sweet sunshine

I'm not saying Halloween and Black Friday are holidays. Just days that a lot of people request off especially Halloween if you have young children.

I work 3, 12 hour night shifts. We are required to work 2 out of 3 holidays. I got Christmas Eve and New Year's Eve. 12 hour night shift. The new schedule came out and I'm scheduled Halloween, Thanksgiving day, 12 hour night shift, and Black Friday. I guess the 12 hour night shift on Thanksgiving day is not considered a holiday, the Wednesday night before is the holiday. No family time for holidays this year! What a sucky schedule!

When I don't like working with specific nurses I wait for them to fill out their schedule and try not to schedule myself on the days they are working.

Family concerns

Just a matter of time before a hospitality course will be part of nursing school curriculum.

I signed a 2 year contract at my present employer for a sign-on bonus. I've been there for a year.and need to move back to my home state. Contract states if I leave before 2 years sign-up bonus needs to be repaid. After a year 50% needs to be repaid. I really do not have the money to repay it. Has anyone had experience with this?

I can see a mistake like taking the wrong pill happen. The question is when did you realize it and still go to work? Unfortunately, the board may look at it as trying to cover it up. Hopefully a lawyer can help you sort through this. Best of luck!

i have seen so many errors with the med reconciliation process. It drives me crazy that managers focus so much on patient satisfaction to increase Hcaps scores. But a patient can go days without receiving their home meds because either the med rec wasn't done or dr. questioned if they reviewed it. Had a patient that had went days without receiving their medications for seizures and other meds. This is not the first time I've had patients not get meds they should have. Hospitals can be dangerous in this regard.

You always get that one nurse who wants to do her full assessment during bedside report.

It is more conducive to sit and relax to get report. Probably the only time we can sit during the shift. Quick rounds to make sure everyone is breathing. Bedside report takes more time. We already get out late. When research is done you can't taje what works on one unit and apply to another totally different units. Try giving bedside report on 6 patients.

I know JCACO wants pain meds given according to scale which is dumb and could be dangerous. 90 year old, post-op hip replacement never has taken opoids rates pain a "10". Order for sub-q dilaudid, 0.5 mg for pain level 1-3, 1mg for pain 4-6, 1.5mg for pain 7-10. No way in hell im giving 1.5mg as starting dose. But according to scale that's what I should give. Also, pain level might be a lower number in a pt. because you're giving pain meds regularly. It took us a while to get your pain under control and now that it's a 4 I can only give you 5mg, not 10mg. Pain will bump back up out of control.

Let her figure it out and stay out of it.

Doctor really needs RN for the job, but wants you to be the RN with script writing authorization for opioids so he doesn't have to write them.

Does the cabulance have the ability to put her on a bedpan and a place to empty it. If so I would say send with a bedpan and brief on.

Look up the BON in South Carolina. You will find what you need there.