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Koalified's Latest Activity

  1. Koalified

    CNA doing wound vacs??

    All the hospitals I worked at, CNAs do not touch wound vacs. It's out of their scope of practice. I have never heard of wound certified CNAs though.
  2. Koalified

    Thinking About Nursing as Second Career

    Surprised? Not really. I expected school to be difficult and it was. It's very time consuming too. I barely worked while in school. Being an LMT was nice because of the flexibility. As for working as an RN, the first year was very, very difficult. I worked with some mean nurses, techs, and docs. If you are in a better environment, it won't be horrible but it will be difficult. Now, nursing is easy. With the experience and knowledge gained comes confidence. LMT vs RN? I love having PTOs, 401k, steady income, health insurance. I also like telling people I meet that I'm an RN instead of LMT. There is no doubt in what i do for a living. You know what I mean when you tell people that you are a massage therapist. So annoying. With at least one year of nursing experience and a BSN under your belt, you will always be able to find a decent paying job.
  3. Koalified

    How to transition from OR nursing to the floor?

    I have been a floor nurse for many years and am looking to see if OR nursing is something that I may be able to do. Keeping my eye open for OR residencies. OR nurses make more money than floor nurses and they are in high demand. Even if you are on the cardiac/stepdown unit, not all your pts will be cardiac pts. You'll have your share of drug seekers, ETOH withdrawals, dialysis pts who are freq fliers for missing HD, stroke rule outs, AMS, and other messes. Stay in OR for a few years and get some mad skills. The floor nursing skills you think you are missing out on are not glamorous and they are easy enough to learn quickly. The hardest floor nursing skill is probably time management.
  4. Koalified

    Anyone know of ways to learn more about defensive charting?

    What I learned in nursing school is what I still do today. Just state the facts. Not opinions, not recommendations. Just the facts. Don't use the word "appears" as in "the pt appears to be drug seeking and would benefit from a psych consult". We are not paid to diagnose pts. I would write "pt is laughing and talking on the phone and rates her pain 10/10. Pt sets her alarm clock and asks for pain med q2hrs. Pt states only dilaudid works for her pain". As for mgmt asking for more and more, my thought is that I document for the courts, not for mgmt. If something is in my flowsheet, I'm not going to write a note about it. You can write something like " VSS, see flowsheet".
  5. Koalified

    Thinking About Nursing as Second Career

    I was in my 30s when I went to nursing school. Prior to that I worked as a business systems analyst and then a licensed massage thrapist. I really enjoyed being an LMT but I was afraid that my body would break down when I'm older and was always concerned about making enough money. I went to an ABSN program and have been working as an RN for 7 years. I'm in the DC area and right now, major hospitals are hiring ADNs as long as they agree to get a BSN after they get hired. I don't suggest going into an LPN program since you'll most likely be a candidate to work in nursing homes or as a clinical tech in a hospital. My suggestion is to do whatever RN program you can get into and just work hard at it. Nursing is a solid career with steady income. There are varied career paths you can take so if you don't like one area, you can move into another area of nursing. Go for it!
  6. Koalified

    Job opportunities in Rehab

    My first job was in a stroke unit. Later I worked in acute rehab for a few years. Now I work in a telemetry unit. As long as you have a solid med-surg foundation, you can get a job anywhere after rehab. Home health and private duty values rehab experience as well.
  7. Koalified

    Waste of Insulin

    Same here. We ave a computer in the med room to scan the vial into Epic while the pyxis is still open. When you take the syringe into the pt's room, you don't need to scan, just click on the MAR and document given.
  8. Koalified

    Best Med Surg book for studying for certification exam?

    I bought Lippincott's MS review book but didn't like it much. Too lengthy and too detailed. I personally don't recommend it My coworker gave me a copy of a book that was just all questions and answers with rationale. I suggest you get a book of practice questions and just study that. Flag the questions you get wrong, read rationale, Google if you need more info and then later do more questions.
  9. Koalified

    CMSRN or CCRN? Both?

    From what I understand, CCRN tests include vents and pressors. CMSRN test does not. I would get the certification that is most relevant to your current position. If you are in a telemetry or step down unit, PCCN is also an option.
  10. Koalified

    What exactly happens with a preceptor

    New grad orientation is usually about 3 months in good facilities. I worked in a place where the preceptors were told by management that the preceptor and preceptee were to work on all five pts together. What actually happened though was that the preceptee would take 1 or 2 pts that he/she is responsible for. The preceptor would be primary for the remaining pts but would oversee/supervise/assist with the preceptee's pts. Gradually as the preceptee gets more experience, the pt load would increase until she/he becomes primary RN for all 5 pts.
  11. Koalified

    New nurse assistant but already want to quit

    Nursing school is tough and stressful. Being a new nurse assistant in a busy unit is stressful both physically and emotionally. Is it possible that you are taking on too much responsibility? Doing well in school is more important than any job that is just a job and not your career. If you are that miserable going into work, I see no reason for you to keep doing it. I have seen many nursing assistants leave my unit just after orientation. We used to be like "Eh, there goes another one". We would also look at a new orientee and take bets on how long he/she was going to last. There's no shame in it. You gotta do what is right for you.
  12. Koalified

    Unwitnessed fall

    I was talking to a charge nurse on a different unit one day and she said per hospital or unit protocol (not sure which), if there is an Unwitnessed fall, you have to call rapid response even if the pt is alert and oriented, is able to get up, and denies hitting head. I think this is a waste of resources. If i had found my AOx4 pt down, I would just help the pt up, get vitals, assess, page MD, and file report. What do you guys think? What is the policy in your unit?
  13. Koalified

    RNs Don't Help CNAs

    I work in a unit where our clinical techs (nurse aides) are also our phlebotomists. They mostly seem to concentrate on drawing labs rather than doing the dirty work. I end up toileting my pts, taking out dirty trays, trash, and laundry from rooms. If a room needs to be set up for a new admission, I am the one getting the welcome kit, water, SCD sleeves. Also the call bell is directly linked to my phone and rings to me before it rings to the techs. I find our techs pretty much useless. Other units in this hospital system are not like this but something about this unit is backwards. I miss my techs from my previous units.
  14. That sounds like a horrible place to work. I worked in a very small community hospital before where the MDs hated putting their orders in so the nurses did everything. I lasted there for less than a year. I feel for ya.