x19amanda

x19amanda

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About x19amanda

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  1. Should I quit my 2nd job? How many work 2 jobs here?

    I work one part time job and two per diem jobs on a weekly basis between 45-65 hours weekly. If you don't value the experience anymore and don't need the money then work one job
  2. Very good points, thank you. One full time job is very stressful now that I think back to previous FT jobs prior to nursing. I think it's just learning how to manage & not letting outside stressors & work stressors combine because it can driv...
  3. 24yr old RN, began in 2013 at age 22 working as overnight supervisor/evening charge in LTC. At 23 picked up 2nd PT job on a Outpatient Behavioral Health Clinic at small local hospital in a high crime/poverty area. Both jobs requiring separate knowle...
  4. Failing. Help!!!

    Hey, it's okay! bad grades come with the territory. take it from someone who failed a semester of nursing due to not really giving a ****, to beginning to truly put all my blood sweat and tears into it and continue to fail. the third semester is the ...
  5. Outpatient Psych & Medical

    I currently work as an outpatient RN on a behavioral health floor, and we have recently reveieved a governement grant of over 4million dollars to renovate the floor and integrate kiosks that offer service such as medicaid, housing, etc. We also now h...
  6. A day in the life of an LTC RN

    I've been working in a LTC/Rehab facility for almost a year and far from the contrary it has truely made me a strong nurse and even though I dont utilize many skills I have to say I am thankful this was my first job. I have learned so much in regars ...
  7. Do you know your patients?

    One simple answer...time. I've been at the same LTC facility for almost a year with 120 residents, and I can now feel comfortable knowing almost everyone's diagnoses. You get to know by when situations arise and looking into their charts, or when pas...
  8. 1st LTC Job! Am I suppose to hate it?

    LTC was my first job as well approx 8 mths ago; I was overwhelmed as a supervisor/charge nurse and taught myself the 30 person med pass (no tx nurses and no aides allowed to do any creams etc). ITS OKAY! This experience is great no matter how many pe...
  9. How does your facility do the following:

    o2 tubing and nebulizer masks and o2 get changed once weekly by 11-7 shift. MAR change over is done as well by 11-7 shift. so two floors by usually one or two nurses in 8 hours plus if anything else happens in the facility. its a hassle to say the le...
  10. Do you have to count lyrica at your LTC facility?

    yes we do. some nurses count coumadin by dating next to the cartridge when removed, and antibiotics are usually ordered with the correct amt of dosages in the cartridge needed, so you can tell if one wasnt given.
  11. Am I doing something wrong?

    Thank you for all of the feedback. I saw the client today, and he stated he was only sore for a few days which is expected. Over the phone he made it seem as though his arm was swollen and tender which was not the case. I do give many of these in the...
  12. Am I doing something wrong?

    Hello, I recently started working in outpatient psych, and regularly give Haldol and Prolixin Decanoate injections, as well as Invega Sustenna and Risperdal Consta. So far, I have been able to give the injections effectively, without any site reactio...
  13. Why do you Love LTC?

    I may want to rip my hair out and run out the door d/t short staffing, behaviors, MDs, admissions and paperwork, but all in all these residents live here, not me, and I get to go home at the end of the day. They worked their whole lives, not knowing ...
  14. med error

    I understand your reasoning, but if it was scheduled it needs to be given. How often is it scheduled? If the resident is given other prn meds throughout the shift, than those prn meds should be ordered for Q so hours that does not interfere with the ...
  15. IM meds question

    The MD that wrote the order should have not wrote it for "anxiety." It should've been written for restlessness and agitation, because who is to say that his person is experiencing anxiety? You would have to really prove that which may be hard when th...