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  1. meggiepie24

    Safety Tips for New Grad Nurses

    - Don't tell anyone about your liability insurance. - From a lawyer (at an International conference): there are 2 kinds of nurses. Those who haven't been sued yet and those who have been sued. Don't practice out of fear, but out of knowledge that someday you will likely be involved in a lawsuit. - If a patient and/or family member is upset pay attention to your body language. So often patients and families just want to be heard. Many times I've pulled up a chair and just listened to them. If you've never been a family member of a very sick patient you just don't know how powerless you can truly feel. I know shifts can be super busy but I've found repeatedly that taking 10 minutes to listen at the start of my shift can make the whole shift easier and the patient/family relieved. - Reiterate what's already been said ... if you have a free few minutes always always ask if you can help anyone else out. Someday you will need others to help you out and people will remember how you were always willing to help. It's just the right thing to do
  2. meggiepie24

    New Grad moving to Oahu

    Hi! I'm still pretty new to Hawaii too, but will tell you everything I wish someone had told me before moving here. - Definitely get your HI license before moving here. HI BON only communicates via snail mail ... which can take some time. - I have found getting a job here surprisingly difficult. Before moving here I have gotten every single job I've ever applied to (I've been a nurse for almost 10 years). Now while that may be unusual, I haven't even gotten call backs from a lot of jobs I've applied to while here. - Get a PO box right after you get here, even just for a month. A lot of employers will ignore your job application if you list a mainland address. If you apply to jobs before you get here try to mention somewhere on the application the date you are going to move here - Be prepared to answer the question of why you're here, how long you're here, if your significant other is military/civilian. I have had to answer some form of these questions during every single interview I've had. Especially when you have an address on base I think people are reluctant to hire you because they assume you'll be leaving the island in 1-2 years. - All the new grads I've met while here have worked as a secretary and/or tech all during nursing school, then for an additional year (post-grad) before getting into a new nursing role Sorry for all the bad/discouraging news. I think it's better to know the tough truth going into a move rather than being told you won't have any issues moving here.
  3. meggiepie24

    RPN wanting to move to Hawaii

    The process is easy ... go to the hawaii BON and fill out a single form. You have to mail it though (no email etc). It took a few weeks to process my application. The only way you'll know about your application status is to 1) check the HI website everyday or 2) wait for a letter in the mail. Good luck finding a job here!
  4. meggiepie24

    Is this normal practice-my unit feels unsafe.

    Make sure you have private (not hospital based) liability insurance. You can buy it as a rider to car insurance, personal property insurance etc. Don't tell anyone at the hospital you have liability insurance.
  5. meggiepie24

    What's your best 'Nurse Hack'?

    If you have a wound vac that is leaking... turn the machine so you can see it from the patients wound so you can look at the seal check. Turn off music, TV, no talking. Take an alcohol swab and rub over the vac drape. Once you come across the leak there will be a hiss. Then fix the leak!
  6. meggiepie24

    What's your best 'Nurse Hack'?

    This is a good thread! I always write the date and day in the tape of an ostomy pouch with a permanent marker. The patient never seems to remember exactly when it was changed last. Just makes life easier
  7. meggiepie24

    What’s in your bag/what should I have as a newbie?

    I always have a clip on permanent marker for my badge. I use it all the time to mark chest tube output, label JP drains (#2 etc) and write dates/times on my wound dressings. I also have a clear ID holder that i clip onto my badge behind my ID. I put money and my credit card in the badge holder.
  8. meggiepie24

    Pay rate in Oahu

    I'm 7 years out of school and am getting $52/hour. When possible I don't answer those pay rate questions.
  9. meggiepie24

    What is the next step to getting certified?

    Eligibility | Wound, Ostomy and Continence Nursing Certification Board
  10. meggiepie24

    Pure Wick

    I've seen this at conferences and I'm just still in shock. And how do you keep the urine from smelling when it's in the suction container? What do you say to family members when they ask you what's in the suction canister? How does this work with intentional progressive mobility programs? These are all questions I had for the reps ... and none could really be answered.
  11. meggiepie24

    Thinking about becoming WOCN

    Which WOCN program did you take? I would definitely recommend stick to Cleveland Clinic or the Emory programs. I have worked for several hospitals where they will only hire from these two programs. How much did the program cost? Wound, Ostomy, and Continence Nursing Education Center | Nell Hodgson Woodruff School of Nursing | University | Atlanta GA How well did the program prepare you for the certification exam? I think Emory does a fantastic job of preparing you for the certification tests. For the CFCN I would saw that it does not. The bigger problem is there really isn't any general review book for the CFCN. How well did the program prepare you for actually taking care of patients who have complex wounds/ostomies? How confident in your skills did you feel right out of the program? I can't really answer these questions ... I worked on teams before and after the program. However, I definitely understood wound healing and answering the "why" behind the plan of care. I don't think there's another replacement for learning tips and tricks other than being on the job. For ostomy care, it definitely does a good job of the anatomy, explaining the difference in surgeries. Just as with wound care, I don't think there's a good replacement for hands-on clinical care. However, I think going through a program really validates your work and definitely starts you on the path to becoming an expert. What are the benefits of certification? WOCN conference, CE library, database of WOCNs across the country (we use to find WOCNs close to our patients' houses-we have about a 6 state area for ostomy patients), journal for updates, local WOCN chapter (ours includes talking about new products, rep presentation w/dinner, planning local conference) If I decide to leave home health someday, how easy is it to get a job at a wound clinic, hospital, SNF, or other facility? This also just really depends on where you live. I think people on teams tend to stay on teams so there can be very little turnover. I've found some really interesting career paths with the WOCN certification. There are some independent WOCN who do online case reviews, online consulting etc. What kinds of doors does this certification open as far as career advancement? I think this just depends where you work. Most of the nurses I work with have not advanced past being part of the team, none have gone into management etc.
  12. meggiepie24

    External Urinary Pouches

    I would suggest looking at UOAA, Hollister, Coloplast sites for information. I think Hollister especially has great handouts and information about ostomy care. Typically pouches aren't changed everyday. Urostomy & ileostomy pouches are typically changed every 3-4 days and colostomy pouches are changed weekly. The pouches are emptied when they are 1/3-1/2 full.
  13. meggiepie24

    How to cope with Hand Psoriasis

    I have had severe excema throughout my life on both my hands. After years of steroid creams that never worked really well I switched over to Aveeno for Excema. It costs about $10 for a bottle but it's so soothing. I have a small one I carry with me during the day (even though we're supposed to only use the hospital provided lotion that is water based...) and a huge bottle at home. Make sure to put it on right before bed, then wear mittens while sleeping. Also, I did a gluten and dairy free diet for months (for other reasons) and my skin suddenly cleared up-doubt it's a coincidence. I hope you feel better!
  14. meggiepie24

    any difference in certifications and job duties?

    It's really not so much that WCC people cannot do things that WOCN people can. WOCN is considered the gold standard in wound care. All the hospitals I have worked at will only hire Emory WOCN graduates and will not take anyone with WCC unless they promise to go on for the WOCN.
  15. meggiepie24

    Standard Preceptor Rates

    We don't charge students if they are employed within our (huge) hospital system. Otherwise we charge ~$100/day which goes directly to our department