holiday2525

That kid was lucky to have a nurse like you. I hope I remember to also be as compassionate and as caring. You are a blessing to your pts.:heartbeat:yeah:

Case managers - tell me, how many patients are you managing on any given week? How many visits do you do in an average week? Does your hospice have a separate admissions nurse? :paw:

I am located in a midsized town in the southwest. I don't even know what a mcmillan nurse is. How long have you been doing palliative care. I've got to do something as these hours are just too much.

I am a case manager RN with less than 1 year experience. My hospice is also affiliated with a hospital. I moved from med-surg to hospice for family reasons. I love hospice, but either my world is really different than everyone elses or I am missing some thing. I get paid the same hourly rate at hospice as I did at the hospital. Except at the hospital I got paid by the hour and here I get paid for a straight 40 hour work week, Here is the rub, we are expected to work 8-5 monday through friday - which is already 45 hours. Plus I have a case load of 15, add an admission or two or a death and I am really working more hours. Plus I have charting at home every night. Sometimes I come home at 530pm make dinner for kids, etc and chart for an hour or two. Sometimes the same thing is done but I get home at 7pm. Honestly, I think I am really doing 5 12 hour shifts and wondering about going back to floor nursing. I love my co-workers and my pts, but the hours (about 15 each week unpaid) is just wearing me down.

I really appricruate tgis topic. I am graduating with my BSn in Dec. and was thinking about my MSN with either an APN or CSN. Now I understand things better. I am really interesting in an APN in pysch. But have never been able to speak to someone who has this. How does one decide what type of nurse one wants to be? I don't know where I will be happy. IS this common?

I am afraid you are misinformed that teachers get the whole summer off or that we don't do weekends. Sorry, but as I teacher I went back to school 2 weeks earlier than my students and I spent a great deal of my time during the summer preparing lesson plans and looking for resources for the up coming year. Also, I had inservices on saturdays or sometimes even saturday school. I wasn't a coach but if you look at their schedule, it is even worse!!! By the way, I am still a nursing student (who has two masters and taught for 4 years) and sometimes I think the big difference is really one of responsibility. If I screwed up in my class or didn't cover a topic thoroughly enough, the worse that would happen is that the student may do poorly on the state exam. Not good, but certainly not that big a deal. On the other hand, if I make a mistake as a nurse, people could be hurt or killed. I am so lucky I am still a student with a great preceptor. Sometimes when I think of all the responsibility I get so scared. But hey, at least nobody is cursing at me or threatening me.

We don't really understand how accupuncture works. Yet in works. many studies support its use. It works on animals - who don't tend to have a placebo effect. By the way, there is a youtube video about a kung fu master who can light a light bulb with his renergy field. It is not rigged and it is not a scam. Just becuase we can't quantify something does not mean it does not exist.

guess what, sometimes even med/surg pts don't get to choice who there nurse is!! But psych pt. who are known to be manipulitive and and boundaries have other issues. And it was not about taking her meds, it was who the heck was bring them to her. The treatment plan and how people treat her during her stay should somewhat mesh with what is the over long term best interest of the pt. Now, of course if there are safety issues those must be addressed first, but letting her ick and chose her care staff will not help her all that much in the long run. It is the manipulitive behavior that needs to be addressed.

Iwould like to know how much expereince you have? When you say exam questions, I think you are a student. So am I. The problem is that what is the correct answer is not the one that is useful in real life. The folks need boundaries, being able to pick and choice nurses put the client calling the shots, whihc is not really where you want them to be. have yoy ever had a pt like this?

I can't beleive about teahers making that much. Actually I can, they have strong unions inthat state. In texas, in Austin after 4 years of teaching - with 2 masters degree I was making 39,000. My friend retired after 20 years and he never made more that 50,000. Depends where you are. And yes, teachers are d---ed important, indeed, without them nobody would be nurses either!!!!

I've included it in one of my assignments. I put it in because the pt. was that type pf pt, i.e. hippi-ish, friut and granola, all natural cosmic balance type person. While I don't think it belong in a nursing dx, I think this whole thing with nursing dx is garbage anyway - but I'm a student what do I know. Actually I'm a former behavoiral medicine phd student that ran out of time, we always worked of the med dx, and I guess I still do.

I can hardly beleive that a company will allow you to work off the clock the fines can be large.What BS. Taco bell treid that and paid big! If the little guys could prevail over a huge fast food company, y9ou can too. I would look for a lawyer, see which other company offices are doing that and file a class action suite. You will win, but it will take time. By agreeing to work oof the clock you re allowing they company to take advantage of you and it is part and parcle of the atomsphere that has been created. Good luck. 0

I'm a former teacher now getting my BSN. Thinking about school nursing. Can foks in this field give me some insight to REALLY what the job is about. I only know it from the teacher side, sending kids for ice or suspected fever, etc.

Excuse me. But coming from an education background, and ABD myself, there is nothing easy about dissertations or doctorial stuff. As a matter of fact, you wouldn't be where you are today if folks hadn't researched learning theories and methods and stuff. Hopefully what goes on in a classroom is just as evidenced based as what goes on in a hospital. Our degrees often take longer and require more field work and more cooperation between shareholders.

I am a BSN student ( with two masters under my belt in other fields) and am looking at my options. The DNP, a four year degreem doesn't sound bad, but some of the posts here sound like that is 4 yours after the BSN. Not true. At Texas Tech it states that the DNP is for MASTER prepared students! So actually, you get our masters in about 2 years and then your DNP in an additonal 4. Thats 6 years of post BSN training. That is compared with a 4 year MD degree + 3 year residency. For twice income, and about the same tution and approx. the same prep time, if I wasn't already middle aged, I'd drop now and just go the med.school.!!!