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friend had great pay and decent experience
I don't recall anyone saying 4hams is a liar. Many people quote figures and don't understand or opt not to share all of the information/options that go into that figure. If I recall she was trying to get information regarding the pay. Obviously some have better pay than others, but the point was to make sure the figures quoted by her fellow workers was wage only, not perdiem/M&I and stipend/housing. I can't speak for everyone else, but I would be happy for someone to be making a decent wage and have a good recruiter. It is often difficult to find both. After the economy took a turn for the worst, the wages did drop across the travel industry in addition to all the lttle extras we were receiving.
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Those that work a 6a-6p shift....
There is a lot of time to clean up the computerized chart. Make sure the rooms are clean and organized (untangled and off floors), baths (have stuff in room for days if patient wants to do in am), Do those daily drsg changes, rotation of IV sites, check dates on tubings & IV bags, am lab results on the chart and address abnormals if possible. Have those early birds up and in the chair. It's all about making the whole process work smoother. You have a very special and important role. Unfortunately some take advantage of quiet time and read books. It amazes me when there is so much that can be done.
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Balancing safety and time management for a new nurse
I agree with canesdukegirl. Hang in there; it truly does get better. You are on the learning curve and going about it all the right ways. Just a couple of thoughts. I'm not sure if you are prioritizing before you jump out of the gates. On your time off, if you dont have your own worksheet (organization tool) create one. This will keep you on track and in time you will not need it. Here are a few things to keep in mind when you are prioritizing. Before you jump out of report and start sprinting down the hall, glance at who gets meds at what time, make mental note of those that have antibiotics or set times such as Q6H; Those TID are important to give at 2100, but are not going to hurt if they are a little late (prioritize). Before you go to your first room have that first patient's medications with you. When you are called to another room, do that person's assessment as you are helping them to the bathroom (pulses when applying slippers; Lungs when you help them dangle (better assessment listening posteriorly), assess pain, glance at incision after or as getting to destination to see if it is oozing and jot down on your worksheet what supplies you will need to bring with you (ie...gauze, scissors, tape, look to see if they have ice and stuff for HS care) when coming back with there meds/pain pills. If you are responsible for HS care also; could put the stuff on BS table, take canesdukegirl advice, do teaching/encouragement (which you will need to chart per shift anyways) and let them know you are doing your medication pass, and will return ASAP. But most importantly, continue what you are doing by looking things up and learning as you go. This will make you a stronger nurse, and is the right way to practice. SAFETY first. GREAT JOB :)
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which nursing internship/job
I wouldl try to get information regarding the percentage of people who take the internships who get hired immediately after. I have heard of facilities taking advantage of students to keep budget down with having no intention of hiring afterwards. Obviously, this is likely an exceptions, but it does occur. I'm not sure if Human resources would have that information or how you would go about aquiring that. Good luck :)
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med passer a good job for student nurse?
Tiroka03 - This is a common practice. They have different training than a CNA :) I do understand you concerns
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American Mobile
Its too bad the people who make out travelers assignments and decide to float them every four hours only knew the truth to "making the big bucks"
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friend had great pay and decent experience
Great Point, GrnHonu99. How many hours a week is she working. I was referring to 36 hour work week. I really encourage any one who is interested in traveling to evaluate the reasons before jumping in. You get paid for the hours you work. Most companies do not have PTO hours. The motivating factor should not be about the dollar or I think you may be a little disappointed. Don't get me wrong, the pay isn't bad, but it is definately not why I do it.
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friend had great pay and decent experience
I would make sure your clarifying the "take home". Is that including housing stipend? Seems high to me also.
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Should I become an lpn first or just go for ASN?
RN. If you want experience or to have a foot in the door after school, work as a student tech or CNA. Obviously a CNA role is much different but you will be in a better position to be hired by the facility you choose than others. Jobs are posted in house prior to being available to public. Good luck
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Cedars Sinai
Floated to telemetry (hired for SICU) everyday for first 14 shifts! Out of 13 wk contract 9 were in ICU. Staff focus is on charting, poor patient care from vast majority of staff. Know your fellow travelers because they will likely be the only one who will help you. The telemetry units werent too bad minus no help unless nurse assistant likes you...which is very important to have them on your side. I can tell you lots of things but I don't want to avoid giving you the facts I dealt with. Very cliquey...if ask for help get all kinds of excuses but bottom line no one will help you even if you have everything ready. They say "you wait for lift team" even if pt laying in stool and it will be 1-2 hours I hope you find It to be a better experience.
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American Mobile
I have been with three companies. Currently AMN/NursesRx. Recruiter can make or break the experience but I have to agree with the lowest pay. I am at a hospital which required numerous computer modules prior to arrival. I complaiined after I diligently had worked over 18 hours on "my time" without being told about it in interview. AMN swore up and down its the hospitals doing. Interestingly enough during hospital orientation I was asked to sign a peice of paper to be reimbursed for those hours. AMN still wont pay me for it. The housing is nice...as others (equivalent furnishings). Insurance lousy. Many job opportunities. It comes down to what is important to you in the here and now. The beauty of traveling, when your needs change...you can smile and walk away from those companies with their hand in yopur purse. Before long things will turn around.
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what the HECK is PBDS?
I have taken the test once, without any warning! It was very frustrating. The person who gave directions on how to take this test, said we would see an example of what it is like and then the test would start. Obviously that didnt happen or maybe it did. It is very possible it did but it was so quick I did not know and I missed it. Needless to say I missed the first senario. I took this for an assignment in Arizona, for one of the SunHealth facilities in 2007. I agree it was awful and does not validate your ability (or lack of) to provide good nursing care. I think I passed. They said they used it to provide the hospital's educator information on areas of weakness to gear your orientation towards your needs. I think it was a story, because I really didnt have much of an orientation anyways. I have also heard of people, travelers, sent home because did not pass! There is no way to study for it, the only thing you can do is pick general diagnosis: PE, cardiac tamponade, DVT, Stroke, MI, CHF, COPD and know the standard line of treatment for it and describe it quickly and very elementary like....enter room, apply oxygen, call for help, obtain vitals, deligate someone to start IV, anticipate MD ordering ABG and CXR (or whatever) and page MD, Blah blah blah....again you only have five minutes. Stare at the screen the whole time. Dont look down. Mine was all computerized, so I had to type my answers in these columns that were all mixed up. One column would be must do, should do, could do if had time...or something along those lines. Hope this helps :)
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housing in Hilo, Hawaii
Will be going to Hilo soon and was wondering what others are doing or have done regarding housing. I'm with Medical Staffing Solutions and they provide a furnished place but would still like to hear others housing situations.
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Cross Country Travcorp
I have a really good recruiter with Cross Country. Private message me and I can give you some information. I have been using her for about 2.5 yrs. I would still recommend being with several companies, which you probably know :) Welcome back, it's really changed.
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Travel Nursing Questions
I second that. I have been traveling about four years and if I could get a full time permanent position back home, I would be there. It is not the time to be traveling. The pay is considerably lower and the jobs are few and far between. Previously you could choose where you wanted to go...not anymore. Now you are happy to get the position. The last few jobs I have submitted for and received, I had been one of 283 and the last one I was one of 327! It is a very touch market. Stay put for now :)