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timdmb

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All Content by timdmb

  1. hey thanks for the reply, im in the inpt setting, but thats helpful too gives me a lil direction at least thanks again
  2. bump... id be interested in the same info
  3. we used the faxed report. im personally 110% against it. there are numerous inappropriate admissions which would have been easily diverted with a verbal report. lab draws are missed on occasion. rn to rn communication is broken down with the faxed report i think it breaks down the continuity of care for the pt. just my two cents
  4. :idea:bump
  5. our unit is very team oriented however i still think having a charge rn at all times is a necessity for the orderly flow and organization of the unit...
  6. thanks everyone .63 cents an hour with a full load seemed unfair to me... but i dont think declining the resposibility altogether is the answer, pt care is certainly compromised without someone in charge... im trying to figure out a way to present this to my manager... at least decrease the case load the charge nurse carries... coming a little short on resources, anyone know of any articles or some kind of documentation that proves a smaller caseload would be more beneficial to the unit in terms of pt care and outcomes? sorry new nurse here (a year in) some im a lil short on where to find this type of research... thanks for all ur responses and any additional guidance
  7. hey everyone just curious to see if my hospital is on par with others... were getting .63 cents an hour for charge pay... please reply
  8. where isnt there a job? i had tons of offers way before i even passed... u will too just start putting urself out there call every nurse manager in every hospital call the recruiters go to the units... be assertive and u will find a great position somewhere... my advice find the busiest med surg floor u can and thrive... the experience is priceless
  9. The registration process wass a pain in the ass i got right in no problem i transferred alot of credits from my bachelors degree however to some core curriculum classes at ucc.. gpa was pretty good i dont recall but def above a 3.6, parking was never a problem... ever. one day lecture 3 days clinical... beat u to a pulp meaning they will make u run the gauntlet for them,u need to kno ur stuff... resume.. should be the least of your worries right now... the last three graduating classes had a 100 percent pass rate on the nclex... 100% ... not bad odds of passing the nclex.. the clinical instructors i had were very good... finding a job will not be a problem... had tonds of offers when i graduated... and had tons of leverage in negotiating a salary altho ultimately i stuck with trinitas they were very good to me... and they still are...
  10. hey i graduated from trinitas.... best and worst experience of my life... they will grill you and beat you into a pulp... i know a couple people who left and went to mountainside and said it wasnt as bad... that being said... i wouldnt trade my trinitas education in for a dime... the school is only as good as what u put into it and trinitas forces you to put your whole life into it... any way u cut it up tho nursing school is not fun and or easy... if u have any more questions feel free to ask, my advice stick with trinitas... youll hate em now and love em later
  11. were not allowed to call in sick at all... we get written up
  12. mercy i agree qith you in the sense if you felt that youd be comprimising your patients... however i just dont feel you would, or maybe its id feel comfortable doing it... so i guess to each his own
  13. slave not so much... i can leave at any time if i dont like the way things are run... thats the beauty of america... however im pretty grateful i have an employer and my employer takes care of me as much as i take care of them
  14. how is it all about me?... that makes no sense
  15. I think people whine entirely too much... if its your regularly scheduled hours you work... it'd be another scenario if it was forced overtime or something, call me crazy but without your employer you wouldnt have a home to go to and have family over for christmas... so missing out one year to give back to your employer and even more importantly your patients shouldnt be reason to cry.. and as far a finding out three days in advance we also get our schedules about 5 days before the next schedule is up due ot the fact that in the past people whined so much i think its a good thing... less whining means less of a headache for me
  16. it was the best and the worst thing in the world possibly me... i lost a a future wife, i lost most of my friends and all of my social life i was bitter. What did it do for me? gave me an amazing career to start on... so professionally im happy but my personal life sucks from it...
  17. i know in my last hospital the residents were only makine 45 grand a year... wild isnt it? I'm not sure what they make at my current hospital..
  18. physicians arent making 100k in there first year and there usually taking out more than 100... not to mention there undergrad
  19. how about the use of marinol.. ive seen it used quite a bit (work in oncology) usually with favorable results
  20. we dont get paid for ot until it is an hour and half after the shift that we have stayed; somehow we are classified as "salaried" employees we do however make an hourly wage. However we also only average 39 hours a week and are paid for 40 so it balances out iin its own way. im fairly new three months in and am stuck tying loose ends for about a half hour extra maybe once a week, so im still under that 40 hour mark...
  21. i agree with you...
  22. i would have continued to care for this patient... she can refuse anything she wants she has that right... and if she refused everything becuase she didnt want a male giving her care so be it... i would let my supervisor know the situation so as not to jeopardize myself, however id feel worse for not speaking up for myself and allowing a coworker deal with this patient.. just my two cents
  23. continuous feeding of nepro via peg at 40cc
  24. i had a pt last night who is recieving diaylsis m-w-f at 9p his bs was 111 he was scheduled for lantus 30units at 9.... at 2 he became very diaphretic so i checked bs and it was in the 20's pushed d50 it came up to 175 a half hour later, he then again bottomed out arounf 5 d50 pushed again with same result, i was told it was common for this to happen from time to time in dialysis pts' anyone have this experience or can help explain to me why this is a common occurence... i thought it may have been just due to the lantus but this pt had been recieving this dose for awhile and to my knowledge has not had the same problem..

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