graysonret

graysonret

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All Content by graysonret

  1. home health aides knowing patient diagnosis

    Any HHA working with me knows the diagnosis. I make sure the aide has a complete report from me as far as what is needed to properly care for the patient. This also includes the meds the patient...
  2. I wish all the washed out tired nurses would retire.

    I know a couple "fresh out of nursing school" nurses, who are uncaring and cranky. They're more interested in their cellphones and lounge than in the patients. I suspect they won't last long in this...
  3. Any Lpn's that would never become a RN?

    I did once take all the courses for RN, but found out I would take a paycut, going from an experienced LPN to a rookie RN. Yeah, I know, real strange... A year ago, or so, the VP of the company did...
  4. Professionalism

    You're always going to find people who have poor attitudes and low self-esteem in any field. The best way to handle it, is to maintain your own professionalism in your work. In other words, don't...
  5. Being called lazy !

    I've been working agencies for 13 years and never been called "lazy". But, like any other job/career, you have those who go "along for the ride". I've seen some pretty hard workers, and some workers...
  6. Does anyone else ever get tired of "stupid" nurses?

    Is it just me...or am I seeing more "stupid" nurses these days, compared to 20 years ago? Yes, it seems that people are relying on "electronic" equipment for vitals than manual. I use a manual BP...
  7. Quick ? about IDDM

    I wonder if the patient is beginning DKA due to his blood sugar at 268? Though DKA is usually over 300, I think I would give insulin first and redraw for
  8. Questions re:insulin, bs, carbs, etc

    Looks like you're on the right track, bethin. An inservice is a great idea and should have been done before. Most places I have worked at, don't allow CNAs to go blood sugars, but....shhh! ( I don't...
  9. Ethical Dilemmas of Agency Nursing

    I worked as a nurse with Hospice for 3 years, and, quite frankly, I don't understand this. Withholding pain meds? And violating doc orders? We NEVER withheld pain meds from a patient. In fact, pain...
  10. I've worked agency exclusively for many years now. The vast majority of placed I've worked have been good...even getting calls from them asking if I was available. Only a couple of places I will not...
  11. Never Again

    I've been in agency work for about 15 years now. The majority of assignments have been good with places requesting me back, sometimes. But, if I walked into a place and got confronted with 60...
  12. What are good agencies in the DC/MD/VA area??

    A couple of agencies that have been around for awhile are Maxim and Nursefinders. Good
  13. I was written up once, about 3 years ago, because of a patient complaint, that I was TOO cheerful. Apparently, this gentlemen was the facility grouch, and I, being an agency nurse, didn't know he...
  14. new grad in northern virginia

    I just heard that they are planning 2 new hospitals in the Fredericksburg area. That area down there keeps growing and
  15. new grad in northern virginia

    Congrats Chrisandjac. There is a lot of work available around the No. Va. area, but I wouldn't suggest Alexandria/Fairfax for a morning shift. Traffic up I-95 or Rt. 1 will drive you nuts...both...
  16. Need advice from agency nurses!!

    The above comments pretty much say it all. I've been an agency nurse since '91, except for a 3 year stint with Hospice. I keep 2 agencies going. That way I get work when I need it. Recently though...
  17. New LPN in Home Health?

    I don't know about LPNs in home care in your area, but around here, Wash. D.C., you need 1 year experience in a hospital/nursing home setting before an agency will accept you. You may want to check...
  18. SO Exhausted

    Personally, I would NOT want a nurse working on me, with a serious medical condition, at 10pm, who has had one 15 minute break the past 11 hours. I work 12 hour shifts myself, and I know I can get...
  19. Sleeping on the job..acceptable or not?

    I've been a nurse for 19 years now, doing mostly agency work. It's not unusual to work nights and see nurses/CNAs sound asleep at 2am. My agency has 1 rule regarding that...if you're found asleep,...
  20. I knew it wasn't right while I was doing it...

    Here in Virginia, LPNs can do TOs...plus anything else an RN can except do IV meds (though I've done it many times) and hang blood. LPNs can be supervisors, primary care nurses, and managers. Been...
  21. Student nurse confused about suctioning

    I was always taught continuous suctioning. I agree that intermittent suctioning would be cause for more work, and more damage to the patient. Insert catheter to proper depth, begin suctioning as you...
  22. Guys what made you chooose nursing

    I was a medic once in D.C.. My supervisor gave me a pamphlet on a scholarship program for nursing in D.C., and I thought it would be fun to take the test. Well, I passed with flying colors and won a...
  23. home health aides knowing patient diagnosis

    I'm a nurse that works in home health and my aide(s) know exactly what the diagnosis(s) is and the plan of care of the patient. What if the patient has IDDM? Sleep apnea and on a c-pap? And so...
  24. Resignation?

    You can drop them a resignation letter if you want, but I never did. Usually, I ended up on their "inactive list", after turning down assignments. Sometimes, I would accept a long term contract from...
  25. How strict was your nursing school?

    School I went to was the "Hannah Harrison Career School" in Wash., D.C.. Since I've been there, it has moved downtown and now is the Harrison Center for Career Education. I had one instructor that...