kiszi RN

Member

All Content by kiszi

  1. kiszi

    When a Resident Refuses

    I would ask her primary for a pain management referral if he is hesitant to change/increase her meds. Continue documenting refusals of course, and also be sure to document that pt was thoroughly...
  2. kiszi

    Driving me crazy!

    Is it against your clinic's policy to take verbal orders? While some places discourage it, it is not risking your license. That is, if you are allowed to input the orders yourself for the doctor to...
  3. What one person defines as manageable might be someone else's nightmare. Usually better-paying positions come with more responsibility and stress. I've heard from folks who love doing case management...
  4. Supportive? Absolutely. But unless I've had a craptastic day and really need to whine/cry/get a hug, I leave work at work. I started doing that early on in nursing when I would see SO's eyes start to...
  5. kiszi

    Moral of the story: Never give IM injections?

    Really. Learn something new every day. Going back to LTC soon, I must ask about that. Sounds
  6. kiszi

    LPN Job Duties

    If you work in a LTC facility, the greater part of your shift will be spent passing meds. Other duties: Calling docs with labs/changes in condition/etc. Dealing with family members Wound care, weekly...
  7. kiszi

    Let's talk: Nursing Shortage?

    I think one big reason a ton of nurses are driving hard at the hospital jobs is for the experience, not for the job per se. A year of med-surg can open a lot of
  8. kiszi

    The newest and coolest thing you've ever done

    Wound vacs with foam instead of gauze. Wound vacs period. Pleur-x catheters--for those who may not be familiar, it is a small bore tube surgically implanted in either the abdomen or pleural cavity...
  9. kiszi

    Whats the next step after CNA?

    I assume you meant something less draining. Be aware RN work in many settings can be very taxing also. This may not be the answer you are looking for, but keeping the CNA job, doing it well, and...
  10. kiszi

    What To Do About False Notes and Charting

    It concerns me that your agency is not easy to communicate with. I don't know how far the agency is from you, but if it were me I would march right into the office and speak to a supervisor, then...
  11. kiszi

    Have you ever been asked to falsify notes?

    No but I can see how it could happen. On my case the nurses are instructed to document very thorough and detailed notes to ensure the patient keeps their hours. If ever asked to document false info I...
  12. kiszi

    Things you tell newbies

    Don't ever tell a pt "You're my first (IV stick, foley,
  13. kiszi

    Epic (Nursing) FAILS!

    I was about 7 months pregnant with my first child. Sitting at the nurse's station charting. For some reason I thought it would be fun to tilt my chair back on its back legs. Never a good idea,...
  14. kiszi

    Working crazy hours

    my full time job is in PDN, so a bit less taxing. I don't think I could work the floor for that many hours unless I was single and childless. But then I probably wouldn't need
  15. kiszi

    Working crazy hours

    I would call you both crazy, but I can't b/c I'm starting a PRN job soon which could have me maxing out at 58 hours in a week when combined with my full time gig. Gotta pay them bills, ya
  16. I don't care how accurate it is; PLEASE please please stop charting trach sputum as "creamy"
  17. I wouldn't say I hate nursing but I went through a period of time as an LPN where I was disgusted with it and spent a fair amount of time researching how to apply for air traffic control training. Had...
  18. I would remove the bit about "One of Indiana's best nursing programs." It comes across as cocky, and while listing the school is ok, they seriously may not care. I would keep the employment history...
  19. I don't think there is anything else you can do right now. Since you haven't gotten a response to your last email, the ball is in their court now. Any more contact might be too pushy. Way to go on...
  20. kiszi

    Lpn program compared to rn program

    I should clarify that I felt RN coursework was personally easier than LPN coursework solely because I already had that foundation. Had I entered the same RN program without previous medical training...
  21. kiszi

    Lpn program compared to rn program

    I second what has been said about RN coursework being easier, because you already have basic nursing knowledge and have begun to "think like a nurse." It's a great idea to continue your education now...
  22. I'm interested if anyone has found they get more calls back when applying for night shift vs. days on similar units? Reading a lot of threads on the topic has led me to believe it may be more...
  23. Perhaps that explains why a lot of job postings are ambiguous about which shift. Either that or rotating shifts.
  24. kiszi

    Hospital owned HH experiences

    As far as the hours, if you manage your time well, you are better off. We had computer charting but it still would be easy to fall behind on charting. Best to do as much as possible in the patient's...
  25. kiszi

    Hospital owned HH experiences

    I worked in a similar situation. I case managed over 20 pts and if I was low, the office would add extra visits. 5 to 6 was the average, with a SOC counting as two visits. I was salary which was nice...