classicdame

patient education is a requirement in Texas. Go to their website (Welcome to the Texas Board of Nursing Website) and search for delegation. There is a rule on what CANNOT be delegated to unlicensed personnel. I take that to mean it must be done by the licensed nurse.

I believe HR is scared of lawsuits so are wary of what they say. I have learned not to expect an annual raise and to do what is needed to get high on the payscale or seek employment elsewhere.

there is a lot behind this practice. For one thing, the facility may have how to raise entry level pay to attract new nurses and maintain staffing levels. I would ask HR if there is a guide they use and where you are on that matrix. If you are lower than most nurses with your education and experience, ask how you can improve the pay. If not satisfied you may have to look elsewhere, transfer, learn how to use the system (per diems, bonuses, etc) or suck it up. Good luck

I would not mention it at all. If there are legal implications, just deal with those as they come. Otherwise, the reason you want to leave is for "better growth opportunities". Sounds as good as the reasons employers give for needing to fill a spot.

used to hate those hours in hospital as many direct admits. There must be some task, such as getting people hs meds and then to bed, that make that shift not desirable in LTC

do you realize that you are still liable as a nurse even if acting or working as EMS?

I recommend the DON arrange for an in-service from a respiratory therapist. I do this for new nurse orientation in our hospital. It is very enlightening!

as a manager I would wonder if you are well enough to order the treats are you sick enough to stay home

I worked full time for a surgeon as a tech while getting my ADN and then as an RN while getting my BSN and MSN. You have to be really focused and willing to give up some free time for a while. As for support, I had none but my kids were grown so I did not have that challenge. The work is hard but can be lessened with team work and appropriate equipment. If you have access to a physical therapist at work I recommend asking for demonstrations on moving people. Good luck in your career

there are no short cuts to doing the right thing

there are resources for testing strategies and anxiety. A few I have used are: Stressed Over Studying | Topics | Counseling Services | Kansas State University Khan Academy Simple free learning tools for students and teachers | Quizlet Kaplan has books on test taking strategies, but there are others.

don't waste your energy trying to explain. they have no clue. And they won't be there when you take NCLEX

many hospital nursing directors do not see LTC experience relating to acute care experience. I doubt your age has anything to do with it as most nurses are baby boomers still. I do not have an answer unless you talk to someone in HR and ask what it is they are looking for in a candidate.

remember, your interpretation cannot be used for planning care. It would be for your information only.

We use HMS. I know the Informatics team and know that they have input on various modules. Nurses complain to me (Educator) they spend more time "nursing" the computer than the patient. To give/not give flu vaccine requires TWENTY steps. Thinking is that documentation is more impt than caring for patient. Who has time for that? Do we really want nurses to focus on something other than excellent care?