All Content by vonxojn
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Giving alcohol to a resident
I worked in a long term facility that had a resident that had an order on her MAR for Vermouth every night. I used my own judgement as far as giving it to her. I often worry about her getting up at night and falling. Even thou it was s small amt.
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DCCC Davidson community college 2012
Can you tell me about DCC LPN to RN hybird program. What was the NACE test like ? Im going to test in march to try to get in.
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bridge program to RN
I'm in NC. I looked on our NC BON site to see what programs are out there. I found about 5-6 schools that offered the programs. Look into the schools because majority of them wants you to retake A&P if it's been longer than 5 yrs. Which is a pain for me because I've been a nurse for 11 yrs. Good luck
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Caught stealing drugs
I work in the ER at my facility. Recently there has been 2-3 nurses that were caught stealing narcotics. Usually my radar is pretty good when I come across someone who might "dabble a little in drugs". Well the last nurse that was caught totally blew me out the water. I never expected her to steal narcs (IV Dilaudid). Another nurse caught her in the act and she was immediately escorted into the DON office with the other Charge Nurses. She was given a choice to leave the ER and go directly to a Rehab facility or be reported to the nursing board and lose her license(the way the rumor was explained). It was told she went to rehab that very day. Have any of you experienced a large amount of your nurses that you work with getting caught stealing narcs, if so, what drug of choice did they steal?
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Why are others nurses rude to agency nurses?
As an lpn in agency.. I have had RN's make little remarks or speculations about my pay such as.. "You probably get paid more than I do and I'm staff". No the remark translated is... Why r u an lpn getting paid more $$ than me an RN? I can understand why they would think that but I feel I get looked at funny because I chose a career (agency nursing) that pays a lot more $$$ for my lpn position than being a staff nurse at that particular hospital. I do everything the RN's do and some considered me an RN before they knew I wasn't an RN. I'm pursing my RN degree now but once I do get my RN degree...I plan on still continuing my agency work...making even more $$$$ than I do now. Why do staff complain about how much an agency makes when they can just as easily make that same amount of money if they join agency/travel themselves? Don't punish me for my job choices. Sorry for the rant.
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loneliness and isolation - that agency nurse
I do local travel in my area. I had recently moved to this new area and knew NO ONE in my area. I went from a job at one hospital where we all got along, went to clubs, and had each others back at work to being at a new facility where I was completely on my own in every sense of the word. I went through a small time of saddness but came to the realization that I'm here to do a job and move on. If I make friends than great but if not...my co-workers do not define me or my quality of life. I'm pretty much a natural loner to start with and I don't usually start mingling with people at first...but that's my personality. So I don't usually make friends right off the back like others. I'm a very friendly person but quiet mostly. Some new travelers try to break the icing by bringing in treats for the whole staff on certain occasions or no occasions at all. It often times works. Hopefully they'll remember ur name (out of respect) the next time they see or work with you. Goood luck and hope this helps some.
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I Could NEVER Do PICU!
I'm one of those nurses who would say, "I could never do Peds", especiall PICU. I love children but it hurts to see children get ill and die. I'm so tender hearted when it comes to children. I applaud that there are nurses like urself who can do the job. I pray that u continue to assist these sick children and their families in their greatest time of needs.
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vancomycin iv over 1 hour
I have seen most nurses run 1GM of vanc over one hour but I worry about Red Mans Syndrom. So I run it over 2 hours just to be saafe.
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resume
I need to update my resume. Can anyone tell me of a good nursing resume template I can use? I would like for my resume be to the point but not plain if that helps. Thanks
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My mother is embarassed that I'm going to be a nurse...
I have a friend that was going to nursing school for an LPN. Her mother was an RN. The mother always had something to say about my friend becoming an LPN instead of an RN like her. Well I can see where the mother as an RN, would want her daughter to be an RN BUT it's what the daughter should want, not everyone else. The daughter wants to be an RN but wanted to start out as an LPN first-Her Choice.
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What can you say about the competency in pediatric nursing skills of nursing students
When I was in school, we had very little contact with kids. We didn't do much with clinicals on the Pediatric floors. That's made me very reluntant to care for kids. It's different caring for your own verses someone elses.
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Conflict with Charge Nurse
Well first of all DON't DO what Trudy RN is suggesting. Recording conversations and keeping tract of her mistakes...Please that sounds like something Linda Tripp would do. If you did say something about her and it indeed got back to her...admit it. If you truely meant what you said don't back down from it. If she wasn't training you properly than you have every right to get another trainer. If she has a problem with it than let it be hers not yours. Making you feel intimated is all she has to get back at you. Maybe when it got back to her the story got twisted as we all know it happens. Confront her and let her know EXACTLY what you said so she can hear it from the horses mouth herself. Even if you have to have a meeting with the person that you requested to have another trainer with. Just to make sure it was conformed what u exactly said. If she was upset about something that wasn't what you said and wants to continue to be mad, then LET HER. I think she's mad because it got around that she wasn't doing a good job trainging you...not only did the other nurses know but probably management as well. Don't coward down to her. Your a professional and you should carry yourself like one. Good Luck!!!
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Agency nurses refusing to work on a certain unit
I'm an Agency Nurse. I can see both sides of it because I've now been on both sides. As a floor nurse I can see how you would get upset about the extra help coming in but wants to pick what they can do. Which leaves you with the feeling of why have you here if you don't want to float. to help out. As an agency nurse...hospitals and staff nurse that I have dealt with have been known to give the WORST patient load or send you to areas that their own staff don't want to go. It's about safety AND keeping your license. Majority of places only give you a small amount of time to orient and expect you to hit the floor as if you've been there for years. When I refuse to go to an area.. it's not because I'm lazy or just not feeling like working that unit.. it's Safety and keeping my license for me. So I can see both sides of it. Don't just assume that the nurses don't want to work that area because of not simply wanting to work hard that day. It could be that the outside can see what the inside don't. I'm always getting sent to the ER... well ER nursing is far different than floor nursing. This particular hospital thinks TWO days of orienting is sufficient and SAFE for me to learn what most new nurses don't get in 6-8 weeks. Come on...can u really say that's safe or enough of training. When you injury or harm someone...you can best believe no one will stand in front of the judge at trial but YOU AND UR ATTORNEY. Not the hospital, the charge nurse, the NA's or MD's. JUST U AND UR ATTORNEY. So yeah I don't have a problem refusing to go to a unit. What's the worse they can do...let me go. OK BUT I'll still have my Nursing License and another job in the mist.
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??? Did You Keep Your Boards A Secret From Classmates And Friends?
I keep my board date a secret from my classmates. When I passed the LPN NCLEX, I still didn't tell anyone. It wasn't until we had exit conferences for the semester when you sit down with all the Nursing Instructors and go over all your grades, weakness, and strengths. They asked me if I plan on taking the boards, I told them I've already taken them during spring break and passed. They were all shocked.... afterwards they told the whole class. So far I was the only only who passed.:balloons:
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Would this happen at your ER?
I'm sorry that you were treated badly. I know first had how busy it is in the ER BUT it gives no one an excuse for that treatment. I know of a lot of nurses in our ER that would have been a little more helpful. At least I hope so. Well I know I would have been. I know how it feels to go to another floor and ask for things and they act like they don't hear you or it's toooo much effort to get their A-s up and help look. Let it go and keep moving. What goes around comes around!!!
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What has Nursing become?
I've been nursing for only 6 years now. I'm getting to the point that as the years go by I find my self dissatified with the occupation. Nursing isn't what I thought it was going to be. Don't get me wrong, If I were to lose my license I wouldn't know what to do with myself. Nursing is all I've known. The problem is for me: 1. I work in a well known hospital in the ER. I have came across some cold, mean, hateful, ungreatful, and disrepectful people. I cold go on with the list but I'll keep it short. People will come into the ER for "emergency" and treat nurses like S--T. I'm here to help you and your treating me like trash on the street. Don't come to the hospital for a nice bed, free food, TV and a nurse that u think will be ur server for the day. 2. The politics is redicioulus. It would be nice If I could come to work and just take care of the patients. DON's say they are all for supporting their nurses but when the doors are closed with upper management, they sing a different tune? A death tune! 3. I went into nursing "thinking" that the other nurses would be team players and everyone would come together and take care of the patients, not just the ones they are assigned to. Not sit at the desk drinking or eating and see me working my A-s off trying to get caught up and waits until the hard work is over and then ask "do you need any help". I'll probably be in nursing until my health won't allow it. I just get frustrated that the public don't have respect for Nurses and nurses don't have repect for each other.
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For those that wanted Drug lists.
Hey, When u get a chance can u e-mail me the drug list as well. Thanks
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Using College Network to move ahead
Does anyone have College Network materials that they would like to sell? I'm doing Excelsior College Nursing Concept 3 right now and could use some help. Thanks.
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PLEASE don't do it!
I knew this girl that was a correctional officer at a prison. She got involved with an inmate and was forced to quit her job. So whenever he gets transfered to another facility.... she'll move to the town he's in..no matter where it is. Some things just aren't worth it.
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warning or write up????
It's important to have a good respectful relationship BUT the priority here is patient care AND safety. If that patient developed Pneumonia and eventually died..whose house do YOU think the lawyers will try to take. It's the NURSE full responsibility to provide safe and adequate care for her patients. If It is not in the CNAs job description to touch those pumps then she should have kept her hands off of them. I don't care if I was on the first day into my first hour..if I see someone jeopardizing my patients safety and MY license...YES I would write them up too. If the other nurses are letting the CNAs go outside their scope of practice then they should be written up as well. If your willing to lose YOUR license and probably kill a patient in the progress just to let a CNA do what everyone has been letting her do..even though it may not be in her/his scope of practice then go right ahead. In the end you'll lose your license and the CNA will probably still have her/his job. Good luck with that.
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Hello Mr. VIP! I'm your servant nurse for the night!
When we have VIP's on the floor it amazes me how some nurses will break their neck to provide "excellent care" to these people. I think the people of VIP's know that some fear being fired or getting written up and they use that to their benefits. I don't mind letting the other nurses who want to take these patients for what ever agenda they have planned. Then I sit back and watch them get worked over the rest of the shift. Believe me I've worked with some brown-noser you wouldn't believe.
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Had my first doctor scream at me today
I had time when I was a new grad and was out of orientation for 2 days. Those two days on my own was bad. Now on the third day I was at the desk when I overhead a PA not a Doctor complain that the surgical patient didn't get up to walk on his 1st postop day- which was the day before. I intervene the conversation and told the PA that the patient got up to the chair but refused to walk during my shift. Being that day we were CNAs short and two nurses called out. So this PA in front of other MDs and PAs starts giving me the riot act basically talking down to me in front of everyone. I guess he was boosting his ego in front of everyone. I even noticed one MD holding his head down trying not to laugh as the PA was tearing into me. I wanted to cry and put my foot up the PA's ass. Then I started noticing that they would start "finding" something wrong with my patients. So I decided to started documenting the times that I had problems with them. When I had enough of evidence....off to human resource I go. Well the PA and MD got a whiff of what I was doing and guess what... it all stopped. They wouldn't speak to me unless it was truely about patient care needs, not what they thought I "should have done" with my patients. Them not speaking to me was a blessing. I don't need for you to speak to me as a means to enjoy my job but YOU will respect me. To this very day (it was 5 years ago) I wished I spoke with my DON about how they were treating me but I was a young nurse with very little experience on how to become a strong nurse. If I were to work with those particular MD and PA NOW, They would be in for a ride. No job is worth being talked down to. No matter the level of education.. you are still a human being.
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Family/ Visitors in the ER
Our facility have rules but don't enforce them. Sometimes a patient could have up to 5 visitors in the room. So when you go in, you can't get to the patient, they act like you have to maneuver aroung THEM. Asking a crowd of people to leave the room so u can examine the patient tend to be a chore... they act like with all 5 of them in the room they DON"T have to leave the room.
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Er
Letting off some Steam!!!! Y do fellow employees of the same hopsital you work at, come to the ER for either theirselves or family members at 2am and wear their name tag. Do they think that they or their family member will get extra or better care than the rest. Am I suppose to accommodate ur every whim just because u wanted to wear ur little ID badge to let me know that you work at the same hospital as I... . Give me a break.
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Cancelled
When I first did agency in the summer, I worked a lot due to people taking vacations. Like clock work after Thanksgiving Day I started to get cancelled EVERDAY. Now mind u this WAS my full time job. I didn't work again til February. So now I finally realized to get with one or two floors and really make an impression with them so they will always ask for you. I preschedule my time with a particular floor that always had a need (ER) and I get my 36 hours and more per week. At times I'll come in and do 4 hours and go home because that's all I could give them and they would take whatever was offered because of the shortage.