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buckchaser10

buckchaser10

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buckchaser10 has 4 years experience.

buckchaser10's Latest Activity

  1. buckchaser10

    Future Nurses are Brighter Than Ever

    Uff da, I say that and screw up my sentence. Pretend there is another comma after spelling. I can't find the edit button.
  2. buckchaser10

    Blood Administration

    Honestly this was my first error as a nurse... many times. In training I never had to administer blood so I never had the process down before being on my own. I'm still here as a nurse to talk about it today. Consents are important in case of legal litigation. I got the pleasure of rolling with Joint Commission on our last survey and they looked at 2 consents and called it good. The likelihood of it affecting your or your organization is very slim.
  3. buckchaser10

    Tele Nurse question

    Big medical systems, think Cleveland Clinic or Mayo
  4. buckchaser10

    Interview Anxiety

    Awesome! Congratulations!
  5. buckchaser10

    first job LTC need advice

    Yeesh harsh words! People always say to get your experience and run but regardless there is always going to be a need for nurses in LTC. What you'll find is often your nurse counterparts are nurses who are winding down their careers and getting ready to retire. This kind of gives you an idea of the environment that it its. Whether it is because it's easier or they just want the connections with residents at the end of their career that's where they often end up. LTC is busy in volume more so than acuity. It isn't uncommon to have 20+ residents that you are responsible for. The LTC I am at the nurses pass all the medications and that is what takes the majority of the nurses time. Between med passes there is charting and treatments but it is a lot more laxed than a lot of hospital work. It is back breaking but rewarding. You may find it's not your thing and that is okay, the experience will do you well. Good luck and I hope you enjoy it!
  6. Why do you think you need to wait two years? The beauty of nursing is that there are infinite possibilities that you could work in. If the unit you are on is making you feel this way and driving you to unhealthy coping mechanisms then I recommend that you find a different unit or specialty. If the fear is patients themselves there are plenty of non-patient care jobs that you could land in that will still allow you to use your nursing education. Please do not continue to stress yourself to death. Life is too short to be doing that.
  7. buckchaser10

    So H&H are 2 different labs: why only say one value?

    O2 stats is one of my biggest pet peeves. Drives me nuts.
  8. buckchaser10

    O2 checks

    I know it has been a month and a half now but just thought I'd write back to you. We are constantly learning. Every mistake you make makes you that much better. Going forward, never forget to fully think about what you should look at for focused assessments. As far as the patient in question, if he was that bad off RT should (and may have been) more involved. It's very possible that they had been monitoring the patient all day without you realizing. BiPAP is not that big of a deal (it is but it's not a ventilator for cripes sake.) It is very possible your patient would have ended up on BiPAP regardless. O2 sats alone won't show you the need for BiPAP because CO2 can cause high pulse ox levels but actually is an indication for BiPAP use. ABGs would be your friend here.
  9. buckchaser10

    Hello, just have a quick math question

    You would need to know how many drips creates an mL on your dripset. I think normal is like 16 drips per mL but I've been out of school awhile and drip sets are few and far between anymore. When you figure out how many drips equal an mL you would take 18 drips per minute multiply that into an hour and then divide by how many drips equal an mL
  10. buckchaser10

    rehab/nursing facility pay expected?

    I live in a comparable Midwest state in a rural area and our nursing homes start new RN's at ~$28. We are nonprofit and 60 miles from the nearest urban city. I would recommend doing your research on the potential facilities. CMS runs nursing home compare that lets you compare rankings of facilities. Site: https://www.medicare.gov/nursinghomecompare/search.html? Ideally you will want to be hired at a 4/5 star facility but that's not to say lower star facilities aren't worth your time. Sometimes these facilities are down on their luck or in an overhaul stage to get the right employees in place (why they are interviewing you.) At the nursing home compare website you can link in to past surveys (usually you can find them more in depth with your state's department of health or whoever is responsible for LTC.) After you've researched the facility potential questions you may be interested in: For profit or non profit? Nurse to resident ratio? CNA to resident ratio? Resident make up- primarily Long term vs SNF? Scheduling (how many weekends off a month, rotating days vs PM vs NOC) Use of mandation? Consider what your goals are in your career: Opportunities for advancement? Opportunities to contribute to decisions? Other goals you may have in relation to what the job/employer can land you at. LTC/SNF is big on interdisciplinary work. Be prepared to answer numerous questions on how well you work in teams and how dependable you are. Resident rights trump everything but safety in long term care. Be prepared to be asked simple resident rights questions. You don't need to be able to regurgitate them but rather know what you need to do to preserve their life. Ultimately this is their home and we strive to provide an experience as close to home as possible. Safety questions Questions about stress LTC isn't a sexy or glamorous job like ICU or ER but it is ultra important. It's BUSY but it's busy in volume rather than acuity, although that's increasing now too, unlike some of the other nursing fields who are busy vice versa. You are often times the only family these residents will see right up until they die. It's like having many of your own grandparents that you get to hang out with for 8 hours a day. Many of these residents will never live outside of these walls again (primarily SNF facilities is the exception.) We want employees who give a damn about our residents and are compassionate about helping the residents live their best lives in their final days/months/years. Good luck to you, I hope all goes well! Let us know how it goes!