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I work eve/night rotation in Columbia, Mo. I work in a hospital ICU. We usually are pretty busy. We do open heart surgeries which is interesting, I did ECMO a couple of weeks ago.
I've been a nurse for 21 years.
Your not a failure until you quit trying.
"Success is not final, failure is not fatal: it is the courage to continue that counts." Winston Churchill
I live in a small town in Alabama. I have just recently (May 2013) taken the position as the weekend supervisor in a nursing home- our census is usually around 140 but we can hold up to 180. I went part time at the job I've worked since 2006, a 16 bed in-patient rehab in Georgia. I liked my job in GA but the commute sucked and I had to take 4 call days a month.
I got my RN right out of high school so I've been doing this since 1988. I started out in Ortho, became a travel nurse for a while, and have worked med surg, urology, kidney/liver transplant, renal, Bone Marrow Transplant, and oncology. Of all, I prefer in pt rehab!
I live in western KS and work at the only hospital in the area that has any substance to it. Most hospitals out here are 15-20 beds, w/ an ER and that's about it... maybe a swingbed unit. The hospital I work at has 150 beds, including a trauma unit, a NICU, a cardiac progressive care unit... pretty much everything but a neurosurgeon... so we get anything more than a scrape or flu bug from every little hospital around us!
I have been in nursing for 22 yrs... started out w/ my LPN on Surgical in 1991, and then transferred to our Inpatient Rehab unit the following year. In 1996 I became an RN, and stuck w/ Rehab for a couple more yrs before one of our Ortho surgeons approached me about helping start a Joint Care program for our elective total joint replacement patients. We started that in 2000 as a 6-bed unit. By 2005, we expanded to a 9-bed unit, and added in an occasional spine surgery. In 2010, we lost our spine surgeon, but continued w/ the Joint Care unit.
Due to budget cuts in 2011, administration decided to combine the Surgical unit & the Joint center, and I ended up being moved into a charge nurse position for the combined unit. Fortunately at the end of November, I am returning to my love... orthopedics. (yes, right now we have ortho pts on our Surgical unit, but we are separating the units again)
This time we will be moving to a brand new 11-bed unit (as we did replace our spine surgeon last year), and I am looking forward to just dealing w/ ortho patients again. I enjoy them so much more because we have a very structured program that they follow which includes group therapy, meals together out in our dining room, and much more one-on-one care. Our staffing is a little better than the Surgical floor too, so that is nice because I feel like I can give better care to my patients. It's also nice that most of the time these are elective procedures, so our patients tend to be a little healthier and definitely not acutely ill.
Since the Joint program is kinda my "baby", I am thrilled to see it get up & running again. I look forward to seeing how it evolves and improves w/ our new location, new staff, new physicians, and a new attitude!
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Since I posed the questions, I'll answer first.
I work full time in a NICU and I love it. I am very new to this job (I am still on orientation for 1 more week). I've been an RN since 2008 and worked on an adult cardiac floor and briefly on labor and delivery. I felt like the adult cardiac floor was a "paying my dues" sort of job and survived through my new-grad required contract, but left pretty quickly after that. The labor and delivery unit I worked on turned out to be a horrible fit with my personality- I thrive on routine, not on adrenaline and chaos. Plus the unit I worked on was INCREDIBLY large and busy (17,000 births a year), which just added to my anxiety.
So what I'm loving about the NICU-- the babies are just more fun to care for, they don't wander, lower nurse/patient ratio than standard med-surg floors, the routine, I don't need help in lifting them (unless a ventilator is involved, but strength-wise, I can always handle it), all the supplies are so cute since they are made for the tiniest of humans, and the detail-oriented nature of the ICU.
I am interested to hear about where everyone works- Are you in a hospital? Home health? Office? Other? Do you like your job? Are you looking for something else? Where do you think your ideal job is? How long have you been at your job or been a nurse in general?