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Medical Surgical
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Riseupandnurse has 15 years experience and specializes in Medical Surgical.

Riseupandnurse's Latest Activity

  1. Riseupandnurse

    How important is it to accept extra shift work?

    We always bargained before we said "yes". I wanted to know where I was going, how many other nurses would be there, and if I would be bumping any of the staff off their regular floor, causing a pull that wouldn't otherwise happen. Staffing did NOT like this, but if I didn't like their answers, I didn't agree. The huge majority of us did that. The facility tried to stop this by refusing to tell us anything. We just refused to come in, which was our right. They didn't have a lot of leverage since they were "calling the book" at least twice a week.
  2. Riseupandnurse

    holiday pay this year-what??

    Virtually all nurses on the weekend are "weekend option." So they are not working holidays at all per se. If it isn't on the weekend, it's not an issue for them. Most years it works out great for them. THIS year the worst of all possible worlds. They need to work Christmas Eve, Christmas, New Years Eve and New Years Day. All 12 hour shifts, with no extra pay. The hospital will schedule 1/2 the other nurses too as their holiday obligation, but they are allowed to ask off, whereas the weekend option will not, as if they do they will lose too much--- 1/2 the "weekend bonus" that goes along with the weekend option, per day.
  3. Riseupandnurse

    popping and squeezing boils

    OP---no, nurses shouldn't pop boils. I am sorry to say, though, that I have had several. The last couple of times I went to the dermatologist and what does he do? Pops them. Without antibiotics. So I wouldn't keep beating yourself up over this.
  4. Riseupandnurse

    Shafted on Thanksgiving

    Sorry this happened to you. At our hospital we were never officially given off until 30 minutes after the shift started. They called it "standby ETO" (earned time off). So you couldn't do anything or go anywhere until 30 minutes after your shift was supposed to start. And if you were called in during those 30 minutes expect to be pulled, and of course start at least 45 minutes behind. Guaranteed a lousy shift. And NO pay until and unless you actually were working. Grrr.
  5. Riseupandnurse

    This Does Not Make Sense - But happens anyway!

    Over the top: all floors having to count the pyxis not once but twice in 24 hours. And some floors have TWO pyxises. And it has to be one oncoming and one offgoing nurse. And they are loaded down with medicine types that get used maybe 4 times a year. What a waste of time and money. Another over the top: Needing a barcoder AND two nurses to witness that the patient is supposed to get even two units of insulin and that is indeed what is drawn up, but no such double-checks on morphine or Dilaudid.
  6. Riseupandnurse

    New grad took unwanted position, now what?

    I agree with those who are telling you not to burn bridges. If you do take the hospital job, make darn sure it's a good fit and no warning bells are going off. You may not want to ever go back to the LTC, but you may need them for a reference or to be on good terms with someone who works there years later. The LTC will NOT be happy for you that you have something better than them lined up. Why would be? They are not your parents. They are trying to get good, loyal employees.
  7. Riseupandnurse

    Need advice!

    Totally agree with the networking advice. Every really good job I ever had I got through networking. Make good friends with your clinical instructors. They are the ones most facilities want to hear from when it comes to references. Join the local student nurse association and get in there and do some work through it. Working as an extern is fantastic. Hospitals will try to hire their externs first, because they are already halfway through orientation when they graduate.
  8. Riseupandnurse

    Night shift, CNAs and homework

    Sorry, I don't know how there can be no work and there is time for CNAs or nurses to concentrate on homework. Could count on my fingers how many times I have ever seen it happen. Certain people have a habit of frequently thinking there is nothing to do, and spend a percentage of each shift gossiping, playing with cell phones, etc. Others never sit and still are running overshift. It can't be that the former always have easier patients; they see what they want to see.
  9. Riseupandnurse

    Excessive smoke breaks

    We actually had staff pretending to be smokers because smokers were the only ones whose breaks were tolerated. Now they don't hire smokers. Eventually the problem will disappear, and no-one will get breaks, I imagine. But yes, don't tolerate this dereliction of duty. It's your license on the line.
  10. Riseupandnurse

    Any hospitals out there doing 8 hr shifts?

    Arkansas---12, 8 and the truly beautiful and magnificent 4 hour. The 4 hours are great because they are usually only 6 hours.
  11. To The Squire: and maybe it's because you are an ER nurse. I am not excusing behavior, nor being a feminist, second wave or first or whatever, nor excusing behavior. I am saying sometimes you just blow up and take it out on someone who can't fight back as effectively as the person or group you're really mad at. I'm all for stopping this. I don't think we ought to be content with pecking away at each other. Don't think this is feminism; this is advocating for the profession and the impossible tasks we set ourselves. Something's got to give; why is it always how we treat each other?
  12. Riseupandnurse

    Staffing Question

    You should have had at least an aide, and you would have had at our hospital. It's not just if something happens with the patient. What if something happens to the nurse? I fainted once on the job, and have been incapacitated with vomiting more than once. Other nurses have had a patient go berserk and attack them, criminal elements try to trick them into opening the locked door at night, their knee go out, one even had a heart attack. If nobody else had been there it might have been a front-page news event the next day. Not worth the risk for the price of an aide or the inconvenience of combining units.
  13. I don't think you did anything wrong. I think there was probably more going on with the floor nurse than we knew about. It may have been "one last straw" for the day. Nurses strike out because they are hurting and cannot strike out at the people who have really hurt them, so they turn on each other. It's a well-known sociological phenomenon---lateral violence by oppressed groups. I feel for you. I feel for our whole profession. We will never climb out of this crab bucket by attacking each other. Hugs to you!
  14. Riseupandnurse

    Do your Managers and Charge nurses work on the unit?

    In our hospital, I believe everywhere in our hospital, the "charge" was just the designated senior nurse. He or she had as many patients as everyone else, and actually usually the sickest. Also was responsible for making assignments, picking up her share of new admits, giving the LPN's pushes, blood, etc. And because of the out-in-the-hall SBAR, the charge really didn't even know what was going on with the floor, since all you ever heard about was your own patient. Terrible system. The nurse managers never, ever, ever, did any patient care. They would have been ostracized by the other managers if they did. I saw one once get begged by a floor nurse to just sit in on a blood transfusion because she had patients crumping. The manager pulled away from her and said she had to go to the cafeteria to serve ice cream for a "social". Uh-huh.
  15. Riseupandnurse

    Nursing safety

    This sounds very unsafe to me, especially if you are alone, even if it's with just one patient. What if something, anything, happened to YOU so you couldn't respond to the needs of the patients? How would anyone even find out in a timely fashion?
  16. Riseupandnurse

    Will never write order again w/o permission from doc

    I used to write "orders" if I knew the doctor would want it, harmless things. So did we all. The doctors routinely just signed their name to discharge sheets for nursing homes, too, and the nurse had to fill everything in on a blank signed paper. Just to save doctors some work. I absolutely quit cooperating in that years ago, because this is just practicing medicine without a license. Some of the older physicians had fits because they were being "bothered", and would chastise me to my face and to my manager. Too bad. That way of nursing practice has gone the way of the horse and buggy, never to return in our sue-happy society.