mtmkjr BSN

I would take $29/hr at a well run respected hospital ANY day over $40 at a SNF. Especially as a new grad needing the experience and learning opportunities offered in the hospital. Our CNAs typically make about $18 per hour. There have been bonus...

Because they ALWAYS document 17. On every patient 😆 Amusing because the only way you can get to 17 is counting for a full minute.

Certain nurses are known to document 17 that always amuses me. 🤔

My thoughts are the same. I would not include details of your personal circumstances, it will come across as making excuses and everybody has one. (I'm sorry though for what you went through) I also recommend doing a spelling check followed by ...

That doesn't bother me. What does bother me is when people use "nurses training" instead of nursing school. Or so and so is "training" to be a nurse instead of studying to be a nurse. Training: "The action of teaching a person or animal a...

So when the manager says you can't, what happens next?

Okay well then he is out of bounds. Hopefully no one in upper management supports this.

There's a reason why C&S are limited. You don't want to get them on every UTI because then there is unnecessary treatment/overuse of antibiotics. You certainly don't get one just because you're doing a straight cath. I'm not saying that some...

Yes, it's not really clear what's going on No disagreement here. Straight caths aren't the only answer to cauti reduction

It doesn't change your obligation to the patient. The manager is observing a unacceptable rate of CAUTIs and wants to reduce the number of Foleys. Assuming the best about this manager, which I usually try to do, I can imagine a situation where provid...

You're talking different levels of management. In my facility, it is administration that makes the decisions about hiring, pay, use of travel nurses, etc. As part of the management team I can tell you we are at the mercy of those decision-making...

I wonder if there's something missing here? Maybe the manager just wants to know of any patient who is being considered for a Foley so they can speak to the MD to change the order to a straight cath instead? It may not be a matter of overri...

I do 4x10 as well. No weekends or holidays. I pick my day off and I can be a little flexible. I can even do 5x8 off I want. Although I love my job, I gave up a sweet 3x12 no weekend set schedule. I didn't mind the 12-hour shifts at all

It has happened several times to me in the past. I don't recall the specifics, but it was not a controlled substance. In the end I had to continue with the administration connected to the med I had pulled and mark the scheduled dose as not given...

The issue I think is with terminology. I would be opposed to a "penalty" for non-participation. I would not be opposed to an offer of a "discount" if you participate in the wellness program. On other words, incentivizing rather tha...

Flush runs at the same rate as the antibiotic (or whatever is the secondary) Think about it - you're not giving the patient NS you're continuing the medication that's in the tubing. The medication hasn't completely infused until the flush is com...

Maybe it's simply "Let's not create a problem where there isn't a problem"

I copied words from your post but it was from within a quote from OP. So it came through as quote from you and I can't ED

I work inpatient rehab. Our ratio is 6: 1 paired with a CNA with similar assignments. Yes we are short frequently, but we nearly always manage to scrape together the staff we need, either by floating staff from other units or our own staff work...

It seems OP altered the wording of the original progress note by substituting "personal" for "intimate". "Intimate" is key because It appears the manager was trying to create a more objective account and explain the subjective language tha...

Not HIPAA. However there are other violations of privacy to be considered. What if you found out that the person's home was in a bad section of town/wealthy area and (subconsciously even) made judgments about them based on that - I can see for ...

The underlying assumption is that the staff is immediately responsive to every need as much as is physically possible. In my experience I do not find that to be consistently true. It is for some CNAs (and nurses), but there is also a lot of feet drag...

What Muno said. If the area was cleaned well, the first sterile catheter didn't contaminate it. Should have recleaned however, just for the fact that you walked away. Don't take someone else's word that no contamination took place. And recleaning tak...

A 60-70 minute commute for 12 hour shifts would be the biggest negative for me. I would not do that to myself. For one thing I get sleepy driving especially after a night shift that would be unsafe. However I know many people do it.

"shift nurses'?