4x4country

i work in a subacute rehab unit- at this point of time i have 33 (needy) res. i have to do everything. medpass, tx, charting, prns chart in 3 places, fax, new admits, orders,------basically everything, I have picc line, atb hanging, trachs (7), gtube, wounds, i see it all everyday. now my new Exe. Director is implementing a new rule that we wont get a second nurse untill 44 res!!???? I honeslty can't believe it. Everyone is saying there is no nurse-to-res ratio law. What should I do?

we keep them in the mar at my current job. HATE IT!! last job the cna's had a kiosk so they charted it in there. that was a lot easier. wish we had a BM Book.

we clamp! if it does not have one we were told by pharmamerica pharmacy to add a extenstion. had a inservice on this two weeks ago. Also we were told to flush all ports with minimal 10 mL flush. The pharmacy has per-filled syringes for this. It is in the MAR to sign off also. Hope this helps .

Question ---- can you write on a card of medication? At my old job, we had bubble packed meds in a LTC. Each shift had their own way to ID each med cards they were to give on that shift. First shift had their own personal number system on the left hand of the card. Second card simply wrote- 4pm or 8pm in permenant marker on the right hand of the card. Third shift takes a yellow highlighter striaght line across the top of the med card. It made it very quick to pull the med card out and triple check it to the MAR, especially if you had a pt on 20-30 meds. However some say the down fall was that people dont check it against the MAR and dont notice changes. I always double check, personally. However it is a state violation to write on the cards? We had this system of writing on card for yrs. State never taged us on it, 4 yrs perfect survey. So why did we get away with it?

First off congrats on finding your niche and passion for a career. His career needs to be something HE loves with all the passion in the world. If not he will turn to hate his job--- trickling down to how he would interact with his patients and performing his job, without him knowing it. I heard somewhere that people change their careers three times before they are content with their job. He needs to find his niche, something he would like to do day in and day out. Something he personally finds rewarding/interesting. There are a lot of different paths if he is interested in the health field. A paramedic/EMT is a very rewarding job, CC's are a great start to obtaining this. If he is not interested in a the health field, that is okay too. It is something he has to like. What are some of his hobbies- sometimes people like to mix the to job & hobby. Good luck, just remember being supportive to each other is a neccesity (sp) to being in a relationship.

gals- i need some advice! -----LONG----- i have always wanted to start my own some business- sell stuff on ebay-- make money on the side type other then nursing. Fiance parents own a catering business that is very popular, but want my own thing. I am very crafty adding personal touch to everything. SO I have been thinking of things I can invest in to make/sell. I know for something to sell that it needs its own unique factor. I thought about making name tags chains with beads and charms (I make a few for myself), name tag pins (read a few thread and people spend $$ on these, esp if they are personallized) (sp). Newest idea and proabably the biggest investment with good outcome --- embroidery machine, clothes and blankets. International tractor designs are hard to find unless they are custom or embroidery so I know I could start with designs like that --- only problem no clue how to sew or anything. Promised self that i would take sewing classes, a few local people offer them but they are expensive. Any ideas? what embroidery machines are good to start with that would last a few yrs. Probably start online and move to local fairs or festivals?? Also my fiance dream job is to own a diesel performance parts shop. This is a big investment b/c he says he needs the parts in stock. This type of shop are rare in our area so they are in demand, obviously to certain type of customer. My ideas to start this was to start online, he really didnt buy that. He wants to start in town but how?? Any advice . We need to start small but he does not see that. I want to help fullfill his dream, too. THX

Thanks everyone. New job- yea it is close to capital of the state, so there are a lot of signon bonus in that area. This is over one year with attendence maintain within attendence policy. So figured, I can do anything for a yr right, trying to stay positive! Old job- once a blue moon we have sign on bonuses (usually three times a yr for one or two position)- always $2,000 a for one yr and following attendence. Def. do not have one now b/c 110 nursing students just graduated from a local CC. funny thing is the ones that get the sign on bonus at old job usually leave after their yr anyway. Most employees are 5yrs- 20yrs within the company.

well i live in the country but close to the highway. So my old job is 18 miles away --on the opposite side of the next city but through town and the stop lights It takes me about 40 minutes. I always leave 40- 45min to leave myself enough time( day shift =school buses, 2nd shift= traffic 3rd shift = usually good So yea the miles on the car is a lot less however the time is almost the same. The new job is a straight shot on the highway right off the exit. So far my first couple of trips were about 50 min and one was 55 min. thanks for eberyones input.

new lpn job--right move? permalink long------ i just accepted a new lpn job. i am a new grad. i have been a cna for 5 years. last job was 4 years. started orientation as a lpn at old job but was applying at other places. i :redpinkhe my old job, :redbeathe 99.9% of my co-workers (a few i didnt care for:no: but you have those. pay was not what i expected for a lpn in ltc. local hospital starts out lpn 15.00 (on website). old ltc job start rate was 13.00. with experience and yrs working there my pay was going to be 14.25 +2.00 shift diff= 16.25. personally money is not everything. i told my old boss if i dont like my new job i will come back, i love it here, it is home. she said i would always be welcome. new job- start orientation on monday so i really don't know much. i accepted it b/c it is a much higher paying job. i figured future jobs i might have would match or be around the same pay as i start. pay at new job is 19.50+1.50 shift diff=21.00. plus $$$$7,500 sign on bonus with attendence policy followed. this is not a problem for me since my last job (4 yrs) abscent one day- admited to hosp. however new job is 58 miles. winter might be a problem. i have a vw diesel so gas is not really the problem. need to add wear and tear on car though. p.s. this is rn pay around my area. local hospital start new rn at 19.26 (on website) biggest concern: orientation nurse made a comment about last yrs surveys so bad that students cannot come in building until such date. that caught my attention. after research on the web. they had a total of 30 things/tags to address. most was "2" and a couple "3". i was shocked. :stone there was no smells or anything noticeable working around. i was told it is under new management - last 3 years. and they were trying to change things. old job- perfect survery x3 yrs and this year not bad but a few things. new job building looks in condition- needs updated. however old job just spent a million dollars for reconstruction and updates. so that really is not fair argument. i know i need to give it time, just nervous, havent had a new job in yrs. what if it is horrible? i always said i never left old place b/c grass is not always greener on the olther side. should old building and bad survery turn my away? honestly i think it is just nerves.

never learned about it or evem heard of maggot therapy. interested in reading about it. Going to have to goggle it. LOL Never seen one on a patient/resident in a nursng home on any wound. Seen major wounds, deep tunnels, etc. NO maggots. It would be interesting to see.

print design: anything - no theme or anything yet style:cherokee pants tall workwear unisex drawstring cargo fit: long- i want to try the cherokee tall flare leg- but the waist measurements appear smaller so i am afraid to order them color: any brand: cherokee for pants. not found a long deep pocket tops. need to learn to sew to make my own. hehehe

Never give up but do slow down. Some people can handle a full class load and manage a family and a job. Others can't. It sounds has if you are taking on to much for YOU to handle. I think maybe if you take a one or two classes at a time this might help. Sure it may take more time, but you wont have to take classes over. Are you on a point scale for admission? If so a C is acceptable but a low # of pts (my CC--- A = 30---B=20---C=10) . I would retake A& P 1 and only take it or maybe with one more class thats it. Then The other two together. Work on breaks, spring, summer, fall, winter. I understand how stressful it is and how fast one wants in, just do what you think is best for you. At my CC it does not hurt to apply, if you dont get accepted. (Hopefully you will) Then you can retake A&P and try again.

LONG------ I just accepted a new LPN job. I am a new grad. I have been a CNA for 5 years. Last job was 4 years. Started orientation as a LPN at old job but was applying at other places. I :redpinkhe my old job, :redbeathe 99.9% of my co-workers (a few I didnt care for:no: but you have those. Pay was not what I expected for a LPN in LTC. Local hospital starts out LPN 15.00 (on website). Old LTC job start rate was 13.00. With experience and yrs working there my pay was going to be 14.25 +2.00 shift diff= 16.25. Personally money is NOT everything. I told my old boss if I dont like my new job I will come back, I love it here, it is home. She said I would always be welcome. New job- start orientation on Monday so I really don't know much. I accepted it b/c it is a much higher paying job. I figured future jobs I might have would match or be around the same pay as I start. Pay at new job is 19.50+1.50 shift diff=21.00. PLUS $$$$7,500 sign on bonus with attendence policy followed. This is not a problem for me since my last job (4 yrs) abscent one day- admited to hosp. However new job is 58 miles. Winter might be a problem. I have a VW diesel so gas is not really the problem. Need to add wear and tear on car though. p.s. This is RN pay around my area. Local hospital start new RN at 19.26 (on website) Biggest concern: Orientation nurse made a comment about last yrs surveys so bad that students cannot come in building until such date. That caught my attention. After research on the web. They had a total of 30 things/tags to address. Most was "2" and a couple "3". I was shocked. :stone There was no smells or anything noticeable working around. I was told it is under new management - last 3 years. And they were trying to change things. old job- perfect survery X3 yrs and this year not bad but a few things. New job building looks in condition- needs updated. However old job just spent a million dollars for reconstruction and updates. So that really is not fair argument. I know I need to give it time, just nervous, havent had a new job in yrs. What if it is horrible? I always said I never left old place b/c grass is not always greener on the olther side. Should old building and bad survery turn my away? Honestly I think it is just nerves.

i dont see how calling the pharmacy or looking the drug up in a drug guide CLEARIFYS a order??? The only person or material that can clearify a order is....... THE DOCTOR WHO WROTE IT. Not a pharmacist (sp) or a drug guide. Has she never looked in a drug guide and saw how many doses one med can range from or how often it is taken??? Personally I agree to wait to get it clearifed.

moot point .... thats funny. :)