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You should see the ICU I just transferred to. It's one of, if not *the* most toxic, nastiest group of people I've ever worked with. I'm this close to going back to the floor.

O it just depends on the facility/unit/job. Some are call-only - they only call you when they have a call-out or whatever to see if you can work. Others, like mentioned above, pretty much allow you...

Simple - your preceptor didn't know what she was talking about, or the folks in CT who advised her didn't know what they were talking about.

I have used a 22 for blood before with no problem whatsoever. An 18 is overkill and is def. NOT needed if a 20 or even a 22 (in less than ideal circumstances) is already in place.

At my facility, only ICU and dialysis nurses (and probably ED too, but I'm not sure) can administer Cathflo. It isn't always possible for that to happen, depending on time of day and staffing....

If your assessment reveals that the patient needs emergency medical attention (deoxygenation, hemodynamically unstable, extremely febrile etc.) you are required to get emergency medical attention for...

I think what you did was OK *if* you notified the MD. If your facility has text-paging, a simple FYI text would do. If it does not, I would have pushed the D50

Yes, look outside the major metros of Virginia (think west of I-95 and south of the Rappahannock River) in the smaller community hospitals.

I've said it before, and I'll say it again - and this is not meant as insult, at all. Do not worry about "losing your skills" as a new grad because you really don't have any skills *to* lose.

I doubt this is really a "charge nurse" job. I'd bet everyone there with their own med cart is a "charge nurse." Many (if not most) LTC do not have charge nurses in the traditional sense it's used...

Charge nurse means different things in different LTCs - but in many it's just a BS buzzword for "floor nurse" - and trust me you have far less authority over the CNAs (in practice, if not in theory)...

Be careful. Many times "charge nurse" in LTC means nothing. You'll probably just be pushing a med cart and doing treatments like the LPNs.

The problem with that, Cape Cod, is that it often IS the medical director.

Your ignorance about LTC combined with your extreme personal bias makes it difficult to take any of your hyperbolic comments seriously.

Personal reasons r/t a very bad experience there as an in-patient.

I think Brandon is doing fine and most of the nurses here are hospital nurses who don't have clue about how LTC works or clearly have a personal axe to grind with the system.

I'll piggyback off this: I'd like someone to explain to me how I am supposed to take 6 patients in the morning, do all am care, discharge 4 of them, pick up an existing patient at 3 PM, and take...

I think you're quite wrongly assuming that I don't do skin assessments because I don't do the majority of the baths - as though they can only be done during bath time. Wrongly assuming that I don't...

I had a feeling the "not liking CNA work" comment was coming. I don't think anyone actually *enjoys* changing incontinent briefs, but it's part of the job and you'll do plenty of it even with PCTs. ...

Feeding and changing patients does not require the skills/education of an RN. All primary care does is stress out and **** off good RNs and distract from the tasks that cannot be delegated.

I wouldn't say nursing school is "hard." It's very time consuming, however.

I wouldn't necessarily ay I have the job I absolutely want, but in my area if you can't get a job as an RN you have a serious, serious issue. At the bare minimum you can walk into any nursing home...

See, for me it depends. Was it a now order that wasn't caught, or was it a once a day home med that was continued the hospital that the pharmacy (not the MD) timed for a specific time? That makes a...

Personally, if it were up to me I'd rather have an RN with a BS in biology than 'just' a BSN

Personally, I'm not sure I'd consider giving an iron pill late a "med error." I mean, sure, super anal-retentively technical-like it is - but come on...