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can an RN be charged with theft based on descrepancy in machine?
Just like others have said....find a waster. Every time.
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Charge Rn's. How many beds on your units?
32 beds in med/surge. 12 staff on days and eves..10 on nights. NO extra charge differential.
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Whats the percentage of new RNs who "make it" after orientation?
I've seen at least 30 new grads make it just fine through orientation. I have never seen one not make it. You'll be fine!
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Anxiety in giving meds
Yikes 500+ meds to pass? I'd be nervous too. I have never worked in LTC. Deep breath and 5 rights of medication administration.
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charge pay
1. how much extra do charge nurses make at your facility? nothing extra 1. if they also have an assignment. no pts days/eves. 3 pts at night. 2. what type of floor it is. acute care/medicine 3. number of beds in the department/floor. 32 beds 4. your geographical location. midwest
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Visitor policies
I work eves too, and visting hrs (til 8pm) are generally ignored. My hospital is also moving toward "family centered care" --so that every pt will be able to have any advocate they choose with them 24/7. Not sure how that will work in semi-private rooms yet. I don't see things getting any better.
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Question about nurses on orientation.
Yikes. Yep that's crazy. Sounds like it was only for one night? (I hope that this will not go on for 6 weeks!)
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Unappreciated by the patient's family
Good for you for doing a great job--caring for your patient, feeding him. No matter what the family said or did --you know in your heart that you had good intentions. That is admirable, be proud. They were lucky to have you and unfortunate to have lost you.
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how to land on a first job
Yes, getting your foot in as a CNA is a very good idea. Talk to nurse recruitment at the major hospitals. Talk to the nurses in your clinicals. Do you like any of the units? If so, stop in and meet the manager. YOu could tell her how much you like the unit and that you will be bringing her your resume when you graduate. Lots of the job postings I see say "1 year experience" as a desired qualification, (not a necessary qualification). Good luck to you!
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GIB
Not much traffic here..guess us GI nurses are few and far betweeen? I'm sure we have all seen a ton of GIB's. Whats the worst you've seen?? Mine: s/p scope where they "fixed" the bleed. Pt thritysomething, ambulatory. Plan was to d/c him in the afternoon. Then within one hour THREE hats full of Frank blood (and me frantically calling the resident who told me to continue to "monitor"). Pt ended up dropping to 30/20 and losing conciousness. I did have to call a code, and this was the only time I have ever run 3 units of blood at once. (Yes, at least I did think to put all kinds of access in him). He made it...but that was the quickest drop I have ever seen.
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Are nursing diagnoses only from actual assessments or can it come from labs too?
Aside from looking at abnormal labs: Risk for Infection, and Knowledge Deficit almost always apply
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Which do you prefer?
Love my three eight hour shifts per week!
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Please Help Me Remove Some Roadblocks
It's so unfortunate that there is not an accelerated BSN program near you. I work at a major level one hospital, and currently (at least my unit) does not even interview ADN's. However, there are lots of smaller hospitals in the area who certainly hire ADN's. Can you find out how marketable you would be with an ADN? Look at the job postings for local hospitals and talk to nurse recruitment? Becomming a CNA would certainly give you some experience in pt care, and perhaps get your foot in the door for future employment. But I would get your nursing lisence asap. Also, in school, I only had to dissect once--it was a fetal pig in anatomy and physiology. I wanted to be an RN since the age of 17--but thought that I was too squemmish, so went into another field. I ended up going back to school for my BSN, and am so happy I did. Also, in school, I only had to dissect once--it was a fetal pig in anatomy and physiology. Thankfully, nursing is not usually violent--but there are a fair amount of body "substances" to deal with. For me that part has become super easy. Best to you!
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75 question? God makes the impossible possible
CONGRATULATIONS! Welcome to nursing!
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Coworkers who pick up too many shifts...
Where I work you are 100% accountable for staffing the picked up shift. If someone wants to "give back" a picked up shift, they have to find a willing nurse to cover AND go through our unit administrative assistant to have it approved. This cannot be done the night before. This system works because staff are not calling eachother last minute. It also works because the system is flexible to allow for shift changes, but those changes have to be planned in advance.