kbrn2002 ADN, RN

Geriatrics, Dialysis

RN from WI

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All Content by kbrn2002

  1. kbrn2002

    Innumeracy

    It's pretty common around here for an MD to order a larger dose of a med from the pharmacy than is actually ordered, typically doubled. For instance if the order is Lasix 20 mg daily the MD will...
  2. kbrn2002

    Ohio Hospital Fires 23 After Fentanyl Overdose Deaths

    While I have seen very large doses of pain meds given to either long term users that have built up an incredible resistance to their effects over the years and to Hospice patients I have never seen...
  3. False positives on a drug screen are sadly not that uncommon. There are many OTC's, foods and supplements that can cause this. Further testing of the affected sample should either confirm or rule...
  4. kbrn2002

    Monster Med Passes

    Med pass for 125 people in a shift! Yep, breaks my record by a ton and here I was thinking LTC ratio's were bad! I'd say that's darn near impossible but since you've done it it's obviously
  5. kbrn2002

    What is it like to work in a good hospital?

    Sad but true. This affects LTC as well. I've been in the same facility for long enough to have been employed by 4 different entities and each owner change has eroded some benefits while rarely...
  6. kbrn2002

    Nursing job is making me sick ?

    You are a better person than most if you actually feel in the least bit guilty about leaving this job. Sounds like it's not a great environment in the first place plus since they seem to have a policy...
  7. kbrn2002

    Can I get Fired?

    For sure, unemployment doesn't come close to paying the bills. My husband used to be a seasonal worker and collected unemployment the off season. The money helped but if we had to live on it no way we...
  8. You are absolutely right, no harm in trying. For sure you won't get one of those positions if you don't even apply. Don't be surprised if you don't get offered one of those posted positions but you...
  9. kbrn2002

    Over my head?

    Certainly can't say that I blame you! Good luck with the new job. Hoping you enjoy
  10. To answer your first question no, there really isn't anywhere you can go or anyone you can talk to to change this. Unless it's blatant discrimination and this situation isn't there's nothing to be...
  11. Wow that's crazy! While it's probably pretty common it still amazes me that they can project staffing needs so far
  12. One other thing that I noticed when re-reading this. OP doesn't even graduate until December. Is it really normal for all these students to be offered jobs several months before graduation? Not...
  13. kbrn2002

    Over my head?

    Sorry I'm a little late to the conversation but after reading your responses OP I'm going to throw out another option if you haven't made a decision to leave yet. Since it sounds like management has...
  14. In my opinion an honest exit interview might make you feel better, but it won't accomplish a darn thing so why bother risking it? If the company you are leaving is oblivious enough to allow such an...
  15. kbrn2002

    Next Day Off

    If I have nothing I need to do on that first day off I allow myself to zombie a bit. Sleep in, watch stuff I DVR'd the days I was working, read a book. Nothing wrong with a day of rest to recharge the...
  16. kbrn2002

    The Nursing School to Welfare Pipeline

    But that's not the case everywhere. I'd say that's probably the exception rather than the norm. Where I live there is zero difference in pay between ADN and BSN prepared nurses. That BSN might open up...
  17. kbrn2002

    I have been on night shift for 30 years and...

    I went from straight nights for 15+ years to days a few years ago and boy was it an adjustment! To be totally honest it took a few months of not getting anywhere near enough sleep at night before I...
  18. kbrn2002

    Caught Sleeping on Night Shift

    When I worked nights for several years it seems we always had one or two staff that napped on their break. Some people were really offended by this for some reason. I never saw a problem with it, if...
  19. kbrn2002

    BSN but not a nurse

    This is a good point also. I went to school with a young lady that got married just before starting. She became pregnant partway through the course. Her husband is financially well off and they...
  20. Used to be it was expected that a new nurse acquire experience on a lower acuity or a general med-surg unit before exploring opportunities on specialty units. Recently it seems those specialty units...
  21. kbrn2002

    "Not sure what unit you will be hired into..."

    The bait and switch tactic is sadly pretty common nowadays. Even LTC isn't immune. We've hired more than one nurse that accepted a job expecting a certain shift that had to adjust to a different...
  22. Rotating schedules are the norm around here, and frankly that's a big part of the reason I was never interested in acute care. Finding an acute care position within your hospital that doesn't require...
  23. kbrn2002

    DNR/transfer to hospital

    Being a DNR is irrelevant, that doesn't mean do not treat and there are interventions that can make this gentleman more comfortable that can't be performed in the SNF setting. If he survives this...
  24. Thank you for clarifying the particulars of this. I was about to do the same and saw you already responded. I am a panel member for the NCSBN and have participated in sessions regarding this new...
  25. Unit managers. We have one for every unit. Different facilities use different names for that position so I didn't specify. Some are salaried, some are hourly. Ours are hourly paid. Sorry for the...