Latest Comments by MurrR

MurrR 3,689 Views

Joined: Sep 2, '04; Posts: 141 (43% Liked) ; Likes: 198

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  • 3
    merlee, resumecpr, and brielle776 like this.

    I like one wash cloth that starts with the face, goes to hands, and then underarms. Another one for genitalia, and another one that does the rear. In the past I have placed a chux pad on the bed/table and dropped the dirty washcloths there after I use them. I don't put dirty washcloths back into my clean/soapy water.

  • 0

    Depends. Where I work we have no such thing as OTC treatments or meds, everything must be by doctor's order or be covered by a protocol that's been reviewed by my supervisor. It's a company policy - regardless of the legality, I'd probably lose my job for doing it without an order/protocol.

    Legally, in Oregon at least, a CNA can apply heat and cool - as long as they're not a total moron about it and leave their patient sitting on a heating pad for more than 20 minutes without checking/removing it. Ditto for cool. It has less to do with the OTC nature of the treatment and more to do with how smart/educated is the aid applying the treatment.

  • 0

    Quote from traumaRUs
    I think this is a question for either your board of nursing or health dept - whoever regulates CNAs in your state.

    As you can see, there are differing opinions.
    I was about to say this. I could tell you, roughly, how nurse delegation works in Oregon that allows me to work as a caregiver and perform certain tasks for my clients - like giving insulin, epi-pen, etc. etc. - but you don't live in Oregon and the administrative rules might be very different in your state.

    Also, I have a CNA license but work as a caregiver and unless I have special dispensation I cannot do things as a caregiver that I would do as a CNA - i.e. I cannot give suppositories without going through a nurse delegation training as a caregiver, even though I'm familiar with them from my CNA education.

    Working in an unlicensed position while holding a license is very, very tricky as I have found every day at my job.

  • 0

    I feel your pain. I'm at a job I don't particularly care for right now because I need the health insurance. It sucks to feel stuck some place you don't like. My advice would be to stick it out *if* you can and transfer, because that sounds like a solid track and even if you learn nothing else you learn what you can do when you're put in a bad work situation.

    Otherwise I'd be tempted to take the Per Diem position if I were you. Gets you your experience, you get cross-trained, you'd get good support and training, charge nurse seems awesome. Who knows, could work out into a full time job on its own or open doors to other positions you wouldn't be considered for now. If you're not getting enough hours, you could hire on with a per diem agency to fill in the rest of your schedule. A lot of per diem nurses do that - and agency pay is frequently higher than standard pay.

  • 0

    Could be Fetal Medicine Unit? Just guessing from a quick Google search.

  • 4

    I had an instructor once who was filmed by a local news crew performing CPR on top of a gurney coming out of a helicopter into the hospital while 8 months pregnant with twins. I wouldn't advise such a thing, but I think it just goes to show that if you want to do something you can find a way!

    By the way, the hospital got angry letters from locals about it to which they issued a public resonse: "Let her? You think we let her do that?! How about you try to stop her!" :lol:

  • 0

    Not a LPN or RN, but I looked into the ITT program. It seemed like they were way more interested in getting my money than giving me information so I could make a decision.

  • 0

    Good job! You earned it!

  • 1
    TheMoonisMyLantern likes this.

    Quote from TheMoonisMyLantern
    I have to admit, I'm a sucker for 12 hour shifts, the four days off per week just really works for me. I have worked five 8 hour shifts in the past per week and I had a really hard time balancing home life with my work life. My hat is off to those that are able to do it and enjoy it!
    I work one 12 a week, which gets me 3 days off a week. It's just about perfection, haha!

  • 0

    Depends on your employer, although a totally sporadic job would probably be described as "on call" rather than "part time"

  • 2
    canoehead and dthfytr like this.

    Quote from dthfytr
    If I had my way, hospital nursing educator is high on the list. The hospitals I've talked to all have the same attitude, "we don't need no sick people." Blanket policies like "we don't have lite duty work here unless you're workmans comp." Grrrrr. Thanks all.
    I can't believe this doesn't fall under the Americans with Disabilities Act! Very sad that they don't see the value of your knowledge and experience. To that end, is there a nursing school near you that could use a skilled classroom instructor?

  • 1
    BrookeeLou_RN likes this.

    Quote from frogkissingnurse
    they should have the same job discription however, cna is certified through the state. imo someone who is certified should make more money than someone that is not. also cna/pct should not be passing medications, you are not trained in medication administration. that is the job of the lpn/rn. your facility could get in a lot of trouble for having untrained personnel handing out medications.
    depends on the type of facility and what the delegation laws of that state are. in my state, aides pass meds in assisted living after receiving on-site med training. after working as a med aide for six months you're eligible to take a cma class and become certified by the bon to pass meds anywhere.

    nurses may legally delegate certain tasks to unlicensed staff according to the administrative rules of my state, things like checking blood sugars and administering insulin come to mind but it includes things like changing dressings on wounds and other forms of care that usually require a nurse's specialized knowledge. there is a strict procedure for doing this so that nurses can assure that the unlicensed staff are performing these tasks appropriately before the nurse signs off on it.

  • 1
    reussir1 likes this.

    Uhh, I'd say she's dead wrong. Home health can be very high level of acuity. Hospital patients can be very stable. It depends on the patient, your experience, and where you're working in the facility.

    LTC can be so varied because theres' such a variety of LTC facilities. ALF is very different from SNF.

    I'm sure she meant to be helpful, but it sounds like she's oversimplifying things for the benefit of making a dramatic statement. :s

  • 0

    You only get one body, why abuse it needlessly? That hospice job is just a-callin' your name.

  • 2

    There's a reason I like swing shift - I don't have to get up early, and I don't have to go to bed early. If we went to a 12 hour schedule at work, I'd probably start a riot.