Freedom42

Freedom42

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All Content by Freedom42

  1. Asking pay rate before being offered the job...

    Freedom42 replied to 2BSure's topic in General Nursing

    I did not think you were asking for advice. You said that you did not understand why new grads are told not to raise the issue of salary in an interview. I don't think salary shouldn't be discussed at...

  2. need help ltc ileostomy

    Freedom42 replied to Big Smurf2007's topic in Wound, Ostomy, Continence

    Great thread. I'm a newbie and need help caring for two patients. One has an ileostomy; the other, a perforated esophagus with a large surgical wound covered by an ostomy appliance. I can't get...

  3. Asking pay rate before being offered the job...

    Freedom42 replied to 2BSure's topic in General Nursing

    Generally, you don't ask about pay before you have an offer because if you do, you've given the employer the upper hand. If you ask the employer what the wage is first, the employer will quote the...

  4. G-tube Flush

    Freedom42 replied to stkn1's topic in General Nursing

    Newbie question: My patient requires multiple 500 mL flushes with Gatorade and free water on every shift. As mentioned, we force it with a 60 mL cath tip syringe. Is there any reason this couldn't be...

  5. essential books for nursing students

    Freedom42 replied to 2bJoshRN9788's topic in General Students

    I agree with the NCLEX prep book. Personally, I like Prentice Hall. One thought: I wouldn't invest anything in extra books until I saw the study aides that came with the required text books. Most now...

  6. NCLEX scoring system

    Freedom42 replied to StressingoutRN's topic in NCLEX Exam, Programs

    That's a myth. Fifteen of the questions on every NCLEX exam are pilot questions that don't count toward the taker's score. You have no way of knowing which questions are pilots or when in the course...

  7. G-tube Flush

    Freedom42 replied to stkn1's topic in General Nursing

    There's no residual. This particular tube (Kelly?) is tiny compared to the tubes I work with on other patients. The cath tip barely fits into the top of the tube, and instead of having a stopcock to...

  8. G-tube Flush

    Freedom42 replied to stkn1's topic in General Nursing

    Now I wonder if I should ask the doctor to stipulate in her order that the bolus can be forced instead of given by gravity. There's been no discussion at our facility that I'm aware of regarding force...

  9. G-tube Flush

    Freedom42 replied to stkn1's topic in General Nursing

    I'm confused. I have a patient with a tube that is referred to by fellow nurses as peg tube or j tube, depending on who's talking. I'm not sure exactly what kind of tube it is. Whatever it is, if I...

  10. "She's a FLOOR nurse..."

    Freedom42 replied to Penelope_Pitstop's topic in General Nursing

    I don't feel bad for a fictional character. I disagree that any conclusion is drawn about med-surg nurses in the episode, particularly since the punch line is that one of the ER nurses is about to be...

  11. "She's a FLOOR nurse..."

    Freedom42 replied to Penelope_Pitstop's topic in General Nursing

    The episode of "ER" referred to in this thread actually ends with the ER nurses realizing they've misjudged the med-surg nurse. Said nurse says she's been floated to the ER -- and other unfamiliar...

  12. Discuss a case with the hospital's lawyer?

    Freedom42 replied to susalotta's topic in General Nursing

    I would not "coordinate" with HR. HR has only one interest to protect -- and it's not

  13. Discuss a case with the hospital's lawyer?

    Freedom42 replied to susalotta's topic in General Nursing

    If you don't want to meet with him, don't. Tell him you'd be more comfortable if he obtained a subpoena for deposition. If you receive the subpoena, turn it over to your malpractice carrier and let...

  14. Things to do on night shift

    Freedom42 replied to epg_pei's topic in General Nursing

    I start running at 6:45 p.m. I hope it's all done by 6:45 a.m. Between PICC dressings, tube feeds, ostomies, and IVs, plus all the scheduled meds, topped off by nonstop PRNs, it's usually not. On a...

  15. $100,000 in student loan debt?

    Freedom42 replied to FireStarterRN's topic in General Nursing

    I said that an excellent education enhances quality of life. I didn't say that you have to attend a "prestigious school" or a "private school" to get it. You did. Prestige does not always equal price...

  16. $100,000 in student loan debt?

    Freedom42 replied to FireStarterRN's topic in General Nursing

    No one should have to incur $100,000 in debt for any degree. But not everyone equates education with a pay check or a credential. Some people incur heavy debt to attend a school that offers an...

  17. nurses not giving meds at correct times

    Freedom42 replied to justwannabanurse's topic in LPN, LVN Corner

    It is impossible, and the nurses and techs in our LTC units routinely pass meds to 42 patients at a time. That's why my employer scrutinized the safety practices of anyone who claimed to do it. We've...

  18. Saudi Arabia

    Freedom42 replied to Nurturer3's topic in General World

    I have no experience in Saudi Arabia. But I'm curious: How would I get started with looking for work there? How did you find a

  19. Nurses "on-call" related to low census; Am I rightfully angry?

    Freedom42 replied to inthesky's topic in General Nursing

  20. nurses not giving meds at correct times

    Freedom42 replied to justwannabanurse's topic in LPN, LVN Corner

    We are on the same page. For what it's worth, although I am on a skilled unit, my institution houses 200+ LTC patients, and they are on the same medication administration and documentation as the...

  21. nurses not giving meds at correct times

    Freedom42 replied to justwannabanurse's topic in LPN, LVN Corner

    So this "pretty routine" system relies on the integrity of the individual nurse, and the OP is telling us that her co-workers ignore doctors' orders and give meds at their convenience. Not a lot of...

  22. nurses not giving meds at correct times

    Freedom42 replied to justwannabanurse's topic in LPN, LVN Corner

    Respectfully, your employer's system for documentation doesn't sound very safe, and I'm surprised a state inspection hasn't turned it up as a deficiency. Your co-workers certainly aren't considering...

  23. Crappy Nurses Day

    Freedom42 replied to RunningWithScissors's topic in General Nursing

    I wish they'd take the money they spent on umbrellas and logo polo shirts and give raises to the

  24. nurses not giving meds at correct times

    Freedom42 replied to justwannabanurse's topic in LPN, LVN Corner

    I would like to know how nurses who give HS meds at 1600 are documenting their administration. Do they note that they gave the med four to five hours early, or do they falsify the time at which they...

  25. Did new grads shoot themsves in the foot (are jobs really that scarce?)

    Freedom42 replied to keithjones's topic in First Year After Licensure

    while that may be true of some rural areas, i am in a rural area of the northeast. new grad programs have largely been eliminated, and hospitals are simply not hiring new grads. as for gpa having...