MInurse.st 4,118 Views
Joined Jun 12, '10.
MInurse.st is a Registered Nurse.
She has '1' year(s) of experience.
Posts: 181 (29% Liked)
I'm single, no kids and pay $7/month - yes 7 - for an HMO plan. No deductible, $20 copay for all office visits (incl specialists, urgent care), no lifetime max, no deductible or copay for hospital stays, full maternity coverage. To add an adult it goes up to 150, then add a child it's 250/mo.
I am thankful for this coverage and thankful for our union that made it possible.
I come in at 11 two nights a week so I often have to wake up my patients to introduce myself and do an assessment. I work on a surgical floor, so when I patient comes from PACU we do vitals q1 X4h. Otherwise q4 (midnight and 0400). For a post-op fresh off a PCA and on PO pain meds I ask them during my assessment if they want to be woken up for the pain meds.
I work there (contingent) and I LOVE it. I started as Health Care Assistant (MA w/o certification), and when I passed NCLEX got to transition RN. I'm not there for the pay for sure ($6/hr less than than at the hospital I work at), I'm there because I love what I do. Some clinics that do AB may allow you to volunteer in the recovery room.
In Michigan there is a law that any woman getting an abortion must obtain a packet of information about their "options" written by the state and have this info for 24 hours before the abortion. This packet must be referred to as "informed consent" per the state. When they come in for their appointment, the front desk (health assistant) must make sure they have this packet and have had it for 24 hours. So, in a way, obtaining their "informed consent."
When it comes to the actual procedure, the MD meets with the patient prior to the procedure, goes over risks, etc. and obtains the actual informed consent, which results in a piece of paper signed by both the MD and patient.
Look up patients before report, done w/ report 1920-1930, assess the first patient, including lines, drains, etc, give pain meds and address immediate wants/needs (ice water, reposition, etc), repeat x3 more patients, check 20:00 VS and chart assessments, pass meds/hang TPN/Lipids, do dressing changes, cover HS chemsticks, look up the patient I'll be picking up at 2300. Ideally.
What do you do until 20:00?
I would take the higher pay, if pay and seniority are the only differences to you. 2 months is not much in terms of "seniority." And I think $1/hr more is significant.
I think whether mitts are considered a restraint varies by facility. Previously, they were not considered a restraint at my hospital (which I always found odd). Recently, policy has changed and now mitts are going to be considered a restraint (duh).
I work on a surgery unit, but we also get medicine patients when gen med floors are full. 3-4 on days and 5 on nights.
I'm happy to work - 12 hours of triple time!
Clinical competency and empathy.
My surgical floor takes the liver and kidney transplants. Tons of teaching, and these patients are almost always eager to learn (and compliant w/ meds, treatments. etc).
Phenergan has to be mixed in a bag of Normal Saline, hung as Piggy Back, not pushed IV push anymore due to caustic nature of med to vein....Believe that was enacted Jan 2011 across USA. NEVER push IV meds above a pump, EVER! Push IV meds port closest to patients, if slow IV, push flush behind med. HOPE that helps.
We don't get a call from the lab unless K is over 6.0 And isn't normal K 3.5 to 5
We get triple time on Christmas (double time and a half for all other holidays), so most people want to work. Unfortunately, Christmas and New Years are always overstaffed, so we get called off by seniority.
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