shoegalRN 12,938 Views
Joined Dec 5, '06.
Posts: 1,379 (42% Liked)
Guess I need to practice my pole skills. Nurse by day. Stripper by night. Lol!
I don't necessarily care about hourly rate. I'm talking total package with all tax free incentives. If its less than I can make as a perm staff on the same floor I'm not doing it. I just got an offer $41/hr per cal. I know perm nurse same hospital start at $45. Per diem starts $51. They say some assignments are destination assignment others are money assignments. I say screw that. Even on a destination assignment I still gotta eat. Guess I need to practice my pole skills. Nurse by day. Stripper by night. Lol!
I think if 25 an hr is your taxable rate that's pretty good.
Any advice guys?
I haven't made any comments that I know of about online learning. Other than the difficulty you may have with some boards of nursing if you are graduating from Excelsior.
It is fun being smarter than others. I also do very well in school with very little work. But I can tell you that becoming a nurse was very humbling. I had several careers prior to nursing and I excelled. I did not at nursing, in fact my personal evaluation is that I sucked big out of nursing school (I was top of my class too). My major stumbling blocks were organizational skills and the difficulty of doing things that are based in tradition rather than science or evidence. My brain just doesn't work that way and surgery is full of traditions without basis.
Now I'm fine and generally a great resource and knowledge base everywhere I work. But I'm here to say that new grads (especially smart ones) are often cocky and without understanding that they don't even know what they don't know.
Just a word to the wise. ;-)
That is poor nursing judgement!
1) you left a controlled substance that needs to be accounted for out in the open where anyone could take it.
2) you left a controlled substance that could harm a patient in a suicidal patient's room.
3) You left a medication accessible to anyone who felt like trying it out - This includes other patients, unfortunately staff that may have issues, NO MEDICATION should be left out on the counter. You must remember that patients can have young visitors that may get into these medications!
4) NEVER assume a suicidal patient or any patient cannot find a needle in a hospital, they can, they may already have one on them somewhere. You are naive!
5) You left a medication in an open area where you have no way of knowing whether the vial has been accessed by someone else and contaminated with another medication or worse changed to saline (remember even healthcare workers have medication addictions), this is the equivalent of administering a medication that you have not drawn up and have not seen the vial for!
- Sorry, but you need to do some serious learning here, that was very dangerous for you to do, dangerous for your license, young visitors, this patient etc.
I would never, ever give a controlled substance that was removed from the Pyxis by another nurse unless it is a dire emergency situation. Too many ways things could go wrong with that. I would also never leave a controlled substance in an easily accessible area, whether I can see it or not. Controlled substances are nothing to mess around with, and I value my license enough to want to keep it safe. Keep doing this, and not only will you be playing with fire in regards to your job, but you may just find yourself in hot water with the BON. Read your BON's newsletter, and you will see that most suspensions are related to drugs, not nursing practice. You're setting yourself up for trouble with suspicion of drug diversion by leaving them accessible and not being appropriately wasted.
Wow. I understand you came here to vent, but you won't get a sympathetic ear from me. It scares me how nonchalantly you not only completely brush off the seriousness of your actions, but turn around and blame your coworkers for being "petty." Everything you did was obviously out of P&P, and you fail to realize why those P&Ps are in place.
You disregard the seriousness of leaving the bottle at the bedside because "he can't kill himself or penetrate the bottle w/o a needle" and he's being watched from the nurses' station. It doesn't take very long for a suicidal person to grab the bottle, break it to expose sharp edges, and swallow it. That could be done in the blink of an eye before you reach him.
Secondly, last I checked, Ativan IVP comes in single use vials that are counted because it is a controlled substance. As such, whatever was not used when you gave it should have been wasted. To give the remaining 1mg would mean it would result in a discrepancy of the Ativan count relative to doses given.
Despite your view that your co-workers were being petty, I, like them, would not give the remainder of a single dose medication ESPECIALLY if it is a narcotic. I would not know if the Ativan you left is in fact Ativan or saline. While you may not do that yourself, your naivety shows in your failure to see other potential situations that P&Ps are designed to address.
It's one thing when new nurses make mistakes and learn from them. We are all human, we all make mistakes. What is absolutely intolerable is your CONSCIOUS disregard for the rules simply because YOU find them "illogical" because you haven't been around long enough to see all the sh*t that can go wrong that is the reason why these rules were put in place.
That actually is a big deal. It was a 2mg vial, correct? Your order was 1mg, did you waste the remaining 1mg? I think not, based on your comments. So, what would happen if the next anticipated dose wasn't ordered? You would have 1mg of explaining to do.
And seriously, you left a controlled substance on the counter in the pt's room? Really? Only ativan? Hey, it's gone! Where'd it go? Personally, I think you'll be lucky to only get a verbal warning.
When My wife decided to Travel To California it took about 2 months from the cashed check to get the license. California is great just pick an area you would like to go. Do you like Water sports, Then look down the Coast from San Louis Obispo Down to San Diego. Like to Ski then check out Sacramento and surrounding areas, they are close to Lake Tahoe Skiing. Or Even Bishop right down the road from Mammoth. Do you like Wine on your days off then Look near Napa. California is one of the Few States that has everything. It does make it hard to leave, but remember your a Traveler. FYI when we travel to California I was able to Surf then Ski in the same day
It is so easy to speculate what you might do, reality is something else.
I am an Emergency Room Nurse. In the past 2 weeks we had 2 Nurses punched in the face by Patients.
Hospitals do very little to protect us NURSES!
In one hospital I worked the Security guards were so old and frail they looked anemic,
In another Inner city hospital the guards looked like Gang Bangers and were bilingual and dealt well with local gang bangers
In San Diego I know of one hospital that utilizes guard Dog patrols and another that in ER hires only Off Duty Police who are armed with Pistol and Tazer.
We need to have Security present in ER 24/7
We need metal detectors at triage walk in entrance to ER if Patients are offended by this to bad!
Nurses safety should come first!
When ambulance Pt's come in they should be put in gowns immediately and clothing list made out to see if any weapons present
We need to have either Off Duty Police officers with guns and tazer in ER at all times or Security with German Sheperds in ER.
In this situation if Security with a Dog were present in the ED - one German Shep would have taken the guy down and held him at bay while the cops cuffed him! And no one would have had to be injured!!!!!
This is no joke! I don't come to work to get assaulted! Bad enough we risk out lives every day getting exposed to unseen pathogens that can kill us or ruin our lives!
Then when you get injured Hospitals complain that you are out of work to long and try to lay a guilt trip on you that you are causing a problem with staffing!
What more has to happen to change things? The hospital in question is now short of 4 staff! Gonna cost allot in workers comp money!
Maybe a few large law suites by injured ER staff against hospital for inadequate security will help
Nurses attacked by rampaging patient - CNN.com Video
Saw this on the news this evening. It happened on Sunday (Nov 2). Sounds like it was on a med-surg floor, but I'm not certain. Evidently, the patient had complications associated with a previous surgery and he became paranoid/confused.
The video shows the patient swinging and hitting nurses with a metal bar he tore from his bed. One of the nurses has a punctured lung. The patient died soon after the attack after being tazed by police.
Reports from the patient's family say this was totally out of character and he was usually a nice guy. Scary as heck for all of us. Let's watch each other's backs!
Video shows hospital patient attacking nurses at St. John's
I'm sorry but I am my number one priority. Until the threat is diffused, you bet your bottom dollar I'm not gonna risk my life. Especially when it's not a trauma situation.
Where are the accusations that *HE* "broke protocol"? Where is the outrage about him riding the subway, going bowling or catching a ride with a ride sharing service?
"Authorities stress that the possibility of Dr. Spencer spreading the virus is low."
This is what should have been reported about Pham and Vinson as well.
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