RNinSoCal

RNinSoCal

Home health, Med/Surg

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About RNinSoCal

RNinSoCal has 13 years experience and specializes in Home health, Med/Surg.


Born and raised in California

Latest Activity

  1. First Travel Assignment

    I hope they are paying for your housing. I worked at Sequoia Hospital (which is 20 minutes from Stanford) in 2008 and made 57 an hour as a staff nurse on med/surg. My rent was 1625 per month for a tiny 1 bedroom apt though.
  2. Need resource for MD orders guidelines please

    You are misunderstanding. They are doing this on the regular order pages outside of the monthly printed orders forms-on the hand written daily order sheets. The regular MD order sheets look like a confused mess with orders crossed out everywhere. ...
  3. Hello educators, I have run into a problem with nurses crossing out MD orders that have been changed or discontinued at a LTC facility. For example an order written on the MD order sheet reads "6/15/10 Tylenol 650 mg po Q 6 hours prn for mild pain ...
  4. crossing out MD orders??

    I have not been able to find any professional nursing or medical texts/articles on orders charting. I wonder if there is a standard for orders that I would be able to bring to the nurses as evidence. They don't know me well enough to know my years ...
  5. crossing out MD orders??

    I agree, it makes the original order appear to be invalid. It also could look like nurses are trying to falsify medical records when viewed from a legal standpoint. I have to say something to some of the nurses who are doing it. I already talked to...
  6. crossing out MD orders??

    OK, here is what they are doing: MD order on regular order sheet " 6/15/10 Tylenol 650 mg po q 4 hours prn mild pain Dr. Knowitall" The nurse receives new telephone order from MD on 6/24/10 for Tylenol 325 mg q 4 instead of 650. She goes back to o...
  7. crossing out MD orders??

    Thanks for responding! I thought it was wrong too. I asked the DON if it was done on all order pages or just the monthly printout and she said on any order sheet! State should have fun with her:eek: I am just the alternate MDS nurse, not in charg...
  8. crossing out MD orders??

    Hello all, I have not posted here before. Switched to MDS nurse (LTC) from med/surg for a change of pace. My feet still hurt from all the years of med/surg!! Not that LTC nursing is easier, just MDS work. I am helping to enter MD orders for the m...
  9. moving to the bay area i guess, advice

    Sequoia has a great reputation all around and the pay is great for experienced nurses. It is worth a try to see if they are hiring, you can apply online.
  10. Certifications?

    I recently turned down chemo certification classes at my facility because there are no benefits and many draw backs. There is no pay increase for chemo cert where I work. Nurses who are chemo certified are asked to float or travel to other units to ...
  11. Pyxis, Omnicell, Accudose Comparison

    I like omnicell for 2 reasons: You don't have to count your narcotics The omni machines are bigger so more meds can be stored in them. We just switched from pyxis to omni. We used to have 2 pyxis on the unit and we were constantly running between t...
  12. Need advise and support

    Cg88, I know your pain. My mother was diagnosed with cancer 6 week after I graduated from nursing school and I moved home with my family until she died. This was 10 years ago. I needed time to grieve and recuperate after the stress of her death. ...
  13. Would this happen at your ER?

    I agree with the other posters, that situation should not have happened to you or your patient. I would have refused to leave my other patients to take a pt anywhere for longer than 15 minutes. There should be charge nurses who have no pt assignmen...
  14. patient nurse ratio 4:1 in California next year?

    If California goes 4:1 on med/surg you can bet it will be primary care with no CNAs. I dread the day I have to work without help. The CNAs on my unit are worth their weight in gold. I would rather have 6 patients with help than 4 patients alone an...
  15. nurse to patient ratio

    The ratios are true in California for hospitals, but not for nursing homes and subacute care centers. I f you want to work in California look for union hospitals. My hospital is contracted with CNA and there are consequences for going over the rati...