QuackPack

that wasn't my experience at the Mayo Clinic in Rochester at all. I'm still a contracted RN for them. I did not intern there though, and was well established in my career when I went there. maybe that made a difference.

Anytime... Let me know if there is anything else I can do as far as info etc.. We dont live in Marsh. but know the area well as well as the surrounding areas , Eau Claire and the Mayo system etc.. :) Here are some links... you prob already have but in case you dont Careers - Mayo Clinic Health System Minnesota - Jobs - Mayo Clinic Important to know that Mayo Clinic has St Mary's Hospital , this is where the ED is and Children's Hospital etc.. They also have Methodist Hospital which does not have an ED and some inpatients at Charlton and Genrose. But only St Mary's has an ED. Mayo hospitals serve Mayo clinic patients and are staffed by 100% Mayo docs. It is an entirely different and amazing way of doing things. Most the buildings are connected by tunnels and skywalks as well. Nursing Job Opportunities - Gundersen Health System Greentree Systems Candidate Self-Service Job Search

Yes, Hospital and clinic .. a long standing animosity that will hopefully go away now with the acquisition. I will be honest... Marshfield doesn't pay the best, and is going to be undergoing quite a few changes in the coming months etc.. They have a pretty decent turn over rate, I think in part to the issue with the clinic and hospital in the past , but also the location isnt ideal. Marshfield offers the basics but otherwise you drive.... Eau Claire via the back roads is about an hour away, Stevens Point is about 40 minutes, Appleton is about 1.45, Wausau is about 45 minutes... Winter driving stinks... hands down in those areas, it just does. If you are sure that is the position you want, then I hope you get it! IF not.. Be sure to check Gundersen Lutheran in LaCrosse, Theda Clark in Appleton, Mayo/Luther in Eau Claire , UW hospitals in Madison, and of course Mayo in Rochester MN Luther hospital in Eau Claire is part of the Mayo System and Theda Clark is a Mayo Partner. Neither of them do things the " MAYO" way like they do in Rochester. If you are ever lucky enough to get a job in Rochester at the Mayo Clinic / Hospitals. The training you get there will land you any job you want later. It is truly impressive. They do things very differently and the team approach works well. I have not seen that anywhere else to that extent. It is also nice to work somewhere where they have ALL the resources they need. Good Luck in whatever you decide! :) PS. If you stay in a hotel in Marshfield...... Stay at the Holiday Inn. They have a Clinic rate of 82 a night if you ask for it. They do a lot of business with the clinic and St Joes. The other hotels in Marshfield are.. uhhhm well either have a history of bed bugs, have had outbreaks of Norovirus recently , or are just not great. It's slim picking... IF you need to stay at the holiday inn for a longer term til you find a rental, Talk to Jeannie she can probably get you a better rate.

Wow... Maybe it is because I am not used to this site , but following this thread has been difficult. For me personally while not the only method to use to assess , I use blood return as one of those criteria. There are many factors to consider. I have had obese patients infiltrate with no outward signs of this initially and no complaints of discomfort etc.. Certain meds are bigger risk as well, like Dilantin , Phenergan , Toradol etc.

Appleton area, I would look at the Theda Clark System. Its a MAyo Clinic care partner. If you are wanting to get into the Aurora System , Milwaukee is your best bet. I started my career in the 80's at Good Samaritan / Mt Sinai I will warn you that Aurora isnt great as far as employees. Its tough to get into an ICU setting right out of school. If you want fast paced endless opportunities for training and advancement , head to Rochester MN to the Mayo Clinic. They do things the Mayo way and its often better and more creative than anywhere I have ever seen. The training you get there will land you a job anywhere if you ever decide to leave.

So , to everyone considering Marshfield... yes they can be a good training facility, but pay is lower than most and the constant conflict between St Joes and the Clinic gets old. Now they did buy them so hopefully that will help settle down the battles, but we will see. Ministry is now part of Ascension health care . St Joes and Marshfield Clinic are now together. Ministry wants to build a new hospital practically across the street from st Joes. There Is just some chaos going on and usually is. If you want to learn from a top notch facility that does not have as much chaos m pays much better and is a step up , head to MN to Rochester and apply at Mayo. LaCrosse has Gundersen Lutheran or head to Madison to the UW hospital system. If we had to go to St Joes , we would stabilize and then transfer to Mayo or the UW. It's over rated.

Hi What location are you looking at ? The main campus in Marshfield?

Again, Im not a school nurse. But Wow! IF no one else can reach me and my husband 24 hours a day its the people who are in charge of our kids, or our kids or the school etc.. ALWAYS!!! We have phones set to search if one rings and gets no answer it keeps going til it finds a human. Literally there is never a time we could not be reached in regards to our child. We have a college aged child now and it still holds true. Text, phone, you name it all hours of the day or night the calls will come through. The idea behind emergency contacts is that.. They are there in an emergency I dont know how to explain what I am reading here as far as parents annoyed you called or called too much etc.. I mean would they prefer you dont call? Seems like a no win situation.

Wow! Again , my background is in Emergency Medicine not a school setting. Keeping that in mind... People who do not have medical training needs to be out of the situation and only help if the person handling it who has medical training asks for that help and directs them as to what they need to do. It is VERY common for a patient who is seizing to cease respirations during the seizure and o2 sats to drop. Once the seizure stops they often will spontaneously begin respirations again. Rolling to the side is to help prevent aspiration from mucus or vomit, also common after a seizure. You did not say how old the child was , but the fact they had more than one seizure seemingly back to back would be concerning and I hope he got a full Neuro work up wherever he was taken. That is not a normal reaction to low blood sugars in a non diabetic or even dehydration that is not extreme. Its important to note that even once a patient stops tonic and clonic movements seizure activity can still exist without obvious signs to the naked eye. Being prepared to do CPR was good, getting the AED was good, Calling 911 also good, keeping the airway clear.. good. As an ED nurse , I am trained to look for zebras , so I would be concerned about a toxin or drugs in a patient with no Hx of Seizures etc.. I'd be checking pupillary responses, BP etc.. also pain responses to help access GCS Since this was a child without history , then the fect he had one seizure should guarantee him a trip to the ER ALWAYS. While waiting for EMS, you'd want to keep them quiet and the area around them calm as possible and do not allow them to sit or stand . You would also want to ask others who were around when he had the first seizure if he fell, how he fell etc.. to look for additional injury and advise EMS. Again this is not a typical response , so I would be prepared to handle this situation again in the future with this child should it recur. It might be a good idea to meet with other staff and Admin and go over a plan in the event it goes on again and explain why its important to control the scene and outline duties each of them could do to help. That must have been a hec of a day huh?

I am not a school nurse. But I am partial to the One Touch Products and like the fact they offer an option for patients to get a free meter who may not have insurance etc.. I know many insurance plans cover a new meter every 6 mos. The meters are not the cost, its the testing strips that cost the most. I dont know what the policies are for schools as far as testing children. My background is ED so no worries there. But I could see how in some cases a school district could consider that invasive etc.. I still think its a good idea for a school to have a back up though.

What the first response said. While every situation can be a little different and different IV lines as well. I assumed when reading the original post she was speaking of a standard IV . With that in mind, while not the only protocol for assessing , blood return is something you want to see. I personally am going to want to see that before I push a med. It is just the best practice.