I’m a self-scheduler, too, and didn’t realize what I had done to myself until this afternoon. 🙃

I have started my BSN and plan to complete NP. I am wondering what's the starting salary for a NP in Boston area. Also as a NP can I teach BSN students? Thank you!

I’m only 16, and I really want to become a nurse eventually but i literally feel as if it’s impossible because of my Emetophobia (fear of vomiting). And whenever one of my siblings say they start to feel sick I go into panic mode. I feel dizzy, nauseous, anxious, can’t eat and I get diarrhea because I’m so scared that I’ll get sick and it’s so bad. So how will I ever be able to have my dream if I can’t even handle the words “I feel sick”?.

Does it get easier? Do you start to desensitize after being exposed to vomit & sick people?

Not sure what flare to use here.

TLDR: building a team collaboration platform and Im targeting small/medium sized healthcare clinics as a niche. Want to validate my idea and need some feedback.

So I have this idea for an app which is a team collaboration platform, and the niche I want to make it for is the small/medium sized healthcare clinics but really it can be used by any industry. I have built out a bit of it and tried to demo the app to a few of my friends who work in the medical field as Medical Assistants (MA). But I feel like I need more feedback so I have been trying to reach out to the healthcare clinics but no luck. Hence asking you guys here, what are the problems you guys face in managing your staffing? What would be a feature that you would pay for?

Any input is greatly appreciated and looking forward to hearing back from everyone :)

I’m an LPN with a background working in home healthcare for the past 8 years. Currently 50% way to my ASN.

Home care is crazy because there is zero support, especially for the adult population. You’re the do-it-all person. PT, OT, ST, feeding, toileting, meds, treatments, ADLs, behavioral issues, mental health issues, etc. on top of that there are always micromanaging family members who have a criticism or complaint etc.

I know LTC facilities are going to probably be just another form of crazy, because let’s face it, what kind of nursing isn’t? However I’m trying to leave homecare and slowly picking up per diem shifts at a new acute rehab facility. No orientation required. I don’t know what the staffing ratio is, what charting system they use, etc. and I don’t have LTC experience.

With that said, I’m a quick learner especially when it comes to technology and I enjoy fast paced environments (another reason I’m leaving homecare).

So how bad am I screwing myself over?

I know there are a ton of new grad nurse posts but for those who worked primarily administrative or WFH working 8 hours, how long did it take for you to adjust to the new physical demands of a 12 hour shift? I'm exhausted physically and mentally at the 5th hour because I have to wake up 2 1/2 hours prior to the shift. So technically I went from an 8 hour work day to a 14 hour work day. I know it's different for everyone but would like to hear how long it took you?

Thinking about returning to nursing after two years off. In Wisconsin, where I’m based, they have a refresher course for nurses who have been out of practice for 5+ years, so a two year break must not be a major red flag 🤞🏽. Has anyone worked at DaVita or in outpatient dialysis in general? I’ve been toying with the idea as it seems like a nice soft nursing position with good work/life balance. I worked on a heart failure unit for a couple years, so I am relatively familiar with the patient population as a lot of CHF folk also have CKD.

Thanks in advance for any insight or advice!

I’ve seen crazy things at work (icu float rn), MVAs on teens, self inflicted stab wounds, suicide attempts, drug overdoses, 90% burns, families suffering from lost loved ones in the icu, to say a few.

I feel for them in the moment, but then I just go about my day and ?don’t really care. I tell my family what I see at work when I get home and im met with a “normal” upset reaction. Then I constantly get asked if im okay, if I need therapy, if my work affects me.

Honestly it doesn’t. I see the icu as a place to learn, not mourn. I don’t really care outside of keeping them alive during my shift. Am I not empathetic? Is there something wrong with me lol

I got an offer for a RN position in a plastic surgery clinic! I’m super excited to take the offer as it’s been something that I’ve always been interested in and to leave bedside but I also can’t help but feel super nervous. I don’t have any OR experience, I am coming as a bedside NICU nurse so this will be a complete change for me. For all the plastic surgery nurses out there, how is it? Can you tell the pros and the cons? How’s it like working with plastic surgeons in the OR?

Much advice is appreciated, thank you!

Relocation has been on my mind recently and I’m wondering where are some of the best experiences you’ve had as a staff nurse and travel?

Sunshine or snow, but more important, just feeling like you have resources, support and great teamwork in general

Has anyone attended the full time evening LVN program at Unitek? I was enrolled in the part time program but the 12 hour Saturday classes were too much for me. I just enrolled in the full time evening program and was just informed that clinicals may be scheduled during day time hours. That’s going to be difficult for me as a stay at home mom to a 1 year old and a child in elementary school. If you’ve attended the Full time evening program, what did your clinical schedule look like? Thanks!

Currently working ER as an RN with my BSN, curious about jobs I could pivot to with a few years of ER experience allowing me to work out in the world. I.e. flight nursing doing search and rescue, working as an RN on an ambulance, working for a police department, etc.

Do these kind of jobs exist?

Low key if space nursing became a thing I’d hop on that in an instant too lol. Maybe 30 years down the road.

Hi, this review is for the Pittsburgh location of Aveanna Healthcare, HQ based out of Atlanta, Georgia, but also contains information about the company as a whole.

Bottom Line: Not a good place to work for. Do you want to work for a company whose negligence was responsible for a triple murder suicide in Edinburg, NJ in 2019?

Hi, I am a former member of the office staff at one of the Pittsburgh offices of Aveanna Healthcare.

The Executive Director at the Pittsburgh location was more or less fired, or driven out, by middle management within 4 months of me starting there. From what I was told by other office staff, this office and Wexford office both go through office staff and nurses quickly. Communication is poor between office staff and nurses, often thankless interactions and sometimes verbal abuse when dealing with the unsavory nurses and CNAs/HHAs. It's also insane how many nurses got fired during my 9 month stint there from sleeping during night shifts while working with chronically-ill and at-risk children who could potentially die during the night if unattended to.

Wexford soon lost it's director as well, but evidently in a termination, little bit of Linkedin search makes it obvious since the poor guy who held that position has a big Open to Work portrait for his profile picture and was unemployed for months so he didn't have a job lined up. Pay is poor among staff and demotivates anyone who works there, we had 7 people - including an operations specialist, two clinical supervisors, the executive director, two client service specialists leave due to the drama and instability or forced out by the Area Director. Backstabbing is rampant, the supervisors and managers gets mad when more than one client service supervisors take lunch at the same time, sexual harassment of two female office staff led to one of the client service supervisor getting fired but was kept hushed up.

Middle management is unfeeling and constantly groveling to upper management. Metrics and profitability are bottom lime all they care about behind the facade of patient care and safety.

The Client Services Supervisors used to get compensated not terribly because it was base salary and hiring new nurses and putting them to work earned you some commission but they changed the pay structure pretty quick - turning the almost a thousand dollars every month in commission pay into pennies - smallest became about $200, when Bain Group, a venture capital, purchased what is now known under an umbrella name as Aveanna Healthcare in a 2 billion dollar acquisition that should have never happened because it was exorbitant and unsustainable, and Bain Capital tried to earn it back by funneling all of the individual offices' profits for themselves. As such, employees had their pay cut and as an employee you won't see any fruits of your labor.

Look at the big picture too. This company has lost and had to pay out a 16 million dollar lawsuit involving an egregious and heinous crime. It's not discussed much on media (Which is crazy) but back in 2019 Aveanna was implicated in a triple homicide in Edinburg, NJ (just look it up on google, just search "Aveanna Healthcare murder suicide Edinburg") due to negligence from the Edinburg office managers, which resulted in an Aveanna nurse, a little baby's mother, and her grandmother, were murdered by the grandmother's boyfriend who also s3xually assaulted baby's mother many times. After committing the homicides, he took his own life. The Aveanna office staff had for weeks indicated to the local Aveanna management there of the immediate need to remove the nurse from the home but they were unwilling to do so because "they didn't want to lose revenue".

It is absolutely insane I had the misfortune of working for such a company. Of course, during interviews you will never see or hear of this, but when you dig in a little bit you can see the horror underneath. Honestly, this company really killed working in the healthcare industry for me.

Hi all! I’m considering employment at Johns Hopkins or Lifebridge Health in MD and wanted to know if anyone has used tuition assistance/reimbursement for a doctorate degree in nursing? If so, how much financial assistance were you allowed per year and am I able to attend any accredited institution or is it only for certain schools? Thanks in advance for any feedback.

Hey everyone , first off I want to thank everyone that’s taking the time to read and reply to this thread. I am currently in NP school but I can already tell that it won’t be enough to keep me satisfied in life. I’m currently regretting not going the CRNA route but since I’ve already started going down the Nurse practitioner road I want to know what my options are. One for he things that’s been brought to my attention is that some NP’s get their RNFA certification to step in during surgeries with their physicians and that allows them to do more with their scope or practice and to earn a little more money than they normally would yearly. However , I’d love to know what my options are. Work life balance is important to me which is one of the main reasons why anesthesia seems so fascinating. Please let’s all come together to give each other some ideas because I am sure that I am not the only one that’s in this situation.

Nursing as a calling feels like an absolute scam (for me). I thought my whole life this is what I was meant to do, because I care so much about people, and about making them feel safe and comfortable and cared for. I wanted to help people get through the difficult and confusing and sad moments because it breaks my heart when other people are hurting.

And I still care very much about all of those things and they are the only reasons I still come into work - but three years into being a nurse and I realize this is NOT the role for me and I am burnt out AF. Being a nurse is not really about those things, it’s about lots of important things (thank goodness for nurses who absolutely love and are good at all of these parts of the job), and sometimes busy body ones too, but the abuse you endure on the daily is too much for me and I am now baking bitter bread which can’t be good for anybody.

I have never, not once, been excited to come in to work (I dread every day I have scheduled and every day I am off I dread going back), I have never felt accomplished after leaving work (someone always nitpicks about something or other during report or throughout the shift and it’s mentally draining and makes me feel so embarrassed and ashamed), I have never felt at ease on my off days (my body feels horrible from working night shift and lifting and turning patients by myself), I have never felt relaxed or safe or healthy or happy.

I spent years and made so many sacrifices to become a nurse, and at this point, I am only continuing my career as a nurse so I can pay off the student loans I have from nursing school. After that, I am perfectly happy to leave forever to a completely different career and a lower paying job and never ever look back. You get me?

So my work is cutting bonuses to try and get nurses to be full time. I went part time for flexibility and mental health reasons but the pick up bonuses were also a massive incentive.

Anyway I can't leave my work for contractual reasons or I'd consider that. All the hospitals around me that are not mine have PRN on step down and ICU. I've heard I'd need to train full time for an extended period from here. My work will let me cross train as PCU if I want to, again to pick up more shifts.

Do you think that if I do cross train with my work that I'll be able to slide by some of those training requirements? I like my current job, I just need the flexibility to maybe work 4 shifts one week and not pick up the next.

I really burnt myself out going back to school last year and being able to draw back if I need it has been helpful but now all my pick ups keep getting cancelled because the hospital needs to be more "productive". It unfortunately happened at a time when my bills were increased so its made things ironically more stressful.

Hello friends. I’ve recently seen that Chamberlain is no longer accepting residents in NYS for their online BSN program. I’m currently enrolled at chamberlain and I reside in NY. Is my BSN going to be accepted in NYS? Who can I contact about this concern? I have no idea where to start

My community college has lpn and RN and I have the perquisites almost done. I am unsure if I want to do lpn or RN, I was thinking of Lpn because I think it will be less stressful and less responsibility. I also see more lpn jobs in my area. Currently I’m a caseworker and want to get out of that job I don’t get payed well and nursing is something I’ve always wanted to do. Anyone who can offer advice. Thanks

I am a recent new grad working in PACU today at a surgery center. A patient came out of surgery who had an SI fusion with rather normal vital signs 114/65 BP, 93% oxygen on 3 L, hr of 65, didn’t take temperature but she was responsive and only did MAC for sedation. Anyways a couple of minutes goes by and her BP drops to 95/60, then 85/56, and keeps trending down till 74/43 and I’ve been talking to the CRNA about my concerns cause I couldn’t find the doctor and I give 10 mg ephedrine IV push with the supervision of the CRNA but her BP doesn’t go up by much maybe 87/52, then but didn’t really get up to 90/60, so 5 mins later I administer another 10 mg of ephedrine as that’s what the CRNA recommended, but her blood pressure still would not go up staying around 80-90/50-60 so the CRNA recommends a vassopressor which we give 1 unit of and her BP gets up to 100/60ish but no higher and drops occasionally, dipping into 88/50s.

I notified the doctor and he recommended a hospital transfer which we did because he is concerned he may have hit an artery during the surgery (which is a risk from the surgery). I called for EMS and they arrived, mind you the patient was very coherent and cooperative (thank the lord). Another concern of mine is that the doctor may have been concerned of the artery being hit before handing the patient off to me, and did not let me know of this concern which I think would’ve been very important.

My major concern is that I may have not of notified the provider soon enough, or is there anything else I could’ve done better, and anything I maybe liable for at this point?

Hi all, i graduated from LAGCC with an associate degree and majored as a physical therapist assistant. I have worked as one for 2 years and have decided to go back to school to pursue a BSN. What is the best way to go? Should I finish a bachelor degree and then do an accelerated nursing program or is there a better and faster alternative? Any recommendations for colleges for nursing programs would be greatly appreciated

Hey guys, I'm adn RN and I need to choose the program to attend. CSUF or CSULB online rn to bsn program. which do you think is a better path?

Hey everyone I got an interview for a nursing job and the recruiter called me 2 days after the interview. I was unable to answer because of personal reasons at the time. He left a message saying he would like to speak about the “feedback” he got following the interview from 2 days ago. Does this sound like good news or bad? I’m thinking bad because feedback obviously doesn’t sound well.

Not me, for my wife.

Country of license: Japan.

7 years working as RN, Bachelor of Science Nursing.

She's taken 2 years of community college classes, including English Language Acquisition and a college level English reading and writing course at San Diego Mesa College.

Is TOEFL a hard requirement or will they overlook it if she has an associate's degree from a California community college? Does it have to be TOEFL specifically? Some websites say TOEFL, and the California site says it, but they only list TOEFL by itself and the test now has iBT and Essentials. iBT is quite expensive.

Also, when and who should we pay first? CGFNS is $485 and California BORN is $800. CGFNS is required for California Board of Nursing application, correct? So should we pay CGFNS so she can start getting everything sent to them and then they send it to California BORN or do we pay California BORN first and wait until they tell us?

We are confused about the order of things. The last time we asked for transcripts from her school, it took months to receive them and the California Board of Nursing never even acknowledged they got them. We want to avoid that, this time.

Hi is anyone that is care manager in uk? I am so curious what is your mindset as a manager. What kind of staff do you like. Do you like the staff that follow politics and procedures or you like staff who make it up things to take care of your service and avoid to put work on you? Do you hate staff that raise concerns or asking for flexible schedule? please tell me what do you wants from your staff. Please avoid being proffesionals, just say directly. Do you hate if staff will raise safeguarding?

Warning: long post!

I have had the thought of dropping out since before this program started 5 weeks ago, since I found out I was pregnant about 6 weeks before the program started. I did not get to start the program at my baseline mentally. I started at a low point in my confidence that included me knowing I couldn't complete this program having a baby. I think the only reason I went through with it was because I wasn't sure if I would miscarry (now I'm 4 weeks so likelihood is low), so didn't want to regret not trying if that was the case. I also thought maybe I'll just love nursing school and get major motivation once I start but... that hasn't happened.

The reasons I am considering dropping out include:

1 - Baby is coming in April. I need to financially prepare for this, and I need to not physically overdo things when it is near and after. The timeline involves me being in my second semester during months 6-9 of the pregnancy. I am due right when 3rd quarter would begin. So, I don't have hope I'd be able to stick with things, and almost 100% certain I couldn't' do 3rd quarter which would mean I'd have to join the next cohort if I continued (1 cohort per year)

2 - I'll have a new baby next year, and I'm a first time mom. I don't know how possible this will actually end up feeling.

3 - I have been doing TERRIBLY with clinicals. I have had 2 clinicals, and I feel as shy and afraid as I did when I was 10. It is 12 full hours of doubting myself and feel extremely uncomfortable. I don't want to burden the other nurses, and I don't know what to do with myself. Nothing makes sense and I'm afraid of doing something really dumb or piss somebody off so I end up doing nothing but sit like a deer in headlights sifting through Epic.

4 - I have adhd and do dumb shit all of the time. I know I'm smart, but I constantly have extremely ditzy moments as obvious things don't connect with me until somebody points it out (usually in a bewildered tone that is like, why is this chick not getting it?) or criticizes me. Therefor, a nursing career will involve a TON of negative feedback, some neutral criticism, and if I'm lucky, criticism from a compassionate person. I will live in doubt and fear for years.

5 - I have extreme performance anxiety. I absolutely hate demonstrating skills and anything involved with other students and teachers watching while I am learning. It honestly makes me sick thinking about it. And this will be my life until I feel confident, which will be years from now...

6 - I love people but already know how prone to burn out I get, probably due to my social anxiety. I worked in social work for a few years and never want to get to that state of burnout again. I know nursing is prone to burnout.

7 - I hate competitive work cultures and working with people on ego trips, and feel I won't be able escape this in the hospital environment.

I missed a mandatory meeting today because I simply forgot about it, so I may be placed on academic probation. I don't know yet but a professor is discussing it with the dean. So that didn't help with feeling good about any of this...

Pros for nursing: I know I would be a good nurse once I got it down. People tell me this often as a CNA or those that know me. I just don't know if it is worth the mental torture to get there. Especially considering the extenuating circumstances. I was a really good student, getting As in my A&P classes and actually really loving them despite how hard they were. I enjoy learning about the human body, I just don't know if I'm cut out to actually work on a living, breathing human being.

I just don't think I can mentally do this anymore... I am considering withdrawing now and reapplying later, OR just withdrawing and ditching nursing altogether if that feels right. My husband wants me to try to finish this semester so I can reenter the program next year as a reentry student but that feels like an impossible ask. Any thoughts from you seasoned nurses?

Thanks for reading if you got this far.

Hi all, I’m a relatively young nurse and I’d like to go to a hospital that does the 8 and 80 system for nurses that regularly work 10’s and 12’s. Any advice?

First name, Ms. Or Mr. ? Or do you just ask their preference?

Hi,

I work as a sleep technologist/RN and my regional manager is also a RN/sleep technologist. I learned recently learned the person who trained myself and several others is not licensed in our state to function as a sleep tech, to provide OTJ and was specifically instructed by our regional manager to train at our location.

Apparently, two former colleagues have banned together to report not only the Trainer but our manager too, for providing/facilitating OTJ by an unlicensed person. They are providing a series of documents, emails and videographic proof of him doing so. Also, there are email exchanges between staff, the trainer and our manager in which they specifically talk about him training at our site.

I was asked to provide anything that validates this to further prove it, so I did. I found several training checklists with his name on it as well as video recorded sleep study's with him actually providing patient care. We've been updated that the state has now assigned the case to an investigator, as our state licensing board for sleep study believes this is considered gross negligence since it's several individuals and the hospital site involved in allowing the trainer to have access to the premises. This manager and the trainer happen to be very horrible people to work for.

Is it likely the BON will intervene since my boss does still have a nurse license? I would like to initiate a formal complaint against him, and a few other former colleagues would like to provide statements as well. What usually does the BON do in cases of this nature?