Today I got called into my DON's office, where our executive director--who is not a nurse--yelled at my for charting "Pt. states pain is an "8/10". I listed my interventions, what her response was, etc. ED told me that "If her pain was really that ...
One of my co-workers told me she was told not to replace a trach if a pt. de-cannulates herself. Instead, we are to call 911, and in the meantime, she said, "we are supposed to place "this" (she showed me an obturator in a plastic bag) into her stom...
I just got a call from a former co-worker who is asking me for a character reference. We were both new-ish nurses when we started working together, and she had numerous problems at the facility. She was very boisterious, and had a potty mouth at th...
SunnyAndrsn replied to sabrina_RPN's topic in General Nursing
I can understand the confusion, it seems to be contradictory to be on palliative care and be a full code. Do the patients actually understand the gravity of their illness? Do they understand the futility involved if and when they code? What is the...
SunnyAndrsn replied to SunnyAndrsn's topic in General Nursing
I know, that is what I am struggling with. I really do want to help her, but if I can help her anonymously I would rather do that, if that makes sense.
SunnyAndrsn replied to SunnyAndrsn's topic in General Nursing
I do not doubt that the letter is genuine. I did not see it, but she said it was from the BoN, had the address, etc. She was shocked since it has been well over a year since she was fired. It doesn't seem right to me that this can come up after so...
SunnyAndrsn replied to SunnyAndrsn's topic in General Nursing
I have not shared any identifiying details. I posted here to see if anyone could give any insight about if I could or could not help her, seeing that I still work for the company that fired her. Second, I was wondering if anyone knew of limitations...
I thought we only had to restart the med a schedule if the person was actually admitted to the hospital? If they are kept as an observation pt. and then return the next day, I was told by my supervisors we do NOT restart the med a schedule. It's in...
SunnyAndrsn replied to BowHunterRN's topic in General Nursing
Phenergan is a big one, as everyone else has said. The vials that we get have a reminder to dilute further, with at least 10ml of saline. I push phenergan very, very, very slowly...much to the irritation of pts. who like their "power hour" with dil...
We also use pointclickcare. I'm not liking the format changes from 2.0 to 3.0. It's a lot to take in at once to have the 2.0 to 3.0 changes, and then to have the look of the software change is a great big PITA, if you ask me. As the week has worn o...
I admit, I'm jealous. We've been approved for as much back up as it's going to take. I have 17 *extra* assessments, and unfortunately, my regulatory schedule is ugly during the first two weeks in oct. I pushed as many back as I could, but it's sti...
What is frustrating is the pay difference. In my facility, any RN on the floor is automatically the charge nurse. Thus, an additional dollar an hour differential. A starting RN makes approximately $3.50 an hour more in base pay than an LPN in my f...
I was able to obtain a part time position in a hospital, with one year of experience in a subacute setting. Honestly, I think many of my subacute pts. have been sicker than my med/surg pts! I highlighted my experiences when I applied--just as some o...
SunnyAndrsn replied to sarahsmile44's topic in General Nursing
A few things that I shared a while ago, but am happy to share again. I've worked primarily in long term care in my short career (2 1/2 years), but also in rehab/TCU, and med/surg in a small town hospital. Highlights include: -Supportive co-workers,...
I personally have never liked tattoos, I just don't think they are attractive. JMHO...but it was rude of the pt. Despite my dislike of tattoos, I like henna tattoos and the traditional designs. *SHRUGS* what can I say? To each their own? Oh...and DH ...
The last job I left (in October/November) I said the following: Thank you for the opportunities during my time here, I regret that I will be leaving due to an offer given to me at another facility. My last day will be Month, Day, Year. My primary r...
SunnyAndrsn replied to nursetobeoneday's topic in Home Health
I worked as a home care nurse for a medically fragile child for about a year. This child had RN care--no aides--for approximately 12 hours a day. There was a brand new nurse, straight out of school, and her only professional job was working for thi...
I don't know if they can do this, just based on location. I would press this issue. If you look at "their district" on the map: http://www.wtcsystem.edu/colleges.htm Medford/Rib Lake looks like it would be in their area. I mean, Medford is less...
Unfortunately, yes. Right now all of the WI tech schools have waits of close to 2 years. I did not have to wait that long, but several did. In the mean time, you can take some of the pre-reqs. In addition, did you know that once you are in the WI...
SunnyAndrsn replied to Caffeine_IV's topic in General Nursing
Agree 10000%!!! I've seen pts. angry and upset because they've had the same conversation with several different nurses. When given a good report, I'll already know the pt. does not want x,y,z. Then it is about approach of the pt. "your previous n...