditorium on the 10th floor. If i don't have any notice until tomorrow I am gonna try to call HR. Anyway How was your thanksgiving? Is it great? Prof D- I am free on Thursday and want to take the EKG class. where should I go? Actually I alredy reviewed EKG. but I am still confused about Juntional rhythm and AV block..Now I am reviewing drugs.. some names are totally different from which I used in my country. I mean comercial name.. Anyway see you soon.^^ Thanks for everythings. Shabeena and Melanie- Actually I don't have that kind of experience which you guys said because I worked in ICU. As you know, most patients were unconcious in ICU. But I understand what you felt.. I believe that you are doing great in your parts.. lehman graduates Fighting!! [ Post a Reply to This Message ] |
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Author: Prof D [ Edit | View ] |
Date Posted: 00:12:37 12/03/08 Wed Eric- I am not sure about the notice, but try to call HR today. The lecture will be at Lehman College (9am-12noon/Thurs) at 2nd floor Apex building. See you. Prof D [ Post a Reply to This Message ] |
| Subject: Compensation | |
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Author: Prof D [ Edit | View ] |
Date Posted: 03:37:17 11/26/08 Wed I assumed most of you are aware of your salary and benefits by now- do you think RN are properly compensated? When you compare it to other profession, do you think the hype that RN salary pays good is true? Is it really worth the investements you gave for 4 years in school? Do you feel financially empowered? ------------------------------------------------------- Eric- review your EKG since you will take the exam too. Shabeena will give you tips on areas to focus. Did you talk to Vishnu about your salary and benefits? Share to us your feelings. Shabeena- congrats on passing the exam. I am confident about you since you are one of the smart one in class. Great advice too. Absorb as much as you can. Mel- thanks also for your tips. Shopping? good for you! So you think you the salary and benefits as an RN is good? Are you happy in your decision to go into nursing? ------------------------------------------------------ Maybe lets all meet and have breakfast before Xmas. Good work to all. I am proud of all of you. Make this journey meaningful, productive and make an impact on our profession. Yes we can! Prof D HAPPY THANKSGIVING! [ Post a Reply to This Message ] |
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Author: Melanie Chet [ Edit | View ] |
Date Posted: 01:48:32 12/02/08 Tue Professor D, I guess I did miss this message. Sorry. Well, the salary is okay. I was an assistant business manager for five years and the salary was close to what I am getting now. I did made the right choice to go into nursing. Along with mucho stress comes the enjoyment of being with different types of people and listening to their problems. Afterwards, they acknowlege and thank you for just being there with them. Just seeing them smile makes me feel a sense of accomplishment. I am very happy of where I am today. I may not want to be in my unit for long but, this place has taught me many things for the last six months. I would like to explore other areas of nursing some day. Professor D, my coworker wonders if you are still having the BSN program? Got enough people to join? Please respond cuz she wants to know. Thank you very much. So, when can everyone meet before Xmas??????????? [ Post a Reply to This Message ] |
| [> [> Subject: Re: Compensation | |
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Author: Prof D (busy) [ Edit | View ] |
Date Posted: 15:36:25 12/02/08 Tue Hi to All, 1. Sorry been busy since it'send of semester and just got my teaching assignment for next semester. 2.I saw Shabeena today and nosey me, they gave good feedbacks about you. Keep it up you are in the right track. You looked confident and serious...you go girl. 3. Mel- I only got 3 interested applicants but they didnt follow thru in their admission process. Looks like the program will not materialize. I agree, the thank you and smile of the patients makes my day till now. 4. Eric- next week you will be working, woohoo! If you are free, I have a EKG and Shock lecture this Thurs 9am-12 noon...you can attend it if you want as a review. Mel and Shabeena attended it last time...not sure if it was helpful to them. Maybe lets have our get together when Eric starts working at nights. We will find a common time for all of us that you will be working nights and Im at SV daytime.See you soon. Prof D [ Post a Reply to This Message ] |
| Subject: Orientation | |
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Author: Shabeena [ Edit | View ] |
Date Posted: 15:35:26 12/02/08 Tue Hey guys, how's it going? Just wanted to let you know how my week is going so far. Well, I am getting good feedback from the staff. In regards to the patients, I can now relate to how Melanie felt when a patient rejected her. I have witness that today when a patient did not wanted me to give her the flu and pna. vaccine. She said she wanted my preceptor to do it instead. This made me feel low and it affected my performance . I am learning really hard as an RN not to be sensitive but I sometimes think the patients or even the staff forgets that we are human beings with feelings. **Thanks Professor D for the great advice** It was really nice seeing you today :) [ Post a Reply to This Message ] |
| Subject: Next Week | |
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Author: Shabeena (Nervous) [ Edit | View ] |
Date Posted: 18:37:40 11/29/08 Sat Hey guys, just wanted to let u know that next week I am going to be on the unit for that entire week for 8 hours of course. I am also going to be assigned to patients and be their RN. I am really nervous b/c I haven't been really assigned to any patients. Do u guys have any tips on how to handle it? Btw, I am taking orientation one day at a time and I am very fortunate to work with great nurses who are surprisingly nice. [ Post a Reply to This Message ] |
| [> Subject: Re: Next Week | |
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Author: Melanie Chet [ Edit | View ] |
Date Posted: 08:04:30 12/01/08 Mon Shabeena, Go to work a little early and go read their charts, if you know which team you are getting. Some of these nurses give report so quick cuz they want to go home. Will you still have a preceptor? How many pts will your NM start you with? Know the patients a little and when you get report you can ask them questions. After you get report, check your pts chart for order and make sure they are all picked up before you start your rounds. Some make rounds first before they check charts. That's why I like to go early and do my things first. By the time we make rounds I already know what my patients should have. Once you get into the routine, you come and do your things. It takes time, but you'll get there. Know your own work habits and speed. Have fun and good luck....... [ Post a Reply to This Message ] |
| Subject: Gobble Gobble | |
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Author: Prof D [ Edit | View ] |
Date Posted: 19:38:10 11/26/08 Wed Most Bachelors starting salary is $ 40,000 below- thats the reason we are the envy of most profession salary-wise. Union benefits are one of the best, please utilize them...medical,dental, and other specialty. You will have an automatic annual increment increase from 3%-6%, plus bonuses. Thats the reason some senior RN has a huge salary. Dont forget job secuirty, when people are losing jobs nowadays due to downturn of economy- we nurses are not affected. Dont forget opportunity for overtime, tuition reinbursements, and other avenues to venture in nursing. It is a beautiful profession! Love and nurture it like a child. Be proud to be a nurse. As usual everybody never fails to give good advice. Even from Eric we can learn something...patience, determination and a dream. Ok team, gobble-gobble! [ Post a Reply to This Message ] |
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Author: Melanie Chet [ Edit | View ] |
Date Posted: 02:43:55 11/29/08 Sat Professor D--I don't think it is all about the salary. The reason I am proud to be a nurse is because of the enjoyment to be with our pts, at least most of them anyway. Many pts just want us to be there with them so they can talk about their problems. Yes, some are very nasty....but you have to except that not everyone are appreciative for what you are doing for them. When I started orientation I had this pt who said to me why do they always give me these trainee. She didn't want me to give her subQ injection anymore so my preceptor had to give her. She didn't want me to give her care anymore. I was upset when I got out of the room...so I questioned myself what did I do wrong. My preceptor said to me--you are not a trainee, you are a real nurse and it was not my fault. Of course I teared a little. When she called again, I really didn't want to go in there anymore, but I had to. She saked me to clean her feet and dry them for her. She is diabetic so I learned from school that to check between the toes and make sure they are dry well. She couldn't bend down cuz she was obese. So I did what she wanted me to do. While I was drying her toes she apologized about what she had said earlier. I said I understand and it is okay. She was on the unit for almost three months and I had her for two straight months. Actually I have learned a lot from her--she got all types of tubes sticking out from her. So she started to tell me many of her problems with her family....She knew my name everytime I saw her. Many have thanked me for the little things I do like taking out an IV line because it was infiltrated. They said it was there for certain amount of days and that no one cared to noticed it. I've noticed that even the troubled ones can be nice just by the way you are communicating with them. Anyway, job security is a plus. Thanks to you Professor D for getting us to be where we are right now. We won't let you down, well, try not to anyway..........hehehehehehe. Melanie. [ Post a Reply to This Message ] |
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Author: Prof D [ Edit | View ] |
Date Posted: 07:24:30 11/29/08 Sat I was trying to elucidate and give insights on how we nurses came a long way in terms of compensation and benefits. It was the stellar nursing leaders and determined nursing organizations who shed tears, pain and energy to catapult us where are we now. We are benefiting from their visions and goals. More to be done, but together we can achieve this. I strongly agree,we are all in nursing because we care about our patients. Thats the true essence of our profession...a instrument for them to utilize for their recovery. Yes, Eric I was a Trauma/ICU nurse for years,and EKG is one of my forte. You will do good, but remiew ICU drugs since Koreans uses different brand names. Shabeena- thanks for the tips and advise. I heard good feedbacks about you so it means you are doing fine. Nobody said anything about my suggestion on meeting for breakfast or something before Xmas. Prof D [ Post a Reply to This Message ] |
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Author: Melanie Chet [ Edit | View ] |
Date Posted: 07:39:21 11/30/08 Sun Professor D, What meeting before X-mas? Did I overlooked that? That sounds really great. Maybe I can bring Lada along. Tell me when, where, what time........ [ Post a Reply to This Message ] |
| Subject: ^^I think the biggest beneficiary from these forums is me ..^^ | |
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Author: Eric [ Edit | View ] |
Date Posted: 17:24:57 11/29/08 Sat I have learned a lot of things from these forums. Melanie's word makes me remind my experience while I was working in my country. I also experienced the same situation several times. I think, wherever we work, It is the most important thing to build a rapport with patient, familly and coworkers. Prof D- I like to meet together for anything(breakfast or dinner..^^) Shabeena- how's going on your orientation? I believe you are doing great..^^ [ Post a Reply to This Message ] |
| Subject: I will work in MICU | |
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Author: Eric [ Edit | View ] |
Date Posted: 00:29:42 11/27/08 Thu Thanks guys~~ I will work in MICU.. I worked in ICU for 2 years. But there was Korea. So I don't have any exprience in America.. That's why I am more nervous and worried. Maybe a lot of things will be different from Korea hospitals. Anyway I will do my best and try to absorb as much as possible. I know I need to more effort. Please keep your eyes on me..^^ Have a happy Thanksgiving!! [ Post a Reply to This Message ] |
| Subject: happy Thanksgiving | |
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Author: Eric [ Edit | View ] |
Date Posted: 12:52:50 11/26/08 Wed Now I am feeling how I am lucky.. As a matter of fact, getting job is not easy for nurses who are in the same situation like me. As pro D said, America's economy is so bad now, so It is getting harder to find a job..However, not only I am hired, but also I have had a lot of great advises from you guys..I am so proud of I am a lehman graduate.. Anyway, I just started to review the charting and EKG. Thanks shabeena for great information. and congratulate you on passing the Ekg exam..Was it difficult? Give me tips..^^ Melanie- Do i need to choose my preceptor. they are not gonna pick for me? pro D- I didn't talk to vishnu about my salary and benefit yet. Today I just submited my social securit card which i got yesterday. And I am going to quit my part time job today. I don't know you tought EKG class. Have a happy thanksgiving!!! [ Post a Reply to This Message ] |
| [> Subject: Re: happy Thanksgiving | |
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Author: Melanie Chet [ Edit | View ] |
Date Posted: 17:30:54 11/26/08 Wed Eric, I don't know about your unit, but on unit my NM put me with a few preceptors, and, when I started the 12 hours shift I had to choose a preceptor and she had me followed that preceptor's schedule. It was good because I learned a little from everyone of them and developed my own working style and ways to get my work done. I chose a preceptor whom I can learn a lot from, but after a few days, I wasn't comfortable with her anymore. Don't get me wrong she is a great person and is very knowledgeable. I would have to say more knowledgeable than most of the nurses at the unit. Anyway, you will develop your own working style and ways which work best for you. Don't worry, do the best you can, and try to learn as much as possible. You will be okay. What I did in the beginning is that I had a notebook pad that I used to write things down. After the end of the day I would write things I need to remember--anything and everything. I am still refering to my notes sometimes. It is very helpful. Are you hired for nights? Which unit will you be working in again? Welcome to SV. To all---have a very Happy Thanksgiving!!! Melanie. [ Post a Reply to This Message ] |
| Subject: RN Salary and Benefits | |
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Author: Shabeena [ Edit | View ] |
Date Posted: 17:21:24 11/26/08 Wed ooppss, I forgot to wish everyone a very HAPPY THANKSGIVING. Happy Thanksgiving, and about the RN salary and benefits, I think SV RN benefits and salary is pretty good. I think it is reasonable. Before I did not have health insurance and now I do. I can now think about my future and set up a 403b. Also, I know I will gain financially b/c if I work there a year I will get a little more. Maybe I think the salary and benefits are good b/c I am single and I have no children. Eric, if you want to know about your benefits you can go to http://www.rnbenefits.org/ [ Post a Reply to This Message ] |
| Subject: EKG Class | |
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Author: Shabeena [ Edit | View ] |
Date Posted: 17:10:27 11/26/08 Wed Well Eric, for the EKG class they are going to first review all you are going to need to know about EKG. It's a three day class. The first two days you are going to learn about normal and abnormal sinus, atrial and ventricular rhythm. I found the AV blocks to be difficult. The instructor for the EKG class is going to give u handouts. The instructor is going to first review the anatomy of the heart and then he/she is going to discuss the p wave, QRS complex, and t wave and how they should look on the EKG strip. On the last day of class, the instructor is going to give you guys a complete review and three practice exams. After the last practice exam u are then going to get tested. For the test , all u have to do is write down the interpretation of the rhythm. An example of an interpretation of the rhythm is sinus tachycardia. If you need any help let me know. You are also going to be watching some videos on EKG. Make sure you study normal sinus rhythm, sinus bradycardia, sinus tachycardia, sinus block, sinus arrest, PAC, atrial fibrillation, atrial flutter, SVT, junctional rhythms ,ventricular tachycardia, Ventricular fibrillation, asystole, and the Blocks. Don't worry, the class is really good, you will learn a lot even with zero experience in EKG. By the way, what unit are you on? [ Post a Reply to This Message ] |
| Subject: EKG Class | |
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Author: Shabeena (Happy) [ Edit | View ] |
Date Posted: 18:42:58 11/25/08 Tue Hi Everyone, just wanted to let you guys know that I've been attending EKG classes for orientation and I had a test today on it and I pass. I know Professor D will be so happy because he did a lecture on EKG at Lehman College. Hmmm, I didn't start nights yet...still doing 8 hrs a day. This week I have class and I am only on the unit on Friday. Will keep you guys posted on everything. Thanks Melanie, your words are so encouraging. By the way, Congrats Eric!!!! Well, I am still on orientation but the first day of orientation will take place in cronin auditorium on the 10th floor. On the first day they will explain infection control, security, privacy etc. Then the second day is nursing orientation. You will be in class for nursing orientation they will tell you where and when to meet. The in class nursing orientation is a week. For that whole week you will be learning documentations, IVs, PCA, pain, safe medication administration, Accucheck, blood bank etc. By the ending of the week they will give you your schedule. Some people still have class and others are on the unit. They start you out with 8 hours day shift. First week on the unit you will be doing FOCUS notes on two patients(read up on that if you're not familiar), vital signs, and flow sheets. You will also shadow your preceptor. Will let you know how my second week on the unit goes. FYI: Focus Notes touch on DATA, ACTION, RESPONSE. [ Post a Reply to This Message ] |
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Author: Melanie Chet [ Edit | View ] |
Date Posted: 00:37:03 11/26/08 Wed I didn't have to have an EKG---while I was at orientation. Guess in your telemetry unit you need that. Professor D did give a great lecture at Lehman on EKG. All the best...Melanie [ Post a Reply to This Message ] |
| Subject: I just finished all process | |
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Author: Eric [ Edit | View ] |
Date Posted: 12:17:45 11/24/08 Mon I took the drug exam today and I passed..^^ Thanks professor Dizon, shabeena and melanie... Your great advices are so helpful..^^ I will start orientation in December.8.. Now what should I do? what do I prepare before the orientation? Do you have any tip? Thank you again and have a great evening!!! I [ Post a Reply to This Message ] |
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Author: Prof D [ Edit | View ] |
Date Posted: 14:42:44 11/24/08 Mon >I took the drug exam today and I passed..^^ > >Thanks professor Dizon, shabeena and melanie... >Your great advices are so helpful..^^ >I will start orientation in December.8.. > >Now what should I do? what do I prepare before the >orientation? Do you have any tip? > >Thank you again and have a great evening!!! > >I ------------------------------------------------------- Wow, congrats Eric and we know you will do good on the exam- you are a Lehman graduate! I am sure you are excited to start your new journey here in the US. We are here to support you. Any tips for Eric so this will be a good experience for him. Mel- very good point. I remember when I was a staff RN, offering help to other RNs promotes team work and reciprocity. It is a very good gesture and advocate a positive work ethics. VERY GOOD! Shabeena - Give us feedback on what's new with your orientation. Any challenges, insights or suggestions? I invited another Lehman alumnus who is a SV staff also. She was hired Feb 2008 and in Med/Surg floor. Her name is Shiela Cenac, and hopefully she will log-in and join this group. Good work Lehman team, you all should be proud! Prof D [ Post a Reply to This Message ] |
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Author: Melanie Chet [ Edit | View ] |
Date Posted: 07:33:42 11/25/08 Tue Congrats Eric, no worries. The first week is basically school work......The orientation is the whole week. Then the second week is on the floor with a preceptor. Pick your preceptor wisely---I had to change mine. No more details. Pick someone you are comfortable with and that you learn the most from (must have the two). When you don't understand just don't assume, ask other nurses. If you are having trouble writing nursing notes, don't worries, FOCUS notes remember??? Touch base on that. In time you will learn how to write one your own way. Enjoy the first week of orientation........ Professor D, Sheila Cenac works with me on the surgical unit. I just worked with her last night. Didn't know she's a Lehman grad. I'll talk to her about it. Shabeena, what's new with you?? Forgot to give you my number---718-306-4112. [ Post a Reply to This Message ] |
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Author: Prof D [ Edit | View ] |
Date Posted: 07:45:36 11/25/08 Tue >Congrats Eric, no worries. The first week is >basically school work......The orientation is the >whole week. Then the second week is on the floor with >a preceptor. Pick your preceptor wisely---I had to >change mine. No more details. Pick someone you are >comfortable with and that you learn the most from >(must have the two). When you don't understand just >don't assume, ask other nurses. If you are having >trouble writing nursing notes, don't worries, FOCUS >notes remember??? Touch base on that. In time you >will learn how to write one your own way. Enjoy the >first week of orientation........ > >Professor D, Sheila Cenac works with me on the >surgical unit. >I just worked with her last night. Didn't know she's >a Lehman grad. I'll talk to her about it. > >Shabeena, what's new with you?? Forgot to give you my >number---718-306-4112. -------------------------------------------------------- Very informative, thanks Mel. It is very true is your not comfortable with your perceptor there will be learning barriers. Tell Shiela to join the forum, and we could learn from her too. I guess Shabeena is adjusting working nights...bless her soul. And Eric, just enjoy your few weeks before you start. Familiarize yourself with focus charting. You will do fine. Go sleep Mel. Prof D [ Post a Reply to This Message ] |
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Author: Melanie Chet [ Edit | View ] |
Date Posted: 12:02:38 11/25/08 Tue I am trying not to go to sleep. Want to sleep tonight. If sleep now, will be awake during night--no good. Just started christmas shopping for the family, too many kids to buy for. Just went out with a friend for lunch and catch up with things. Another tip--try to have some time for yourself. Take care of yourself before you can take care of your patients. Professor D, I will encourage Sheila to join. Thanks. Mel. [ Post a Reply to This Message ] |
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Author: Eric [ Edit | View ] |
Date Posted: 14:06:18 11/25/08 Tue Thanks melanie..^^ So helpful information..!!! So, orientation will be for 2 weeks? Do I need to choose the preceptor? Thanks again...Good night^^ [ Post a Reply to This Message ] |
| [> Subject: Orientation | |
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Author: Shabeena [ Edit | View ] |
Date Posted: 18:29:30 11/25/08 Tue Congrats Eric!!!! Well, I am still on orientation but the first day of orientation will take place in cronin auditorium on the 10th floor. On the first day they will explain infection control, security, privacy etc. Then the second day is nursing orientation. You will be in class for nursing orientation they will tell you where and when to meet. The in class nursing orientation is a week. For that whole week you will be learning documentations, IVs, PCA, pain, safe medication administration, Accucheck, blood bank etc. By the ending of the week they will give you your schedule. Some people still have class and others are on the unit. They start you out with 8 hours day shift. First week on the unit you will be doing FOCUS notes on two patients(read up on that if you're not familiar), vital signs, and flow sheets. You will also shadow your preceptor. Will let you know how my second week on the unit goes. FYI: Focus Notes touch on DATA, ACTION, RESPONSE. [ Post a Reply to This Message ] |
| Subject: Ammunitions | |
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Author: Prof D [ Edit | View ] |
Date Posted: 04:08:40 11/23/08 Sun So far let me "sound-back" some good ammunitions we mentioned. 1. Prioritizing is very good- it helps to identify importance of the task, and provides good outcome with constricting time. 2. Identify your weakness - it is good to assess your asset and weakness. Mel identified that there are too much data needed before she starts her shift so she comes early. Shabeena mentioned she needs to familiarize herself on where to find things, and Eric feels he needs to improve English. Once you indetify the area, make an action to imprve it. 3. Big Bro and Big Sis - establish a good relationship with some of your peers. A big-sister like alliance in your unit. Mel has this Filipino RN who can make her shift a little bit better and enhance productivity. Anything else I miss? [ Post a Reply to This Message ] |
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Author: Shabeena [ Edit | View ] |
Date Posted: 14:25:20 11/23/08 Sun Thanks for the helpful advice and the music by Lenka is catchy and I think most of us can relate to it. Thanks once again. [ Post a Reply to This Message ] |
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Author: Prof D [ Edit | View ] |
Date Posted: 14:32:09 11/23/08 Sun >Thanks Shabeena.Guess Eric busy reviewing for his exam tomorrow and Mel didnt get the chance to log in yet. Good luck on nights shift. You will do good. Prof D [ Post a Reply to This Message ] |
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Author: Melanie Chet [ Edit | View ] |
Date Posted: 07:41:16 11/24/08 Mon Sorry I am late. This forum is great. Now I don't have to cut and past everyone's email address to the message. Just got back from work. Also, always keep a positive attitude and a smiling face. Thank your aides for helping you at the end of your shift. Shabeena, I still couldn't find half of the stuff I needed in the unit. You can also run to the other side for your supplies too. I ask people, especially the aides, the ward clerks where things are--most of them are helpful. It will fall into place. If you are worrying about the night nurses, experience them yourself. Some may not be as bad. I had this RN I am working with who wouldn't help me for no shit. I asked her stay with me when I straight cath a patient because that was the first time that I am doing it at the unit. She said that I am causing her a lot of trouble--so she didn't help me. The MD didn't want a foley catheter in this patient, which I told her. She didn't help me so I ran to the East side for help. Then she sent the aide to go get me, while she was in my patient's room putting a foley catheter in my patient. I called the MD and the MD said he is not happy, but what else can he do. Anyway, I have been on with this RN for a couple nights. There was this one night she had more patients than I did. I helped take her patients' morning vitals and fingersticks. I think she was overloaded, so I offered to help her. My patients weren't as heavy as hers. Since then on, whenever I had admissions, she helped me to pick up my orders. Last night i had to work with her, we helped each other and we even got time to chat for over two hours. Now I am more comfortable working with her. Remember always offer your help, even to the ones who wouldn't help you. Anyway, I am off track here. No worries----call me if you ever want to talk about something you don't want our "gorgeous Professor from Lehman" to know about (hehehehe). Eric is probably taking his pharm exam right now. Email us how you did. Thanks Professor D for creating this forum for us. Melanie. [ Post a Reply to This Message ] |
| Subject: Youtube | |
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Author: Prof D [ Edit | View ] |
Date Posted: 05:55:11 11/23/08 Sun I found this feel-good music at youtube. Sharing it to all it is very cute. So when you day seems down and busy, play it...will make you smile. http://www.youtube.com/watch?v=2nTSU-mFWGs [ Post a Reply to This Message ] |
| Subject: Welcome | |
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Author: Prof D [ Edit | View ] |
Date Posted: 16:58:39 11/22/08 Sat Hi to all This is the official electronic forum for Lehman/SV new hires. The goal of this forum is to provide mentorship, support and share meaningful insights for new staff- so that they will have a successful transition. It advocates open discussion on anything work-related, that will enhance a better SV experience. It will foster education, social innteraction and "survival skills" for new hires. Thank you and enjoy. Prof D [ Post a Reply to This Message ] |
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Author: Prof D [ Edit | View ] |
Date Posted: 17:01:36 11/22/08 Sat Hi Melanie, Shabeena and Eric, Hi to all! Since all of us are Lehman graduates I want us to have a electronic relationship (at this point). The goal is to support, mentor, vent, share insights, make suggestions or just social interaction. I think this is a tool that could enhance our successful transition and journey at SV. Maybe we could start a web-blog or message board (rather than email). We could all learn from each other. You guys think this is a good idea? Maybe next email let us try to introduce ourselves to the group. You all know me already (the gorgeous professor of Lehman). --------------------------------------------------------------- So Eric is done with his physical and scheduled for his Pharma exam Monday. Any tips for him? ------------------------------------------------------------------------ So Shabeena how's the 2nd week of orientation? So far so good? Mel- any tips for our new Lehman staff? Eric, anything new on your application process? Excited to start soon? ---------------------------------------------------------------------- I was talking to the VP of HR today and he mentioned that there are a lot of graduates who cannot find a job. I chatted with other hospitals in NYC and there is no great vacancies nowadays. So count ourselves lucky at this point. [ Post a Reply to This Message ] |
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Author: Prof D [ Edit | View ] |
Date Posted: 17:04:09 11/22/08 Sat I didn't attend the "new hire" on Friday because I went to Dr. Wayne's lecture on how to take care of a whipple patient.. I would love to go to one next time. Shabeena, when will be the next new grad support group? We are all on the same boat......we have each other's back. Keep me posted when you start nights. Eric, it is so very normal to be nervous. I was also when I first started, probably more than you are right now. My English is not perfect neither, but that doesn't make us any less smart than the rest of them. Until this day, I am nervous about everything. Since I started at SV, I go to work at least 45 minutes to one hour early to find out which team I will have. I would review my patients' chart and try to learn something about them before I get report. Some of these day nurses say I am crazy and some even call me a freak--yes, but this is how I am. Some of them took advantage do to the fact that I am there, so they ask me to do things, like count the narcotics early. At first I was okay with it, but after a while, I told them that Melanie is not here until 8P. One got really pissed and threw the keys onto the desk right in front of me. Luckily she didn't throw it at me. Anyway, I am back on tonight and tomorrow night. Many more stories to share coming soon............Melanie. -------------------------------------------------------------------------------- From: "NJDizon@aol.com" To: domi0613@hotmail.com; shabeena1007@hotmail.com; melanie.chet@yahoo.com Sent: Saturday, November 22, 2008 5:44:19 AM Subject: Re: hi This is really gggreat! Mel- did you ever attended the "new hire" group of SV? How was it? Good advice Mel, dont be to modest...you are doing good! "Yes you can"! Shabeena- There are positive and negative attributes of night shift. One big issue will be adapting to you new circadian rhythm...working and up at night. You will do good. Eric- You speak good English, so dont disservice yourself. Good luck for Monday exam. Thank you all for responding. We can all learn from "this".. Melanie is a bedrock of knowledge on her "survival skills 101" (hehe). In a message dated 11/22/2008 12:46:13 A.M. Eastern Standard Time, domi0613@hotmail.com writes: Thank you for your great advice.. But I am still little bit nervous about orientation.. because my english is not perfect, so I am still learning.. But now I am so proud of myself as a lehman graduate and I think I will be doing well.. I will take drug exam on monday.. and I will let you know.. Good night..^^ -------------------------------------------------------------------------------- From: shabeena1007@hotmail.com To: melanie.chet@yahoo.com; njdizon@aol.com; domi0613@hotmail.com Subject: RE: hi Date: Fri, 21 Nov 2008 22:33:16 -0500 Thanks Melanie...your advice was really helpful. I will keep u posted on how things are going and will be glad to chat with you when I start the night shift. Thank u so very much for the great words of encouragement. I know the passing grade was somewhere in the 80's for the drug exam...but I do agree that the drug calculations were pretty easy. -------------------------------------------------------------------------------- Date: Fri, 21 Nov 2008 18:45:29 -0800 From: melanie.chet@yahoo.com Subject: Re: hi To: njdizon@aol.com; shabeena1007@hotmail.com; domi0613@hotmail.com Hello to all. I think it is a great idea. Shabeena, it sounds like you are doing fine. Keep a positive attitude. Like you said, everything will fall into place once you get into the routine. I've been at SV for six months and I am still getting adjusted. Many unexpected things can occur and that's when we need to calm down and think what we have learned about prioritization in Akan's class . I have gotten many feedbacks and encouragements from Professor Dizon. I am sure he is giving the same advice. Some of these oldies are really tryhing to discourage you and really are "bitches." (excuse my language) Just think of it as a learning experience.. I usually thank them when they point out what I should do or shouldn't do with certain patients. Especially during report time, they asked many questions and many times I don't know the answer to. I just tell them I don't know. Sometimes it is not what they say, but the way they talk to you. Nights are supposed to be better than day, but more patient load on my floor. I like it better because I don't have to deal with all the drama, the patients' family and many MD's orders. Many times the day nurses leave the replacements for us to hang at night. Things that was ordered since 1p were not given until we come on our shift. Then, they would blame the pharmacy for not sending them... I would harrass the pharmacy if I have to to get my meds. What I find depressing is that not too many nurses help each other. I am fortunate to work with this phillipino male nurse; he is great.. Anyway, you are on 7E. When you start nights call my floor if you ever need anything---an IV pump, linens. Maybe we can chat during our breaks when you start nights and we are on together. Good luck. Eric, I don't remember the questions, but bring your drug book. The calculation part is easy. I had to look up some names of the drugs. I thought the passing grade is 88%. Whatever it is, don't stress over it. It is not any harder than our boards... Good luck. -------------------------------------------------------------------------------- From: Shabeena Ally To: doughlas dizon Sent: Friday, November 21, 2008 8:45:25 PM Subject: RE: hi I think your idea is great....a good way 2 get feedback and support. My second week of orientation went okay, I thought I could had done a lot better but I know I can't learn everything all at once it will take a lot of time but I know I could do it. The day staffs are really nice but I am kinda worried about the night staffs b/c I didn't hear good things about them since I am going to be working at nights. For Eric, the pharm exam is open book, 25 questions and they give u calculator. 84% is the passing rate. Please give feedback.....thanks. & ;nbs p; [ Post a Reply to This Message ] |
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Author: Shabeena [ Edit | View ] |
Date Posted: 18:13:28 11/22/08 Sat Wow Melanie, I can honestly say that u are truly a dedicated and passionate nurse. Thanks for the great advices. Unfortunately, the new grad support group is giving once a month...don't know when the next one is giving but will definitely inform you about it. My problem right now at SV is trying to figure out where everything is and improving my clinical skills. Will definitely let u know when I start working at nights. And for Eric, my primary language is English and I still don't think my English is perfect. I wish u all the best on your pharm exam. I know you will do well! Good Luck ^-^ [ Post a Reply to This Message ] |
