River&MountainRN

River&MountainRN ADN, RN

Primary Care, LTC, Private Duty

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All Content by River&MountainRN

  1. J-tube. RN/LVN

    River&MountainRN replied to cjkekoa's topic in Patient, Colleague Relations

    Where did anyone state that it's facility policy to actually check J-Tube residual? I was just posting, from a verifiable source, information to substantiate the OP's statement that it wasn't required...

  2. I hate my current job and want to work in a hospital

    River&MountainRN replied to nr92's topic in Nursing Career

    Have you ever peeled under-cooked chicken off the bone? Undercooked to the point where it's still kind of slimy and stringy, pinkish-red but white in areas? I was working as a nurse at a SNF once,...

  3. J-tube. RN/LVN

    River&MountainRN replied to cjkekoa's topic in Patient, Colleague Relations

    From the Cleveland Clinic: "It is NOT necessary to check residuals on postpyloric feeding tubes (nasoduodenal, nasojejunal, or jejunostomy

  4. RN's are you happy with your career, why or why not?

    River&MountainRN replied to anjoku13's topic in General Nursing

    I'm firmly in the middle. When I'm at my best and focused on mindfulness, I realize that any situation is what you make of it. I make a great living for someone with only an Associate's degree. I'm...

  5. RN, ADN being obsolete

    River&MountainRN replied to lovewaves's topic in General Students

    I think you have education pathways confused with what your final licensure would be. An RN is an RN is an RN. In other words, whether you are educated through a diploma program, ADN program, or BSN...

  6. Aveanna Health

    River&MountainRN replied to RobertJo's topic in General Nursing

    You only care for one patient at a time for the duration of your shift, but you'd be smart to have at least two patients that you are oriented to and see fairly regularly in case one goes in the...

  7. First Job: Rehab or Homecare

    River&MountainRN replied to tatyfreedom's topic in General Nursing

    I wouldn't recommend home care as your first ever job. I was a nurse with three years of LTC/SNF/Sub-acute and Primary Care office nurse experience and three years of LTC/SNF CNA experience when I got...

  8. Nurses Can Be at Risk for PTSD | Knowledge Brush-Up

    River&MountainRN replied to Maureen Bonatch MSN's topic in General Nursing

    I think a lot of nurses are just used to being told "suck it up, don't talk about it, just move on" or "if you do talk about it, you'll be violating HIPAA (even if it's in some nebulous way)" and...

  9. Best car for home visiting nurse in New England?

    River&MountainRN replied to PHNinNE's topic in General Nursing

    I love my Subaru Forester-snow, ice, mud, floods, it does it all!!! The heated seats that I got with my Forester are a boon in cold weather! And I'm averaging 28-30

  10. Tips for new grads

    River&MountainRN replied to cassandraspangle's topic in First Year After Licensure

    1. As eager as you are to jump right in and accept that first job offer, take the time to take a good look at the facility making the offer. Sometimes the first one isn't the greatest. Likewise, keep...

  11. New nurse getting yelled at by supervisor nurse

    River&MountainRN replied to Nurse128's topic in Nursing Professionalism

    I had a supervisor like that. I was a brand new grad in subacute on the 11-7; she was my only coworker on the subacute side AND the house supervisor. I was constantly berated over things I did not...

  12. Drowning in Skills

    River&MountainRN replied to River&MountainRN's topic in Private Duty

    Thank you for understanding---and absolving---my perfectionism. It's been my best asset (like getting through nursing school) and also my biggest downfall. Unfortunately, I live in a really small...

  13. Drowning in Skills

    River&MountainRN replied to River&MountainRN's topic in Private Duty

    Thank you, ventmommy! I've followed some of your posts on here, and I wish more families in the area were like

  14. Drowning in Skills

    River&MountainRN replied to River&MountainRN's topic in Private Duty

    Thank you for understanding what I was trying to get at. Unfortunately, working all three shift schedules (for example from last week: Overnight, one day off, one AM shift, and then an evening shift,...

  15. Normal Working Conditions for Hospice RN Case Managers?

    River&MountainRN replied to nuncle265's topic in General Nursing

    I love hospice work (i.e. the actual nursing care for hospice patients), but I swore I'd never go back after what I saw while working (very, very briefly) as an RN Case Manager in hospice. Sadly, like...

  16. Lost on where to nurse next

    River&MountainRN replied to Lasanga123's topic in General Nursing

    I love private duty peds. Limited heavy lifting and, if you get in with the right family, all the appreciation you could hope

  17. New Job, Did I Make a Mistake?

    River&MountainRN replied to ORTech2RN's topic in General Nursing

    Don't room the NP's patients and field/triage phone calls that come in from patients trying to reach your NP? When I worked outpatient primary care, I had to room patients (getting vitals, confirming...

  18. What nursing specialty has the best work life balance?

    River&MountainRN replied to dianearc's topic in General Nursing

    Private duty nursing. If any of my case managers have figured out who I am, "Congratulations on securing another convert from traditional nursing to home

  19. Getting Over Assault

    River&MountainRN replied to River&MountainRN's topic in Patient, Colleague Relations

    None of the 3-11 aides had a problem with me, as a matter of fact I'd worked with several of them at a different facility and they'd promised to "put in a good word for me" with their coworkers at...

  20. Getting Over Assault

    River&MountainRN posted a topic in Patient, Colleague Relations

    How do you get over and move past being assaulted by a geri-psych resident? It took two other staff members to pull him off of me, and I just don't feel the same toward him since. I don't trust him; I...

  21. Getting Over Assault

    River&MountainRN replied to River&MountainRN's topic in Patient, Colleague Relations

    I was talked out of doing at incident report at the time, and nothing---absolutely nothing---was followed up on or done as a result of what happened to me. I have since left that facility and...

  22. Dedication

    River&MountainRN replied to KalipsoRed21's topic in General Nursing

    I know what you mean! Nothing pisses off employers more, it seems, than "sorry, I can't" when they're asking you to work overtime. It's like they think they're conveying you some great privilege to...

  23. Getting Over Assault

    River&MountainRN replied to River&MountainRN's topic in Patient, Colleague Relations

    Preceptor has been mostly hands off at this point, and when I asked her to be my escort into that resident's room her reply was, "Well, okay, but you really need to move beyond this because you'll be...

  24. Getting Over Assault

    River&MountainRN replied to River&MountainRN's topic in Patient, Colleague Relations

    There are so many reasons to resign, many of which I can't list here because I know that there is one person on here who likely operates within my small regional circle and could blow the whole...

  25. It Never Occurred To Me.

    River&MountainRN replied to Have Nurse's topic in General Nursing

    I had a patient like this: he had a complicated medical history, including morbid obesity, and anyone who looked at his chart without knowing him cringed. They immediately thought, like his medical...