mamalle

Being able to triage and handle alot of case management is what comes to my mind. We are required to have BLS and First Aid. I keep my ACLS and PALS up for my per diem job. Best of luck.. Im very happy I found school nursing after all of these years. I truly found my calling! Enjoy.

ambulatory care pays cheeper.. I have been making $28.00 perdiem for 4 years now. fulltime makes less than that.

we just were inserviced today in the ER that I work in on the medivance system. we will be up and running on 12/15. I guess they are taking alot of their info from Jackson Mermorial in Miami and forming a policy and procedure. We are using it with our stroke program. The nurse who gave us the inservice said its remarkable. He said that people that you would think would be ready for organ donation after cardiac arrest- actually walk out of the hospital. He went on to say that is has more benefit than some of our acls drugs... We were discussing the effects of skin breakdown and with this system and the bed- jackson is finding no skin breakdown what so ever.. Its just amazing.. They used it on Kevin Everrett- the buffalo bills player that had a spinal cord injury. Our medics are not giving the cool saline in the field yet but miami-dade is.. I just find it so fascinating..

same way down here in Fla. I seriously dont think they can do it. I personally have no desire either unless it comes to that. I keep up on continuing education. There really is no motivation for me to fork out more money for nothing. Its not like the hospital is going to pay me more for it either. I was lucky to get grandfathered in for my acls and tncc prior to the union contract years ago. Im seeing alot of younger nurses coming in and continuing their education and thats great for them. Most of them are desiring to become a NP- that is a job here that is oversaturated right now. Im happy with my work and with independent contracting work on the side- I make more per hour than the NP with almost zero liability. My family comes first so taking time away from them is another compromise Im not willing to make so unless it comes to that- I will be very content with RN after my name.. you seriously believe that? My patients dont care what initials come after my name on my name tab only that they are getting excellent nursing care with compassion. I work with nurses with all different degrees and we are all treated as equals not differently because of it..

I do love my job- I find it very rewarding still but while saying that I do work perdiem in a very busy ER and work outpatient pacu. I do not work fulltime either place and love that I can do both. My fellow nurses tell me that if I worked more I would be burned out too. I dont think so as I did help out over the summer and was working sometimes twice a week and I didnt treat any of my patients differently than when I only work there 2-3 times per month. Doesnt mean I do not agree with how management handles things but I try and not let it get to me. I swear there are always the same issues and really never any good solutions and we are having more and more liability with the way healthcare is going but when I get a patient that thanks me for my care- I know I have done my part..

thanks for the info regarding ms but my mom is now in jackson and will be at my aunt's shortly. she has a full tank of gas and extra in her trunk. i hate the fact though the hospital waited till yesterday to make their decisions in regards to their patients and staff. anyhow i had to comment on this: this is a big issue and one you need to know before hand. unfortunately we had almost anarchy on our hands during the 72 hours i was stuck at the hospital for frances. they didnt have enough food, etc and it was getting crazy.they called me and told me to report for work and they would be providing our meals. i remember saying to administration that i have known its been hurricane season since june 1st and my house is ready for the storm and prepared with food, etc how is it a multi-million dollar hospital corp only planned food for 24 hours?? that was only the start of things to come when there wasnt enough flashlights, water to wash hands and flush toilets after. the 2nd storm i did bring my kids and didnt feel it was a safe area where they were trying to put the families- luckily i didnt since a tree came thru the window. i kept mine in the er with me. i wont bring them back again after seeing how fragile that hospital really is. you just never know. our administration tried to send nurses home during a eye of the storm and said it was safe- the medics were not even running calls and the weather people were saying not to drive. the nurses refused to go until it was clear and it was a huge issue that now in our handbook it states if administration feels its safe for you to drive home and you refuse due to downed traffic lights, flooding, etc- they will not pay you. i know some of the area hospitals do not pay you when you sleep off your shift during the hurricane either. ours luckily as of this date does.. you need to find everything out prior to making a commitment that can be potentially life altering is my opinion. if gustav was coming our way in south fla- i would already be in nc. i might not have a job when i came back or a house but my family would be intact and i still can be a nurse at my outpatient center or another hospital.

my thoughts and prayers are with you. I going for my 6 week blood draw from my needle exposure from July. I was so upset when it happened. My guy came in for medical clearance after telling me he does any drug he can get his hands on. I had a cold 3 weeks to the date after and freaked out. My PMD did labwork on me and it turned out I had the parvo19 virus. I was a basketcase nevertheless.. hang in there..

it really all depends for me- cat 2 or lower I will stay and work, along with dh who works for the FD. anything that is a cat 2 or higher- my dad will take the kids to Ga, NC, etc. Now if its a cat 3 or higher- Im leaving and going with them. Im per diem and its up to each manager to decide whether to use us. I think my dept is the only one that makes the per diems work. I most likely would be suspended, etc but I dont think the hurricane list was put in by the May deadline per the union contract this year and it just went out last week to sign which I havent even received yet. ( I wasnt even asked which team I wanted to be on and they put me on the A team again) anyhow as years prior when they tried to fire, etc the union stepped in and they didnt lose their jobs since it wasnt turned in on time. I was there for both frances and jean and the hospital was falling apart between the water and trees crashing into the windows,etc It was scary- not too mention no water afterwards to flush, etc. My mom is currently a traveler on the west coast of La and her hospital finally told her to evacaute a hour ago. she is trying to get to Baton Rouge to a fellow traveler's place for the night and than tomorrow to oxford, ms where my aunt lives. Im praying she will be out of harm's way. Gustav looks powerful and deadly..

sucks huh?? we have computer charting also. I document where I stuck the patient, when I started the IV/ Med and at the end I need to document again the time I started the IV and for how many minutes.. Its gotten out of hand but required or my chart is incomplete..

we use this also and have a intubation kit with these 2 drugs..

Im not sure but hearing more and more stories about it. I read a article today in the glamour magazine about a woman that became addicted to it. I have been taking it since last year after my doctor gave me a script. Im taking the ambien cr 6.25mg tablets. I was on lunesta and starting sleep walking and he suggested this. I fill my prescription about every 10-12 weeks for 30 pills. I do go through weeks where I find myself not needing it and then other weeks I do.. I was finding myself tossing and turning all night and not able to function come morning time with work and running around with the kids, etc. My doctor said I was starting to become premenopausal and this sleeplessness was one of the not so wonderful issues. It really has helped me and I havent had any weird side effects from it. Im a healthy person- I only take vitamins besides this and I have never mixed it with alcohol or taken it when dh is on shift and Im home with alone with the kids. Our doctor gave dh the regular ambien since his blood pressure meds side effects were making him wake up every night at 2am but that one I do not like- it knocks you out hard and fast. Its scary..

its not worth me getting hurt. I have a OT cop working in the ER and let him do it. I had a drunk the other day that was combative. I stayed away until he was restrained..

yes- they all come through the ER- either voluntary or under baker act for medical clearance. That goes for the transfers also from other psych facilities to our mental health facility.

very normal here in our outpatient surgery center. preop is in another area then pacu- preop is not as trained as pacu- we all have critical care backgrounds and er. it has always flowed well and never a issue. I couldn't imagine with the amount of patients we see in a day a better set up. we have one on one care with our general anesthesia and 2 on one with kids in pacu- I couldnt imagine trying to preop a patient right next to patient that is recoverying. I thought that was the norm actually. Im not sure what you mean about patient's safety either-If the proper policy and procedures are followed through from preop/or and pacu- it shouldnt be a issue..

It is a great course- do not be stressed. you will learn so much in those 2 days. We have great instructors at our hospital that really like to teach and it makes a difference. Mine expired but we are not required to have it- only TNC every 2 years so I think I going to pass this year on it due to my other job commitment. I was looking forward to it maybe next year.. best of luck.