bsrn0523

If I come within three feet of the p/t I gown up.

You mentioned the pt. received ketamine w/ fentanyl prior to the chest tube insertion. Could this combinations, specifically the ketamine have something to do with her varying mental status?

take it from me; never, ever, ever date anyone from work. if you are interested in someone, play it cool and if one of you happens to move on to another job opportunity somewhere down the line, then make your move. let her down gently, if you can. she sounds like a stage 4 clinger, though. good luck!

like cnl said, we still occasionally use it for dirty wounds and those with pseudomonas.

that sounds like one amazing soap!!! question, is your hospital washing your scrubs in central laundry with the miracle soap? i am a big proponent of handwashing but not cohorting/isolating pt's with mdro's is a bad business in an acute setting. heck, in sub acute we even try our darndest to keep those with mdro's either cohorted or in isloation. not smart at all. what are they doing with the pt's who have c. diff?

hi opera, i just scheduled the exam for october 15th. i have ordered all of the study material, but boy, there is a ton to know! like you, i also noted that unlike some other specialty certifications (ex: wocn,ccrn), the cic cert. does not have a great deal of review material available. right now, i am just utilizing the outline and the apic manual and the other ancillary references listed on the website. i plan on attending the local chapter apic meetings when they start up again in the fall. hopefully, i will meet others studying for the exam. like you, it is just me, myself, and i at the large ltac i work for. do you work in acute care? feel free to message me, and if you hear of any review classes for the exam, let me know. good luck to you, jenn:)

Late to reply but in the Nursing Spectrum I notice that a company in Queens- Linardos I believe is the name, offers ACLS, CPR, IV, PICC and CVC certificates.

My facility starts new grad RNs on the 7-3 shift at around 34.00/hr. Of course, we are talking Long Island, one of the tax capitals of the nation :)

teaching swimming to children or painting murals :)

thirteen years, nine in ltc and home health, four med-surg. currently working as an infection control coordinator for a large ltc.

does anyone have any feedback to offer about this exam? i just ordered the review pack from apic and plan on testing late this spring.:) thanks, jenn

Your best bet is to join www.apic.org and opt for the LTC subscription. APIC- the Association for Practitioners of Infection Control, along with government and state agencies, sets the standards for infection control in virtually all health care settings. Congratulations to you on your new position and good luck. I have also recently taken over the position of Infection Control Coordinator at a large LTC/LTAC, and I find the APIC site worth it's weight in gold.

The absolute first place you need to go is www.apic.org, which is the Association of Practitioners of Infection Control. They, along with government agencies set the standards of infection control care. From there, I would check out the Joint Commission's website as well as your state Dept. of Health's epidemiology web site. Good luck to you!

1. what program/school did you graduate from? i graduated from excelsior's asn program 2. did you have a hard time landing a job after graduation? not at all, i had job offers prior to graduation 3. did employers question your degree? no, perhaps because i live in new york, and excelsior operates out of albany. here on long island there are quite a few excelsior grads in hospitals. 4. did your school offer job placement for distance learners? if so how was this done? (local representative assisted, etc) this was the only real drawback to the program. the only employment assistance offered at the time i graduated was for the areas surrounding albany. 5. did any of you get into a new graduate program at a hospital. i was oriented as a new graduate nurse to the hospital floor, even though i had been a lpn for 10 years prior.

i work two or three eight hour shifts per week, hourly rate is no different than the full timers. i enjoy my sanity, which i keep by working p/t.

Oh boy, I don't know if there is enough space here. Someone else help me out? lol

good luck to you. after considerable thought i left my 12 hr. shift hospital job for a supervision position at a local ltc. i just could not leave my twins (then 1) and older son (then 3) for very long periods of time. i did it for as long as i could, but the childcare wound up getting prohibitively expensive. plus, i just missed the heck out of them. jenn

i really think that both the sdc and supervision positions are not appropriate for a new nurse. at the facility i work for, supervision is responsible for: staffing, running codes, troubleshooting equipment, supply issues, dealing with the state and family complaints, admissions and discharges, and most importantly: using good clinical judgement to realize when a pt. is going south on you. staff development is a whole "nuther nut. when your facility gets a deficiency and the policies need to be corrected, guess who comes in on their weekend off/ cancels their vacation to do it? you. when every staff member in the facility on all three shifts has to be inserviced with a plan of correction/new policy, who formulates, drafts, prepares, and teaches it? you. in my opinion, both of these positions require a large amount of experience, in years. please understand that i am not trying to tap dance on your dreams, but give you a little perspective from my experience, and perhaps save you a bit of stress and grief. good luck to you no matter what path you choose. jenn:nurse:

I think you would have the pt. lay on the affected side to allow for drainage if the eardrum has perforated.

Hi there, I work with an infusion company here on Long Island that picks up many Bioscrip cases, mostly IVIG, some steriods and antibiotics. I have not had any issues in dealing with the company or its associated pharmacy, they were always professional and courteous. Good luck to you in your new position! Jenn

:twocents:to me, it is still fake nails, just without the tips. in our facility we cannot have enhancements, so you may want to check with your facility's policy first.

For me, I wear makeup (simple and tasteful), small stud earrings, fashionable scrubs and a cute beaded lanyard. I also keep up with coloring my hair ( I hate how my hair looks pulled back if I have noticeable roots), clear manicures, colorful pedicures, plus I self tan. I know what you are saying, but I believe you can still look attractive, fresh and professional. Nothing wrong with taking care of yourself.

You can expect tracheostomies, vents, chest tubes, g and ng and j tubes, iv's, piccs, triple lumens, ports, nephrostomy tubes, jp's- you name it we have it. I currently work as a nursing supervisor for a 320 bed skilled ltc with 2 ltac units, and everything I saw on a med-surg floor I see here. I would expect your interview questions to be heavily related to the necessary skill set. You will definately be asked about your experience, most acute situations, etc... Good luck to you, I love it!

No shortage here on Long Island. The 10 or so nursing programs regularly feed into the local hospitals.

In nursing school years ago, I watched a circumcision on a newborn. The baby turned blue, screamed and cried. I decided not to circ my three boys after I did a fairly large amount of research on the subject. My father (who is not circumcised, as he was born in the 1930's) said it best, " As long as you wash and care for the area, there shouldn't be a problem." Still, it is a personal decision and I respect the parent's right to decide what is best for their child.