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Things that make me grumpy
And yet another itchy eye visit after sweating in gym ! Teacher sent kid down because he was tired.. okaaay. Kid hops into office on one foot from gym after tripping over book bag, states he twisted ankle, looks fine, threw away ice pack after 5 minutes and ran back to gym for push-up challenge...
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Things that make me grumpy
Itchy eye, after sweating in gym.. Ya think?? 4 itchy eye visits in the last 2 weeks... Puleaze. My kids know, you go to the nurse if you have a bone sticking out, aren't breathing, or are bleeding out.
- Things that make me grumpy
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Feeling inadequate, what about you??
I'm new and feel the same way. I think I made a huge mistake. Not liking it at all, to put it mildly.
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Unpaid RN orientation
I got full pay for orientation. I would not touch a pt, documentation, or computer without full compensation. You are not shadowing, you are on orientation. I shadowed a nurse once prior to accepting a position, ie: followed and observed only. Did not expect pay, was for my benefit. Would never touch a pt if not hired.. are they covering you for malpractice if you are 'shadowing'- very shady..IMO
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IV Skills for Hospice?
Never blood draws or peripheral IV's. Accessing POC's, PICC's and SQ's for pain pumps.
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New job-SOC nurse-NEED INFO
At my agency 3 SOC is a 12 hr position. Generally they are working additional hrs charting, and burn out fairly quickly.
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Why can't we have 12 hour shifts and 8 hours shifts?
Ahh the good ole days. 2 years out I use to do 2 eves, 2 PMs. Got eve, noc and WE diff, plus a 2k contract bonus. That's when there was a nsg 'shortage' we would have 4 nurses on eves and 3 RNs mind you on nocs for 17 bed unit!!
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Home Health Rapes
I have never had a problem , or even felt remotely unsafe even in the worst neighborhoods. I always find the nurses are respected, people are very friendly and helpful. That being said we do have an escort if someone feels they need one. I have never used one in 7 years. I actually have a great story about locking myself out of my car in the hood. Everyone came out of the woodwork to help, and broke me back into my car. Happened Twice. LOL!
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Transferring a patient
Wow, no words really. Many thing troubling about this post, but you are continuing to see this Pt ,along with the HHA after discharged? I would be very concerned about liability and risk to your license. If that Pt has been discharged, you are visiting, providing care, who is covering your back?? NOT the agency. Do yourself a favor and get out.
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What would you have done?
Definitely would've called 911. No hesitation, and I don't jump the gun, but really unsafe to have someone drive her.
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On call?
That's not how we do it. If on call is off or sick and no one takes the shift , sometimes it's shared/split 4p to 12 and 12 to 8a. Makes it easier to cover. Push comes to shove and there no one volunteers the supervisor ends up having to take the on call. No CM are made to cover their pts. Our Baylors (me) cover on call Sat and Sunday 8a to 4 p while doing our SOCs, revisits, etc.
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HIV needle stick at work while pregnant
I had a needle stick from a central line blood draw, stuck my hands in chemo that leaked on the bed, brachy radiation exposure, and the best was the pt that ruptured her membranes into my eyes and mouth, all in the first trimester of my first pregnancy. Never any mishaps before or the last 22 yrs lol. Not that any pt tested HIV +, but was traumatic. Thought the worse was going to happen to me, the last pt was sketchy, waiting out all the f/u blood work, etc. Glad to report I had a now 22 yo with an IQ of 141 ha. But this may make you feel better.. when I went to personnel health after the umpth time, I was in tears, The nurse said to me, nothing was as bad as the nurse standing next to the hiv+ pt, resident is placing an IJ, hits an artery, the blood squirts out across the room into the nurses mouth and she swallowed it." She, I had to pick up off the floor," and no, she never sero converted. :-) your risk is very small as you know. Not that it helps until you are cleared, but some of us have had unpleasant incidences occur, cause a lot of stress. You aren't alone, chances are exceedingly high you will be fine
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Turning a hospice patient in severe pain?
I am A Hospice nurse, and yes you did the right thing. Comfort is the goal. We would all like to practice the standard for turning and repositioning but sometimes it isn't worth the discomfort for the pt. I would have done the same, only if needed to clean him. The longterm goal of preventing PU's really isn't the point when comfort is paramount and death is imminent. Good call :)
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Have you ever witnessed this situation?
Wow. I am shocked by two things. First the Pharmacist, I agree, unprofessional and violation of HIPAA, I would def report and/or speak to him directly. PT CONFIDENTIALITY!!! Especially in a small community in front of other customers!! One thing if you were alone, and he was discreet... Second, I'm rather stunned about the number of people responding that think it's no big deal.