Golden_RN

Golden_RN MSN

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All Content by Golden_RN

  1. Microscopic UA and UTI question

    I know this does not answer your question, but I would check if your facility has a policy on when antibiotics are warranted, so as to decrease the use of unnecessary antibiotics. If not, maybe one...
  2. What's up with the RN vs Paramedic hate?

    Oh my gosh. LVN vs. RN. ADN vs. BSN. floor vs. ICU. Hospital nurse vs. SNF/psych nurse. Experienced nurse vs. new grad. Why are we such a grumpy bunch
  3. New RN who wants to skip the hospital.

    My friend went straight into County public health dept after finishing her BSN. She did have about 10 years of bedside nursing as a CNA and LVN, but never did bedside work as an
  4. Switching Careers from Nursing because I hate it so much

    In nursing school, there is just not enough time to get exposed to all of the non-bedside jobs that are out there. Obtaining a BSN or MSN (if you haven't already) will open up more opportunities. I...
  5. CNA Skills fair

    When I was a DSD I decided to do annual CNA skills check offs with actual residents instead of a skills fair. I did rounds with the CNAs, including showers, catheter care, repositioning, dining, etc....
  6. Is this an LVN or an RN
  7. Option 2 sounds insane. $5 less + the expense of renting a room. 2.5 hours is a very long drive. It just doesn't sound sustainable for very
  8. How far can hospital go?

    This happened to me years ago. Admin combined a telemetry and ortho floor. I don't think most ortho nurses wanted to be tele nurses and vice versa. It ended up being a failure. The MDs were not...
  9. Admissions in Rehab/LTC

    There is so. much. paperwork. in LTC admissions that there really has to be a culture of teamwork and realizing that it is a 24 hour business. If a new resident is admitted during the last 30...
  10. Stop Hating on Psych Nurses

    I get the same remarks because I love SNF nursing. Who cares what other nurses think? I want a job where I can be somewhat happy and feel like I'm making a difference. I think psych nurses/social...
  11. Leaving the bedside

    Use the search function for this site. This question comes up weekly and there have been so many examples
  12. Pathway to Wound Care Nursing

    I did a lot of wound care in LTC. Yes, LTC is definitely clinical (but does not count as acute experience). Some facilities have a dedicated "treatment nurse" that dedicates his/her shift to wound...
  13. High nurse to pt ratios SNF

    1:20 for day/PM shift is reasonable, especially if you have good CNAs. I have worked facilities that have 1:40 and that is tough! You really have to know the residents well, have good CNAs, and...
  14. Mama RN Needs Advice on Childcare Options

    Home day cares or day care facilities during the day while you
  15. Also, I think about for those of us that have retired/been away from the bedside for awhile, how much support we'd need to get even partially up to
  16. Resting Up For Night Shifts

    I think each person has to try it to see how their body/mind adapts. I actually liked 12 hour nocs better than 8s. But for some reason I had a lot of nausea and never got quality sleep between...
  17. I quit

    It's great that you hung in there for 18 months! There are sooo many options in nursing and my friends from nursing school & coworkers from many years ago all went in completely different...
  18. Nursing for Intimate care for men

    "Dignified care"? There are multiple cases of women being assaulted by their male physicians. Here are 2 recent cases:...
  19. I quit

    Your original question is...How did you find your niche. It took me a long time but it started like you - burnt out in acute care. Then I tried different levels of care, tried a non-bedside...
  20. Did I break Confidentiality

    Another point is we should never text about patients on our personal cell phones. Even if you didn't mention the pt's name, it is way too easy to give identifying information in this unsecured...
  21. Trying to Get along

    I have found nursing to be extremely diverse, with people of different age, ethnicity, gender, background, etc. (I'm sure this varies in different regions). You will fit in for sure. Most of your...
  22. https://www.RN.ca.gov/education/phnprograms.shtml The CA BRN lists CSU Dominguez Hills. I did it there as part of their BSN
  23. Career advice for aspiring nurse educator

    You can (1) talk to the management and nsg education dept at your employer and volunteer to teach an inservice or other class, (2) look for part time clinical instructor positions at a college in...
  24. Nurses don't check orders??

    Before EMRs we relied on the Kardex to be accuate every shift. It was not possible and was not common practice to look up every order when hanging fluids, doing wound care, etc. In the EMR world, I...
  25. DON with no authority

    Agree with Hoosier above. Very strange. I find that non-clinical people "don't know what they don't know." Non-clinical staff shouldn't be supervising the unit managers in regards to clinical...