lovetoride

These posts make me hopeful that maybe school nursing may be a path I should follow. I have had my BSN for 19yrs. I worked most of my career as a med/surg nurse. I have been doing hospital case management for about a year now. I made the switch for the main reason to be home during most weekends and holidays. I work 1 holiday a year and 10 weekends a year 3 days a week, salary. I have 3 kids, the oldest is in his last year of elementary this year and the youngest is 3. I was offered a job as a school nurse YEARS ago, before I had kids, but the pay was just too low for me to accept. But now that I have the kids it changes your priorities. I like case management, but it's still late days (8-430p) and I don't get home til almost 530pm by the time I leave and drive home. Kids afterschool activities seem to start anywhere from 4pm-6pm, which makes it difficult. I'm going to start looking. Hopefully I will find some options, not sure with it being less than a month til school starts that anything will be available. Hopefully my experience in Med/surg will be enough!

no way. I make more than that working 24 hrs a week. I'd switch careers!

I would mention that you miss the medical side of nursing :) do NOT say you had any reservations or panic attacks. They don't need to know that.

#1.. no I would not have taken down the dressing 5 hours later. I don't see this much, but when I have I've changed the dressing in the am with a bunch of fluffs just placed over the drain sites and the inc line, and held in place with that tight support bra. I would assess for draiange and reiforce as needed, unless it was a huge amt I would call. #2 Our new bowel protocol is to keep on clix until they are passing gas in the orthopedic patients mostly. Others are usually specified. Others are just judgement on the pt and the surgeon and type of other surgery. #3 And yes, you were taken advantage of imo. A medical nurse floating to a surgical unit should have gotten older post op pt's, not 3 fresh postops. It can't be avoided entirely though on a busy eves shift when alot of the pt's come back, but you should have gotten a lighter load for sure

an epidural for a hyst and a sling? That's a little much. We do pca or im/po depending on the doc. I've never seen and epi with a hyst. That's strange that anesth. would ever offer that!

we use ns for our turps and hand irrigate with bottles of ns. Never thought about it being warmed. Pt's have the bladder spasms with or w/o irrigation.

Our epidura pt's are part of our pt load also. more frequent vs in the beginning, q1 hr checks the first 12 hrs. They have standing orders for decrease RR, itch, nausea and supplemental meds such as toradol or nubain. ALL our epi pts have to have a continuos pulse ox. We also have to have someone double sign when you hang a new bag or change a rate.

I have tried to put in for a part-time position where I work, but a per-diem got it right away since they had experience :/ That's the problem, when a part-time finally opened up there is a per diem waiting in the wings :/

I'm in the same boat. I really want to get away from bedside nurisng, and most weekends and holidays. It's so frustrating. I need to do part-time though since I have small kids.

We use meditech, have for a very long time. We are in the process of initiating POM in some areas now. We also have limited access on the floors. Some have the access if the are a charge nurse. We have to document on the pt before they leave,or go to the unit they went to to document at transfer or at the end of the shift. It is a pita. Everyone should have access to all areas that they could transfer their pt to or from. We can access our pt if they are in the OR since they are not acutally inpt there, not a true transfer. So if someone is still in the OR when I'm doing my notes i can still write them. If someone is transfered you could temporarly transfer them back in the computer temporarily to do your notes and then transfer them back, just be sure to let the new unit know :)

We did this last year. Our hospital is also on the "magnet journey"

Oh,and you can set it for a continuous dose and patient controlled dose also. We hardley ever use the continuous dose feature at our hospital.

10/10/80 would mean 10mg dose when the button is pressed given in one dose, the second 10 is the mimimum amt of time allowed between doses and 80 is the max dose allowed in a 4 hr time limit.

Hi, I am new to this site and have a question... I posted this on the general discussion forum also since It seems as if this area does not get as much traffic... I applied for a site reviewer postion, got an email back and plan on calling to talk with them further, but I am wondering if they are a good company to work for. Does anyone here know of UNIVAL ? Ever work for them or known someone who has? Is this a good company to work for? IS there a high turn-over of employees? Do you get enough work? They say their pay rate is 32/visit for each site visit with $10/hr for travel time plus miliage, and expenses. Is this the going rate? Thanks in advance! Jen

Hi, I am new to this site and have a question... I applied for a site reviewer postion, got an email back and plan on calling to talk with them further, but I am wondering if they are a good company to work for. Does anyone here know of UNIVAL ? Ever work for them or known someone who has? Is this a good company to work for? IS there a high turn-over of employees? Do you get enough work? They say their pay rate is 32/visit for each site visit with $10/hr for travel time plus miliage, and expenses. Is this the going rate? Thanks in advance! Jen