Latest Comments by klone

klone, MSN, RN 63,059 Views

Joined Apr 2, '03 - from 'Oregon'. klone is a L&D. She has '10+' year(s) of experience and specializes in 'Women's Health/OB Leadership'. Posts: 10,916 (54% Liked) Likes: 25,853

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  • 0

    A lot would depend on the geographic region as well as how many nurses your local hospital typically staffs on a shift.

    If you work at a facility that sees a high percentage of Muslim women, they may not want to hire someone that wouldn't be able to take care of many of the women who come in.

    If you work at a small facility where there may only be 2 labor nurses on a shift, that might also prove difficult. They would need to allow for another staff member to go in as chaperone every time you do a vag exam.

    I personally would not have a problem hiring a male L&D nurse if he was the better candidate.

    My unit, which is an LDRP, has a male nurse. He doesn't do labor, but he does do mother/baby, so takes care of postpartum women.

  • 1
    xoemmylouox likes this.

    Quote from caliotter3
    FWIW, all agencies I have worked for required that a relieving nurse arrive ten minutes prior to start of shift in order to receive report and for the offgoing nurse to leave on time.
    I don't work home health, but in the hospital, the incoming nurse is expected to punch in at her start time and be ready for report at that time, and the offgoing nurse is the one who overlaps and leaves 20-30 minutes "late" (which is factored into her hours, it becomes a 12.5 hour shift, 12 of which is paid).

    So it's really just a matter of the facility expectations - is the report supposed to begin 10 minutes before the hour, or on the hour and going to 10 minutes after the hour.

  • 0

    Quote from NurseGirl525
    I always scheduled my full timers 38 hours to help take care of incidental minutes and make sure we didn't hit OT..
    In most states, anything over 12 hours IS overtime (or in my state, over 8 hours if the nurse is hired for an 8-hour shift). So the law requires paying overtime, regardless of what you've scheduled for your 0.9 FTEs.

    And no, clocking in 10 minutes early is not necessary. Clocking out 20 minutes late is also not necessary unless the nurse who is relieving her was late, in which case, THAT Is what needs to be addressed. But as BTDT also mentioned, with a PDN case, shift handoff should not take more than 5 minutes.

    If my staff goes into overtime, guess who gets in trouble? *I* do. So I'm darn well not going to NOT address a nurse clocking in 10 minutes early, when there is absolutely no need for it to happen (for one-time occurrences, I let it go - it gets addressed when it's a regular pattern).

  • 0

    I would recommend making sure you have a job secured before you make the move, particularly if you're hoping to get into a hospital setting.

  • 3

    Quote from nrsang97
    . I think your management is nit picking.
    I don't. They're trying to cut down on incidental overtime. I totally understand the reasoning behind needing to stay late, and that's a system issue that needs to be addressed. But the ten minutes of OT because of arriving ten minutes early? It's unnecessary and I understand why it's being addressed with her.

  • 3

    Totally agree with BTDT. I'm a fan of snark, but not in workplace communications where a clear message needs to be delivered. As previously stated, make sure to arrive on time, not early. If your relief does not arrive on time, you need to take it up the chain of command.

  • 0

    It's been fabulous. As I was changing the sheets on a triage bed on Friday, I realized how much I have been missing inpatient. I didn't realize how much until I came back!

  • 3
    quazar, LibraSunCNM, and RN_10 like this.

    Oh, I second the suggestion for NFP. It's a national program (actually, international) but it's not in every state or county. It's typically county-run, through the public health department.

    Careers | Nurse Family Partnership - NFP

  • 0

    Quote from Sour Lemon
    Is this person a family member of a patient?
    I think we've established that this person is not in any way related to her being a nurse.

  • 1
    sevensonnets likes this.

    Make sure to pay attention to where the bevel of the needle is. Make sure it's below the level of the liquid, and as you pull the liquid out, you may need to slowly pull out the needle as the level of the liquid drops.

  • 0

    Quote from grit&grace
    The program that you describe is the same type of program I'm applying to in Tyler, TX. You work 1:1 with your nurse preceptor during the shifts. The catch-22 is that you have to agree to sign on with them for 2 years after you are finished with your nurse externship (if they want you).
    Yes, there was another hospital in AZ that required that - for every month you worked as an extern, you were contracted to work that number of months as an RN after graduation. I ended up turning that one down because it was 80 minutes away from where I lived at the time. Instead I gambled on the hope that I would get an externship at my local hospital, which I did.

    It wouldn't be a bad option if the hospital is a good one and convenient to where you live, and you don't anticipating relocating any time soon after graduation.

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    Quote from Horseshoe
    Wow, what an awesome opportunity.
    It was! I think every hospital should do it. Once I get fully immersed in my new position, I want to get involved in trying to bring a similar program to my current hospital.

  • 2
    NurseGirl525 and poppycat like this.

    Quote from Shookclays
    If I can't get a NICU job within a couple of months I will deal with the PICU or pediatric clinic until I can.
    And if you cannot find a job in peds?

  • 2
    RN_10 and quazar like this.

    I agree with others that I think you're being a bit oversensitive about the questions. I don't see that any of them are really over the top or particularly rude. However, if you don't want to share, that's certainly you're right. Just say what Quazar suggested.

    And regarding the assignments - I also agree that you need to ask for help. Taking care of a patient with a BMI of 60 should not matter because you should not be doing any lifting or moving alone, regardless of your pregnancy status. The +quantiferon patient should not matter as long as she is asymptomatic. If she's coughing, then you should be wearing an N-95 and she should be in an isolation room. If she's not, then she's not contagious.

  • 2
    NurseGirl525 and poppycat like this.

    Quote from Shookclays
    I don't HAVE to care for adults as a RN. That is why we have various specialities in nursing..
    You do as a student.

    Again, you need to keep an open mind. The likelihood that you will get an L&D/NICU/Peds position right out of school is quite slim. And you may actually find that you LIKE other areas of nursing. Maybe, since adults "make <you> sick" you might consider OR nursing.

    And little people almost ALWAYS come with big people that you will have to deal with on a daily basis.