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Any tips for "spasmy" veins? Also, PIVs on chemo pts?
You may be getting to close to a valve. Here is a great video of how to tell where the valves are.
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Cleveland Clinic Nurses--Is Big Brother Watching?
I did not and would not say that everything about the clinic was bad. I've told many people including my own family members to go there to recieve care for certain things. I just make sure that they take a very active role in their care. What I experinced on the floor I worked on at the main campus was not one that I ever care to re-live. As I already stated I would not say that everything about that floor was bad but, the parts that were bad were very bad. You should never have to fight tears while you give report (and I don't mean because you were sad or felt bad for a patient). I floated to other floors and although I was busy I didn't feel attacked by co-workers but, you cannot truely see how a floor works if you are not there regularly. As for having to say only positive things about the Clinic, ask Adrienne Zurub who was told point blank she was being fired because of her book. She only stated things in general terms and expressed her feelings which were not all positive and look what it got her. I have no personal knowledge about the regional hospitals as I've never worked at one so I can't speak to them. And I have not worked on every floor or department of the main campus but I do know I will never work there again by my choice.
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Cleveland Clinic Nurses--Is Big Brother Watching?
You will not likely find any nurse who is currently working for the clinic or one of it's regional hospitals saying anything bad about it. As and employee of the clinic you must sign a statment that you cannot say anything bad about them or you will face corrective action. And that means anywhere, whether in uniform or not and it doesn't matter if you are on your own time. The clinic is concerned with numbers and how they appear to the public. Do anything to bring down either and you will pay for it. If you work for them and say anything you wind up with a big target on your forehead. And with them taking any hospital they can under their corp umbrella well looks more like a monoply toward healthcare. Bigger is not always better. As for the magnet BS well you can make things appear however you like when you make every employee sign a corp compliance agreement where negative press is strictly outlawed, at least as long as the suits are around. But when they aren't nurses and other employees can sit at the nurses station or walk down the hall bad mouthing who ever isn't in their club on a nightly basis. Even security guards can be over heard cusing while walking down the hall from time to time. And always remember covering the clinics a$$ takes first place over anything.
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Wondering if anyone has a list of topics and subtopics for NCLEX??
Goto the NCSBN web site it gives you a test plan and breaks down what % of each topic is on the test. Good luck
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Getting Fired or Resign?
I agree resign. After giving notice use your PTO or vaction time so you can be there less so there will be less for them to nit pick over. If as you say they are looking for every reason to write you up it will get even worse after you give notice. If you wait it will be much much harder to find a new position. I know I went through this and they fired me before my time was up. And finding another position was very very difficult. Good luck.
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MRSA question
I know one doctor who had every member of a family member who had a MRSA boil swab the inside of the nares with neosporin. This added to not sharing towels and such. If you know that you have MRSA in your nares or are just concerned this might be something you want to do along with good hand washing. The biggest thing is treating and preventing any skin openings. This means overly dry skin as well. You talked about washing as soon as you get home but where are your shoes? I see lots of nurses changing their shoes before leaving for the day. I take this one step further, I change my shoes at my car. I keep a box in the back of my car and change shoes there before going in and when I come out. My work shoes never see the inside of my house.
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A few licensing questions...
Hi, I went to school in MS but I knew I would be moving to another state so when I was setting up my NCLEX I applied to the state that I knew I would be moving to. I contacted the BON and requested a lincese package and filed out the paper work and had my finger prints done and sent my fees. With NCLEX you have to state which state you are appling for lincene in and it cost 50 dollars to change the state (at least it did 3 yrs ago). I took my test in MS and moved to a state in the north east. I had no problems at all. To me if you know you will be moving to a new state very soon after taking NCLEX it seems it would be easier to just apply to that state in the first place instead of appling for an endorsment. Although I have to admit I have not applied for an endorsment so I don't know that procees. Hope this helps. Good luck.
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Cleveland Clinic Nursing Student Tuition Assistance Program
Speaking only of the main campus loan repayment program (info recieved in 2006), you can request info and paperwork during your 90 day new hire time which must be turned in before the end of your new hire time. You must fill out the paper work and have it notorized return them with copies of your student loan showing how much you owe. They then pay you about 200 (10,000 (5,000 per year for 2 yrs) devided by 48 pays (2pays per month for 2 yrs))per pay for laon repayment. You recieve this as long as you stay employed at main campus in an inpatient position. If you move to a regional or outpatient setting then the payments stop. Money already paid does not have to be repaid. Hope this helps.
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Dreaming about work!
I think the worse is when I wake up on my day off and open my eyes I know I'm at hime but my first thought is OMG I didn't assess bed whatever or OMG bed so and so had meds due a 7 and it's 8 and I jump up and say oh yea I'm not the nurse right now.
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Please tell me your story about your journy becoming a nurse?
I passed NCLEX 20 years after dropping out of high in the 11th grade because I was pregant. I dreamed of being a nurse but never really let myself believe I would ever become one. As I said I dropped out of high school half way through the 11th grade because I was pregant. I did get my GED by the time I would have had my deploma but, the first 18 years after that were so hard. 10 years in an abusive marriage, even homeless at one point. In 2003 after having to move a thousand miles away from our family my husband(#2) would not allow me to just talk about going to college any more. I went to the local community college and said "I want to be a nurse". The signed me up for A & P I and II for the summer session. Some how we managed to pay for it and child care and I passed both. I then began to believe maybe I might be able to do this after all. I took all the basic classes over the next two semsters and applied for the ADN program (once each semster) even though I knew and hoped I couldn't get in. Then I a month before classes were to start for the fall of 04 I called to find out if the letters had been sent out because I didn't even get the "sorry but" letter. I found out that I had been choosen and I had only til the end of that week to accept or I would have lost my place. I was one of 300 who had applied and only 75 were picked. I of course accepted and then began to try to figure out how I was going to pay for the books and school and everything. I had been told about a program that the fed and local goverment had called WIA it is a work force improvment program to help build the economy by improving the education of citizens (you have to go through the unemployment office to apply for it and you must already be accepted to certain degree programs). Then school was only a week away and had not heard from the case worker so I called her and again found out I was the last to be picked for the program they would pay my tutition and booksuntil I graduated as long as I didn't fail at any time. Well at that point I knew I was meant to be a nurse. Some how while basicly being a single parent (my husband worked a job where he was away more than at home) with no family around and no friends except one or two girls I met while I was in school and care for my 4 yr old son and traveling cross country multiple times to care for my mother who had a terminal illness I managed to maintain a 3.0 in my program. I walked the stage in May of 06, my mother passed in June, I passed NCLEX and moved 1000 miles back to where my husband and I started in july,and started my first job in Sept as a RN. I believe if I was able to become a nurse anyone can if you are truely meant to be one. Good luck to you.
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Hospital Requiring BSN or your pay will be Capped?
I agree with the poster who stated the ADN nurse and the BSN or Masters degree nurse all take the same NCLEX. I have been a ADN RN for just over two years now and there have been times when I have asked a BSN nurse with ten years on the floor a question about renal function before during and after renal failure because I just couldn't remember if it was high out put at the begining or after and she had no idea on another night I was asking about lithum and it's affect on potassium and sodium as far as which would be increased on lab values and she again couldn't answer and acted as if I had lost my mind on both occassions so what do I need a BSN for? As far as supervisors and management again knowing the answers to hospital policy and procedure and not telling me "well you wont get in trouble for doing more than you have too" is more important than the fact that she too had BSN after her name. I feel that until nursing as a profession stops putting one another down due to what degree or even deploma they have and stand together to provide the best possible care for the patient that we care for then nursing as a whole will never be all it can be. And this includes our very valuable LPN's as well. There are RN's who hate working with LPN and or treat them as nothing more than unlisenced help. Yes RN's have more duties but there have been some LPN's that I would rather have with me on a floor than nurses like I mentioned earlier. Before we can demand respect from the world we must first respect each other.
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Things to consider when interviewing...
I agree sometimes it's best just to drop a quick email such as.... regarding our discussion I just would like to make sure I understand every thing correctly this or that is going to happen on this date or at this time..... You know just the facts I've even done this after phone calls you know the confirmation email.
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5am "fog"
Oh yes the wall.... there have been times when I would chart close to that wall time and then later go back to add something or even check something and read what I wrote only to have no idea what I had been talking about or even no memory of writting it. There have been some some nights when god help I would get behind and end up charting while headed for the wall or just after hitting the wall and it sometimes would scare the devil out of me. I mean what else did I do that I don't remember. It made me very cautious of sitting or standing still when I would feel it comming. Thank God I really did't have a huge problem with the wall, mostly on nights when I was off the day before or for one reason or another just didn't get any sleep before my shift. I believe it's worse if you have a rotating shift.
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Things to consider when interviewing...
Sometimes you have to be straight forward with your questions, I asked ok I know that this is your idea staffing but what is the worse case and (just to take the edge off) the best. Also how much does the floor call off due to low (laick of work) and how often or how likely is it that you will float to another floor. If you will be floating how is it decided who will float?? The most important thing to remember is to always get it in writting other wise you may be fooled big time, some places will tell you anything but if it's not in writting then they sometimes may get a case of amnesia.
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Things to consider when interviewing...
I've only worked in hospitals that have written assignments so when I shadowed I just took the time to look at it. While most employees are on their best when they know people are watching there are some who will be completely hosest about the floor. Another good question is how much turn over they have, is the floor mostly staffed with new grads or travel nurses or is there a good mix with people that have been there for years. Even when people are putting their best foot forward if you watch closely enough and long enough you will see if it's the truth or and act. Even a well rehersed act has it's faults.