Nurse Jobs London

I’ve been here in Capital City for two weeks, and it seems like I’ve been here forever. Part of it is that I was here as a traveler a couple of years back, and I’m living in the same part of town I lived in then, only south of the main drag instead of north. I know pretty much where everything is, what supermarkets are where, and (very important!) where Wal-Mart is. I wasn’t as familiar with this side of the main drag, so I was delighted to find things like a neighborhood Indian restaurant and grocery store right up the street. I know where the libraries are and have decided I like the older branch better than the new one. I’ve found the post office. And best of all, my new apartment is just over a mile from the hospital.

My apartment is in a townhouse community and is spacious and quiet. I wanted a townhouse because I’m tired of people stomping around overhead and didn’t want to live on a third floor somewhere. I’d actually been looking at another complex, but when I found this one I knew it was right. It’s not a huge community, and though there are quite a few kids, it’s not overrun and they seem to be well-behaved. I couldn’t imagine living in an adults-only community! Downstairs I have a kitchen, dining area, and sunken living room with a *working* fireplace. Upstairs are two bedrooms and two bathrooms. I have a private patio and even a small garden plot
(and yes, I do plan a tiny kitchen garden!) as well as a small area out front where I can plant flowers.

OK, the hospital. It’s HCA, which has its pluses and minuses as they all do. Decent benefits and retirement plan, pretty reasonable working conditions, and this particular one has an excellent reputation. The minuses are an antiquated computer charting system which I am already familiar with from other HCA hospitals, and maybe not the most up-to-date equipment. But everyone has been very positive and very welcoming. Probably the only place I’ve felt that welcomed was the one where I was last summer. I’ve done my mandatory week of nursing orientation and Sunday night I start actually working. Amazingly, they’re not making me orient on days for a week either; I start right in on nights. I never could figure out why most places make you do day shift orientation first; it’s a completely different animal from nights. One excuse sometimes given is “so you get to know the docs” but you don’t see much of them during the day because you’re busy running yourself to death. But then you have to learn a whole new routine when you go on nights, and that loses you another week. I’m delighted someone has actually seen the light!

Staffing over most of the hospital sucks. There is no phlebotomy, so nurses have to do their own lab draws (actually, the patient care techs can do them, but they can’t draw from IV lines, so it falls on the nurses much of the time anyway). On nights there is no clerical staff, so all of that has to be done by the nurses too, unless the techs happen to have clerical training and the time to use it. On my unit, it’s quite a bit the opposite. Most nights there are three nurses, but rarely do we have more than 6 patients, not that I’m complaining about THAT; I just wonder how long it will be allowed to go on. Now some of the nurses who have been out sick or having surgery are returning, and on many nights there will be even more of us. To me this suggests one thing.floating. Now, I don’t mind floating *on occasion*, so long as I’m being floated to some area in which I’m reasonably competent, but the word I am getting is that travelers float first, and I’ll be damned if I’m coming in every shift to go somewhere else. If I wanted to be in float pool I’d have signed on for it!

And.last week the manager who hired me was fired. I still don’t understand the mechanics of that, but it scares the hell out of me. When I first got here I heard rumors of some kind of screaming match between one of the nurses and the secretary who had been doing the schedule, resulting in a communique that all schedule requests and changes were to go through the manager or her superior, a person of whose existence I had been previously unaware. A week or so later, I heard that the manager had resigned. The word was that she was going to cath lab at another hospital in the system. Thursday she stopped by the unit to let the day shift know she’d been fired.from cath lab, from the whole hospital, and apparently from the whole system. Nobody really knows what happened, but apparently there’s going to be some serious uproar in HR.

This morning our secretary was talking about some changes being made. She mentioned that probably most of the travelers would not be extended, but that didn’t particularly bother me, as I have NO intention of extending my contract. Neither do two of the other three who started when I did, and the other traveler, who’s been there for almost a year, had spoken of moving on. My concern is more in terms of my contract being canceled before it’s over. I can deal with that, I guess, if it happens after Christmas, but I need the money up until then.

I’m starting to think about looking for a permanent job.