Latest Likes For salvadordolly

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salvadordolly 4,516 Views

Joined Mar 22, '13 - from 'Wisconsin'. salvadordolly is a RN. She has '22' year(s) of experience and specializes in 'Oncology, Med-Surg'. Posts: 207 (33% Liked) Likes: 157

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  • Apr 25

    Off three days for IV Abx for a kidney infection. Too many back to back UTI's, you know the story.
    DON: I sure hope you have your Dr's excuse.
    ME: Yes, here it is.
    DON: (looks at it) Kidney infection? Goodness sakes! Are you wiping properly??

    Another classic. I got fired from my case management job on a Friday afternoon. At the end of the termination speech, "you are on-call this weekend, you know".

  • Mar 31

    had an elderly guy come up to me and hand me what must have been the world's record for the largest turd and said "here honey, you must know where this goes."

  • Feb 20

    Off three days for IV Abx for a kidney infection. Too many back to back UTI's, you know the story.
    DON: I sure hope you have your Dr's excuse.
    ME: Yes, here it is.
    DON: (looks at it) Kidney infection? Goodness sakes! Are you wiping properly??

    Another classic. I got fired from my case management job on a Friday afternoon. At the end of the termination speech, "you are on-call this weekend, you know".

  • Dec 22 '15

    had an elderly guy come up to me and hand me what must have been the world's record for the largest turd and said "here honey, you must know where this goes."

  • Oct 7 '15

    It sounds like the "X" is on you. The first time I ran into this, I attempted to work it out to no avail.
    Nursing cultures among hospitals vary widely. I use PIP rather than write ups to offer advice to improve practice, offer practical advice and retain the employee, however, I have seen them used in many settings as a response to some subjective garbage and to start the papertrail to terminate someone.
    Try doing what you did in your post. In writing, layout your goals for yourself and how you will obtain them. Do it in a word document and save it to your computer if you need to take it to the union or explain yourself to your next employer. If you can, leave your own papertrail by e-mailing it your supervisor and request a meeting with the NM and educator to discuss it. This shows initiative, pro-activity, willingness, and non-defensiveness.
    It may work, but if it seems the microscope zooms in closer and your become the recipient of more subjectivity, then you should probably move on. Employment-wise, it may be better to then involve the union to work out a transfer as a best compromise to avoid vindictiveness and decrease threat of locking horns with your manager. I have never worked in a union environment so I am unfamiliar with how yours might work. I also don't know your particular NM or hospital culture, but does this manager have a h/o harassment, high rates of termination? How have other issues on your unit been dealt with?
    Good luck and be careful. You are wise to be looking for a new job. Act quickly, though, to avoid termination.

  • Oct 6 '15

    I have heard many FNP's struggle with onine learning and those with limited bedside nursing struggle as FNP's. Med-Surg or clinic work is enormously helpful for being an FNP. Md's complain that FNP's without clinical experience and online training have very poor assessment skills. One of my friends just experienced a huge paycut because of this, as the MD has to scrutinize her assesments, which takes up too much of his time and exposes him to liability. Another nurse I just hired at a home health agency is an FNP working as a staff RN because she felt inadequately prepared to perform as an FNP and is gaining experience in home health. She was a direct-entry having a Biology degree and went for the FNP-DNP route. She couldn't use the DNP for teaching, as in my area they wanted PHD's for this. I am in Milwaukee, however, and we have a ton of brick-and-mortar colleges in the area that are top-notch. So in my area, online FNP's are looked down upon somewhat because employer can pick and choose.
    Also, as an person in administration, I have to tell you, those who choose the direct-entry and online FNP's have this fact exploited and are paid substantially less and scrutinized more.
    It seems your FQHC background would be adequate, but you may be able to transfer to a position of Urgent Care or triage, which would boost your skills and your confidence.
    Don't underestimate your confidence level as a big factor in your early success.
    The reason I think many of those who took this route wish they would have went to med school is because they would have been more adequately prepared and better compensated for their time and financial commitment, which is often similar to a FP MD.
    Being an NP seems to confer all the disadvantages of an RN and an MD, without the benefits of either. .

  • Oct 4 '15

    I have heard many FNP's struggle with onine learning and those with limited bedside nursing struggle as FNP's. Med-Surg or clinic work is enormously helpful for being an FNP. Md's complain that FNP's without clinical experience and online training have very poor assessment skills. One of my friends just experienced a huge paycut because of this, as the MD has to scrutinize her assesments, which takes up too much of his time and exposes him to liability. Another nurse I just hired at a home health agency is an FNP working as a staff RN because she felt inadequately prepared to perform as an FNP and is gaining experience in home health. She was a direct-entry having a Biology degree and went for the FNP-DNP route. She couldn't use the DNP for teaching, as in my area they wanted PHD's for this. I am in Milwaukee, however, and we have a ton of brick-and-mortar colleges in the area that are top-notch. So in my area, online FNP's are looked down upon somewhat because employer can pick and choose.
    Also, as an person in administration, I have to tell you, those who choose the direct-entry and online FNP's have this fact exploited and are paid substantially less and scrutinized more.
    It seems your FQHC background would be adequate, but you may be able to transfer to a position of Urgent Care or triage, which would boost your skills and your confidence.
    Don't underestimate your confidence level as a big factor in your early success.
    The reason I think many of those who took this route wish they would have went to med school is because they would have been more adequately prepared and better compensated for their time and financial commitment, which is often similar to a FP MD.
    Being an NP seems to confer all the disadvantages of an RN and an MD, without the benefits of either. .

  • Sep 7 '15


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