RN1989

RN1989

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All Content by RN1989

  1. where do i go from here?

    RN1989 replied to backtothefuture's topic in General Nursing

    I would not recommend CNA. Too hard for you to keep within the CNA scope of practice. Something without that much patient contact would be better. secretary, admin asst, admissions, etc. If you...

  2. help!

    RN1989 replied to mggmy7's topic in Patient Safety Issues

    Here's the problem:small critical access hospital. Patient load is too high for an experienced nurse, terrible for a newbie. These small hospitals despise spending money on orientation and the...

  3. My wife is dreading going back to school

    RN1989 replied to acaringhusband's topic in General Nursing

    Sounds like she needs to work through why she is dreading going back to school. Time away from family when you are a nurse is a given. Nurses spend more holidays with their coworkers than their...

  4. The road to becoming an RNFA

    RN1989 replied to AAAZ's topic in General Nursing

    Yes you need to get a job in the OR. Read the rules carefully regarding whether you must have scrub time or if circulator time will count. Many places are using scrub techs (they are cheaper than...

  5. Shared Leadership/Songs for a nurses retreat

    RN1989 replied to fairness's topic in General Nursing

    Honestly, I doubt anyone is going to be listening to the music and catching the drift of "new beginnings". And the only types of songs I could think of would be just too cheesy. You would be better...

  6. Sterile Field Question

    RN1989 replied to walt7878's topic in Patient Safety Issues

    Nope, no sterile spike where I worked. Our pourables had caps that came off without doing what I think you are describing with the scissors. Things like lido for injections we would hold the vial...

  7. How many patients per day in US?

    RN1989 replied to vrgh2008's topic in General Nursing

    Completely depends on state (California has laws regarding number of patients), area of specialty, and profit or nonporofit facility. ICUs can be 1:1 or 1;3-4. Medsurg can be 1:4 or getting as high as...

  8. Who do I turn to?

    RN1989 replied to Chloe'sinNYNow's topic in Geriatric, LTC

    You will need to have documentation before you do this or you won't have much protection from the fall out. Make sure you have documented dates, times, people, incidents, conversations, any time you...

  9. peripheral neuropathy

    RN1989 replied to ohmeowzer RN's topic in General Nursing

    Although it is more common in diabetic, it is also found in non-diabetics. People who are overweight and/or on their feet a lot are getting more susceptible to it even without diabetes being a factor....

  10. How to break into the field of Legal Nurse Consulting

    RN1989 replied to ann1978's topic in Legal

    There is a need for LNCs but it is not like walking into a hospital and having them drag you inside and offer you a position. Most attorneys do not know or do not think that they need an LNC. It is...

  11. CMSRN - any effect?

    RN1989 replied to RockyCreek's topic in Medical-Surgical

    I would take it if I were you. I have my cert through ANCC (before there ever was a CMSRN exam). My cert has never gotten me more money but it has gotten me positions that I would not have gotten...

  12. $100-$150 per hour...too good to be true?

    RN1989 replied to user9876's topic in Legal

    If you take a look at some attorneys fee schedules, you will find that they even bill out their paralegals, legal assistants, and law student interns in the $50-100 range. I don't know about you...

  13. Stirrups?

    RN1989 replied to CEG's topic in Ob/Gyn

    When I worked OB years ago it depended on the doc. Some wanted them and some didn't. A lot of times it depends on the local custom. It can be difficult to get some docs to change their habits even...

  14. The powers that be

    RN1989 replied to mayagoose's topic in General Nursing

    The majority of the rules are made up as knee jerk reactions to problems. Instead of investigating and finding the root cause of a problem they make a rule meant to be a bandaid. Greed is the main...

  15. What Would You THink if This Information Was Published in Your Company Newsletter?

    RN1989 replied to flashpoint's topic in General Nursing

    Why is this facility wasting money on this kind of thing? Makes me also worry for the standard of care that this facility

  16. Local LNC Meeting

    RN1989 replied to preoprn's topic in Legal

    I've been thinking about this post and decided to give lurkers the "lowdown". I have seen the same kind of snobbery and disdain among LNCs that clinical nurses participate in. Among LNCs there is...

  17. Nurses Take Campaign for Safe Staffing Levels to Capitol Hill

    RN1989 replied to Julia RN's topic in Activism, Healthcare

    Guess we all need to get on the ball and send a message to our representives and tell them that their nurse constituents want them to support this

  18. Nurses Take Campaign for Safe Staffing Levels to Capitol Hill

    RN1989 replied to Julia RN's topic in Activism, Healthcare

    Bookworm, How does MESH work exactly? Do you have to input patient data to get the acuity results? I did that years ago at one place via Meditech - took forever to do. Does MESH give you a staffing...

  19. I think I just need to talk about this...

    RN1989 replied to fireflies_for_me's topic in General Nursing

    Well done Carly! Keep up the good work. Takes some nerve to pull someone aside even though it is the professional thing to do. I say start inviting her to come in for assessments, wound care, etc....

  20. I think I just need to talk about this...

    RN1989 replied to fireflies_for_me's topic in General Nursing

    Sounds like there was some kind of problem going on if the MDS coordinator position was a revolving door like that. I do know that some people get into that position to avoid patient contact. What a...

  21. I think I just need to talk about this...

    RN1989 replied to fireflies_for_me's topic in General Nursing

    Now that is just scary to me. If you do not examine patients wounds, speak to them, assess how they complete ADLs, etc. you cannot accurately fill out the MDS. I never relied on what was in the...

  22. Would you agree that it is okay for a CNA and an RN to do the daily narc count?

    RN1989 replied to JaredCNA's topic in General Nursing

    I have worked in multiple states and it was never ok for any unlicensed person to get near narcs, much less count

  23. Do You Announce That You're a Nurse?

    RN1989 replied to SDS_RN's topic in General Nursing

    It depends on what is going on. There have been times that I saw major booboos and I immediately spoke up. Suddenly things changed and were done properly. Other times I just sit back and watch. I...

  24. Help Me, Pleaseee :)

    RN1989 replied to flipflop239's topic in General Nursing

    Depends on the hospital you apply to. Some hospitals will take new grads into L&D without any experience. I recommend, much to the anger of OB nurses, that you get at least a year of experience...

  25. Changes-for better or worse?

    RN1989 replied to L&Doldtimer's topic in Ob/Gyn

    Yes, things are worse overall. My two L&D friends have done it for many years. They tell me that they do see worse changes in OB but that if they were doing adult care (M/S, ICU, etc.) that they...