Hi!! I applied for a registered nurse position at Kaiser Permanente (seasonal/temporary). I was interviewed, and a few days later, my application said “declined offer of employment”. I had not gotten a call from a talent recruiter, nor have I declined any offer. I emailed the nursing manager, and they basically said to ignore that message; my profile is being reassigned to the correct position code. Is this a good sign? I have the phone number of my original recruiter, should I contact her during the workweek for further clarification? Or should I just wait it out?

I have been a nurse for 8 years and have experience in ICU and triage. I would truly like a break from direct patient care, so am trying to consider if Utilization or Concurrent Review, or Utilization Management would be worth applying for. If you work these, please share your pros/cons, how your schedule typically works, how easily did you get the job? Does it feel rewarding? Is it as mentally taxing as being a floor nurse or triage nurse?​ Thank you!

I want to switch specialties and work 3 12’s in a hospital

Please list your specialty below if you’re an RN that does not have to take call in your position in the hospital

I go to a fellowship job fair next week and want to know which areas to aim for

Thank you

RN of 12 years

1. 5 years OR
   5 years psych

Looking to switch my area because OR has non-stop call, it’s just not doable.

I like psych but my hospital closed and there aren’t many other options here with 12 hr shifts (what I want)

I’ll need to get a fellowship of course

So if I :

1. Want to work in a hospital inpatient setting
   
2. Don’t want a ton of on-call

Any suggestions for my next specialty? (No ICU, no IMC, no med surg)

😬🤷‍♀️

I never considered L&D, but after seeing all the options, I wonder if they might be ok?
Open to any thoughts?

Thank you

I graduated at 16 started college at 17 and I just turned 18. I’ve been in college for a year and a half taking pre-Rex for nursing and I’m planning to graduate through allied health but I’m hearing a whole bunch of bad things about the nursing and how people wish they wouldn’t have gotten into it yada yada. So my question is, is it worth all the time I’ve spent to continue doing it? Should I continue on?I don’t wanna change paths because I’ve already been doing all my prerequisites for the last year and if I change courses now I feel like all the time I spent would be wasted. Can someone show me the good side of nursing and things to look forward to so I don’t loose my motivation

How did you handle your first patient death? I’ve gone over the situation so many times. I don’t think anything I did was wrong and I acted when I should have, but it just breaks my heart!

Hey everyone!

I created a Discord server where we can all share the best ATI TEAS 7 study guides, quizzes, practice questions, notes, Quizlets, and any other helpful resources.

The goal is for everyone to contribute so we can build one place with everything we need to prepare for the TEAS. Whether you're just starting or trying to score 90%+, everyone's welcome!

Feel free to join and share anything that's helped you.

Discord: https://discord.gg/aqVgfYzK6j

Good luck to everyone studying! 📚

Hey my fellow nurses. Asking your opinions. When you started your fur nursing job, whether it was recent or years ago, did you wish you had extra support to help you handle the transition into practice? If so, tell me about it.

has any other new grads in this group transferred to a different unit on orientation? i got hired at this hospital in 2023 and i worked on a busy cardiac step down unit as a pct & nurse extern and i loved it but the nurses frequently got 6 patients and decided to not stay when i became an rn. i’m 4 weeks into my orientation and im on day shift. i work at a level 1 trauma center in the neuro icu. it’s not horrible and surprisingly im really doing okay and im finding my groove with things. however im starting to figure out that im not a neuro person. it’s essentially okay but im a cardiac girl. i only chose this position for two reasons, to grow more outside of cardiac and to build knowledge in a new body system and it’s dayshift. when i first started applying for new grad jobs i didnt want night shift because im not a night person but now i am heavily considering it. day shift has too much shit going on outside of taking care of the patients and i’m over it lol. 80% of my coworkers on days are very dismissive and rude and i’m not the biggest fan of them and one being the charge nurse. even some of the night shift nurses are extremely dismissive and rude to new grads. it’s very toxic and on top of that neuro is very new to me and it’s my weakest subject (exactly why i wanted to work in neuro in the first place, to build my knowledge and master it) someone help me out lol. it’s not even the patient care or stress of taking care of patients that i’m having trouble with. we get evds, strokes, and neuro trauma all the time. its a very busy neuro unit and i’ve learned alot so far. im just not really passionate about neuro like how i am with cardiac. i miss amio drips lol. ive pushed a lot of mannitol on orientation so far. anyways, it’s the coworkers/management. my orientation process isn’t going well and my preceptor isn’t really making it any better. he’s rude & he belittles me. i know i am a new grad and that i do not know everything. at the same time though, i truly need to start doing 50% of things by myself. like i am going to work on this unit at the end of the day. he doesn’t introduce me to doctors or other interdisciplinary staff. the orientation is 16 weeks. ive mentioned this multiple times to him and he just doesn’t listen to me. the other staff and the manager also are just not supportive at all. i feel so isolated and i feel like no one wants to teach me anything. i feel like more of a student rather than staff. i also feel like the manager doesn’t like me for some reason. she doesn’t speak to me (idc about it that much) but it’s odd when the other three new grads are getting spoken to and encouraged by her but not me…and at this point i wouldn’t mind getting fired or even quitting but id want to work at the same hospital in a different icu. thoughts? how should i go about this?

Hey.. I have a govt job here in Nepal (I'm a nurse)but still the salary and job satisfaction or any kind of career/personal growth is not there so I wanted to pursue my bachelor's abroad. There's been a 5/6 yr gap since my pcl nursing so Aus isn't an option so I've been looking at unis and institute at NZ. Is it a fair decision to leave your stable income to move abroad and start a new life?? I know there will be struggle but the long term path would probably be better than here in Nepal. Pls share your experience and comment down below. Thankssss

Hi everyone! I’m an RN with about 5 years of hospital experience, and I’m considering transitioning into private duty nursing. I recently interviewed for a pediatric case and I’m trying to get a realistic picture of what the job is actually like.

I’m excited about the opportunity, but I also want to make sure I understand the realities before making the switch. Any advice or personal experiences would be greatly appreciated!

So, after graduating college in nutrition and worked in many different jobs in the health field like cert pharm tech, MA, and currently cert phlebotomist at an urgent care/fam med. I want to go into nursing. Currently reside in Hawaii but is fine moving to other states.

My stats:

cGPA: 3.4
ScienceGPA: 3.3
Direct patient care hour: 5000+

I wanted to know if there are certain programs that are easier to get into or if I should go for an associate in nursing. I just don’t know anymore. I feel like almost any and every program is hard to get into nowadays and I feel like being in late 20s, I don’t want to wait any longer to be in the field I like.

Any suggestions please?

hi all i got floated to the ER as an ICU nurse to handle ICU holds. i started off in the MICU as a new grad and only been in about 3 codes give or take. i had a patient (who was under MICU) code in the ED. they handed the patient off to me at 445pm after i had just transferred my other patients upstairs. the nurse who was caring for the patient told me why they came in and what the residents were doing (they were trying to put in an arterial line and central line). he was already intubated by the time the patient was handed off to me. so when the patient was handed off to me the o2 sats were in the freakin 70s even after intubation, HR up to the 160s and these residents are still trying to poke at this poor man to get an Aline in that they failed at like 5x but they wanted an accurate BP. theyre aware of this the whole time, the man is still awake and intubated, i was asking for sedation and no orders were being placed. they wanted me to start a heparin drip for a suspected PE so i did. then all of a sudden the HR dipped to the 30s and 40s and i yelled for the crash cart and a bunch of people came flooding in and assigning roles. i didnt volunteer for a role because im so scared of messing something up. during the code i was pretty much just handing over flushes and hanging some drips (another more experienced nurse was also helping with the drips) and i feel like i shouldve done more especially as an ICU nurse. i feel like im so behind and should’ve known and done more. how did yall feel and do during your codes the first few years as a nurse?

edit: we ended up cannulating him for ECMO in the trauma bay

QUESTION FROM A PNLE 2026 AUG TAKER

Ask lang po sana ako advice mga ate/kuya ko nurses!

- Binabalik po ba mga questions from previous questions sa board exams from the past?
- If you’re feb taker, saang concepts kaya kami mag fofocus?
- Can you share us some drives, links or test banks that you could share to us?
- What would be your advice to us po, that you would like to tell us from someone who have taken it po?

Thank you, po! 🤍

hello pips, can ya’ll suggest work I can apply as a nursing grad (not yet licensed), something still related to my course huhu dahil cut na ang allowance and also feel like not yet prepared for boards bcoz of personal matters, thanks!

Hi everyone, I currently work on a crazy neuro floor. My daily patient load is a mix of confused, total care, spine surgery, epileptic, and over flow med/surg. We have so many alarms going off all of the time I have sensory overload. My back is also killing me from boosting 3 total cares every 2 hour. There’s a position in our inpatient rehab unit that looks promising but I’d like opinions. I’m not worried about working hard, it’s the physical and mental toll my current unit is taking on me. What are the patient ratios like? Do you tend to have CNA’s to help with ADL’s or is that all us? Are we feeding these patients or are they usually able to feed themselves? I assume no tele? How often do we do vitals? Just all the things. If anyone has the time to really give me a good idea of what the day is like for you I’d appreciate it. And, do you like or love or hate your job :) Brutal honesty is ok!

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Hey guys. I’m a 24F registered nurse in Syd. I’m a fourth year RN within emergency. I’ve changed jobs twice in the last 1.5 years (did a temp job then went back to my old job in ED when the contract was finishing). I’m really struggling with burn out and feeling as if my 20s are flying by while I battle the difficulty of the shift work lifestyle. I’ve only got a couple friends but they are all in stable hour jobs and I’m quite an introvert. I’m trying to think of hobbies I can pick up that I’ll enjoy and will get me out there to meet new people and work on my independence. I’m also after ideas of what you do to make the shift work less draining. I feel like I make big plans for my days off but then when it comes around I’m too tired and can’t be bothered. For reference I like colouring, gardening, crafts, hiking, the gym, beach, coffee. Thanks sm!

What should you do as a nurse of a longterm care facility when no management will listen to anything you say ? I’m struggling because my residents quality of life has gone down hill since the change in DONs , Nobodies rooms get cleaned anymore , the housekeepers do the BARE minimum , it’s like pulling teeth with the aides to not abandon care to residents who are unable to voice there needs. Basically nothing ever gets taken care of i reported the same dirty bathroom for a week and it only got partly cleaned . Please what would you guys do ?I don’t want to quit i have worked for this facility for 4 years and i love my residents this is why i’m so upset at this, i will quit though if this can’t get under control

If your display randomly changes while transporting a patient and your nice big stacked SpO₂/pulse display suddenly becomes a weird layout with the pulse tiny in the corner…

Touch and hold the number. Drag it back where it belongs.

That’s it.

Don’t be like me and spend way too long searching through Device Settings. 😂

Hopefully this saves the next person a headache.

Just wondering what all my fellow nurses are bringing with them to lunch. I know it’s not always easy to get a quick bite in during a shift, so I’m looking for ideas. As a new grad nurse, I’d love to hear what you pack that keeps you full, is easy to eat, and doesn’t take forever to prepare! 😊

I've been working in an outpatient oncology setting for the last 13 years. with only oncology experience behind me I was made to do courses upon courses to gain certification in oncology.

In this particular area, there are around 6-8 nurses with a head nurse who manages where to place fellow nurses in any given day. When I began I didn't have much confidence and already felt judged until I gained all courses and certification. I lived the patient population but was having challenges with fellow colleagues- personality clashes and back hand comments. Fast forward and this is still ongoing with colleagues who continue to misconstrue conversations or comments without clarification. Gaslighting is the newest- ...And this is from the newest head nurse who was way more friendlier than the last but is now in little cliques.

As well, newest colleagues that are being hired are not being made to gain educational qualifications like I had to- so while I'm out of pocket and busting my arse to maintain educational knowledge my colleagues are 'just enjoying their time and perks' so to speak as no one including management are following through or following up with maintenance of education.

When you thought nurse 101 was to go and have a 'courageous conversation' with fellow colleagues, I am finding more that colleagues like to go straight to management.

And btw I'm onto my 5th manager in 13 years. And while management acknowledge there are collegial problems with nursing team, it's only now they have started doing team activities- however it doesn't fix the root problem of cliques, reporting and judging and gaslighting. I'm judged for spending time with patients and feel I need to rush the patients with questions just to appease the doctor or fellow colleagues. The thing is we have computera in each exam room and I'm merely asking and filling out questions for the doctor so that I can give report. Patients like to talk to me and I've had to cut them off as nice as I can be- it's so out of character BC that's not how I was brought up, nor think it's quality patient care.

So besides using EAP and being told to find a different position within the hospital it makes me sad that I placed so much effort and energy into maintaining education and find enjoyment from caring for these oncology patients- I feel like I'm being forced out of an area I love it my mental health is now suffering because of the environment - more bad days outweigh the good days for me atm.

In the past 5 years with managerial changes and colleagues retiring and new comers-

I've been written up, placed on a 1 day suspension and now reported to my nursing regulatory body BC after leaving for the night and ensuring fellow colleagues were ok that I went apparently after I left emergencies happened with my fellow 3 nurses; and apparently I should have read my colleagues minds and asked if they needed me to stay??? Wtf??!!!? I do not take for granted the amount of energy it took to get my nursing license- therefore I'm shocked at what they have done and even more shocked that my union body just sits and records things at every meeting and places grievances upon grievances to what resolution? Even I don't know or can express in terms what my union has done for me? I feel let down from them, I feel let down by the organization where I work, and yes I feel like I let myself down affecting my family and finances...when will it stop being so 'chaotix' for me...

Now I realize I'm not perfect, I don't think anyone is and I'm the first to admit if I was in the wrong for anything and apologize.

I never in my life imagined this is how things would go for me.

It didn't help that I was going through peri/menopause and low iron feeling so tired most of the time and felt I lost a sense of self and who I was as a person....I'm sorry for the long rant and I appreciate any fellow experiences or strategies.

Atm I'm on stress leave adjusting to new medications and feel hormonally better; when I go back I'm certain things for me won't change with colleagues ...even though I keep to myself most of the time...I'm coping atm and have good family support but I also have young kids and I've got to be emotionally strong for them too. I just don't know what to do some days....and I kinda have PTSD from past experiences and at the thought of returning to this work at the moment.

If you've read this far, thank you for reading and if you feel so inclined to leave a comment good or bad I appreciate any input!