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Have Nurse

Have Nurse

Med/Surg/Infection Control/Geriatrics
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Have Nurse has 25 years experience and specializes in Med/Surg/Infection Control/Geriatrics.

MN born and raised. Details not posted for security reasons. Served in the military 9 years. Had a family. Attended Vet Tech school and nursing. Traveled overseas.

Have Nurse's Latest Activity

  1. Have Nurse

    Is this legal?

    Maybe not, but for Risk Management purposes, it should be locked up with any valuable and a receipt given at the hospital.
  2. Have Nurse

    Question about applying for hospital job

    I wouldn't try Travel Nursing just yet. In the field, often you are alone and really need to be on top of your game. You won't have machines and others to bale you out. Until you are back in the office, you are it. You will have lots of overtime and the places you go into can be dicey and unsafe at times. Also, you will face challenges you may not expect. Wait a few years before you do that. I am speaking from years of experience. Read my blog and you will understand.
  3. Have Nurse

    Question about applying for hospital job

    In addition to what our colleagues state, I might say that most hospitals have you assigned to a Preceptor and use a "Skills" checklist for you to get some experience doing some of the things that you may need to know. If you can somehow present yourself during the interview process as having the advantage of being new enough that you don't suffer from burn-out, are excited about expanding your skills and knowledge, who knows? You might land that job. Go for it!! But do some personal study too to stay abreast of things along the way.
  4. Have Nurse

    Pre-employment physicals: Who pays?

    It is important to note the difference between a "reaction" to the PPD V.S. an actual positive reading. They are not the same. Some folks are plain allergic and not "positive". We don't accept skin tests anymore because many nurses don't read them properly. All of our new staff get the blood test instead. If someone has a positive T.B. QuanteFeron Gold blood test, they will need to see both the physician and X-ray to rule out active T.B. Latent T.B. means that the bacterium is in their body, but they have no symptoms and are not contagious because they aren't sick. We have lots of people who work for us that have "latent T.B." and they are screened if they leave the country for more than 12 days to visit a homeland where T.B. is prevalent. They see me first in Infection Control. If there is any question as to whether their "latent" has become "active," they would be sent for a Chest Xray and a doc visit. So far, it's been just fine. If someone happens to be "positive" for active T. B., they would be referred and treated and not able to return until the doc clears them, and those to Whom they might have exposed would be notified. So far, that hasn't happened. Thank the Lord.
  5. Have Nurse

    Pre-employment physicals: Who pays?

    My first Travel Nurse job pre-employment physical was covered by my employer. But later, when I left the company, I had to re-pay the cost. On my 2nd Travel Nurse stint, all was covered by my employer even after I left the company. It just depends on who it is that you work for. Hope this helps.
  6. Have Nurse

    New RN Grad Need Guidance Please :()

    I agree.
  7. Have Nurse

    Coworker violated HIPPA

    I agree that your "friend" violated HIPAA and as you aware of it, you are obligated to report it to your HIPAA or Compliance Officer. Secondly, the fact that you discussed your nephew with someone regarding his medical condition( am assuming without his permission,) has me concerned about your conduct as well.
  8. Have Nurse

    Coworker violated HIPPA

    I agree.
  9. Have Nurse

    Opposite Sex Coworker Social Boundaries

    I read this and smiled sympathetically. That's a tough one! I agree that the invitation is well meant and that perhaps your wife may feel a bit threatened and out-numbered regardless of how innocent this is in everyone's eyes. It's particularly more scarey for her if she's never met them. You say you've been together a long time. That tells me she is older perhaps than some of these women possibly...? It may be a relationship issue, but you come across to me as someone who really loves his wife and wouldn't do anything to make her feel unsettled in her own home. If this celebration continues to be on the agenda, perhaps you could help her feel more accepting of it, by not only involving her, but showing others how special she is to you. I hope it goes well. (Wish I had a gas grill!)
  10. Have Nurse

    Nasty/aggressive patients

    Perhaps part of the anxiety too, is from the fact that this woman caught you off guard out of the E.D. element. That can be a bit unsettling when one is caught unaware. You have a wonderful attitude though, trying to understand behavior. Well done!
  11. Have Nurse

    nurses eat their young

    That's true. I've had some experiences when I was a L.P.N. many years ago, but it more to do with the R.N. who gave me a hard time doing things like asking me to hang certain drugs IV, when she knew darn well I wasn't licensed to do so, she would make snide remarks and the like, but finally she gave up on me when I didn't rise to the occasion. Bullying does happen, but I think it's more rare than when, as you say, "some younger nurses these days consider constructive criticism "bullying."
  12. Have Nurse

    The life or death squatty potty

    I agree. The patients are not in charge. But it might have been a good idea to state: "We have an emergency, this should not have been left in your room as it is exclusively for staff use. It will be removed. Thank you." Let her throw her tantrum. Keep moving but follow up later with your Charge to keep her/him in the loop.
  13. Have Nurse

    Ginger Ale

    It's simply a soft drink. But if you are worried about someone with diabetes, you can get sugar-free ginger ale. Sometimes a soda cracker can help too. We use to give that to pregnant women with morning sickness, who couldn't take certain meds years ago. It seemed to help.
  14. Have Nurse

    withholding medications ethical dilemma

    I must respectfully disagree with your comment regarding only certified nurses in the ICU. I worked ICU for a long time as a Med/Surg Nurse but was ACLS certified. Many hospitals across the country have Med/Surg RNs working ICU. Some of these patients require them. You may have an ICU nurse who is accustomed to handling cardiac issues and neurological, vent, etc. but if it's an ortho/surgical patient, there are certain things the ICU nurse may not be use to doing and really may not have time to do, hence the Med/Surg nurse. I must also disagree with making a scene in an ICU regarding reassessment. You can do that quietly and professionally, without alarming patients and visitors, as you certainly would do otherwise had she done what you suggest. And it's a nice way to get fired. I would suggest documenting the facts, leaving out the emotion. Then present it to the Director of Nursing first. If that doesn't resolve it, the Patient Rep. They have a lot of power so don't over-look them. There are ways to deal with that without catering to drama and unsettling everyone.
  15. Have Nurse

    Enablement Overload

    Poor kid.
  16. Have Nurse

    Music in your office?

    I love that song!

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