nurseT

nurseT

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All Content by nurseT

  1. changing gears at 46 to County Jail?

    The sherriff is my immediate supervisor, he was in the room when the commander told me I must clock in and work 40 hrs because it would cause resentment with the secretaries and the CO's. Sherriff...
  2. changing gears at 46 to County Jail?

    jaildon: Yes I'm in a county jail. Iam told that there is a difference in some rules to healthcare requirements between prison and a county jail, but I'm new so I don't know what the difference is. I...
  3. changing gears at 46 to County Jail?

    to cindyrn1: Thank you for the information and encouragement. I really appreciate any advice I can get. I know what an inmate needs are after assessment and what needs to be done. It's looking like I...
  4. changing gears at 46 to County Jail?

    No, when the nurse who was leaving oriented me she said the inmates are entitled to a physicial from the doctor after 14 days if they want one. All they have to do is ask. It is written in the inmate...
  5. changing gears at 46 to County Jail?

    update: I asked the Dr. today if I could type up some standard orders for the routine stuff, he says " sure feel free". I had him on the phone cause he doesn't even come in unless there is an IM to...
  6. changing gears at 46 to County Jail?

    Thanks for your advice. I don't think I have a copy of any standards. I did ask about a large notebook that stated Correctional Healthcare, but was told " oh we don,t really use that, that's geared...
  7. changing gears at 46 to County Jail?

    Well I've had my first week at work at the county jail. Wow, I guess I'm it! It's just me, managing the medical dept. I found out what "The Blue Line" is Friday. The sheriff wants me to protect him...
  8. changing gears at 46 to County Jail?

    update: I did get that job at the county jail. I can definately manage the medical dept. Not to sure about the office politics
  9. What is your biggest nursing pet peeve?

    I work PRN in LTC. While covering for vacations last year, we had a 72 YO female with CVA, residual Lt side paralysis, dysphagia, aphasic, incont of B/B, and a peg tube. Her husband swore he could not...
  10. dx with a lipoma today, ever have one?

    I had a lipoma about the size of an egg on my rt scapula. My FP said " it's just a little lipoma, don't worry". I said, " no, take it off, it's wierd and it shows through my shirt". At first he didn't...
  11. Secretary with chronic cough

    I used to work in a home health office. Our elderly secretary began a terrible cough and the other nurses and I became concerned. She said she went to the Dr. and he sent her to a pulmonologist. He...
  12. changing gears at 46 to County Jail?

    :balloons: Thanks crawsu for the advice. The ad stated pay was 38k. I thought that was a little low but the benefits may make that up. I don't know. I haven;t got to talk to anyone yet. I'm going to...
  13. changing gears at 46 to County Jail?

    :balloons: Thanks crawsu for the advice. The ad stated pay was 38k. I thought that was a little low but the benefits may make that up. I don't know. I haven;t got to talk to anyone yet. I'm going to...
  14. changing gears at 46 to County Jail?

    Guess what? I gave my application and resume to the sheriff's secretary, and she says... you're the first one to put in an application for the nursing
  15. Neglect...LPN was fired, RN was not

    God, that's awful. Severe neglect. 8-9 pts. Hmm. I have worked the skilled unit at LTC with 18 pts. Many different things going on. The skilled units now are like little hospitals. Pts get kicked out...
  16. More help, please..

    by (ulcer with slough/eschar) Itake it you mean pressure ulcer. This type of ulcer cannot be staged due to the inability to visualize the entire wound. Slough and eschar need to be surgically debrided...
  17. Use of Certified Medication Techs in a Prison

    I Have Worked With Cma's. It Looks Like Companies Will Use Them If We Like It Or Not. I Say We Should Go With The Times And Get The Laws Changed To Make The Companies Who Hire Them Be Responsible...
  18. CNA in LTC needing to talk

    undefinedhi krissy, don,t be discouraged. i am an rn and have worked with some of the worst rns you can imagine. it's not always the lack of education but a mentality or culture of the workplace. the...
  19. Nurses and their own health care ...

    I'm 45 and rarely ever sick. If I do get sick, I know what the problem is and take care of it myself. I absolutley hate going to the DR. I have been avoiding my annual pap crap because 1wk after the...
  20. Nurses do not recomend out of their scope of practice. We need to understand that we may learn many things being so closley involved with pt care, but we only have the bare bones compared to what...
  21. Things Patients Have Taught Me NOT To Do

    never buy viagra in mexico,, they mix it with mexican jumping
  22. I haven't asked anyone or heard about any problems with an on-line degree. I would think that most intelligent professionals would realize that it takes a great amount of self dicipline, time...
  23. Critical thinking exercise

    Ask pt how he feels, check O2 and pulse ox function and go from
  24. 75 ?'s and sweating bullets. .

    :balloons: When I took the NCLEX in 97' it shut off at 75. I thought I was doing fine until then. I had to wait the usual 3wks. My family was anxoius too. They got the mail before I did and called me...
  25. short staffed

    Has anyone ever considered contracting with 1 or more RN's for calloffs? This would not be a routine employee. With a contract, the employer saves money. The employer does not have to pay taxes or...