Meriwhen ASN, BSN, MSN, RN

Psych ICU, addictions

Member

All Content by Meriwhen

  1. Meriwhen

    Two job offers, which one to choose?

    Consider three very important facts: 1. You knew (or should have known) when you signed the service agreement that the time would come where you'd have to honor your end of of the agreement. So it's...
  2. The CNA salaries are not much better than Iowa either: think $12-18/hr for a hospital. Given the job competition out here, you're more likely to see salaries on the side of $12 than $18....
  3. Meriwhen

    First LVN Job

    I get OT if I a. go over 8 hours a day or b. go over 36 hours a week. I work for a unionized hospital, so your facility/agency's policy may vary from mine. Generally, if you have an hourly salary,...
  4. Meriwhen

    Narcotic free areas?

    Depends on whether your restriction is just for narcotics/pain pills or involves all controlled substances. Chemical dependency and acute detox will have limited access to controlled...
  5. Meriwhen

    Not a real nurse huh?

    Don't let it get to you. No matter what nursing specialty and setting that you are in, there will be someone on this earth who will declare that whatever specialty/setting it is is not "real"...
  6. I don't think things are THAT bleak for you that you need to resort to peddling French fries for the rest of your life. This can be overcome...not necessarily right away though. Unfortunately,...
  7. Meriwhen

    Charting

    It should be no different than what you'd chart in any other nursing setting: subjective and objective data and interventions (if any) that are done. What's the patient's mental status (AOx4 or...
  8. Meriwhen

    Glucometer to use on multiple patients

    That's the type we use (Accu-chek with the single-use test strip, used with the single-use disposable lancet), yet they still make us scrub the machine down between each stick. I'm inclined to agree...
  9. Meriwhen

    Need Help ASAP California RN'S

    I agree. My ADN was under $10k total at a community college. The BSN would have run under $30k, but it wasn't an option for me at the time for several reasons. So nearly $60K...it's either a...
  10. Meriwhen

    Best complaint you've heard?

    Oh dear. The questions beg: HOW did he manage this, and was it in his
  11. Meriwhen

    Need Help ASAP California RN'S

    It's not impossible to get hired in a CA hospital with a ADN: I did. I'm also not a new grad, but specialty certified. The reality is that most facilities-hospital as well as otherwise-do prefer...
  12. Meriwhen

    Trying to get over a haunting first med error...

    You are not a bad nurse--you are merely a human one. And many nurses have been where you are...probably more of them than would care to admit. Your honesty and effort to make things right is...
  13. Meriwhen

    I got a job.

    Congratulations!
  14. Unfortunately, this answer changes rapidly. Right now it's supposedly North Dakota. Not too long before, it was Texas. Before that, the Southern US Tomorrow...who knows? To make things worse: for...
  15. No assessments :) But you do have to conduct a life review with an elder (over 70) who isn't a relative. Well, it could be a relative, but they strongly prefer that you not use one. If you really...
  16. Meriwhen

    Best complaint you've heard?

    I've seen sounds during migraines...kind of like nonspecific visual distortions. Sound has unfortunately been a major trigger for my migraines since age 7. Never heard any colors though. I...
  17. Some pressure but not as much as you'd think. I agree with you: in this job market, a new grad can't be very choosy or they'll be an unemployed old grad before long. Also, if your interest is in...
  18. Meriwhen

    2nd shift vs. 3rd shift

    I personally love second shift: I don't have to be up at dawn for work, I still have several daytime hours to get stuff done, and I'm a night owl so after work I've still got a couple of hours to do...
  19. Meriwhen

    advice needed.. LVN or RN

    Advantages to LVN: faster way to become a nurse and more ways to get there (though for some of those ways you'd be limited to working in CA only) and generally less costly. Disadvantages: more...
  20. Meriwhen

    New LPN Advice

    My first job was per-diem...however I was able to get enough hours to easily make a full-time schedule. A year later, I accepted a full-time permanent position. Granted, it wasn't in LTC but in...
  21. Meriwhen

    Need job advice

    Moving to Job Search Assistance for a more targeted response. Best of
  22. Meriwhen

    How to prepare for JCAHO survey

    Best piece of advice that I can offer you: answer questions honestly--including saying "I don't know" when you truly don't know--but don't volunteer extra information. If they want to know...
  23. Meriwhen

    4 weeks notice?

    Depending on your facility's policy, it is possible that you may have to give 4 weeks' notice. My last job required 3 weeks' notice for a staff nurse position. The standard "2 weeks" is usually...
  24. Meriwhen

    Glucometer to use on multiple patients

    Actually, that is the policy at my facility too: we use prepackaged disinfectant wipes after each patient. Granted, I'm not in LTC doing 10-20 readings a shift...so your mileage may
  25. Meriwhen

    Student HIPAA violation question

    Even though it's your own PHI, you still need to follow facility P&P in order to access it. Just because you work there/have access to the records doesn't mean you have carte blanche to look up...