Returning to bedside (telemetry) after 22 years...yes, not a typo! Need $ for kids going to college. No refresher, just cramming at home studying meds/labs/pathophys/etc. Hospital willing to train but I'm nervous. Advice?

You've got this! Continue what you are doing, keep your mouth shut, eyes and ears open; take notes. Review what you do not know or understand, graciously accept the hospital training, remember, they want you to exceed as much as you want to. Keep GOD in your prayers and in everything you do.

Review procedures of the hospital you plan to work at. You are wise to refresh yourself as to labs, meds, etc. Machinery constantly changes so on job training is best. EPIC system for info management is something you will need hands on training once you work at hospital. Expect that the first few months will be challenging but after that you should be flying like an eagle.

Things have changed a lot. Do not waste time on studying meds or labs prior to working. Now all meds and lab test results can be quickly referenced on your phone browser, also many of the computer EMRs have notes attached to medications- such as- check this before giving this med and you have to address it before moving further in the medication administration process. Labs can be scanned for abnormal ranges which are printed with the result and you can look up the abnormals quickly on your phone. What may be worth your time is to have ready access to references such as PDR on your phone or have a quick link on your phone to the Merck Manual for professionals. Also, get an updated recent issue Fundamentals of Nursing- Lippincott and read it- may be able to get an electronic copy or get a library edition as well. You can also get a CD with RN NCLEX questions and just start reviewing them and study the rationale on the answers you miss like you are going to sit for your exam again. Last- don’t be too proud to tell anyone that you are back after 22 years and most nurses will gladly thoroughly help you. Ask for the help just like if you were brand new and it will go very well! Best of luck to you!!

Relax, stop cramming. Hospital will train you. It will come back into your memory. The main thing to recognize on an EKG is 3rd degree heart block of course v-fib. These are the 2 most life threatening things to happen.3rd degree needs a pacemaker and v-fib needs a shock. Yes they need meds to go with them but that is easy too. Don’t be nervous, don’t let it show anyway, have confidence and you will never be alone. Scream for help.

I was 56 when I started in the medical field in 2021 by chance, working as a CNA in an ALF. During 2022 thru May of 2023, I got my CNA and PCT certification. I was very nervous when I started school, but I did it. Now at the age of 58 I have decided to go to college to become an RN. I get very nervous and doubt myself many times, but when I think of why I want to be a nurse, my inner strength and confidence overwhelms me and let me know that I can conquer my challenges.
I said all that to say to you, once you start things will come back to you and your confidence will grow, soon you’ll forget your fears. Allow the hospital to train you.
Good luck!!

Hi. Don't worry. Your nursing skills will kick in as soon as u start ur training. Trust urself. Start watching some videos on YouTube to review whatever worries u. 😊

It’s like riding a bike; it will come back to you. Make sure you review medications before administering and be sure you are aware of lab values. Ask for help when needed. You’ve got this!

First you will need to find out what is the patient to nurse ratio. Will there be a tech on the floor? What additional support will you have like IV team, lab draw blood, transport team? Don’t forget to study medications because there are a-lot of nurses making medication errors. Most important if you don't know ask. No one knows everything. Nursing is a team effort.

It’s okay to be nervous but show that you are willing and give yourself some credit that you have confidence in yourself. When you are out there, don’t hesitate to ask questions. You are a part of a team. Always ask for help when you need it. And you are right, you do need a lot of reading to do. Good luck.

Do not sabotage yourself. You have 22 years under your belt. It is like riding a bike. You will be okay.

I did a return after almost 20 years as well. I had to retake my boards because we relocated. My advice is to take a deep breath and keep telling yourself “I did it once and I can do it again!” It’s been 5 years now and I am so happy to be useful again. You can do this! Good luck!

Things have changed so much in 22 years. I was in your shoes five years ago. I think it a wise move to take the refresher course. It was well worth it for me.

Go for it. You can do it because you have had prior experience, even though 22 years ago, and you are determined. I speak to you as a veteran nurse of 45 years. I know what it takes. You offer so much because of your experience over the years. You can adapt and learn the new stuff. The hallmark is your interpersonal skills with patients which you have under your belt. The technical part you can learn.

You will learn a lot when you start. Go over rhythms and you will be fine. Do not stress yourself out.

Take the training and learn o nthe job. It will be ok. You will be surprised at how fast it all comes back

Medcram online can help with most topics, especially EKG, ACLS and meds.
You can do this!

I am an ICU/ floor/ float nurse and have been doing this for 18 years, and medicine (as well as patients)have drastically changed. Telemetry would not be my re-entry point unless the ratio is 3:1. I work in step down units that are 5/6:1. I honestly want you to have success, and think if the hospital is willing to train you in other departments that are lower acuity first, and expect a longer orientation with you before going to telemetry that would be your best bet. Hey, if you pick everything right up in a shorter time then it’s a bonus for everyone without anyone feeling like a mistake was made. Here’s to the second half of your career!😊👍

Don’t stress it ! Nurses are usually willing to help a team member, you don’t have to tell anyone it’s been yrs since you did bedside. I think that is sometimes a problem choose wisely on what you disclose remain a mystery it makes you more interesting

Patho is important and that’s your best bet as a refresher. Don’t be afraid to ask questions if you are unsure. Basis safe nursing care (practice), compassion, communication, patient advocacy, and integrity does not change. You’re gonna do great 👍.

Make sure you are following what your board of nursing requires. There may be a refresher program requirement. Don't rely on the hospital for keeping you legal.

Ask for a consistent preceptor/mentor. Preferably one that dedicated to the role and not also responsible for other duties like management, staff education,

Ensure that all computer accesses are correctly established. Usually bedside nurses are required to have access to multiple computer programs. Once you are already on the units it can be very difficult to have these setup adequately to complete work.

You’ll be fine, ask questions, it will comeback, watch your time.

1st - Get to work early enough if your patient assignments are given out, you will have enough time to review.
2nd - Review your patients Progress Notes and get an idea of the patient history including labs and diagnostic test.
3rd- Review MD Assessment and Plan to understand what the MD has put in place for patient pathway during stay.
4th- Review current orders and note any pending diagnostics or surgeries. Also make a note of any misc orders like SCD, SZ precautions, etc. that may not have been addressed.
5th- Note medication times and get ready for report.

Hopefully that can help you prepare for your incoming shift and remember this can help you prep for your shift and then it's getting through your day/night with you and your patients in one piece. (RN of 19 years - Med-Surg/Telemetry both in Adults & Peds) Ask for help if you don't know and remember to breathe.

I have left the bedside for 10 years and returned. It’s like riding a bicycle….it’ll all come back. Your biggest challenge will be the Electric Medical Record. Take ACLS and any other classes pertinent to your work area. You got this. Best wishes

I think you're doing all the right things! I would expect the hospital to be willing to train you. I've had a 14 year gap since I worked. I'm wanting an outpatient position. I feel that older nurses (I'm a Gen X-er) have something unique to offer that cannot be found in younger nurses. Good luck!

Give yourself "grace"!! Go with the hospital if they are willing to train you! It's OK to be nervous! You are going to do great!!

You got this. They are willing to train and you will feel like new grad again but you can do this. You are already on the right path studying meds, labs etc. Time management is in your favor, you've been dealing with household and kids time management now just convert it. Wanting to learn and being willing to learn is half the battle.

I love telemetry. The best book for review of EKG is an oldie but goody. It’s called Rapid Interpretation of EKG by Dunlap. Good luck and thanks for coming back, we need all the help we can get.

I’m a 70 year old RN, going back after 9 years of retirement. Enjoyed my years off, had worked for 30 years , mostly women’s and infants services, all 12 hr nights . New job is on an Employee Clinic at a Children’s hospital where my son works as an engineer. Happy but scared! Starting in 2 weeks. Am looking to pad my retirement income and help
My granddaughters with college. Wish you luck in your journey!

A: Take one thing at the time, or refresh 1 thing, then next time add something else. You will go from student, protegee to expert.

A nurse is always a nurse, go and receive the training with the hospital, ask questions and let your preceptor know if you need more time to get a hold of being alone.

Well, I’ve been in your shoes and if you’re able to do the 12 hour shifts possibly longer and take advantage that the hospital will train you because 22 years a lot of changes have been made and you will need to be up on all the current interventions for nursing and computerized charting

Time flies.

You are going to do great.
I recommend

1. 8 hour shifts so you have room for personal adjustments as you go and to prevent feeling overwhelmed after 12 or 16 hours 😬

2. Get a buddy that you feel comfortable with on shift and off for any questions.

3. Use 1 hour either before or after work to research/refresh what you did that day or will do.

4. Set small daily goals then reward yourself. You deserve it! 👏

The 1st 2-3 weeks will be the hardest but it's temporary and has a large inner reward and for your family!

U got this❣️

You will be successful.
Best wishes.

Don’t be nervous! You got this. It’s like riding a bicycle. Don’t forget to use your resources…. other Nurses and CNAs. They will help you

Take your time. Arrive to work in time to review charts. Use all of the time for training, preceptorship and know that policy and procedure resources are better that cutting corners that others are willing to do. No question is a dumb question, it’s called getting clarity. Be honest about if you like the preventing experience. Admit mistakes quickly and please add the nurse practice act to your reviews. You’ll be fine. Thank you for returning to the profession!

Go far it. Your knowledge has not been forgotten just perhaps a little rusty. Keep studying on your own and also trust that the hospital will train you to meet the standards needed for the job. You can do it! Believe in yourself.

Being nervous about returning is reasonable considering the gravity of work you’re returning to. It sounds like you’re taking some good practical steps to prepare yourself. That 22 year hiatus could work to your advantage in many ways. Where many nurses have and are experiencing post Covid burnout, You are returning fresher and wiser. I don’t know if you’re a religious person or not. I personally find that prayer and reading the Bible can help. One Bible passage in particular that I find reassuring is 2 Timothy 3:16, 17 Where it says: “All Scripture is inspired of God and beneficial for teaching, for reproving, for setting things straight, for disciplining in righteousness, so that the man of God may be fully competent completely equipped for every good work.” The best advice that we can get comes from the Creator of life Jehovah through his Word the Bible. If you’d like to learn more about how the Bible can help you in a practical way. Go to JW.ORG. It’s a free and safe website that offers an abundance of practical advice in the form of articles as well as videos. I hope your transition back to work is a smooth one, and you’re able to not only do your job well but also find joy in it.

I’m not sure where you are coming from so this may not be for you. But if you are going to Tele from a non-cardiac setting take your ACLS and at least a basic if not an advanced arrhythmia course. You will be watching monitors and pushing cardiac meds all day. At my hospital the Tele nurses are expected to read and interpret strips and have to sign them to verify that has been done. Study cardiac drugs both PO and IV and side effects, adverse effects, classes of drugs, etc. Be familiar with cardiac procedures done in Cath lab. Not big open cases as these go to CVICU, but Caths and ablations, types of closure devices and placement sites like the groin or wrist. Good luck. You can do this. You are a mature learner with motivation to succeed. I hope you truly enjoy your unit. Tele is usually a good place to be.
Rachel M BSN RN NPDC

See if they will let you shadow for a couple of days. This way you can just observe without actually training. And the nurse you’re shadowing can continue to see their patients without the responsibility of “training.”

Relax and trust your skills. It’s like riding a bike. It will all come back once you’re back in it. Things will be familiar and come back quickly, unlike the novel nurse learning for the first time. You will be fine. Good luck.

Just know this is going to be incredibly difficult. Things have changed a lot in 22 years. The hospital willing to train is great! Just take deep breaths and jump in. I know the financial concerns. I returned to Case Management after a few years for this reason. It’s challenging and sometimes I cry on the way home but have faith that you can do what you have to because you have a goal. Good luck, I’ll be praying for you

that’s an awful long time! things have def changed! i get your not “new” but i think it would greatly benefit you if you can get into a new grad type of program.. it’s also for new bedside nurses.. or those like yourself who’ve been out of bedside for awhile.. dont let the name fool you. I highly recommend reviewing your city’s hospitals program.. not all programs are built the same! i was offered more money at one place but took another with a great program. I was an Army flight medic/LVN/ turned BSN .. first hosp job ever (besides Army ER) it was wayyyy different.. no I’m not a “new nurse” but this is new to me and I didnt want to hurt anyone.. so.. I took the new grad program and dont live to regret it at all… i did have to remind people often (pretty frustrating) no.. I’m not a new nurse but THIS is new to me.. nkt being a “new” nurse gives you a leg up so it shouldn’t take you too long ..good luck!

Go for it! With age comes a wisdom and bedside manner you can’t learn from a book. All that nursing knowledge is still in there somewhere…. So just pull it out and you’ll be fine. It was never lost or gone. It was only your self-confidence that you lost. Jump in. You can do this!

Go for it! It’s like riding a bike…… you have the skills, intellect, and compassion plus now that your children are older and you sleep through the night you have more stamina!

You should try Hospice. Or home health (Hospice is easier because it’s less paperwork). No rotating shifts, occasional on call weekends but usually involves a stipend for the hours on call, plus extra pay for being called out to see a patient (or 2). No nights. Holidays off, etc. I would think you would be a good fit just from my past experience as a hiring manager. Wisdom and patience with a good dose of empathy mixed with reliability can make for an excellent field nurse in the industry. Some agencies provide fleet cars, and/or pay mileage. Usually comes with all the same benefits as any hospital position.

You need money I get it. but avoid doing overtime. I fear you will burn out quickly
I’ve watch young nurses ride the cash cow but…. Due to lack of experience they are very hard on themselves as are potentially your co-workers. You need time to acquire the skills that will make you a great nurse.

Hi there; everything has changed a lot since the pandemic. Working as a bedside nurse on regular floors is a BootCamp. If you can go to a specialty area like ED, and the hospital offers training, go for it!
Differences: Working in med units can be overwhelming between your 5+ patients, three rounds of meds, pending orders, pain medication, strict documentation, follow-up on studies, plus trying to complete whatever the last shift left incomplete, documentation since more important than patient care, the same story for days, and if the patient or family members are difficult or frustrated for any reason, you are the one who has to deal with it. Conversely, those transitory units, like ED, PACU, CTU, etc., are fast-paced. You don't feel the 12-hour shift. The stress is different, and after you are done with your patient, you have another unknown experience with the following case. I hope this helps! Success in your endeavors!

If its at allll possible, try to do floor orientation 5 x 8 per week. I went from informatics to behavioral health to the ICU (right when COVID hit, oye). I think the biggest hindrance to my orienting was working 3 x 12 shifts scattered around so I could stay with my preceptor.

One instance was Mon 12 hrs next shift Sunday 12 hrs. "Remember what you learned?" You mean from a week ago? Ummm.. I have small children so I'd sooner recite a Frozen song.

Idk if 5x8 is feasible but it would've made a huge difference in the learning curve

Continue to study & don’t rush it.

Make a list of goals to share with your preceptor.

Ask for a preceptor that best fits your learning style. Global or Analytic?

Don’t wait to the end if your orientation to tell your boss you had a bad preceptor. Alert the manager up front. Changing preceptors happen all the time. Di r cheat yourself out of a great training experience, for a great comeback. watch your six!!!

At least you’re getting a chance. I’m unable to find a job after a 14 year absence. It’s extremely frustrating. Good luck to you 😊

I would go for the training from the hospital. That way you know what they expect, the new rules and new trands.

Oh my goodness, congrats. I really can’t help with a answer because I’m in the same boat. I’ve been out for about 11 years due to a injury and I need to retrain but I didn’t know where to start. Are you doing online? I would love to know where to start again. You are a inspiration. I wish I had a answer.

I have worked in many roles. You are studying to prepare yourself. The hospital is willing to train you. The important thing is to identify the areas you want to have a preceptor focus on. his could be arrythmias, medications assessments etc.
Machines make life easier but, assessment using your hands on nursing skills tell you so much.
In all areas of nursing using your innate skills allows you to ask why. Asking why drives you to find an answer, ask for another opinion, and often leads to sharing your observations with the physician.
Please, no matter where you decide to focus in nursing, listen to your patient. Your patient knows his/her body.
In closing, listen to your team. Nursing techs/CNAs are a wealth of knowledge Listen to them.

If you plan to take the position, I would take the hospital training.

Take your time. You should have an orientation that will help you get back into the swing of things. I made my own "daily" sheet. It was made of the things that I thought were needed to get thought my day. Initially it was long, then it became half a page. I needed time as well to get back into the swing. Find that one person that is willing to help.

Read on your own, take courses that will help you succeed. Ask the experts for learning opportunities.

You will be fine. Sound like the nursing profession is going to have a great nurse!

D o not be anxious; study well and work well. The basic ACLS skills allowed me to call the Codes and do most of the stuff and have fun. Maybe some Meds or shock and good CPR go far. Usually people better trained than I watch the Codes and are ready.
Telemetry and strips are fine. There are not as many Codes as I earlier thought. ACLS review is a good place to study as experiences should also do us well. No advice needed, you have experience, a clue and a hospital to train you to work well; enjoy and try as you are blessed with opportunities.
It may be cell-side before I venture to bed-side. Prison nursing is interesting for me, there are strips to read and quality care to be provided.
Emergencies and ABCs,
Success,
Tom

Yes, be confident. You are not a new nurse and have not forgotten basic nursing care. You are probably more attentive and aware than many of the nurses you will encounter. You've got critical thinking skills, your most important skill. Brush up on your rhythms and basic care for each. You will be just fine. Confident not cocky.

Take one day at a time anyway the hospital is there to help you out every step of the way. No rush. You will be able to catch up as you work with helpful co workers and don't be hesitant to ask if you don't know. Communication is a must🫰

I feel the same way . 7 years I was out hospital setting..but trust yourself .. it will all comeback .. I’m sure co workers will help us out ..

Go for it. The knowledge and skills will all come back to you.

I think you’ll do just fine ☺️ Don’t stress yourself out studying at home. You will learn all that’s required when you get to your unit and a you’ll be surprised at all the skills and knowledge that comes back to you 🤗

I pray you have co-workers that are gracious and enjoy their job and willing to help you every step of the way! Prayers for awesome management & God’s favor also 🙏🏾🙌🏾🩷

Ask and -Follow a seasoned nurse for a few weeks - to months and ask for advise from him/her for your progress. Study normal Lab values. Understand metabolic vs respiratory abnormalities and how they are treated. Bring a small notebook with you to write things down and keep in your pocket for a resource. Know that you will need some good shoes for working on your feet. YOU can do This!!

You are wise. You are experienced and most importantly you have great self-awareness about your practice. It’s obvious you think logically and critically. We in nursing are fortunate to have you practicing again.welcome back. You got this!

I just bedside/tel after 40 years and returned to visit after 6 months and felt like" how did i work here for so long", it felt so different with so many new unfriendly people who rather walk away from you than asisst you. With that said, each floor has different personality /flow to it. Alot of young nurses do not have the same values. Keep what made you a nurse and try to adjust and take small steps and stay humble and adjust.Some younger nurses will admire your experience and learn something! Good Luck Greg Dougherty

Hello, You will do well. Make sure you are organized and prepared ahead of time. The night before, make your lunch and snacks, lay out your uniform, and have your cell, keys, and wallet available. Get to work at least 30 minutes early. Review your patient's chart. Make a list of medications, diagnoses, and treatment plans as you go to review later. Make sure you have time to process your day as you go. Hopefully, you will have enough time during orientation to rebuild your skills and speed. Believe me, your nursing skills come right back like riding a bike. Learn the Electronic Health Record System and practice as you go. I think the hardest thing for me returning to bedside after seven years was the computer system and knowing what is mandatory to chart. Also, starting slowly and building is essential. For example, in Tele, you may have 4 or 5 patients. Hopefully, you can start with three during orientation, get stable with 3, add to care for 4, stabilize, and then take your 5th. Remember to be honest with yourself and your preceptor and ask for what you need to be successful. Good Luck!! You got this!!

Honestly, after 22 years, it’s normal to be nervous. Trust in the same sort of intuition and intelligence that got you through nursing school initially. Speak to your hospital contacts about the sort of training they’ll provide, and what sort of time frame they’ll give you to get up to their expected level of competence. Is this full time or part time. If part time, and you don’t think you’re progressing fast enough, you should be able to squeeze in a refresher course to help you along. I’m reminded of the saying, “Do the thing you fear, and the death of fear is certain.” I think nervousness/anxiety can be conquered in the same way! Go for it!!

I was working five years in specialty infusion where I took care of one or two people at a time. I just started at a nursing home /rehab two months ago and it has been quite challenging to get used to caring for 17-24 patients. I have stayed in close communication with my bosses on my needs. I am going to shadow the best nurse that they have to see if I can pick up more tips on being faster/more efficient. My skills are fine; just need a better time management/prioritizing. I’ve been so used to doing everything and doing it all perfectly with 1-2 patients but here i have to prioritize and pass on what I can’t do. Also, being humble enough to ask for help and ask questions is important especially during report between shifts. Lastly, the most stabilizing part of my new job is that I feel God called me to it; that helps me persevere. I think reviewing labs, meds is a great idea too! You might find it a big change but I’m sure they’ll be grateful to have your help and will work with you. Blessings and don’t forget to have fun!

If hospital is willing to train then go for it. Times have changed in nursing. I’m living in North Carolina and the rules here are if you have not practiced in 5 years or more one is required to take a Refresher course. It is time consuming and monetary cost. My advice to you if you are interested in returning is go for it. Don’t be nervous. Take it one day at a time. Good luck.

I have to say you are brave indeed! Nursing has changed drastically over the years and most profoundly in the last 5 years.
What are they requiring for you to do to re-activate your license? I'd study as much as I could if I were in that situation. You have to study tele again because you will be required to not just pull strips but know what it is that you are looking at and what you need to respond to. Some hospitals have algorithms for administering meds for certain conditions such as a-fib. Other hospitals you have to inform them first and then they tell you what to do.
Patient populations have changed a lot in behavior. Twenty years ago, patients were respectful to nurses many are not anymore. You need to be prepared for that. You did not say if you were going to be working in a community hospital or a university setting. There is a difference. University settings are much higher powered, and you have to be prepared to make many decisions on a dime. Many staffs are full of travelers and there may be limited numbers of nurses that can assist you on your journey.
How long is your orientation? You do have a preceptor? There is a lot I can say having 50 years at the bedside in a university setting. Ask more questions and someone here will help you.

Try to round up some nursing books -the type used while in nursing school. These should be good solid basis’ to help you get updated! Hope this helps you!

Be prepared, be teachable, ask if you don’t know, always eat your lunch and I personally pray when I go to work. You’ve got this!

Some nervous/stress is totally normal. We need that to get us going. Take a deep breath and imagine yourself successful. I believe in you!👍🏻👍🏻❤️

Take the hospital refresher course! Keep reading your material, but you may have questions!

Like riding a bike! Advice to download apps / references resources for quick easy access to procedures and standards of care. Your life experience and maturity are important and bring strong value to the workplace.

See if they have an internship available, they will not want to loose you.

Just breathe, relax. You can do it. I became an RN at age 45. Your world experience makes you so able to do anything! You don't' need luck. A lot has changed as far as math meds and ready made medications verses diluting etc. Hope the best for you.

You definitely need a Nurse Refresher Course. Things have changed a lot and it would be in your best interest for a refresher.

If they are willing to train go ahead . I hope you are good with computers because you will be surprised that everything is computerized. I hope you are not just doing it for the money and your heat is in it I retired after 45 years after getting multiple myeloma but I found the new nurse has little compassion compared to the older nurses Mist are money driven. I am sorry to say this

Some state nursing boards have "refresher courses," for folks who have been out of the field for a while and are coming back. Some states mandate this kind of course if you've been away for a few years.
Either way, I might look into this.

There is such a demand for nurses, more than ever before, I should hope hospitals might be willing to afford a longer or different type of orientation to a nurse just coming back after a stretch of years.
It would be great if they designed a class or a cohort of like nurses- advertise a different kind of clinical orientation for experienced nurses who haven't worked bedside for years.

I think if I were you, I wouldn't want to work for a place that wasn't sensitive to my practice needs.

Don’t fret…there are so many new grads on the floors actively learning just as you will be. Your previous experience will definitely be an asset despite the amount of time that has passed. Just know that the environment is much different now so prepare for that. Nervousness is great… that’s shows that you intend to care about what you do and that’s a sign of a good nurse!

Take confidence in your life experience helping you to make practical decisions. We who work in health care are fortunate to work in a very supportive environment. I have found that there is always someone to ask a question. No question is stupid and if anyone ever makes you feel stupid - it has to do with their own inadequacy. Welcome back to health care- you are needed!

Hello, Returning to bedside congregations on coming back! Do the best to prepare know your key meds for your unit and pathophysiology. Take a deep breath 😮‍💨 you will be trained again! Remember you are never alone when you are on the floor. If you have a question or concerns ASK for help! Have a good brain sheet that works for you to help you stay organized. Take nutritional snacks you may be eating on the go. Remember you made it through nursing school you will be amazing!

I'm trying to return after 17 years. My state required a refresher course in order to reinstate my license. We wrote papers and care plans and took a ton of quizzes. There were videos that were part of the refresher too, but honestly it was the in-person skills lab that helped me the most. So if your hospital is willing to train, that will be the most helpful to you. It'll start to come back when you get your hands on it again. There is a drug dosage calculations video teaching dimensional analysis on YouTube by RegisteredNurseRN that helped refresh my memory for that. That same channel might also have other helpful procedural videos.

Don't fret, it's like riding a bike. You'll remember all you thought you forgot.

Bedside is different now than it was 22 years ago. The biggest part is technology and procedures. I would probably begin with something that is a little more routine such as dialysis, infusion, or endoscopy. These positions are less stressful and still rewarding at the end of the day.

I'd say start back on a med-surg floor and get your feet under you before moving to a higher acuity unit.

If the hospital is willing to train, just go for it. It will get easier as you get back in, learn the things that have changed. Things come back as you get in and get going.

Will absolutely be a piece of cake like riding a bike. If you were trained as a "real nurse" the first go around you will run circles around everyone else. The hate that you will get from the insecurity of these newer inexperienced nurses and other healthcare workers is what will get you. You will be amazed at how incompetent healthcare is now. Do not worry about your skills and knowledge, worry about theirs.

Take them up on it, go for the training, you'll be happy you did and more confident.

Don't do it!!! Your kids ahve a lot longer to pay off there student loans. Perhaps your kid(s) learn a trade. Plumbing, Heating and A/C, Electrical worker.

Alot has changed since you left nursing 22 years ago. The electronic medical record and bar code scanning of medication big learning curve, Patient acuity has increased in the past 22 years.

I have been a Nurse for 33 years. BURRRRRRRNED OUT!!!

Have a bit of a "new grad" attitude. Keep your eyes and ears open, try to avoid offering advice or "this is how we used to do it..." comments. Be thankful, friendly, and open to new information. Give yourself permission to feel overwhelmed and know it's temporary, like a tunnel you have to travel through to get to the other side. Focus on the things you do remember (compassion, caring, listening, comfort) the rest will come. And if you can master Cerner you'll be able to build rocket ships.

Please take advantage of the training offered by the hospital! Not doing so puts you at risk and your licensure. You want to know the hospital’s policy and procedures especially in an area like this while taking care of patients.

Before I became interested in psych nursing I worked tele and icu/ccu for many many years, with all the intensity that implies. Best advice: keep studying; know your labs and what they portend when out of normal range. Know your rhythms, know your drugs and what/why they do what they do. Do ACLS asap! You absolutely cannot fake it until you make it, and don't be lulled into thinking that because you had a good day on Monday you'll have a good day on Thursday. If you can catch things before they happen, your docs will love working with you.

One day at a time. Learn something new every day

Hi! I'm new... Just do your best. If you ask me what I would do (that you didn't, but...) I would say, "Do you best, like you're working unto the Lord (or if that offends you, what you hold most dear in your heart)." Dedicate your plans to the Lord that it may come to pass and it will. Keep the faith." You *can* do this. Catch a vision for how you want to be, like, say, amazing at Idk... the bedside manner, look for common ways people trip up in that field and obviously avoid that or do your best to... make a plans for your studies and stick to it (unless you made the plans already). Carry a notebook for when you're trained. I don't know about you, but I've started jobs where I sort of expected there to be a pen and paper to take notes in, but that hardly happens... Review your notes, do your job with love. At the end of the day, review your notes, what you did, be honest with yourself with what you can improve or do differently... When you start your next day, review your notes again, see yourself succeeding in your mind's eye for every day.... try to turn your nerves into excitement.... I hope you succeed.

Since you’ve been out a while and so much has change try to get into an Internship.

Do it!! I worked for five years and then had my first child. Then a second, and I stayed home to raise them for 17 years. I eent back to an emergency department that was extremely busy. I did not have any special training, I just had a preceptor. I was surprised, and you’ll be surprised, at how much you have retained. As my husband says the body works the same way it always did, it’s the treatment modalities that have changed. he was right. I say once a nurse always a nurse!! It may be hard for you in the beginning, but you will catch on and be a great nurse! So I said go for it, you can do it!

I really like to listen and/or watch Kathy Parks. She created RN UP. It's a wonderful refresher course and study guide for whatever area you need to study. I used it to help me study for my RNC-MNN exam and found it super helpful. Good luck and welcome back. ( Also, you may need to be prepared for nurse bullying. It's a different world out here. I love Renee Thompson's book "Do No Harm" or her quick YouTube videos on how to handle conflict in nursing.)

Hmmm, the advances and changes in technology will be a challenge !! Also learning whatever electronic documentation / charting.
Get a clear outline of how hospital going to train you and how much time .
BTW from my own experience the more you make in salary the less kids get in tuition assistance.
Good luck and kudos returning to the bedside. Wishing you success.

You are very very very lucky if a hospital is willing to train you. Jump on that opportunity before there is a change of mind. Not sure why you question this offer. You have nothing to lose in this offer. Most places would require that you pay for your own independent re entry program. You gota pick up your self esteem and confidence. you can do this.

Congrats! You will enjoy and You'll do just fine!! I just went thru the exact same thing. Lol I worked Tele as well. I did take a refresher, Kane's Refresher Course, it's a weekend, in person, hands on. That did help, for me. I hadn't worked as a nurse in 17yrs, but if the hospital is willing to train, Yeah! Lol You'll be an old pro again in a week 😀😜🦋🙏.

Take your time do not rush training and never feel uncomfortable asking multiple questions and make yourself a highlighted wrtten answer sheet. Remember google is on your phone and use it as your confirmation on how to do anything

Lucky u! Curious what state you’re in? I can’t find a job after being away for 16 years and took a refresher course!

Good for you! With your ambition and determination you should do well. Find yourself a mentor on your unit. Having a particular person to turn to who is willing and interested in being a resosurce and helping you regain your professional skills and knowledge is essential to new and returning nurses. And don't stop learning! Ever! Good luck!

Hi,
Do not worry about the computer. You will get it in orientation. As you work with your nurse preceptor, she will guide you with it. Make sure your tool bar is set up correctly, that you need. Most hospitals have an IV team. Go to YouTube they have telemetry free classes and insertion of IV’s. You can find anything educational on YouTube. They have nurses teaching up to date practice. Good Luck with your new job. Be positive, hospitals need you. Never be afraid to reach out to the nurse educators this is their job to help you succeed. 😊

I am glad you are studying as that helps. I would also suggest taking CE courses or a home study program for telemetry. It is beneficial to demonstrate that you are willing to bring your knowledge and skills up to date. Please check the internet for re-entry programs for the state you live in. Generally the RN Board of Registered Nursing in each state has information and criteria needed. Good luck to you.
Gloria Blakeley, EdD, MSN, MHA, RN

Since it's a telemetry unit familiarize yourself with normal as well as abnormal cardiac rhythms. Review lab values related to cardiac function and 12 lead ECG. Review cardiovascular anatomy/pathophysiology and you should be fine.
GOOD LUCK

That’s awesome! Congratulations!
Having a little anxiety is healthy right now. That’s good move, to review especially on the areas that were not clear to you before. With the blessing of technology, its so easy to get access on many resources, even YouTube has many and they made it so easy, also not to mention the convenience of using your smart phone. Knowing the basics will give you some ease. Patient care is collaborative and patient safety is the prime focus of health care and the team. Its good to have few days of orientation in the day shift (if you’ll be working nights or evenings) so you’ll meet the health team and know the work system on dayshift. Learn how to make give good patient teaching, this is where we nurses make a difference for our patients. Last but not the least, it’ll be beneficial to know the work culture at your department.
Wishing you the best!

Although I didn't take a 22 year break from bedside nursing I did take about 7 years off from the hospital before returning. I was also nervous to return but surprise myself with how quickly everything came back. You can do this. Hospitals are set up for training and use to frequent change in staff and knowledge levels.

As an older RN who got my degree in 2014, the smartest thing you can do is have your phone handy to pull up answers to questions. Have reliable apps set up to look up your drugs. Be comfortable with the computer. Use smart phrases when documenting. Young nurses have an edge in many ways, but their willingness to use Google for answers, or YouTube for instructional videos, is an edge you can use too. Your maturity will be an asset.

You got this, who is better then you. Let them train you, if you don’t understand something ask questions

Wow! Good for you. My only advice is to always ask questions when you don't know. Things have definitely changed in the past 20 years, so be patient with yourself and allow yourself some grace while you transition back into the profession. Good luck!

You got this!

ask the manager if you could job shadow a couple of shifts make sure it is a good match for you and for them...jmb

Go for it!!
Diane

It's like riding a bike it's something you'll never forget and the one thing about it the hospitals have computers and when you go into the pictures to get your man they do calculations so I wouldn't be too nervous about returning to bedside nursing the calculations are done by your computer just watch dosing watch contraindications and things like that and you should be fine but you can do home health you can also do hospitals you can also do other word like phone nursing and make more than you would if you were doing bedside hope this helps

Hey! First off, you're going to do great! It'll take some practice to get back into the routine but you'll get the hang of it. Nursing has changed a lot in many ways in even the last decade but your basic skills will catch you up just fine. Definitely review labs, meds and rhythms. Take up the offer to train again and ask all the questions you need to. Best of luck!

Review your ACLS study guide. Know your lethals and what to do about them. Know your meds, there are some new ones out there.

First of all you should be proud of yourself! It’s very courageous to do what you’re doing and very selfless! It’s a good thing the hospital is willing to train you. I’m sure a lot of information will come back to you, almost like riding a bike! Lol there are going to be a lot of new things i.e. computer charting, etc. however, it’s just a matter of time that you will be able to navigate through your day. Just stay focused on patient safety and if you have any questions just ask. Or you can always look up the information in any of the recent forms of resources. Just keep in mind safety first everything else will fall into place! Good luck!

I believe you have to take a refresher course according your state nursing board of nursing; since you don’t have any hours worked recently to keep your license current.

The ratios at bedside are pretty tough these days; not enough time to spend safely with each patient from what I hear.

Good luck!

Ask lots of questions and communicate with your preceptor and leadership if you feel you need more time/training. Most orientation programs give you plenty of hands on and it's like riding a bike. You'll do great!

I think its a great idea that the hospital is willing to train you. That is
exciting! You will catch on quickly
I wish u the very best!

You can do it

Take notes so that you can refer back. Always, always, ask questions don't be afraid. The charge nurse is always a great reference. Get to know where everything is so you are not overwhelmed looking for something. If you feel like you need that practice, ask the other nurses to call you when a procedure needs to be done. In 22 years a lot has changed. You got this, you will be ok.

Say yes! EKG’s are no worry.
Reading and recognizing rhythm patterns has completely changed in the last 10 years. ACLS will also give you great training. You will feel confident and in-charge of most situations.

Being nervous is ok. You can get through this, just ask as many questions as you need to. Also like you said, they are willing to train you. If you had it then, you’ll have it now. Maybe try to look at it like riding a bike, once you learn, no matter how many years go by, you’ll still have it. Just get back on and everything else will fall into place.

It's good to keep up your BLS certification while you take a break for different reasons. and keep your license current by completing state required continuing education units (CEUs). Most of the hospitals will orient you with necessary skills, so you can revise what you have learned in the school and/or performed skills when you have practiced before. So, be positive and it is possible to go back to a nursing job after a break.

I left for 13 years (ICU nursing) and ended up landing a school nurse job...love it. The pay is really good if you add in your years of experience. Great hours/benefits. You might consider it!

I was away for 12 years and slowly eased myself back in starting part time in home health. You know the old saying? “ It’s like riding a bike, “ that fits, but what is new is computer charting. Give yourself permission to make mistakes, and give yourself a good 3-4 months before you’ve got the charting down. I work with a fabulous team of people who didn’t mind me asking once again how to get to that one assessment again. Also, for some, taking notes during orientation helped. Good luck! I’m sure you will do just fine.

Congratulations on making such a difficult decision. Review based on the nursing specialty you applied for. Go for the training the hospital is offering. I am glad you were offered the position after so many years away from the bedside. You are a nurse. You only need a refresher. Be willing to learn about new guidelines and processes. Best of luck! You got this!

I would take the training available as well as talking to other nurses who are working in that area.

Take the training, learn what you can. But…Never be afraid to ask questions! Ask ALL the questions and when all else fails, ask a question. You will do great, and most facilities have online resources to help guide you through procedures and disease processes if you need it. You got this!

Hello, after 22 years would not go to telemetry, try medsurg instead. I know it’s a pain but tele is still too stressful.

Hospital will train you so relaxed and take it one step at a time, start back a staff not traveler , they will be more patient with you as a staff, don’t be afraid to ask questions it is safer, view youtube videos relevant to your specialty EKG ,ACLS is a must for telemetry.
Relax and don’t max anxiety get the best of you, because when you start back everything will come back to you, you are not a new grads, go for it you can do it.

If hospital is willing to train,

Since you know post cath pts why not work post cath or the Cath Lab itself? There’s plenty of Cath Lab out there looking for help.

please do not be nervous, you can do this! yes you can. one step at a time, and in a few weeks you will be a pro, just go for it

Most hospitals have a thorough orientation of 6 to 8 weeks and more if needed. I think a lot of the knowledge you possess will return when you’re in the medical environment. You hold the knowledge just need a reintroduction. Go for it I’m sure you’ll do great!

Trust your instincts. Learn the ins and outs of electronic charting. Also maybe find out who on your unit is a reliable resource to lean on until you are back on your feet.

Nursing is drastically changed in last 10 years but don’t get nervous, get an orientation as much as possible and if it’s still difficult for you then you can work in Rehab facility, Palliative Unit where different types of patients and different work loads.

Take the training and see if they are willing to take it slow and ask tons of questions - do not take on floor/wing alone until you are comfortable. I’m sure you will be fine it’s just computer programs the basic human aspect you got the rest is learned on the job more than anything. Find a good mentor in the department willing to take you under their wing until you feel ready. At this stage I’m 53 I learn if I don’t know something I ask and research Wtvr to get help ti do my job. I just started helping perform tracheostomy care on clients been years but after a few mins it comes back. You have skills imbedded and ingrained I am certain. You got this!

T

Take the training course. It will make u feel more confident, things change so rapidly in medicine, I am sure the hospital updates their staff on a regular basis.

You got this! I took a nice 10 year bread and had to reactivate my license with an trip back to the NCLEX!

Just keep on doing what you’re doing and be open to picking up the work style that will work for you. It is going to be a little hard at first but give yourself the time and patience to adjust. The more you work, the more you will adjust to the work and the faster you are able to do it. Good luck !

Ask for a new orientation & a guide for at least 2 weeks or more! Take all the help you can. Healthcare is constantly changing. Best of luck
Take it slow
Your patents are lucky & they will understand

I would recommend an EKG review along with medications like in an ACLS initial course. That will give you the basics and then you can build upon your hospital policies and procedures for delivering your care. Good luck and welcome back into nursing!!!

It sounds like the hospital has your back since they are willing to train. By studying relevant subjects prior to your start you are going in ahead of the game. Don't be nervous! You already know the basics. Telemetry is a fun unit to work on because they are either improving (transferred in from CCU) or were stable enough to be admitted to Tele, not CCU. You will really learn what you need to know while working with your patients. You may get to participate on a cardioversion or other procedures. You will have a team of nurses and a charge nurse to bounce things off when you need. Study the rhythm strips, the impulse pathway through the heart, heart anatomy and cardiac meds/side effects. Get in there sister, you got this!

Hi fellow veteran( lol) I've been a nurse for bout 30 years now and I think your in the right track, keep ur self updated with the trends and your heart in the right place. I guess what I'm saying is, I always believe that nursing is a fashion to help and to heal other people, if u feel u still have that then u r ready to go outhere coz the rest will follow.. hope that helps

I’m doing the same after 20 years! Going back to tele! Hospital is willing to train. I don’t have any advice but will be right there with you!

Have confidence in yourself. Especially since they are training you. Takes good notes to study from. Good luck with everythig.

Just stay true to yourself. Remember a kidney stone is still a kidney stone... Treated the same....
Been in the ER for 28 years illness is the same the same just different meds you will pick it up.,.

Good for you! I'm trying to re-enter the workforce after many years and I am running into roadblocks, even though I am taking the initiative to learn all I can and keep updated on my nursing field. I have been turned down for a position. Good luck to you and I say "go for it".

You might want to try medsurg first, tele pt is almost ICU pt. You might get a shock if the pt become unstable

You are to be commended for re-entering the bedside nursing arena. The pathophysiology is the same and yes, some medications and lab tests are different. The technology will be the greatest test, but I am sure you can manage it. I used the reminders tab on my phone for all the codes and logins I needed. Breakroom, medication room, supply room, glucometer, drug dispensing machine and the all-important, computer login. I note when I need to recertify for my NIH certification and glucometer competency each year, so I don't get locked out of the system. Resources are so much easier to access because the information is literally on your phone. If your patient has a medication question, you can look it up in seconds. Most important, you already have mastered the people skills that are vital to caring for patients. Take a deep breath and smile, you got this!!! Good luck to you.

It is best to get trained in hospital. You have the experience already; training will be a refresher for you.

Hi, well I may have you beat. Trying to go back after 40 years (yes no typo). I left a telemetry PACU after 1 1/2 years of high stress, low pay (yes made $15k/year back then), and a non-existent nurse manager. Should have never been my first job as a new RN. Left got my bachelors degree in healthcare management and ended up in healthcare consulting, health policy work, and healthcare marketing. Now im 61 wishing I stuck with it and wanting to go back at least part time. I kept my license all these years. Currently taking an RN refresher course (which really has not been that helpful) trying to figure out where to go. Would love to do a remote CM or other remote job, especially because I also have a management degree but all of them say I have to have recent clinical experience. Any advice is welcome.

Hi

Continue to study. Your nerves will settle down as you are being trained. Don’t hesitate to let them know if you need more time. Good luck. It will come back to you as you practice.

You are awesome! It will all come back. Very kind you are going back for kids, KUDOS👏🏼.

Wow! Me too. Here for the advice

Here in NC...everyone new to the unit gets a 30 day orientation. Tele nurses go through a class to learn how to read and interpret strips.
I think you'll be fine. You got it.

Getting back into the flow and your speed back up may be the toughest part (especially if you are refreshing your knowledge). Look for a non critical area and take all the orientation time they are willing to give. Good luck!

I did the same thing after being out of nursing to raise children for 15 years. I had 10 years in the NICU and 3 in mother baby. I even went back to get my BSN from an ADN. I did a refresher course, but I found it very hard to get back into the hospital, they would rather hire a new graduate then an experienced nurse who has been out for a long time. My advise is to look at other areas I started back in pediactric home health to gain my confidence then became a hospice case manager, it has been a rewarding career but I an again trying to get back to bedside nursing. I think if you know someone in nursing that can get you in for an interview that would help, because its hard to get a resume past HR with no recent experience. I wish you luck

If at the end of your training, you don’t feel you are ready to work the unit on your own, ask for more time. Don’t be afraid to speak up for yourself and what you need to do the job.

I think you've already seen a lot of GREAT answers. As someone said earlier, listen, accept instruction and ASK questions! As an 'older' new RN grad, my patients and coworkers ASSUMED I already had experience, which is great from the patients! But I was reminded that your coworkers and esp. the Charge Nurse is there always for you to ask questions.

***I found a great site called "MedCram.com" with LOTS of great refresher courses for medical professionals (many free, some you have to pay for) on a variety of topics. (I specifically liked the Cardiac & Tele courses, as I wanted to strengthen my Tele skills with a unit change as well.) His teaching style fits my learning style perfectly: starts at the begining of topics to fully cover things, but presumes you are an intelligent person without teaching 'down' to anyone. And, for anything you pay for, its a great place to get your Continuting Education Credits!! (There are 2-3 question small 'quizzes' along the way, but don't let that discourage you...they aren't required for your own education, but are if you want CECs. And if you paid attention, they aren't difficult.) You can pay by course, or they have a yearly price for as many as you want.

One more thing... as I mentioned, I started nursing as a second career, my first working from home as I raised my kids. I was reassured by MANY of my college nursing professors AND my hiring manager that my EXPERIENCE as a Mom was invaluable, and they looked upon that as a life experience that so many young new grads don't bring with them. As an experienced nurse now, I totally get that and absolutely agree! YOU will do great!!! Good luck!

Yes

Dang I've been applying everywhere and can't get an offer and I've only been away for a year! Good luck!

I'm going back after 10+ years too! How did you find a hospital that would be willing to train? I just enrolled in a refresher for a second time, first time I did I never completed lol. Good Luck to you and I know will work out for you!

I

Use Uworld for a review refresher course. I heard it’s a lot nowadays price wise; but honestly it’s the best. Used it for my nclex review and still have a hard copy.

Just a quick 2-question poll:
1) anyone else ever have “imposter syndrome”?
2) do any (of my more “mature”) nurses notice the “memory thing” being an issue sometimes?

Things may have advanced with respect to equipment, but you may well be surprised how much returns to you. Go through the training and if you need more brushing up, ask for a preceptor or extended training. You can do it!!

Take your time, ask how long your orientation will be and only work in a place with the longest time. Don't be hard on yourself. I became an RN at 44 years old and worked 30 years becoming an NP!

i believe it will come back
naturally but youtube has been a huge help for me
learning telemetry etc

Not nervous, open fir new adventure.

Just go for it. I was working full time until i had kids, went to limited per diem but stayed in the field just to keep up with change that happens every day in nursing. I was always nervous going to work since i didn't work as much. Pandemic came and bedside nursing changed a lot. New technology was very confusing especially after going to the pandemic then change in computer system. However, you learn to overcome all this nervousness. Your training will help you remember things, also your experience in life in general will help you make better decisions. Just go for it, if not now then when?

They do train but I promise You be fine good luck :)

Being an older nurse also, I would definately take the training. I used to work ICU, PCU and CCU. I would like to return to Critical care also, but there is always new software you need to know and many of the meds. have changed. If I could find a place who is willing to train older nurses I would be there.

I suggest urgent care. Was ICU and ED for 46 years it has changed a lot and not for better. Always understaffed. I'm doing perdiem in UC now retired from hospital much better conditions. I chuckle at what they complain about. Good luck

If you are feeling confident with a refresher then I say take it slow and get yourself a pocket notebook to write down quick references. If the hospital is willing to train then you won’t be thrown to the wolves but remember to ask questions and triple ck your work. Never do something because you don’t want to ask a question thinking you will look “stupid “. With what we do you have to be certain and keep the patients safe. It will all come back to you faster than you think!
Hope this helps you 🤗
A

You’re doing the right thing by preparing and studying- ask for extended orientation if you feel you need it-best wishes!

First of all, congrats and thank you for coming back to nursing. I get the nervousness. I took a little time off too and came back (not quite as long as you though). But I can say it will come right back. Once a nurse, always a nurse. The hospital will retrain you and it will come back faster than you know it. It is t quite like being a new grad. You’ve got this!

You got this! Once a nurse always a nurse. It will flow through you ans I bet the nurses you work with will be willing to help you!

Just remember many of the nurses you’ll be working with will be younger. I’m sure you know a lot, and assuming for the sake of getting to the point, make sure to keep an open mind with the younger ones. They know a lot, and can be especially helpful when it comes to charting and technology. Not only that, but standards of care might have changed for certain procedures/skills, not to mention be in accordance to what is the policy. You didn’t specify how much experience you have had prior to leaving bedside and in telemetry, but obviously know your rhythms and interventions. Don’t be afraid to ask either because always it’s patient’s safety. I think one thing that’s sad even in healthcare is that we still are under scrutiny amongst some colleagues — always (ie for not knowing x, y, z). We forget we’re always learning and we all have different circumstances. Don’t let these people get to you and find the people you can count to help you. Don’t forget to be a team player and always help out when possible. It definitely adds to the trauma bonding…lol… Q4 assessments for pain, IV, and cardiac rhythm for my telemetry floor in Los Angeles. everything else you’ll learn on the job. Best of luck!

Don't be nervous, it's like riding a bike; once you learn how you always know how, its just getting a refresher. If the hospital is willing to train let them train you, it will all come back to you. Good Luck!

I would say to look into some YouTube videos on telemetry and med/surg. Nurse liz is a great resource on there! Also once you get into the hospital familiarize yourself with some of the protocols like (heparin drips, cardizem drips etc..)in their policy handbook that can be found on their intranet. Print those out and keep them in your clip board with your report sheets. Also they have clipboards on Amazon with lab values and important assessment info on them that always helped me! You’re going to be great! Remember one task at a time and there’s always someone to ask if you have a question, you’re not alone and you’ve got this! :)

Just go for it and, be mindful of the job in front of you. Stay focused and safe

Some of the best way to refresh on these are the youtube videos that are made for nursing students. They are easy to follow and the information is laid out for you. Plus you can play the videos pretty much anywhere on your phone.

You’re gonna be light years ahead of new grads - you’ll be fine!