Latest Comments by Valerie Salva

Valerie Salva 10,367 Views

Joined Dec 3, '07. Posts: 2,369 (59% Liked) Likes: 4,411

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  • 1
    supernurse2014 likes this.

    I used highlighters to color code on my report sheet various things that needed to done and info about pts. I designated different colors for different things.
    For example, a pink highlighter dot means the pt is diabetic. A pink check mart next to that means they are scheduled for routine finger sticks. Yellow means pt has a foley. I would make two short yellow lines- one for I, the other for O- and fill in the yellow lines with the amounts for my charting and report.
    A green mark means wound care/dsg change needed, and so on.

  • 1
    rabbitbowchou likes this.

    Quote from TheCommuter
    I'm single with no children, so I definitely prefer 12-hour shifts which enable me to have more days off during the week. The $26 hourly pay rate adds up to $52,000 per year for a person who works a full-time 40 hour work week, and just slightly less for someone who works 36 hours per week. Also, it looks as if you will have every weekend off if you select the 12-hour shift job at the SNF. It looks like a good deal on the surface.

    If you've got children, want to be with them during the evening hours, and don't mind coming to work 5 days per week, then the home care job might work out for you.
    The hours and pay at the SNF do sound really good. A SNF is a really good place to hone your skills- as long as it is a good place to work. Lots of various different kinds of pts @ a SNF. Not all are elderly.

  • 0

    I know two people who have worked there- both left recently. They only had bad things to say.

  • 0

    Quote from diane227
    I had the unfortunate experience of working for HCA in a management capacity for a time and I could tell you horror stories about what I saw and had to put up with in order to get care for patients. Because they are a for profit organization their focus is $$$$$$$$$$$$$$$, period. They will do anything they can get away with to keep non paying patients out of their facilities and they do not care if they get fined or sued because "that is what we have lawyers for". It is the most unethical organization and I would never be a patient there or work there. I can't even start to describe to you the things that they tried to get me to make the nurses do that were in direct violation of the law in order to keep non paying patients out of the ER. And all the hoops we had to jump through to meet some standard of care because we were told it resulted in better outcomes for the patient when in actuality that was not true. The fact was that if we met the standard, the CEO got a bonus. I almost EXPLODED when I was told this.

    I believe that for profit hospitals should be against the law. No one should be making a profit off the backs of sick people.
    I was a floor nurse @ an HCA facility, not mgmt, but I agree with your opinion of them.
    No ethics at all- just a miserable place.

    I especially agree with this statement:

    Quote from diane227
    I believe that for profit hospitals should be against the law. No one should be making a profit off the backs of sick people.

  • 0

    Quote from xpose85
    As I am pounding through my core and support classes I am noticing more and more people either moving to texas or beginning to take nursing as their career. Has the state become oversaturated with nurses? ........
    Parts of Texas have been saturated with nurses for a long time. There were plenty of jobs in the large, metro areas in the past, but that is changing now.

  • 0

    Quote from caroladybelle
    In my experience, HCA facilities as a general rule are poor places to work.

    I do not know about that facility personally, but do mind your Ps and Qs while workng HCA, especially in Texas. Otherwise they may black ball you in GroupOne.

    I worked at an HCA in Texas. Worst experience of my career.
    However, every place is different. Just be careful. Watch your back, CYA, and mind your Ps and Qs.
    Be friendly, but don't reveal too much about yourself.

  • 0

    I would think that the best thing to do would be to approach your doc again, telling her that this is very important to you, and you really want her to take some action on this. If she is a good doc, she will surely be responsive.

  • 0

    It sounds like the pt had a vasovagal episode. She may need a stool softener to prevent this.
    I still get teary after all these years when I see a pt suffer. Don't worry- it's normal.

  • 0

    Finally- an accurate article. And this is in Texas- the supposed "land of opportunity" for nurses.

  • 0

    Quote from pmul81
    I just visited Honolulu Hawaii and the starting for med-tele nurses is 50$/hour. After reading northern Cal people's postings it does make sense that it is for living expense compensation. I am curious as to where the ratio between cost of living and dollar per hour is the highest. I do have to factor in weather and family-friends proximity as non-numerical variables when considering a move to a new place.
    I have been offered travel jobs to HI, but the pay has never been more than $19./hr- less than half of what reg staff makes per hr there. The agencies' take on it is that travel nurses in HI are "paid in sunshine and beach." Sorry, but sunshine and beach don't pay the bills.

  • 0

    Quote from Teresag_CNS
    Amen! In job interviews, ask questions like "How do you support new nurses?" and "Tell me about the kind of internship I will get." Run, don't walk, if the interviewer can't answer those questions to your satisfaction.

    Great advice!

    As a new grad, I had a "preceptor-ship" that was really an after-thought. The "preceptor" had no desire or education to be a preceptor, and was pushed into it by mgmt. She was very resentful.

    My orientation there was awful. Of course I left.

  • 0

    This morning I was watching HLN news. There was a wonderful story about an American nurse who is there helping the earthquake victims. This nurse has been an amputee since she was 19. She is using her own experience for pt teaching & support to help new amputees in Haiti.

    Because of the earthquake, the current generation of young peopl in Haiti is being referred to as the "amputee generation."

    I googled, but could not find any more news about the nurse.

    Hopefully, something will pop up- I'd love to read more about her.

  • 2
    caffeineRx and meluhn like this.

    Quote from meluhn
    I will list some characteristics that I find in common with many of my coworkers. In all honesty, I find some of the same with my non-nurse friends but much more consistently with nurses. I know I will get flamed but here goes:
    1. You have a history of being an enabler in abusive relationships with alcoholics or drug addicts.
    2. You have a sick, twisted but hilarious sense of humor.
    3. You are a dog and/or animal person.
    4. You find the science behind icky bodily functions fascinating.
    5. You like to discuss philosophy and psychology.
    6. You have daddy issues.
    7. You are a smart perfectionist and very hard on yourself all the time.
    8. You are truly compassionate most of the time.
    9. You get real satisfaction from making someone feel better.
    10. You grew up Catholic.

    If these things describe you then you will probably fit right in. Not saying there are not all kinds of people that are nurses but these things describe alot of nurses I know.
    I showed your list to my dh and he said "Did you write that?" Lol!

  • 0

    Quote from tejas-nurse
    Yeah, I want to know as well. You sure you're working as an RN and not a CRNA?
    If you're working as an RN, hook me up so we can be colleagues.

    "central texas, $40/hr. with call, bonuses and OT I was at 130k last year. My house cost me $100k(9 years ago) and my house payment is $950/month"
    I've never met a staff RN making more than $24./hr in Texas.

  • 0

    Quote from caffeineRx
    That is not the norm @ ALL, but yes, it is possible.
    Also, $50/hr is STILL not enough for what nurses have to go through.
    I'd hate to be one of the people that got into it purely for money. It's
    not a job you get rich of off.
    I agree, but I'd take the $50. !


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