Archive for health care

A Day in the Life of a New Grad

I found this on allnurses.com and it’s the story of my life (except that I decided to go into AmeriCorps)… I didn’t write it, but it’s completely true. So stop asking why I don’t have a nursing job because there is a nursing shortage and I should get one with no problem.

THAT’S NOT THE CASE!!!!!!

(Clearly I’m not bitter.)

A Day in the Life of a New Grad

by E Non Imus, RN

6:30 a.m. I wake up, roll over, and look at alarm clock. There is absolutely no reason to be up this early, but sleeping habits have always been rough for me.
I had the dream again where I’m at my graduation ceremony. It clings to my mind as I try to roll out of bed like a cobweb I walked through in a dusty, dusky barn.

We’re all wearing our mortarboards and look so happy just to have made it. The ladies in my class are spending a half hour in the bathroom before we are ushered onstage, primping for the best of reasons: they hadn’t really had the time to do so since starting school. Us guys are just standing around and joking about what great jobs we are going to find, the lives we will save, and how our wives/fiancees/girlfriends/whatever are going to be glad to actually spend time with us again.
My mom is there and beaming while chatting on the phone with every nurse she has a number for in her phonebook. She wants the world to know that there will now be two nurses with our last name.
The ceremony itself is a blur. For a second, there is a slideshow. For a moment, a speech. I’m not sure how this paper got in my hands.
After we all get our diplomas, hug a favorite teacher (usually in tears), the whole class shuffles outside for pictures and is full of hope. There are promises to stay in touch, talk about networking for future jobs, scheduling for playdates for kids, and even invitations given out to a wedding. One new grad talks about how she desperately needs cash for a down payment on the house of her dreams, but six months ago, her cousin got a $5K signing bonus as a nurse… HOPE! HOPE! HOPE!

But that’s not why I get out of bed. I actually don’t have a good reason to leave my apartment today.
Or this week.
Or the foreseeable future.

6:45 a.m. I’m on the treadmill. Angry rock streams through my iPod this morning. I used to work out to happy music, but lately, it has been a steady diet of guys who only know three chords on their guitars and have a severe distortion on their microphone.
It pumps me farther.
I’m pretty well convinced my frustration and anger at five months of unemployment fuels the desire for this crap, not the other way around. Who wouldn’t be frustrated?
Lately, I feel like I’ve been lied to. I turn up the speed of the machine. I need to get back in shape.
I neglected too many parts of my life for school.

7:30 a.m.
Shower. With no job to go to and no interviews in the last few weeks, why do I bother? Sure, it feels good to cool down, but who am out to impress?
I guess I need to look sharp and not smell like a lobster’s armpit, just in case someone panicking comes pounding on my door, desperately searching for anyone who knows CPR for their kids.
BANG-BANG! “Help! My twins aren’t breathing! Oh god! Isn’t anyone on this floor a nurse!?!?”
I could make the newspaper! “Courageous Unemployed Nurse saves Congressman’s daughters!” the headline would read. And tomorrow afternoon, the CNO of that Level 1 trauma center down the road will call. She’ll start barking high salary numbers at me, like some livestock auctioneer on meth.
Better use the good soap today.

8:00 a.m.
I used to not eat breakfast. Usually, I had no time with class or work every morning. I must have sacrificed hundreds of good meals, just to get another comma and those letters at the end of my name.
Now, I would trade them for the security of knowing next week I will be able to afford breakfast.
The phone is buzzing. My mom, just like at the dinner table while growing up, seems to know exactly when my mouth is full.
I try to hurry off the phone with her. Rude, I know, but I have the same conversation with her every other morning.

There are lots of jobs back home. I could live with them again until I get set up with the new job I’d surely find. My cousin just got a new job after the private hospital finished remodeling. She loves it! And SHE “only” has her ADN. Of course they would hire me with my BSN! And the family would love to see me again. Every time he comes over, her grandson asks when I’m coming home. He misses his uncle!

The frustration I’ve had recently has a serious side-effect: it leads to exhaustion.
I’m tired of explaining to my mom that the cousin got hired because she already has experience.
Those jobs she’s seeing posted at her own hospital? They want a year of med/surg.
Two years peds.
Two to three years critical care.
I thank her for her help, mumble something about looking into it, and make an excuse to get off the phone.
She’s just trying to be helpful.
If the money I saved up in my previous career runs out, I wonder if my pride will ask her to be more helpful.

9:00 a.m.
It’s Wednesday. It seems most companies post their jobs on Wednesday. I have the website for every local hospital, clinic, LTC, SNF, rehab, and public health saved to my bookmarks.
First step, I call some HR departments. Nursing recruiters must be getting tired of this economy, too. They all go straight to voicemail. I should change what I say from recording to recording so it doesn’t sound so dang memorized, but I can’t seem to work up much enthusiasm for someone that fields several dozen of new grad and experienced nurse calls each day and, if recent history teaches me anything, won’t be returning mine. But being proactive and getting my name out there is important.
Isn’t it?
Right?
Hello?

10:00 a.m.
A quick check of the ads online in my state shows the new postings are the same as every week since I passed my NCLEX: 1-2 years experience required.
Listing after listing, hospitals insist I’m woefully under-qualified to so much as put a 4×4 on a two year-old boy’s scraped knee.
There’s a place on the other side of the state that says, “LPN. No experience required! New grads welcome!” Hmmm… it IS honorable work… four hours away… I’m not sure if RNs can work as LPNs… wait, what did my class say the role of the LPN is? Even I don’t think I’m qualified for this job.
While checking a website for the university hospital in the area, I notice a job that doesn’t require experience! It says only “graduate of a nursing program, XX state license required. ACLS, ENPC, TNCC preferred.” Well, that’s me! I fit those requirements!
“Internal candidates only.” Rats.
I don’t know which Peanuts running gag is more appropriate:
Snoopy gets kicked out of a building and the deep, booming voice sings “NO DOGS ALLOWED”, or Charlie Brown trying to kick Lucy’s football.

11:15 a.m.
I started checking hospitals out of state after a few weeks of not finding work. I can actually say I’m licensed in 27 states. Even though that includes compact states, that’s over half! Well, there’s American Samoa and Puerto Rico… but it still sounds impressive to me.
Let’s see… Texas? Do you have to wear a cowboy hat with your scrubs? Does it have to match? Does Crocs make cowboy boots? I don’t think I’m cool enough to pull off telling people I live in Texas. Nothing really much there for work anyway…
Maybe New York? Nah, I’ve been hearing the situation for new grads is even worse there than here.
I check the hospitals back in my hometown to ease my guilt for blowing off my mom. Just like last week, nothing.
I really would be willing to move just about anywhere. Except Nebraska. Don’t ask.

1:30 p.m.
I’m treating myself to the new teriyaki rice bowl place down the street. I liked the sub shop next door to this place, but I found myself last week lecturing the guy behind the counter on singing “Happy Birthday” twice to himself while he washes his hands after using the bathroom. Can you believe I saw him in the john just put his hands under the faucet for, like, 2 seconds and then go straight for the towels? Forget that place!
They don’t have to-go orders here, so I take a seat in the corner near the rest of the guys who have nothing better to do in the afternoon. One of the guys is complaining to another stranger because his unemployment insurance benefits ended. He’s not sure how he’s going to make rent. He was hoping to make it or find a job until his wife graduated from nursing school this December. Then everything will be okay, because, see, there’s a nursing shortage on and she’s sure to get work immediately.
I’m over being frustrated with the “but, thar be a nursin’ shortage” line. After snapping at the 50th stranger who dared to be ignorant, I gave up. It really isn’t their fault when newspapers won’t say a peep about it and the TV commercials are trying to get more students to enroll. For now, I’m just too tired to tell this hopeful husband what it’s really like out there. It would be like having no Christmas money this year, telling a kid that there’s no Santa; the little guy will find out soon enough on his own.

2:45 Usually, I study Spanish on the computer in the afternoon. I figure it will be a good skill to have considering the population in the area. Heck, it would be nice if it were a part of every nursing school.
But, it has been two weeks since I applied at the nursing homes and SNFs in the area. I can pull those up again. Maybe this will be the break I need!
These days, most think they can get the kind of experience that would make a nurse an anesthetist, but many don’t even bother having a single listing. When I call or visit, nobody is sure to whom I should try talking.
I’m running out of ideas. Two months ago, I started applying at the prisons. That would be good experience, but all I get back is a letter stating that they have received my application. I followed up once, but I left a voicemail that must have eerily evaporated into the ether.

5:00 p.m.
Social networking time.
Facebook and the nursing internet boards only get me more disheartened. New grads complaining about how there are no job. Old grads (as I have heard some taking to calling them) either complain about how nursing schools these days don’t prepare their orientees to even wipe someone’s nose or gripe about the patient loads they are being forced to work. Please, send some of that bad luck my way!

7:00 p.m.
A light dinner and followed by a violent video game to relieve stress. Then, maybe, I’m back to my search.

?:?? p.m. or a.m.
Sleeping on your keyboard is bad. Is “QWERTY-itis” an nursing diagnosis or a medical one?
I watch some old stand-up comedy videos on YouTube.
Lawyer jokes.
Dad has joked to me that even an old fool like him passed the Bar examination, so maybe I could go back to school and he would hire me into his law firm.
It seemed funny at the time, but I consider it a few times each day. I’m starting to forget why I got into this career to begin with.
I wanted to help people.
I wanted to be able to support a family.
I wanted to never have to wear a tie again!
Someday (hopefully) soon, I the economy will turn around. On that day, a young man graduating from nursing school will be hired the day Pearson-Vue sends him “The Letter”. A respected, experienced nurse will be able to finally afford retirement and be able to spend time with the grandkids. The new grad young man will get in over his head because there was nobody experienced anymore to train him right. And the retired nurse will not get the care she earned because the executives at all health facilities were re-active instead of pro-active to this crisis. There will be a true “nursing shortage”. And the newspapers will run stories wondering about the deplorable state of the health care field.

My phone is forever charged and with me, my email is continuously checked, my portfolio is always updated and ready to go, my car is ready to drive me to an interview.

In one of the two interviews I have been able to be honored with, I was asked if I could use my nursing practice to bring glory of god (it was in their mission statement). I had to lie because of my personal beliefs. I felt dirty lying to a prospective employer, especially over something so important.

Really dirty.

And each day that passes uneventfully, I reluctantly admit I would do it again.

The Randomosity of my Life

First off I’d like to say that being sick sucks and “health services” at my school does nothing. Even my nursing profs think so. (Clearly something is wrong with this picture.)

(And the nurses at Health Services obviously DID NOT go to Luther for their nursing education.)

(Ok maybe it’s more the doctors that need improvement…hmm.)

I went in purely because I had not slept well in four (yes, FOUR) days. They gave me a single dose of a codeine cough syrup and made an appointment for the next day.

When I went in for my appointment, you’d think the doctor would be in, assess, maybe draw blood to see if I’ve got a bug, and get me out of there. Instead, we spend most of the visit talking about my major and the effect the poor economy is having on jobs for everyone (including nurses – he, by the way, was surprised that it was hard to find a nursing job).

(What I really wanted to say: “HELLO! I’m sick, I don’t care what you think about nursing and the economy or your surprise that there are no nursing jobs. I want to feel better!”)

I also want to point out that I will indeed make a good nurse. I did not kill the manikin in my interactive lab exam last night. (Hurray!) In fact, we did not have a eulogy to read in lab when we did debriefing today. There were no fake families that were sobbing in the hallway because they lost “Mr. Billy Rubin” the maninkin, a father, husband, son, etc.

This “interactive lab” exam did however, make me realize that I still have a lot to learn about a lot of things. (Even though I’m graduating in 16 days.)

(Yikes!)

A small shout out to Maine: “Way to follow the trend and get on board with Gay Marriage!”  Maine is now the 5th state to allow Gay Marriage. Really, if they can’t get married, why should I?

Camp is just around the corner and I am excited. (Arn’t you?) Sharing my faith, learning from others, being a part of God’s Plan, it’s all fantastic! (And exciting – clearly.)

As a side note (sort of) if you’re looking for a good book to read I recommend The Men I Didn’t Marry by Janice Kaplan and Lynn Schnurnberger. I got it from a friend who got it from a friend. It didn’t take me long to read it. (But then I read fast…)

Letters from the College Dorms

Dear Incessently Needy,

Just because you have a desire to be around people all the time and tell them about things they (let’s face it) don’t really care about doesn’t mean they want the same things. Get a grip already, you’re a college student, act like one.

-Annoyed

——————————————-

Dear Male Gender,

Why must you actually fall into the stereotype that society has given you? Is it really that hard to pick up a phone and call when you say you’re going to or make up your mind about what you want? I seem to have no problem picking up a phone and calling you, it would be great if you could return the favor, especially when you said you were going to call. But alas, it seems to be the way of life, I guess I should just get used to it rather than thinking one of you could actually be different.

- Enjoying the single life

——————————————-

Dear US Economy,

You really picked a crappy time to go down the tubes. (Of course, if it weren’t a crappy time for me it would be for someone else, but that’s besides the point.) The job market is a heck of a lot harder when the economy sucks and everyone is on a hiring freeze. (Even for those of us who have degrees that can get us “good” jobs.) Please turn around soon so that I will not be unemployed at the end of the summer.

-Tired of worrying

——————————————-

Dear People who think a degree in nursing automatically equals a job,

Just because I have a degree in a good field does not mean that I will get a job. Everything is effected by the economy. There are newspaper articles saying that there is still a need for nurses. I don’t deny this. (In fact it will be true for a long time.) But just because there is a need for nurses does not mean hospitals have the budget to HIRE more nurses. Many hospitals are on a hiring freeze. (Or only want people who already have experience.) Some hospitals are laying off nurses. (If they’re laying people off, their not going to hire more.)

- Sick of explaining

——————————————-

Dear Hospital Doctors,

Please use language that is easy for non-medical personnel to understand. When my friend Moose was in the Emergency Department yesterday, the only reason she had any clue what was going on was because her two nursing friends were there to explain what the heck you were saying. It would be very much appreciated if you could explain things in terms we can understand so we can ask you questions that matter rather than questions clarifying what you just told us.

- A Senior Nursing Student

Weekly Wrap Up

Random things that happened in my life (or life at large) this past week…

  • Job: I’ve applied and interviewed this week (different places but that’s ok) Now I just have to wait and find out what will come from that application and the interview… I should be hearing back from the interview within the next week. Finding a job (even as a nurse) is not an easy task. People tell me I should have no problem finding a job in nursing – it’s one of the more stable careers. Sure it’s stable, if you already have a job, but hospitals are affected by the economy just as much as any other business. However, instead of laying people off they take pay cuts, which means they don’t have the funds to hire new people.
  • Obama’s plan: It seems like he’s got a lot planned for the next year and the next decade. He discussed three major priorities of the US budget: energy, health care, and education. Now the question is how are these things going to be carried out? Budget cuts? Higher taxes?
  • Homework: The big question? Do I really procrastinate that much? I feel like I have a ton to do…and then I realize most of it isn’t due for at least a week, of course, my goal is to get it done early anyway. I only have 12 credits, how can I not work ahead? It has been one of those weeks where things seem to pile up, not just the homework, but the ever increasing amount of stress to find a job once I graduate.
  • US Public Schools: What are our public schools coming too? Students are being asked to bring toilet paper to school, teachers are selling advertising space on their exams in order to pay the printing. The US needs to take a better look at where it’s money is going and direct it toward the things that are really important. (Of course, who decides what is important?)

What’s going on in your life? Anything news worthy? What’s been happening in your neck of the woods that you find important?

Options

I am starting to feel the pressure to find alternate options as the semester wears on. The economy is not in the greatest shape. (Clearly.)

Jobs in all areas are scarce. (Nursing included despite what some people may think.)

Hospitals and the staff that work there are affected by twists and turns in the economy just like everyone else. Some of my nursing friends told me about hospital wide pay cuts so they wouldn’t need to lay anyone off. Which is good for the people who currently work there, however, this means that they’re not going to be hiring any new nurses…go figure.

My conclusion? I picked a crummy time to graduate from college.

There are a few other options out there. Some are better than others, but hey a job is a job right?

-working at camp for the summer (as a camp nurse) then worrying about a real job closer to when that time comes.

-working for AmeriCorps

-working for LVC

-applying for 800 jobs and hoping I get one

Honestly, If I get offered a job, I’m going to take it. I don’t care where it is or what I’m doing (well for the most part anyway). In my mind, a job is a job and a job brings income.

One More Done

Tomorrow is my last day of J-term. You think I’d be jumping up and down for joy. (And in a way I am.) But the end of J-term means a big overarching concept that I haven’t fully stomached yet…

THE LAST SEMESTER

As I finish up J-term I am faced with the reality that I only have one semester left of undergrad before I graduate and become a nurse out in the real world. That’s only 4 months of classes until I am no longer an undergrad student.

See full size image

(On the bright side that means only 4 months until I have a life again.)

(I will not miss nights like these.)

What is yet to come will hopefully be exciting. I’ll have a new job. (Hopefully on a floor that I want.) I’ll be out in the real world. (Scary but exciting.) And I’ll be doing what I love. (Best part of completing the past four years.)

When it’s all said and done, I’ll look at where I am and look back at these four years and realize that all the hardwork (and long hours of studying) were worth it. But right now, I’m just glad that I’m almost done.

(Except that I don’t have a job lined up yet – but that’s a work in progress.)

The preparation for graduation day starts, well, now. I’ll be writting cover letters and revising my resume. I’ll have meetings about gradutaion and my pinning ceremony. I’ll be interviewing for possible jobs. And I’ll be studying like crazy for my NCLEX Exam.

But it will ALL be worth it in the end!

The Job Search Begins

I’m a college student. That has been my career for the past (almost) four years of my life.

I have gotten a lot of great clinical experience, but now as my job search begins, I feel like I have NO experience. (And lets face it, for all practical purposes I don’t have any.) And of course, everyone wants to hire people that have experience. How do you write a resume when you don’t have any actual experience in the field you want to enter?

With the economy the way it is, I have a hard time figuring out if I’m going to get a job at all. Businesses, including hospitals, are laying people off and are being put on a hiring freeze.

Luther has done a great job with clinical experiences, letting me “get my hands wet” so to speak, but the resume/cover letter/ interview stuff isn’t all that great. I have no idea what I’m doing!

I want to get a job semi-close to home, it doesn’t need to be right in my home town, but within a 2 hour drive would be nice. It seems like there are no full time positions out there for new RNs. I’d consider taking a part time position, but I wouldn’t get benefits, and as soon as I’m done with school the insurance company is giving me a swift kick in the butt. No more insurance on my parent’s plan.

Tonight, I’ve spent the past few hours looking up positions on hospital websites and creating my resume…now if only that cover letter would write itself and a job I actually qualify for would appear I’d be in great shape.

A Child or a Build-a-Baby?

With genetic testing coming to the forefront of medical technology physicians are beginning to see more ethical issues in their daily practice. The development of new technology is a marvelous thing, particularly in the medical world.

(Ok maybe I’m a little bias since I am going to be a nurse.)

But there is a slippery slope that can take technology into dangerous waters. (Particularly in the medical field, but anywhere really.)

What do we do once we’ve done the genetic tests? When do we say enough is enough, I don’t need to know the color of my babies eyes/hair?

With the way technology is moving we may one day have a world turning into Gattaca. (If you haven’t seen Gattaca it’s a pretty good movie, I’d recommend it.)

The day when parents can genetically engineer their children really isn’t all that far away. It’s up to us to decide if that is ok or not. Instead of having a baby, we’re going to be “building-a-baby”.

Letters from the College Dorms

Dear Drug Companies,

In my ethics class this week we saw a video called “The Constant Gardener.” It’s all about the horrors of you and your drugs invading Africa. African people are people and not cheep subjects for you to test your drugs on. Just because they have no other options for getting drugs to treat their medical problems does not give you the right to use them as test subjects. (Especially since you don’t fully inform them and therefore their consent is not actually “informed consent”.)

Oh, and withholding treatment for those who don’t want to be a part of your study is a surefire way to get subjects, but think about the ethics behind this. Do you have any morals?

-Someone who agrees research is important but only if it’s done ethically.

————————————–

Dear 2009,

I hope you come bearing great things. I do not want a repeat of last year, thank you very much. I would like to ask for a few things this year as we look into the future together:

1) My diploma

2) A ‘real’ job

3) An overall healthy year

4) More bookshelves

Of course, the bookshelves are optional, I can probably make do without them, but having more space really would be nice.

~A hopeful soul

————————————–

Dear Mother Nature

I’m a Midwesterner and as much as I love the cold weather and snow, don’t you think this is getting to be a bit much? We got nearly 4 feet of snow in the month of December alone. And now you’re throwing more at us along with -41 degree Fahrenheit temperatures (that’s with the wind chill of course). Are you trying to freeze us to death?

~ A very cold Midwestern

————————————–

Dear Luther College

The temperature on my walk to class today was 41 degrees F below zero with the windchill. When all the schools in the area (along with the community college in a neighboring town) are closing don’t you think it’s time to give in? I don’t really want to freeze on my walk to class. I know we’re suppose to be supperior to everyone else, but this is just ridiculous. (Bare skin can get frostbitten in the time it takes me to walk from my apartment to the union.) Even the professors think it’s crazy.

~A student who doesn’t want to end up in the hospital with frostbite

Where’s Our Poisonous Snake?

Over J-term, our chapel series is “Ethics, health, and wellness.” It’s always interesting to see where the chaple speaker will take the message. Today the Gospel message was from Numbers 21:6-9.

“Then the LORD sent venomous snakes among them; they bit the people and many Israelites died. 7 The people came to Moses and said, “We sinned when we spoke against the LORD and against you. Pray that the LORD will take the snakes away from us.” So Moses prayed for the people. 8 The LORD said to Moses, “Make a snake and put it up on a pole; anyone who is bitten can look at it and live.” 9 So Moses made a bronze snake and put it up on a pole. Then when anyone was bitten by a snake and looked at the bronze snake, he lived.” -Taken from the New International Version Bible

The text that came prior to this passage talks about the complaints the people of Israel made as they wandered through the desert resulting in a God who was angry enough to send venomous snakes.

People coomplain. It’s part of life. Everyone does it. (Well, I know I do anyway.) What we have isn’t good enough. It’s not what we wanted and if we get what we actually wanted, we find something to complain about anyway.

Look at everything that God has given you. A house, friends, food on the table (and in the cupboard), clothes, health and what do we give in return? A long list of complaints, it’s no wonder that God was mad!

In the age of fast pace and convenience we are becoming (ok we’re really already there) an obese nation. Why eat healthy when stopping at McDonalds is faster and easier? Why walk when we can drive and get there in a fraction of the time?

Well citizens of the US – we are becoming the first generation that will live longer than our children will. With poor diet and a lack of excercise our kids are heavier and more prone to diseases. We’re asking for ways to be set free from the diseases we’ve thrown upon ourselves, but we want a quick fix not a lifestyle change.

The answer is simple really: eat healthier, excercise more.

What do we do with that answer? Complain. It’s what we’re good at after all!

What more of a poisonous snake do you want than knowing your children will not live as long as you will because of the diseases our culture has become ok with?

You have the power to make change, it’s up to you to decide what you want to do with that power.

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