hardworkpaysoff MSN, RN

Latest Activity

1. Charting Question

   hardworkpaysoff replied to Sherie P.'s topic in Emergency

   Another consideration is that most patient charting is visible to patients these days and that phrasing may not be perceived the greatest. My hospital recently implemented emergency/abbreviated charting essentially telling us during these criti...

2. Every 3 Hour Vitals and Lung Sounds

   hardworkpaysoff replied to SilverBells's topic in General Nursing

   If said patients need more than q4 vitals they should usually be on a continuous monitor with automatic scheduled bp readings that doesn’t require waking patient up for something so trivial. Possibly upgrade these patients if it’s that ser...

3. Holiday Sick Calls From Self-Centered Staff

   hardworkpaysoff replied to SunDazed's topic in General Nursing

   When I say subjective I mean some sickness you can’t see. I’ve worked through miscarriages, dizziness, limping, syncope, and countless other illnesses where I had to be a silent sufferer. I’ve had coworkers who’ve almost been in a diabetic coma or...

4. Holiday Sick Calls From Self-Centered Staff

   hardworkpaysoff replied to SunDazed's topic in General Nursing

   I love that most other careers/professions expect employees to get sick, but nurses and healthcare professionals treat call-offs like some shameful taboo event. People get sick and believe it or not people can get sick around the holidays. It’s...

5. Does your employer give you hell for calling in sick?

   hardworkpaysoff replied to Convoy2022_TrumpSupporter's topic in General Nursing

   Well more “personal” days should be allowed. During onboarding/recruitment they love to tell you how much time you get off, sick days, etc but this career tends to guilt you for actually using this time. I personally don’t use a lot o...

6. Just Got Hired But Want to Go Per Diem in Order to Travel RN

   hardworkpaysoff replied to EatCake2Day's topic in General Nursing

   I think the responsible thing to do is stay in the full time position and build your foundation. This is coming from someone who works part time & per diem and trying to avoid full time with all my might (after doing years of full time). The gr...

7. Pregnant in this Pandemic

   hardworkpaysoff replied to Navikay's topic in New Nurse

   I worked with no issues up to 36/37 weeks on a step down floor (actually felt like it helped to stay active & probably could’ve squeezed in more shifts) but everyone is different. This was pre-Covid and dayshift. Now I’m nights and a few years o...

8. The Gap Between East Coast & West Coast Nursing

   hardworkpaysoff replied to ArticulateRN's topic in General Nursing

   Honestly I started in Cali (staff and travel) and now work on East coast and it’s not that vastly different besides the ratio. They all try to squeeze the most out of you, but I can say I make the most out of it and feel I have more resources (on t...

9. Should I call the doctor for a BP of 175/72?

   hardworkpaysoff replied to moonshawdow's topic in General Nursing

   Assess, assess, and assess. Look at the big picture. There are situations where we neglect then they can stroke out. Over treat and they can end up dizzy on the floor like our unit experienced last week. Some things takes normal body regulation...

10. Feeling forced to be the house supervisor

    hardworkpaysoff replied to Dani_Mila's topic in Geriatric

    Stick to your guns and respectfully decline this position. No matter what they throw at you it will likely not result in enough incentives to keep you there and since it’s salary you might not see much of an increase. If you do decide to take it the...

11. Why do I always look high at work?

    hardworkpaysoff replied to Ella2598's topic in General Nursing

    I’ve had this same issue for years. No matter what I do my eyes end up red. I thought it was makeup/mascara but it primarily happens only the days I work & even if I don’t wear it I still have the redness issue. Im convinced my allergies flare ...

12. Two Job Offers

    hardworkpaysoff replied to Natkat's topic in General Nursing

    What setting is your current position and do any of the positions align with your goals? I wouldn’t per se take the case manager position just because of the title. It will not necessarily translate to other case manager positions and if your husban...

13. In Need of Some Advice Please

    hardworkpaysoff replied to urijahsmommy's topic in General Nursing

    I would take the med-surg position for right now. You could also make a temporary sacrifice and volunteer to work more weekends or nights and hopefully you’d hit less traffic. You mention needing to find childcare at 5:30am but could you drop your ch...

14. Newer nurse hating cardiac stepdown. Where to go from here?

    hardworkpaysoff replied to michigan94's topic in New Nurse

    Please stick it out. Give it some time. It’s only been a few months. ^Doesn’t sound like ICU is a good fit at this time either. Look at potential openings throughout the hospital to transfer to in about 6 months-year. That’ll give you something ...

15. New Grad RN-Accepted Position, Just Found Out Pregnancy (High Risk)

    hardworkpaysoff replied to JennaSnow's topic in General Nursing

    I second this advice ^. Please thank the manager for the opportunity and be candid. Keep the door open because L&D is a small world. Not sure how many hospitals or L&D positions are in your area but she may be have openings in 2020 or kno...