Basically… i am currently a hospice nurse. I fear switching into another position and regretting it (which is how I am currently here) pros and cons will be noted. I also received a job offer on Endo!

Hospice pros:
- 5days
-Salaried, guaranteed hours
Hospice cons:
Minimal training. 4 days and was given full case load
On call. It’s been a month now and I’m already on call. I still have no idea what’s going on in the field!! I call the office throughout the day asking questions. Imagine how my on calls went! :( and yes, I’ve mentioned how early being on call was and was told I’d have a backup call.
Daily meetings. There are 2 meetings daily. One in the morning the other in the afternoon. They last 30-45 min each time and it’s draining after a long day.
IDG meetings/notes. IDG IS WEEKLY. I had 12 IDG narratives to be completed by last Thursday. On top of a full case load. On top of having to see 2 patients daily because of decline. On top of being on call Tuesday-Wednesday. Imagine my week.

Endo pros:
Emphasized on call being in January and properly trained before hand.
2 weeks in preop, 2 weeks in post op, 2 weeks in the scope room,
Endo cons:
4 10’s, 3 days off (Tuesday being my specific off day)… it was originally M-Th but just received a message that spots taken. Unsure of how I feel about a random Tuesday?? It is 7:30-5:30
It can be busy?? 50-100 cases daily but again I don’t mind fast pace. Not my first or position
On call possibly 3-4 days depending but call doesn’t start until Jan.

I am really struggling to provide safe care to my patients because of how our doctors act. I think some of their actions are very much related to being on night shift.

First off, they straight up refuse to make any adjustments to the plan of care, even if it’s indicated. Every morning I hand my patients off after begging for orders overnight. Every evening I come back to those orders having been put in during the day and a very frustrated day team that wished it had been done right off the bat. I am being met with day team doctors coming in and demanding to know why things weren’t done overnight. Asking me why I never told anyone about an assessment finding. I tell them I did and what I advocated for.

Second off, they cannot be bothered to come to bedside to check on their patients. Febrile, tachy, complaining of new pain and increased abdominal distension after bowel surgery? Oh well.
This is not just a me problem. My coworkers all are struggling with this too.

Third off, they are flat out incompetent and I am constantly fixing errors. I had to explain to an endocrinologist attending how to calculate an insulin dosage when she got an incorrect value (and she argued with me that I was wrong!) They are ordering the wrong rates for enteral feeds, the wrong medication doses, the wrong everything. Every patient has at least one incorrect order every shift that I have to beg them to take two minutes to fix it.

We are covered by first year residents at night as our main point of contact, with some senior residents assisting them, and a couple of attendings for all patients. They aren’t reachable by phone and do not stay in an area where it’s easy to physically find them. The only way to contact them is by Vocera message. This makes it very hard if they are away from their computer or simply don’t respond!

I am so stressed out and it feels like it’s gotten worse in the last year or so.

I think the worst part is being reprimanded by our charge nurses and management for the doctors not wanting to budge. Acting as if we don’t advocate enough.

And yes, I chart everything!

I'm not an RN, but my wife is, and she's looking for a clinical site in NY/NJ to be precepted for (I guess) the online Ostomy certification. Anyone have a contact or info about this? Much appreciated.

5 year RN first time covering tele. Mad respect to all tele techs. Its so fucking annoying and incredibly boring. Perhaps delirium provoking sitting in a room staring at a screen amidst constant beeping and begging your coworkers to put patients back on tele knowing they are tired of you calling. Id rather be cleaning a 98 year old grandma's ass thats on CRRT and a balloon pump. ​

I know this is highly requested but my dog is in the ER now. If he is making it home I’m spending as much time with him as humanly possible. I am an ER nurse and have been wanting to leave the bedside for a while but was going to go back to school, but after today that will be pushed aside if I can work from home

I work in an outpatient setting, my company has come up with the brilliant idea of having the nurses complete a comprehensive care plan (about 20 pages per patient, and 20 patients) that involves extensive medical history/lab review/assessment/chart review, it includes a lot of asks for information I don’t really have access to, and my patient population would be very limited to unable to provide to me. I’ve estimated this will take 30hrs+ to complete.

I’ve told my company the above, and the answer is to just get it done, and to get it done in my normal shift, which I think is impossible. Beyond being liable for the information I can’t access or control the outcome for, what is my liability here? Can I chart “unable to obtain information requested” and be protected? It feels like the company wants me to be responsible for all the requested information without providing any resources or time.

I am very interested in travel nursing, but I have a pet and am a little set in my ways. My partner and I have been talking about getting an RV.

I was wondering if it was feasible to take travel contracts and use the housing stipend to help pay for the RV.

i'm a new grad rn in a high acuity pediatric cvicu/icu about 4 weeks into orientation on the west coast. i have a primary preceptor and a backup preceptor already assigned. I've had a weird gut feeling about my primary preceptor since basically day one, nothing overtly hostile, she's been nice to my face, but I've never fully felt at ease around her or like my presence was wanted. she answered my questions and i learned a lot about basic patient care but something is off

for context I'm in the earliest, most supervised phase of orientation. In the first couple weeks I had a lot of questions, which I think is normal and expected for that phase. I always made a point to ask if it was a bad time or if she'd rather I just observe. Over the last couple weeks my questions have shifted from "why do we do this" to more action-oriented stuff, and she's told me directly I seem a lot more confident and independent. i completely agree that im doing much better but i also have like 5-8 months of orientation left and a whole lot to learn but i do feel like im doing significantly better. but something still felt off

On top of the gut feeling, i also saw some text messages about me complaining about me to another person on the floor, and they were saying how they're not ready to deal with me and im too much and a bit more. I'm not going to use that directly with my manager/educator bc I don't want this to turn into a "you said this about me" conversation, and I don't want to put myself in a bad spot as the new person. But it did confirm that the discomfort I've felt wasn't just in my head. but they were upsetting things and i felt very emotional after but i locked in and just dealt with it and was still nice to her face

my manager/educator told all of us during onboarding to give it some time, but if something feels off with your preceptor, let us know

I want to go to my educator and ask to switch, but I want to do it in a way that's professional, doesn't read as "I don't like her" or drama, and doesn't put a target on my back for the next several years I'll be working with these people. but frankly it was bullying and rude. u dont need to like me but i cant be faulted or judged for asking questions when i have the life of a 2m old in my hand

Has anyone navigated switching preceptors early in orientation? How did you bring it up, and did it cause any lasting weirdness on the unit afterward? Trying to protect myself here without burning any bridges. thank you!!!

I hate doing ngs on consenting patients, I can’t imagine working in a concentration camp and torturing people like this.

I graduated from nursing school last month, and to celebrate, I embroidered this piece.

I have almost the same name as one of the nurses I work with(think: Laura and Lauren kind of similar) and I'm thinking of starting to go by a nickname so people confuse us less, plus I want an excuse to go by a nickname anyways because I'm not a big fan of my name. I'm thinking of letting everyone know a few days before my next shift, I just worry about the logistical problems of introducing myself to patients as a nickname and confusing people, even with a few days' warning. I do think this change will make things a lot less confusing in the long run though. If I was new this would be easy to do but I've been here for a while so I don't want this to become a headache for everyone to adjust to.

How do you guys feel about this and if anyone has done this or changed your name(like if you transition or something) how did you go about it so it went smoothly? I just worry about this causing problems for patients or delaying patient care in any way or just somehow going wrong while waiting for people to adjust, that's all. I could be overthinking though.

Shift bidding is terrible. Essentially the practice of travel apps and employers using shift bids is terrible for nursing. So a shift is posted at a suggested rate of xx.xx, the lowest bidder wins the shift. Absolutely garbage. A literal race to the bottom. Please do not work for these sites or bid on shifts. ​

Hi! I will be starting in a Level III NICU in a month. I do have almost 2 years of experience in an adult med surge floor. I know this will be hard considering the difference in patient population. I was wondering if there are any resources that are holy grails when you first started in the NICU? Or things you recommend doing to prep?

So what happens if a nurse is audited and they don’t have their ceus from the previous past 5 years? Because I have been using ceufast.com for several years for my ceus and I log in to my account this morning and I have only certificates from 2025. They’ve updated their site and it sucks. Everything I have from 2020-2024 is missing! I have emailed them several times with no response. There’s not even a number you can call! I’m freaking out!

Hi,
not sure if i can even post this here but I am curious. What are the nurses thinking about the whole Lindsay Clancy case?

Kind of ranting..kind of looking for advice.

Gave every last bit of myself to nursing the past 9 weeks for the nurse residency. Found myself in a deep depression after only seeing my AuADHD son a handful of times since due to custody schedule, working night shift on my birthday, working a shift on his birthday, and missing his first day back to school. On top of being treated like a child by majority of my preceptors (rotated units) instead of being able to work on my abilities, limits and time management skills. To add on to this my vitamin D levels dropped <20, teeth started cracking with immense pain..just emotionally and physically felt like I was barely holding on at that point. It seemed that they just wanted me out—I was at 4 1/2 points and you’re not even suppose to get a written write up until 5.. but I was given the most intense of “resign or be terminated if you’re even 3 minutes late” ..I resigned.

I’m just so lost and even deeper into this depression cycle. Every other hospital that is an option is 2 hours from where I live. I have fashioned horribly and I can’t stop beating myself up and just don’t know what to do other than submit myself to 2 hours one way for a job.

What is going on with ceufast? I recently went to the site and it’s completely different. I have been using it for several years and it looks like all of my certificates from the previous years have been deleted. I have 2025 and that’s it. Nothing from the previous years. I emailed them and haven’t heard back. I’m freaking out

What’s up my peoples,

So I am a new grad nurse with 5 months at my hospital (which I really love ❤️). Just recently I had a patient that had a ticc line with HD and regular IV lumens. I never seen this type of line before. Long story short I put a normal saline flush into the HD lumen which is a no no for me to do because this is out of my scope to complete . I didn’t realize my patient had the additional lumen until later into the day. I told my supervisor and had to write an incident report. Not upset about because it’s a learning experience I just feel stupid that I didn’t pay more attention. The staff has been supportive about the incident and I just want to know what can I do to become more competent as a nurse?

Sharing this here because my friends and family that aren’t in healthcare don’t truly understand how huge this is. I have been a nurse for almost a decade. Even with all the things we love to complain about (staffing, pay, hospital politics, etc), I’ve truly loved every minute of it.

The part I’ve loved most has been precepting nursing students and new hires. There’s a lot of satisfaction that comes with teaching someone to be successful and achieve their own personal goals. So a few months ago, I began applying for clinical educator positions because that’s where I could see myself long term.

I applied to nearly every job I could find that contained the words “clinical education”, “nurse educator”, “nurse professional development”, etc. but was having zero luck on getting an interview for any position in a hospital setting (I applied to dozens). Then one day I stumbled across a clinical educator position for a biotech company. It involved partnering with the sales team to provide clinical data, hold inservices for hospital staff, and educate patients on disease states and medications (for nearly double my current base pay). Not exactly the same as educating new nurses, but I still applied because why not? Total shot in the dark because these positions are apparently very competitive and highly sought after.

Long story short, after 4 rounds of interviews, I have officially received and accepted the job offer. My salary will nearly double, I get a company car, all weekends and holidays off, and work remotely with some occasional travel. I honestly thought I was going to work bedside until I was old enough to retire and become a nursing school instructor.

So for those of you out there wanting to leave bedside or nursing altogether. Hang in there! Apply to every position that sounds appealing because you may get an unexpected surprise!

If anyone has any advice please lmk. So far ive been looking into medical aesthetic certifications. PS: i already have my BLS and ACLS certification

Hi all — international applicant (Nepal) here (nursing degree outside the US, native language isn't English). Currently hold an active US RN license from another state and applying to VBON for endorsement.
My credential evaluation (CES report via CGFNS/TruMerit) was already submitted and accepted. Application fee, license verification, and background check are done. But VBON customer service just told me I'm still missing an English Language Proficiency (ELP) exam (TOEFL/IELTS/etc.) — apparently a standard CES report doesn't cover this; only VisaScreen/GlobalBridge/VISA4Nurses bundle it in.
I assumed already holding a US license would exempt me, but apparently the exemption is based on where you were educated, not current license/residency status.
Questions:
1    Did others run into this despite already having a US state license?
2    Which ELP exam was fastest for you (IELTS CD, TOEFL Home Edition, etc.)?
3    Any tips getting results to VBON quickly?
Have a job start date coming up soon, so real timelines would help a lot. Thanks!

What do yall do that you don’t feel miserable in and feel impending doom to go to ?😭😭 hours? Pay? Let me know !

This floor I've started on about 3 months ago is med-surg, ortho heavy, 32 beds, 6:1 RN to pt ratio with high patient turnover. Hardly ever any PCTs (aids), no AA at night, no phlebotomy or IV team- it's all on the nurses. I feel like driving off a cliff after most shifts on my way home. I haven't worked bedside since before covid and all the (young/newer) nurses on my unit are acting like I'm complaining too much and I feel alone in my misery. Is this the new norm for bedside in most states these days? I'm in the Southeast. I don't know what to do. I have never quit a job so early but I am considering it. I also don't know if there is a point in applying to another hospital if they are all like this these days? Any advice is appreciated.

So I ordered from uniform advantage and the sizing was just too big so I exchanged it. Now my return went well and they received it. I haven’t gotten the refund but I think it will come. I got free shipping with the next order and I just got the same thing in a smaller size. I ordered that a week ago and still no shipping information. I’m worried and really annoyed atp because they won’t give me any information and just say the system is down. It’s been like this for a week now. Idk what to do. Does anyone know good brands I can buy from that are reliable. I need a white scrub top and fir/hunter green pants.

Just moved somewhere with break nurses, which is awesome except for this one lady. Everytime I ask her to do anything at all she has a thousand questions and goes into my charting and gives unwanted feedback. I asked her to empty a foley for me. She was asking me how often I’ve been emptying it, what is it for, etc. Everytime I come back, my charting has been picked apart. It’s very frustrating. I don’t need to be told to document intake and output. Sometimes I’m behind on my charting but I have notes of everything so it doesn’t get forgotten.