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Manager wants us back in office...
Those of us who did not/could not work remotely throughout the pandemic received no such differential. I worked in a closed unit with all COVID positive patients for months and received nothing above or beyond my usual pay for doing so. What makes you think that having to go back to business as usual now that the risks are much lower entitles you to some kind of reimbursement now??
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Conflict of Interest?
I work in a LTC facility. We have several medical providers that have patients in our care. One in particular literally never sees his patients. Instead he has an LPN who works for him who also works PRN in our facility essentially practicing medicine in his name. This LPN has access to our medical records at home, and has been known to call staff nurses on their personal cell phone when she knows they are working to ask why orders that “The doctor” entered into the system aren’t done, etc. My question is would it be considered a conflict of interest for this nurse to be working in our facility and working for this physician at the same time?
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New Unit Manager - short term
I took a position as a unit Manager in a LTC facility last year. I had no LTC experience whatsoever. It was scary, and then we got to deal with a COVID outbreak in our facility on top of everything else! I have been muddling through. I have found that my staff nurses are my best source of information when I don’t know something, they usually do, LOL.
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What kind of shift report was that?
This is why I love ER nursing. Report consists of something along these lines: "Okay in room 1 you have a 65y/o male no cardiac history, chest pain for 3 days. Line, labs, EKG done, doc hasn't seen him yet. Room 2 is a 48y/o female abdominal pain, vomiting for 3 hours. Line, labs done, meds given. Waiting for CT and still need urine. In room 3 you have a 2 y/o with a fever and cough. Tylenol given, and the temp is down, he's up for re-eval. Room 4 is empty. Any questions? No, okay. Have a good day." This is a perfectly acceptable ER report. You're used to knowing nothing about patients when they roll in the door, and having to do some digging, and they turn over so quickly, you really don't need to know much more than what's been done, and what's pending. I went back to work the floor briefly after having worked in the ER for two years, and remember being one of the quickest report takers, because I would rather just look things like labs and new orders up for myself.
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What is so difficult about this question?
I don't know. If it were me, I'd want the healthcare provider taking care of me to know all about my medical history. For example, I've had pneumonia 3 or 4 times in my life. I've had at least three concussions. None in the last 15 years, but still pretty important, I think. These are all things that I don't take medicine for every day, but they are something a provider would probably want to know if, for instance they were ruling out pneumonia, or a head injury.
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What is so difficult about this question?
As an ED nurse who works triage a lot, I find it incredibly frustrating that when I ask most patients if they have had any medical problems in the past they give me a blank stare, and sometimes ask "What do you mean?" Most then proceed to give me their surgical history. Sometimes after I get the blank stare, and then the surgical history I ask if they have any problems that they take medication for every day, but that doesn't cover everything, like they could have had an MI in the past, but not necessarily be on any meds related to it. Is there some other way to ask people that would make it more clear what I'm looking for? I work in a busy ED, and see probably 50 patients a day come through triage, so I guess that's why it's bothering me so much lately.
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Poll: Do you wear your wedding band to work...?
I wear mine, but it's just a plain silver band, no crevices or anything to get stuff caught in. And when I wash/sanitize, I routinely push the soap/sanitizer onto/around/under it. Most of my married co-workers wear their big diamond solitaires to work, though.
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Is there a line floating?
I've worked in float pool, and was expected to float anywhere except ICU, ED, and OB. That said, since I had PALS, I suspect I could have been asked to float to OB if it had been necessary. And I did regularly float to ICU, and took "step-down" paints, even though I knew they weren't really... Not that safe, but I never complained.
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Do Nurses Earn Big Money? You Decide.
It's all about perspective... Does a doctor, or a lawyer, or an engineer think that my $60k a year is big bucks? No, of course not. But the people who say that to me are not doctors, lawyers, or engineers. They're waiters, retail workers and of course, our patient care techs who work with us. It sure looks like big bucks when you make $9/hr - trust me, I know this from experience. As far as whether I feel like I make good money, in short, yes. I drive a new car, I own a home in a nice neighborhood, and go on vacation several times a year.* I am able to do all of this by working 3 or 4 days a week. There is no other job I can think of where that would be possible. Oh, wait. I could be a firefighter... Nah. I'll stay a nurse. *disclaimer: I don't have kids, and my husband is an RN as well
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what's your take on this?
I have been threatened by patients when working in the ER, so I could see it from that perspective. I don't know why the med-surg nurses would need to watch their backs though...
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Shift differentials?
Three months was the norm in the hospitality industry, where I worked before healthcare. Not ideal, but if you need coverage, you can always choose to pay COBRA rates for the interim period. I usually just wing it, but I don't really have any chronic health issues.
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New grad at a non-skilled nursing facility?
Um... to be blunt, it wouldn't even be a question for me. If I were in a position where I needed to borrow money for rent, I would take any job I could get to put food on the table for me and my family, even if it was waiting tables, or mopping floors. (Both of which I have done by the way, which is probably why I have never been in the situation to need to borrow money to pay the rent)
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Shift differentials?
Wow! 35% on nights??? That would be amazing! I hear Orlando pay is a little higher than the rest of the state, though... I have a couple of friends who have transplanted there in the last few years. But my husband is intent on living hear the ocean... so any thoughts on the Gulf coast anyone??
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"When Was the Last Time I Wow'ed a Patient?"
I love this topic!!! I just had to meet with not one, but two managers of a unit I floated to after working a 12 hour shift, to answer about a patient complaint regarding my nursing the night before!! The patient, who waved me away when I attempted an assessment, said that I failed to assess her and her roommate. Said roommate, whom I got no report on, was very unstable, and I actually spent the entire night following up on her lab values, vitals, blood sugars, etc. The other patient (ie: the complainer) was the most stable of my 7-patient assignment, so excuse me if I didn't get in to assess her until 2145. So, unfortunately, the patient I "wowed" that night was unable to speak for herself, so instead I had to answer to the management regarding the alert, oriented and independent complainer.
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Shift differentials?
My husband and I (both RN's) are planning a move to Florida, specifically the Sarasota area in the next 6 months or so. I hear all the time about how FL nurses don't make that much money, but according to their online job postings, Sarasota Memorial Hospital's pay rates are very similar to what we are getting paid here in upstate NY. Considering the slightly lower cost of living, and no state taxes, we may actually come out ahead. Unless the shift differentials less? Is that what everyone is complaining about? Here we get about 10% on eves, 15% on nights, and an additional 10% for weekends, it varies only slightly by facility. We both plan on working nights. I've done a couple of web searches, and haven't really found any definitive information on shift differentials in Florida. So I would like to hear from people who are actually working there, not necessarily in Sarasota, but a general idea would be nice. Thanks ahead of time for your help!