island40

I miss it so much - stuck here in Iowa I would really love to come back.

Originally Posted by hiddencatRN If you're that sensitive to cigarette smoke, maybe you should wear a gas mask? No, I should have the right to NOT...thank you! Why do you think you should have more rights than me?? What make you more important?

NO!!! Why don't you just have big brother ban trans-fat, plastic containers, roller skates and cover children's rooms with pillows instead of wallpaper. Better not have beer in front of those under 21's either, you might corrupt them since you are a parent and can talk with them - unlike the TV, Movies, Magazines and UTube which just corrupts them period!!

you can do a lot of nursing jobs that have nothing to do with patient care- look into part time work for insurance companies (I have done temp medical record review jobs that pay really good and don't use any "skills" other than my medical knowledge, nursing practice act knowledge and reading) Think outside the box - ask your local lawyers if they could use the cheap services of medical record review for malpractice cases - you will charge a lot less than an MD or experienced consultant but can still deliver the goods.

I thought your answer was great!! K.L.C MSN, RN-BC

I have an MSN in nursing ed from U of IA and have looked into California State University at Dominquez Hills cert program because it has an apprenticeship semester that would really help land a job. The classes that they offer for the cert are usual inservice courses that community colleges offer to their new faculty - took them from KCC when I was an instructor there but not official cert from it. Sometimes I think that the faculty shortage is as non-existent as the nursing shortage.

I would try really hard to negotiate the trip into the training - don't know the job market there though. If they don't then I would not plan on working for them for very long - not more than 3 years since it would show them to be not family/employee friendly- wish you the best

All things fluid & electrolyte is a good starting point. I hope that you will be given orientation for at least a couple of months (6-10 weeks) to learn the machines and dialysate washes. Medications that are used are fairly limited: all antibiotics that are IV, sedatives, antiemetics, antihistamines, hypertonic solution, epogen or equivalent, calcium by injection, sometimes antihypertensives, sometimes drugs that raise the BP.... Assessment is the main thing - clients crash fast so you have to recognize low BP, low o2, allergic reaction and fluid shift difficulty symptoms really well to fix it before it becomes a code. Good luck.

Interesting, I worked at a facility where inpatient acute dialysis was done in a room set up for 4 clients with 2 nurses. For ICU or more critical clients it was 1:1 (no tech to set up or anything the RN did it all from start to finish - water testing, everything)

I did dialysis from '01-'04 and the facility policy was change the heparin with every dressing change. If you don't and it gets plugged they it is useless. The only reason we kept them was during the maturation process of the permanent access as an emergency back up - their lifeline if the surgical fistula or graft didn't work out.

Wow! Been a long time since I did Med-surg nursing and they were updated every month :)

I've been looking for a new position since January. I have been an RN for 17 years, have an AAS (nursing), BSN, MSN in nursing ed and have been looking for everything from ed jobs to dialysis (have 3 years experience) and when I finally got my first offer this month it was for a mental health floor position on PM shift. I wish I could have taken it because it paid about $750 more a month than the job I have right now. Still looking...

I'm inclined to think that the facts of this policy got muddled in the translation from administration to employee. The way it is explained here will not work - just try getting a hold of me when I am scheduled off - and unless they are providing it I don't see how they can make me get a cell phone - Good grief, big brother taken to a whole new level.

nothing special that doesn't happen to other people. Your employer might not like seeing their employees act like this if you are in a customer service position and a right to work state. Even nurses are allowed to act stupid in America

The only bonus that i see is that you could do a post-master's certification program for your APRN. There are few schools still providing these programs [u of IA just stopped, Rush in Chicago is discussing, U of Pheonix still has it for now.]