Latest Comments by KelRN215

KelRN215, BSN, RN 64,616 Views

Joined: Oct 19, '10; Posts: 7,066 (60% Liked) ; Likes: 15,505

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  • 0

    For me, it's been my Mon-Fri community based jobs. If you find a true salaried M-F job, it offers an incredible amount of flexibility. Personal appointments and whatnot can be built into your day. I have done home health/case management, clinical liaison for a home infusion company (based at a hospital) and am currently doing complex care management for children in foster care. I have a panel of 25-30 kids that I see once/month. Several days/week I typically can work from home. If I have an earlier flight on a Friday evening and need to end my day early, I do. I have met my direct boss twice in the nearly 5 months since I started this job. At my last job, I was the only person from my company on site at the hospital I was placed at. My boss was in another state.

  • 1
    psu_213 likes this.

    Well a patient with a HR of 40 with a large brain tumor with a midline shift and acute hydrocephalus awaiting surgery's life is more at risk than a patient with anxiety and a HR of 150.

    On the other hand, a patient with a HR of 150 because their BP is 70/40 and they're going septic is going to die a hell of a lot faster than someone whose HR is 40 because they run marathons weekly.

    Bradycardia and tachycardia in and of themselves just refer to heart rate. Neither one is necessarily life threatening. You can have bradycardia because you're an athlete or because you have Cushing's triad and you can have tachycardia because you just walked out of an exercise class, are anxious or are septic and trying to compensate for severe hypotension.

  • 4
    brownbook, Kallie3006, psu_213, and 1 other like this.

    Sorry, but does anyone else think this is a dumb policy? Patients who aren't ordered for anythign IV need 2 IVs just in case?

    Also, since the patient refused further sticks and the MD agreed that 1 IV was fine, you didn't leave anything for the next shift. If I was a patient on your unit and on no IV meds, I'd refuse 2 IVs too.

  • 3
    Kitiger, luvpets, and brownbook like this.

    If you can get a site close enough to the employer that it's not cost prohibitive, Uber or Lyft is a good idea. There's also zipcar. If it's nice out, you could consider biking. A lot of cities have bike sharing options. And if you can find a site close to public transportation, that may be an option as well. There are plenty of people living/working in cities who choose not to have cars for a number of reasons.

  • 3

    Is there a reason the night shift cannot do it before the patient falls asleep?

  • 0

    Quote from nurse_jnicole
    I just have my unofficial results from pearson and on the continental testing services, it also states that I passed. It's only been 2 weeks since I took the NCLEX, but I want to start looking for a job now. A lot of my classmates found a job before receiving their license number.
    It totally depends on your area of the country as to if employers will hire you before you have an actual license number. Where I live, if you graduated in May and were just starting to look for a new grad job now, you'd be screwed as all of these jobs were promised months ago. I received my new grad job offer (contingent on graduating and passing NCLEX) in March of the year that I was set to graduate in May. On my resume, I had my university with Bachelor of Science in Nursing and under the date "expected May 2007." I put in my cover letter that I was a senior nursing student who anticipated graduating in May and taking NCLEX in June.

  • 2
    psu_213 and Sour Lemon like this.

    I'd say "newly licensed nurse" as well. You are not a new graduate. I would expect facilities to be weary about hiring someone who graduated 4 years ago but has no professional experience, though. Do you have a good explanation for why you took 4 years off after graduating?

  • 1
    brownbook likes this.

    Does everywhere not require 2 nurses to count narcotics? When I worked in the hospital, 2 nurses always counted every time a controlled substance was being pulled.

    We always had a lot of discrepancies with liquid meds because if, say, your kid was ordered for 1 mg of morphine and liquid morphine is 2mg/mL, the pyxis wants you to take out 1 mL to waste 0.5 mL but most people just drew up 0.5 mL to not waste anything. These discrepancies were easily fixed though, we just went in and said "overage d/t not wasting liquid meds."

  • 5

    I have a friend who's been a digital nomad for the past 2 years. She has her DNP, though, and teaches online nursing courses for a local university. I think she teaches in the RN-BSN program. She's in Mexico right now.

    P.S. Colombia is amazing. Within 2 hours of arriving in Medellin, I immediately felt like I could live there. Their public transportation is far superior to what we have in Boston, too.

  • 7
    brownbook, cec0007, Hoosier_RN, and 4 others like this.

    Quote from Kooky Korky
    She's a current patient, soon to be former. It's hard to not hear when she talks to Burnout or when Burnout cries on my shoulder (not literally). Being involved in all this mess, however unwillingly, is one reason I HATE private duty nursing.

    And don't forget - Medicaid has a lookback period- 5 years is it? i don't quite know how that works. But if Medicaid thinks you transferred assets to someone else's name within 5 years, they can and do deny you coverage because they think you're hiding assets.
    If the patient is receiving private duty nursing, who is paying for that? Medicare doesn't cover PDN.

  • 3

    Does the person referred to the program have to be a family member of a patient in your facility? And that's the only way they qualify for the program? That's my guess, that this program needs to match the family member to the patient of the facility in order to accept her into the program.

  • 3
    brownbook, Mini2544, and psu_213 like this.

    Not a HIPAA violation- telling someone you thought you saw them at your place of employment.

    HIPAA violation- telling the world you saw said person at your place of work as a patient.

  • 9
    nursel56, Here.I.Stand, psu_213, and 6 others like this.

    Well does the Board know about it? Someone would have to report her.

  • 1
    brownbook likes this.

    Well, what's the order and what size vial do you have?

  • 3

    Lantus doesn't peak and 94 mg/dL isn't low. I wouldn't give a snack unless the patient specifically asked for one as I wouldn't be worried about their blood sugar bottoming out from the long acting insulin I'm administering.


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