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med surg home care PEDS

Content by mb1949

  1. mb1949

    How many hours is too many

    I have a weird situation and would like some advice. I have a peds patient, pre school, vent dependent with other issues. Anyway I believe the case has 20h/day x 7 days. Nice family, however, the parents want to go away by themselves for a long week end. The idea is to leave the patient alone with the nurses, from Friday to Monday morning. I would work my 2 regular overnight shifts the week-end but am uncomfortable with the whole scenario!!! I have never seen the 485 or care plan for the patient, the chart in the house is pretty ben at up by the tme I came on the case. Should I call my agency and ask for a copy. I am afraid if something goes wrong and I call 911 I could be sanctioned for not following the care plan etc. I had another case where the careplan specifically stated another care giver should be in the home with the nurse at all times. I know an RN can be left alone with a patient for a certain amount of time, but 4 days, I don't know. Another relative will be home in a separate apt in same house but is definitely not a skilled caregiver.
  2. mb1949

    Home ventilators

    I agree love the trilogy
  3. mb1949

    How many hours is too many

    The patient has no meds. Just vent dependent and g tube
  4. mb1949

    How many hours is too many

    Thanks for your input. I will stop by agency office tomorrow and get copy of 485 andBoth pare
  5. mb1949

    Discouraged new/old grad

    sorry will have my bsn in May 2013
  6. mb1949

    Discouraged new/old grad

    don;t feel bad, I have an ADN, graduated in May 2010, will have my bsn in May of 2012 and still don;t have a steady job, even with a 3.9gpa, try some agencies, there are lots around, some are good, some not so good, I refuse to give up there are lots of people out of school 2 to 3 years with no steady job, my friend just got a job at a hospital were her mother works (for 23 years) and she has been trying to work there for 2 years, and she is per diem. The nursing shortage is a myth, it is like this everywhere. If you don;t know someone or get very lucky it is tough out there. Kind regret going to nursing school, quit a good paying job to follow a dream that ended up a nightmare/.
  7. mb1949

    New Grad RN still no job

    I am in the same boat. Nursing homrs dont want new grads either especially in the Nyc area. I finally gave up and got an admin position. There r no jobs for new grads in this area. Anyone who got a job was pushed by. Thier mother sister uncle who is DON or something at this hospital or home. It is a joke
  8. mb1949

    BEWARE: Pace University

    Sorry fir typos. Darn i phone keyboard
  9. mb1949

    BEWARE: Pace University

    I am impressed. Nevermind the debate about Pace. How did you get a few job offers. My classmates and i have beem looling for over one year. Its rpugh in the metro NY area
  10. mb1949

    After 20 MONTHS of job search.....i give up.

    Amen, I am in the same position, 20 months no jobs, I am working in a bank now, making just barely minimum wage, and people I went to school with who I helped through school got jobs, I am so depressed.
  11. mb1949

    Any grads of Lehman College RN to BSN program?

    Yes they do have nursing classes during the summer and the winter intersession, so if you go straight throuhg you could do it faster, don;t forget though they only give you sixty undergrad credits and so you have to do the 37,5 nursing credits plus like 23 liberal arts credits, and the nursing course are intense the prerequisites are your RN degree you would really need to speak to the nursing department if you degree is from a US college you will get 60 credits otherwise I don;t know
  12. I'm sick, this was a NYC institution, nothing else to say, heartbreaking
  13. mb1949

    How is job market NOW for Registered Nurses?

    Please I went to school with a ton of Philipino students and they are actually in the same boat as the rest of us in NYC, if they can't get jobs what hope is there for the rest of us, I graduated one year ago, and haven't had one interview, and yes I have a BSN and excellent gpa, it is so scary, if your mother or aunt is DON your ok, otherwise you are out in the cold, I am 60,000 in debt and working as a waitress
  14. mb1949

    After 20 MONTHS of job search.....i give up.

    Good for you, congratulations, it gives me hope, I am 20 months and around 50k in debt, so discouraging,
  15. mb1949

    Any grads of Lehman College RN to BSN program?

    Full time you can do it in 4 semesters
  16. mb1949

    Any grads of Lehman College RN to BSN program?

    Yes there are classes at night, most of the rn to bsn classes are online the few that are not are at night, the liberal art requirements can be done at night , day , weekends or on line. There are no clinical requirements, you have a physical assessment class, that I love, that has a LAB requirement, and another class witha lab requirement.
  17. mb1949

    Any grads of Lehman College RN to BSN program?

    I am at Lehman now, RN to BSN, and I love it, so far the Professors are great very helpful, the classes are reasonable, most of the nursing classes are on line, of course it is CUNY so dealing with financial aid, the registar etc are the usual CUNY nightmare.
  18. mb1949

    Good at Theory, Trouble with Clinical/Lab

    Become a CNA, listen to me, I am an RN now but I struggled through nursing school, I was all thumbs, and felt so uncomfortable during med pass, wound care whatever, but now I don;t even sweat it, you just need practice, they make it so mysterious in school and it is not mysterious at all.
  19. mb1949

    I'm a nurse. Not a housekeeper!

    Ok how about this, patient has an older sibling under 5, mom thougt she was slick, would go out for milk and disappear for 2 hours, once for the whole day, that was it, I am not a nanny, and honestly if medicaid did an impromptu visit, I would get in trouble, this is not what I am getting paid for, I am paid to give skilled nursing care. Period
  20. mb1949

    Should I leave this case? Worried.

    It is sad they are put in this position, my client just had hours cut, I have to find another day somewhere cause this isn't cutting it, anyway I just left another case for much of the same reasons, and because mom thought I was nannny for her other two kids, use to leave to run to store and get milk for 3 hours
  21. mb1949

    too hot in the home

    I had to leave a job this summer because of this, a little different situation, worked nights, apartment was an oven,, mom would take baby into her room and put the air conditioner on, while I sweated in a hot living roon, on a plastic covered couch (didn;t know they still made plastic slipcovers), One night it was over 100 degrees in the living room, I had just given baby his 2am meds, and was trying to rest until 6am, ok wait, the baby;s trach tube come over the trach cannuala, ok reconnect right, 10 seconds, no Mom called be upstairs in the heat to stick it back on, that was my last night
  22. mb1949

    Am I Nursey Enough For You?

    Thank you, its time we realize all Nurses are important and do important work,
  23. mb1949

    After 20 MONTHS of job search.....i give up.

    I feel the same way, I have given up, unless someone gets you a job you will never get one in the NYC area, upstate there are some jobs available, however due to family responsibilites this is impossible for me. So I am back working as an admin and struggling to pay my student loans, what a waste of money
  24. I am sadden by this, but not suprised. All the catholic schools in my area are closing or have closed. No one could replace the sisters who taught us back in the 50 and 60"s. It was a great education, which I must say, taught me more than any other experience I have had in life. I don;t just mean reading, and math, but honor and duty and the beauty of the truth. The US will be a poorer place with out these catholic instituions.
  25. mb1949

    Landed an Interview!!

    Good luck, let us know how it goes, I rooting for you

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