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Average hourly pay for per diem agency RN?
Not even close. once you pay the living expenses, you really have it made. The kicker is the OT. That is where you rack up. If you are with a travel company.... that is where you lose. Travel companies want 36-48 hrs only. If they were on your side, they would give you close to either the normal OT rate of the Hospital employee or the contract rate not their reduced rate that they give you.
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How do you deal with a pt. who lies to you?
The hottest part of that topic is the stupidity of HIPAA. If ever their were forces that combine the ignorance and incompetence of the highest level it is the perosn or persons that think up such laws with no concept of what to do in special situations. That is why I hope some people get their asses sued off, cause they should and so should the idiots that allow a 14 year old patient confidentiality. If you want trust so baldly, adopt them. otherwise if you live under my roof....its my law. In Huntsville Alabama, a 16 year old boy told his Psych Doc that he wanted to kill his parents.... not until they and their other children were brutally murdered by their son did anyone find out due to patient confidentiality. Don't you dare read this and say that somone made a mistake or the law should have been involved.......cause its too late. would'a, could'a, should'a...crap. that is what the perversion of morality and ethics does for this country.
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Does anyone know the average cost per day per patient for ICU?
Let me give you an idea of cost. In San Jose Ca, where I worked in the hospital in the ER, I developed a severe stomach ache after eating shrimp... went to my ED I received 4mg Zofran, 2 liters NS, had my blood drawn and got an ABD CT and left 4 hours later... What was my bill $16,583. I could have stayed home and bought a really nice used car. The same CT scan in Alabama cost 3k where in Ca is cost 7k. Same machine. Hospitals charge what ever they can get away with. That is why some of the worst MD's are allowed to practice because they make the hospital money through felonious charges.
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How many areas of nursing did you try before finding your "niche"?
Med/tele/Pacu?cath lab/Specials/ED/ICU of every kind and I am still looking. Really it might not depend on the place as much as the people. Work load plays a huge role in happiness as well as personal satisfaction.
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How do you deal with a pt. who lies to you?
Shoot her, shoot her now! How dare she do such a thing...why she's only human. Shoot her! Now... let's be serious. Understanding the situation is number one. Secondly, the Dr's have the responsibility of explaining the situation to the patient, period. And some people can have water, depending on the amount. See it all the time. Know thy situation and "Welcome to the big league kid..."
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What is next please?
Did you try contacting a company that assists with this? Merricle Rn is all lover this in their website, but... I did find in the past an agency that was set up for facilitating independents and hospitals.
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ACUTE MI -PT/INR results! I need explanation!
It would be great if you had the clinical experience to SEE what happens sometimes with blood. When you draw blood the specimen is a very viscous fliud. I have seen blood clot immediately in the tubes. When you draw a Pt/PTT/INR its in a blue tube is has a chemical additive in it. the reason you must fill the tube to a certain level is to get the correct ratio of 3.2% sodium citrate to blood specimen. This directly effects clotting time. If a specimen clots relatively quickly, then this can be indicative of a person having an MI cause by a blood clot. This is the exact reason we pump people full of anticoagulants in the cath lab.
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agency vs. float pool
Agency is awesome for the taxes. If you know what your doing, that is. If not, then float pool staffing is on target for not getting called off. On the other hand, with an agency, you don't have to settle for crap (like rude people) as you do with your regular job and the HA is alot less.
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CPR on a person who is in rigor mortis?
You are not the first and you won't be the last one to try and perform CPR on a person in that condition. Unless you know the person is dead, rigor does not count except for knowing that the scenario just got way worse, because.... there are several condition that present with muscle rigidity. We have also done CPR on patients that we as in the health care team, have coded or worked even though we knew they were dead. #1 small children and infants, #2 when family member are present and people become hysterical, # 3 when any part of the medical team has a family member that dies. Those are the more frequent CPR on dead people situations. In reality, if you feel strongly about your duty to act, then do it. If you were a perosn that had a loved one collapse and you saw that there was someone of medical experience on hand, you would have an overwhelming desire to see your loved one get help. Even if they are dead, you are showing that you care, your willingness to do what you can and to ease suffering is a God sent for some people.
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How to begin?
I know people that get in right away. Its about who you know in some cases. The best way to get hired is to work your butt off. ICU and ED, when you get that down pat, go volunteer or get a job in the truck. Now you are a total package, you have pre-hospital, ED and ICU.
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what?...q 15 NIBPs with an art line???
This ought to be a no brainer. For those who say that they check BP's q 12 hrs, don't take care of me. The best practice is one that requires frequent and close attention. Many people don't even go into the room to check on people but look at a monitor. And don't say it doesn't happen, I've seen a whole lot. Why do both when your art correlates? The term is quality assurance. Art lines are positional, patients move, left arm can be different from right arm, art lines can be in the groin, aux, rad, patient have disease processes that cause vascular changes. Usually the ones crying "too much work or over kill" are those that don't know the difference in over confidence and quality of care. I am willing to bet that the reason that people have to do frequent VS checks both with an art and a cuff, is related to a sentinel event. In health, care you can NEVER....NEVER be too careful. And for the person out there ready to pounce on this, let me tell you. I have worked in all over the US, and when you see people working 2 or 3 jobs or on their 8th day in a row with 4 hrs of sleep its easy to see why those babies in Californai got the wrong heparin. That being said, a good surgeon or sharp intensivist would not give orders blindly, then want to know whats going on with their patients. If your patient is stable, pull the art line and move them to the floor if not them practice taking care of people who are sick and need that close attention. Hey, you might learn something by paying closer attention.
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Scared Of Poop!!!!!!!!! Help!!!!!!!
Your reaction is the very same to most that have met that "new friend". I don't like pooh either. Ask a friend to help you and tell them that it is difficult for you, be honest. The more experience you get the better you will become at disassocition. You will learn to see things as objects or a job and not the gross, funk nasty, I am about to really gag, worst bowel movement I have ever smelled, perception you currently have of pooh. I highly recommend getting a job in an area that doesn't focus on pooh. Dr. office, cath lab, special procedures, day surgery, PACU. There are many areas that reduce the possibility of a Code Brown. Remember, you don't have to clean pooh..... you can ask for help and you should get it, if not someone has that responsibility. As a student you don't have to do anything you feel uncomfortable with....regardless of what people say, your clinical has people that perform that job and if they don't then they eventually will. like I said i don't like pooh but I am the nurse and therefore it is my responsibility and I do my job, like it or not.
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What shoes do you wear at work?
Best shoes to use hands down. 1. MBT, barefoot technology @ $280 pair. 2. Birkenstock with the soft cork soles @ $140 pair 3. Nike shocks (some shoes vary) @ $130 pair 4. Naot with the orthopedic soles @ $155 pair 5. Newbalance running shoes, the higher the number the better: usually
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Who HATES the term MURSE?
Thats funny as hell. What personn would actually take that to heart. If a male nurse is a murse, than a female nurse is a furse or a herse. before some brain child calls nursing a female role, the first recorded nurses were men. The reason that women have exploded into the work force is directly from men have historically killed themselves off during times of war. If all of your men folk are off fighting and dying, stands to reason that women should and have filled those position normally held by men.
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In need of advice- discrimination???
that is an injustice....