klone MSN, RN

Nurse Leader specializing in Labor & Delivery

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All Content by klone

  1. klone

    Negotiating Night Differential

    I absolutely would take the approach of it being a health issue. It should be considered "hazard
  2. By two days, I meant 2 days past missed period. Look at it this way - hcg doubles every 24-48 hours. Most clinics use a not-very-sensitive test, that measures bHCG of about 50. A super sensitive home...
  3. klone

    Anybody work at an STI clinic?

    I worked in a women's public health clinic for 4 years prior to my current job (it wasn't specifically an STI clinic, but it was an inner city public health clinic for a safety net organization that...
  4. The urine of someone more than 2 days pregnant will still show +, regardless of time of
  5. I would certainly rather test their home urine than not test them at
  6. klone

    Have you been through an Epic Go Live?

    In the go-lives I've done, the trainers start training about a year before go-live, with everyone else being trained about 4-6 weeks
  7. klone

    Have you been through an Epic Go Live?

    I've been through two Epic go-lives, actually. The second time, a year ago, I was a superuser and had to wear a fluorescent orange polo for the entire first week so that other employees could...
  8. Op, perhaps I'm misunderstanding, are you referring to the cap that is on the port when you initially take it out of the packaging? If so, it's sterile when it comes out of the packaging, so no need...
  9. klone

    I hate that everyone knows I speak Spanish !

    It's a CMS/Joint Commission thing. Yes, you can get cited. Also, a personal pet peeve, directed at no one in particular: when it's verbal language, it's interpreting. When it's written documents, it's...
  10. klone

    What is the average 2017 Colorado salary

    FWIW, HR and hiring managers typically don't look at current salary rates when making a decision to interview someone. So I doubt that that factors into
  11. You don't need to put a patient on isolation precautions for a
  12. As long as you can be held liable, sued, fired, and have your license revoked for your actions as an RN, it's okay to question a physician's orders if they seem wrong, unsafe, etc. In fact, it's your...
  13. klone

    The Nurse at the Bedside

    As a nurse manager, I'll just say that I appreciate nurses like you! We need the nurses with years and years of experience who can grow our new nurses. My unit has 3-4 nurses who have been on this...
  14. If the units are in the same hospital, it's often a requirement that the managers confer before a nurse transfers into a different unit. If it's a totally different facility, it should be acceptable...
  15. klone

    L&d, post-partum, Nursery rotation

    Yes, that's kind of how our facility does it, as well. We have a level 2 as well, but it sounds like we may have more special needs kiddos than you, so we are able to offer either L&D or NICU...
  16. klone

    Need advice--possibly failing orientation

    Oh, I misunderstood! I didn't realize you were referring to shift assessment. No, I've never heard of that before. Other than when they're separated, the only other time we've ever had to match them...
  17. klone

    RN shortage

    There are many nursing programs that aren't from private universities, at which tuition is $20,000 or less per year. I would say that if someone is graduating from nursing school with $200k in student...
  18. klone

    RN shortage

    Well, yes. There's work, but you may need to move. So sounds like she did find
  19. Gorgeous Oregon coast. $10,000 sign-on bonus. Union facility. My facility is looking for nurses! I have no financial interest, nor do I benefit. Just trying to let people know we're hiring. PM me if...
  20. klone

    Need advice--possibly failing orientation

    I'm sorry that happened. I hope you are able to find a better fit at a different facility. One thing I wanted to comment on - regardless of where you go, and what they do at the new place, ALWAYS...
  21. klone

    L&d, post-partum, Nursery rotation

    Our unit does couplet care/mother-baby. Not sure what you mean by "rotate staff"? The assignment is created by the charge nurse, and they try to offer continuity to
  22. klone

    RN shortage

    Perhaps other nurse managers can weigh in. I can say without question that, the case in my hospital, we absolutely ARE trying to hire nurses, but aren't getting any applicants. While I'm not going to...
  23. klone

    Injection Gone Wrong: Part 1

    Apparently our old occupational health nurse at the hospital used to give them either way too low or way too high. Nurses told me they would draw a little triangle on their shoulder, like in the...
  24. klone

    Orders from hell...

    It's a misspelling of "tapered." But I think you probably knew