Latest Likes For sbostonRN

Latest Likes For sbostonRN

sbostonRN 7,991 Views

Joined Jun 22, '08 - from 'Boston metro area'. sbostonRN is a Nurse!. She has '2.5' year(s) of experience and specializes in 'Med/Surg, Rehab'. Posts: 524 (32% Liked) Likes: 338

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  • Jul 23

    If you feel uncomfortable talking to him directly, talk to your DON or administrator. When I worked in LTC I had a similar issue with a patient and I am very non-confrontational and felt really awkward bringing it up to the patient directly. I told my supervisor, and it turns out that the patient had made comments to several other nurses and CNAs as well, and was approached by the administrator who told him how unacceptable that behavior was. Definitely say something soon or the behavior may escalate even further.

  • Jun 27

    The cost difference is about 15K for the BSN and 25-30K for the MSN. But if I am eventually going to go for the MSN anyways, now I'm looking at 45K or more total for both. Costs are always going up so I'm thinking of just doing the MSN and being done with school forever.

    Another issue is my age. Right now I am nearing 30, and by the time I finish this next degree I will be around 35, and I don't want the BSN to be already obsolete by the time I obtain it.

    Thanks for the feedback everyone!

  • Mar 1

    Try acute rehab or LTACs. I went from a nursing home to a LTAC hospital and it's very similar to acute care. I plan on working here for a few years before trying to move onto somewhere more acute.

  • Feb 25

    I am a new grad and I've been working on a subacute rehab unit at a LTC facility for 2 months now. I really love it and I'm well supported by my coworkers. On a typical day, my unit has about 36 patients (up to 40), 2 med/treatment nurses, 1 charge nurse and 1 to do admissions and discharges. So I'm typically responsible for the morning med pass for about 18 patients. I'm curious how other med nurses arrange their morning schedule to gain speed. I come in at 7, generally start my pass around 7:30 (after getting count, stocking my cart and getting any blood sugars), and I finish around 10 or 10:30. So it takes me about 3 hours to do a med pass. I've seen others at my facility finishing their med pass at 9...how is this possible when each resident takes 10-15 meds?

    Please, if anyone has tips or tricks for time management, it would be much appreciated. Since I'm on a rehab unit, I do have therapists coming at me constantly wanting to take my patients down to therapy, so I would love to start finishing earlier than I have been!

  • Jan 5

    Boston is a great city for nurses and medical professionals. I work outside the city right now, and am getting my BSN so I can work at one of the big Boston hospitals some day. Pay starts around $30/hour for new grads and benefits are good at the major hospitals (Mass General, Brigham & Womens, Beth Israel, Children's, Boston Medical Center). Plus you're working with some of the best doctors and nurses from around the country. Even though cost of living is high in the actual city of Boston, public transportation is great and allow you to live in the neighboring cities.

    I wouldn't live anywhere else!

  • Nov 1 '15

    We have Sigmacare for our EMar and ETar. I am a new nurse so I don't have a ton of experience with Mass DPH surveys but we went through one last summer with Sigmacare and things went great! The surveyors do not have access to Sigmacare except for what we choose to show them on our screen (for one or two particular patients), so they can't see if a med is late unless it's late on the patient you're providing care for at that moment. Also, our computers are attached to the med/tx cart so they rarely go into a patient's room. Sigmacare allows us to change the administration time so it always appears that we are in compliance with timing. Of course it's best to just change the time due to the time you're actually able to get done, which we're encouraged to do with daily meds.



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