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Dialysis Staffing
we have 15 -20 chairs and 1 nurse the other is usually filling in for techs or in patient at the local hospital. we are chronically understaffed with less than 30 minutes between off time to on time including machine testing and patient hold times. all but the fastest techs have trouble keeping up with that pace let alone tossing a nurse into the fray several times a week due to tech shortages. michigan is a non -licensure state meaning any person with 10 minutes of training can give injections ect. nothing worse than going to your doctor or dialysis unit and finding out the person giving you an injection or other medical proceedure hasn't finished high school. nice way for the politicians to fix the nursing shortage. this state is scary as far as medical care is concerned. michigan also has no guidelines on dialysis patient to staff ratios that said most facilities are 4 to 1 with no rn to patient ratios. i love my job in that the patient interaction makes the crappy job almost worth it but the job is dangerous to the patients as well as the staff. i am looking for other work unless there is a change soon which i ain’t holding my breath on. starting pay is real close to the 20 dollar mark for a rn.
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Need Help Passing RN NCLEX
Lippincott's and Mosby's RN NCLEX review and pay special attention to what if or who is first questions. I did 100 to 200 per day for two months and it worked out well for me. Big plus if you can get a study buddy or two
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Dialysis Staffing
Hummm sounds familiar
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foot stools, foot rests on dialysis chairs
maybe they should get some lower chairs and avoid the pull out foot step problem entirely? can i have the address of the unit you work at that has time to escort their patients out! we have 15 to 20 minutes before one goes off and the other comes on pray there isn't a complication.
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Ultrafiltration Profiling
did the last post answer your question or are you talking about uf and svs profiling?
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I got fired.
as my wife tells me, everything happens for a reason and just because that door closed there are others waiting to be opened. my take is do you really want to work for that kind of staff in the first place? i know it is hard on your ego to get fired but you may be better off in the long run. i too am a fairly new graduate nurse and am astounded by the amount of elitism in the nursing field. the term eat their young is alive and well and i am saddened by the managers that let this go on in their charge. there were several nurse ratchet types in the hospital where i took clinical at who told students that they were not to talk to them and informed the instructors to keep the students away from them. this is the only hospital for 50 miles so they kind of got you but my family members or i would never think of getting anything more than ed care there, so that we can be transported to another facility. my wife and my reasoning is that if they treat fellow nurses like that we can only imagine the patient care you receive. preceptors and mentors are one of the most valuable tools any company has. it is sad that being the case managers rarely screen them for people skills or their ability to teach. with cost cutting and downsizing more and more nursing programs do not have the time to cover many of the nursing skills that were common 10 or 20 years ago including four year programs and not just adn. bad that your preceptor's nursing skill set is that far behind and you got stuck with her/him. keep your chin up, there are better things in your future.
- Short men's scrubs
- Opinions: Best scrubs?
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Scrubshopper
Ordered a week ago, Koi and Dickies scrubshopper web site still has them not packed, Lydia's was the next day! Wish Lydia's carried more mens stuff : /
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Everyone using prioritization, delegation, and assignment book by linda lacharity
I just did the questions and did not worry about my scores instead spent time on the rationales. Used the older book that was given to me by a very good friend.
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Everyone using prioritization, delegation, and assignment book by linda lacharity
Passed . Hope the bowel discomfort and the sleep deprivation go away now..........:chuckle
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Everyone using prioritization, delegation, and assignment book by linda lacharity
Just took the RN NCLEX 2 days ago and would have to say priority/delegation type study guides would be VERY good books to spend time on. I would spend about 30 to 40% of my time reading Lacharity's book.
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Consent to drug test OB/L&D Patients
Gads! Justify this all you want but aren't you missing the simple fact here? Informed consent! Maybe grab a genetic test for DNA problems while you are at it, of course you will want to bill the patient for that also. The line that you are not going to use them to get them arrested doesn't hold water either. Pt records can be supenoed and could show a trend or better yet explain why this lab isn't valid when all your other ones on this Pt are? Simple fact of the matter is you are doing a search without consent. The question of consent is important in medical law. For example, a surgeon may be liable in trespass (battery) if they do not obtain consent for a procedure. There are exemptions, such as when the patient is unable to give consent. Nuff said