meandragonbrett replied to rn_nxt_dr's topic in Travel
It's not personal...it's business.
The company charges the missed shift adjustments to make up their costs for housing because you're short your commitment.
My current company does not charge me if I call off
meandragonbrett replied to nursebride2012's topic in Travel
I generally don't consider any assignments in the Bay Area that result in me bringing home less than $1600 per week after taxes.
Depends on your specialty, how bad the need is, etc. I wouldn't even consider that contract but that is just me.
meandragonbrett replied to emain86's topic in PACU
0.2 of Dilaudid q5min up to 3mg. Give them hydro or oxy in PACU and IV acetaminophen.
As far as PONV...hit all of the receptors and make sure they are adequately hydrated. Droperidol and examethasone. Most people get 4mg of Zofran before emergence...so no need to waste time redoing with that class of drugs.
Another thing that can speed up discharge times is whether the surgeons place local when closing. Our real surgery group is generous with the marcaine and that makes it super easy to get them out of the door within 45-60 minutes post op. Usually don't require any IV opioids in phase I. We just get something PO in them in phase I so that they don't get stuck in phase II over pain issues.
meandragonbrett replied to ICUMRSA's topic in Critical
It sounds as though the abc you've been taking are ineffective. I took PO and off an do for 4-6 months and I finally had a PICC put in and did vancomycin at home for a few weeks....never to have another problem again
meandragonbrett replied to ktliz's topic in Critical
It's not nursling's job to police providers and orders. If they tell me they aren't near a computer...how are we to know different?
Some hospitals are on a warpath about this and strictly forbid it and others are much more laid back. Your management team needs to go to the medical staff to solve the issue. It shouldn't be your concern at the bedside.
And the "losing your license" scare tactic is nothing but a sign of a poor management team IMHO. They like to use this to encourage the flock to follow their directives and not question or seek our rationales. Look at your state's BON hearings and you'll see what people lose their license for or get disciplined....it's generally NOT the things you see members on here and your management telling you that "could" happen.
Just be a PRUDENT nurse and practice mindfully and you have nothing to be worried over.
meandragonbrett replied to Nzuri's topic in Travel
That looks like you're coming out at $33.57 per hour when you take into account your per diem and housing stipends.
I would ask that they base your OT/Call back on $33.57 per hour x1.5. They aren't losing any money by doing that.
I generally don't consider contracts that pay less than $35/hour PLUS housing...that's just me though.
Have you talked to other agencies to get quotes for the area? That will tell you if they are paying you the going rates or if they are lowballing you.
meandragonbrett replied to tiajuana2rn's topic in Nurses
No excuse for not getting somebody to witness your waste. That's really a basic expectation and not something out of the ordinary.
It's even more important as a traveler to make sure you waste scheduled drugs. That's the only excuse they need to cancel your contract and send you packing.