NevadaFighter 3,963 Views
Joined Feb 17, '11.
Posts: 149 (24% Liked)
It is true that you have to pass meds one hour before and one hour after time they are due to follow the regulation. What your facility could do to make it a little more obtainable would be to schedule medications at different times. For example the patients at the front of the hall due at 7:30, middle of the hall at 8:30 and back of hall at 9:30. My facility did this at one time and it worked really well. The nurses were t nearly as stressed out and there was less chance of being cited by dept of health for late medication administration. Just a thought.
Hello, Allnurses.com family...
Less than an hour ago I had a phone conversation with a Patten U enrollment representative to unearth more details about the MBA program and get satisfactory answers to my multiple questions.
The tuition for all of Patten U's graduate programs is $520/month, or $2080 flat rate per four month term. However, the gentleman to whom I spoke offered a lowered tuition rate rate of $349/month ($1396 per term) if I was willing to agree to a start date of August 31st. I originally sought to start the program in September, so moving the start date up to the end of August will be not that significant of a change to me.
The discounted $349 monthly tuition would be valid for 12 months. It is a self-paced program, and since I intended to complete it a year or less, the terms will work for me. I haven't enrolled yet since I wish to think about this more, but the mere thought of obtaining a regionally accredited MBA for about $4,000 is tempting.
The prerequisite courses for Patten U's MBA program are microeconomics and college algebra, but the man with whom I talked confirmed that another previously completed college-level math course may be used to satisfy the algebra requirement. I had completed a three credit statistics class online through WGU last year and am hoping Patten U will accept it. If they want me to take college algebra, in all likelihood I won't enroll.
I find the fact that people are more concerned about making their education work around their life circumstances than the actual quality of the training to be, well, alarming... these are people's lives. Nursing is always going to be seen as a lesser field because of these attitudes. Just depressing.
Just an update! After my instructor's week of deliberation with so called 'nursing commitee', I passed! I believe in my heart that this particular instructor wanted me to fail. I did not give her the reason she was seeking. I worked hard (went to the nursing lab bi weekly and documented it well to show my perseverance), I did everything by the book and was on my toes all the time during clinical (well I had to anyway as she was watching me like a hawk - after putting me on a learning contract, I knew she was eagerly anticipating me to do a med error or miss an order or something like that ! haha to her) so basically I jumped hoops to please this horrible woman. I am so flat out broke right now as I couldn't work as I needed all my free time just to study but who cares I passed! At the end she had no evidence to present that I would be an unsafe, stupid and incompetent nurse. I did not have an incident report, were never late, had excellent paperwork. She had nothing on me. Amidst the ego crushing, shaming, bullying tactics and even embarrassing me in front of students and making me feel like the biggest incompetent ever; that there were times when I just wanted to give up and not show up and endure what I knew would be a heartbreaking day, I forced myself to get up from my bed and face her. My three months of pure hell is now over! And the reward is ever so sweet which is to continue on! I still cannot believe that a month ago this shrew confronted me and told me it would be better for me to withdraw from clinical and just redo it next year. I'm not wasting a year!! I'm so glad I did not take her advice. If there's something I learned from all this is that never give up in spite of adversities.
Good clinical instructors do not reprimand or belittle students in front of the patient. Period.
Sorry you had to go through that, but put yourself in the poor patient's place for a second -- you have two nurses discussing how badly you smell down there and one making the other smell you?!!
I'd have kicked you both out of the room and complained to the administrator about the scene, which was fully instigated by the CI. :angryfire
I think based off of the information you've provided, that you both could have handled it better. Definitely sounds like a stressful/busy part of the shift.
It doesn't seem that she was aware of all of the tasks that you were trying to do. When she asked you to take the blood pressure, and you had other tasks, you probably should have asked which she wanted done first. If she wanted the BP that moment then she could have been more clear that it was priority over any other tasks. It would have been good for either of you to call another PCT or nurse over to help (maybe charge nurse) because you were both obviously very busy and needed some extra hands.
You were both stressed, busy, and unaware of everything else the other had on their plate. I'd let this moment slide and the next time a similar situation occurs be very specific about what tasks you need to do and ask what needs to be priority.
Kind of aside, I always ask patients if I can take their BP before they go to the bathroom so I don't get an elevated blood pressure reading as a result of them exerting themselves. If they are incontinent, I do BP prior to cleaning because turning/cleaning can cause pain and a falsely elevated BP. The only time I wait is if the patient is having urgency and about to have an incontinent episode. Then I take them to the bathroom first.
On my unit, if the pt is AC/HS the day shift does a total of three blood sugar checks and administers insulin as needed per sliding scale or however it is scheduled, then the night does one check and covers accordingly. We were told we are not supposed to administer insulin if the blood sugar has been an hour old, and are asked to recheck the sugar if it's been an hour before then administering insulin. This causes a few problems because sometimes the CNAs want to do sugars at 7am, trays might not show up till 8:30 and so on. Usually, when I have diabetic pts, I ask the tell the aides to do the sugars at 7:45, sometimes they agree but other times they hesitate. When they are unwilling, I ask them not to do it and get it myself because ultimately I'm responsible for the pt.
Our night shift usually gets sugars around 8pm, then give HS snacks and insulin as needed. The pt receives no other check (unless something out of the ordinary happens ie symptomatic hypoglycemia) till dayshift checks it before breakfast. The biggest headache is unreliable meal times, if we can get the a set time for meals, it'll help out a lot and we might have tighter blood sugar cotrol on the unit.
Never give insulin based on a reading more than 30 minutes old. Frankly, I wouldn't dose off a blood sugar check more than 10 minutes old.
Blood sugar is constantly changing and am results can be affected by long acting insulin taken the day before and by the natural rise in blood sugar we all have called Dawn Phenomenon where the liver releases stored glucose, causing an am blood sugar rise.
I am night shift and we do the same schedule as you. I can't speak for the rest of my coworkers but I really keep an eye on my patients. If I note a fingerstick of less then say 80 I give juice when I give coverage bc we give coverage between 6a-7a and trays are passed around 8ish. Sometimes I reschedule for day shift to give coverage if I am really concerned. Dayshift nurses tend to give me heck about the reschedule but it is best for the patient!
I have a motto - "when in doubt, err on the safe side'. Sounds to me you were in doubt; you rechecked your reading to be careful/safe.
Sounds like you did fine to me!
I attend Olivet's FNP online program. It is terrible. There is no teaching or lectures. I feel so unprepared. It is seriously a joke. Avoid this school. They also do not answer the phone or return phone calls. It is like no one works in the school of nursing. I am currently in the process of transferring because this program is such a failure and I don't want to waste anymore time or money on this deadbeat program.
I start with a hospital system-based Home Health company as an RN next week. Training is $30.67 an hour, $.50 per mile reimbursement (but you go on a waiting list to get a company issued Nissan Rogue). Once off orientation, the current pay structure is a PPV model but they will be transitioning to per hour eventually.
I'm a new grad and just got a job in home health at $28 per visit or per hour for paperwork. Normal in the area for a new grad here is $23-25.
There have been many debates in here about whether or not nursing is a "calling", and quite a bit of shaming of those who say it is.
Personally, I never felt the Epiphany that goes along with a true calling.
Until I became a Hospice nurse. In my humble opinion, Hospice is the one nursing specialty that can claim it.
You can be a good Acute Care or LTC nurse or whatever and think of what you do as "a job". I worked at the bedside for 25 years, no stars in my eyes here.
To be an effective Hospice nurse requires a 180 degree mind flip from the rest of nursing. Your patients MIGHT die while in your care. Our patients DO.
It's the best nursing I've ever done.
I'm in first trimester and it's terrible. It usually gets better the second so give it time. You might be surprised how much better you feel in week 16. do you darken your room during the day? Do you sleep with a loud fan? These things help. You still need uninterrupted sleep even if it's light out.
usually if you switch units in th same hospital it shouldn't affect your FMLA, it's when you work for another organization it will. You have to be with the company a year and have attained 1250 hours in that year in order to qualify.
Hugs from one preggo to another
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