klone MSN, RN

Nurse Leader specializing in Labor & Delivery

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All Content by klone

  1. klone

    ICU Nurse Fired For Refusing 3rd Patient

    The big deal is there is a minimum standard of care in the ICU - if a hospital is billing for ICU level service, they damn well better be providing it. That service includes an established...
  2. klone

    ICU Nurse Fired For Refusing 3rd Patient

    Assignment Despite Objection In a union facility, it’s a formal process that requires an investigation into the situation (after the fact) and review by hospital leadership and the union...
  3. klone

    ICU Nurse Fired For Refusing 3rd Patient

    False
  4. The greater Denver metro area is incredibly expensive, compared to cost of living. As a new grad, you can expect to make about $28/hour. Rent and housing prices are not commensurate. It's difficult to...
  5. klone

    Any OR nurses out there?

    Maybe post this in the OR Nursing forum for more activity/feedback:
  6. klone

    ESRD RN to L&D

    Not in
  7. klone

    Post MSN question

    And you would also have to so 750-1000 hours of clinical, since your master's degrees are not in advanced-practice
  8. klone

    Two Job Offers

    Honestly, I would probably turn down both of those positions and keep searching. What area of research is it, and why do you think they want to hire you as a site manager without any experience? It...
  9. klone

    Using medical terminology as a nurse

    No, it's not diagnosing to say "hematuria" but it's best to not use medical terminology when talking to patients. Most lay people would not know what "hematuria" means, and it's better to use simple...
  10. klone

    Skin to skin after delivery

    Most of our moms are not natural, but the nurses are still really good about encouraging skin to skin and early breastfeeding. Our IOL rate is about 50% and our epidural rate is
  11. klone

    Resign first or wait until I find out if I'm fired?

    I think it's interesting that you automatically assume you are going to be fired, yet you can't think of any reason why you would be fired? That makes no sense. Are you wanting to resign simply to...
  12. klone

    New grad no preceptor.

    Talk to your manager. Tomorrow. Make an appointment if you need to. Tell her "I am a new grad. I was told when I was hired that I would have 3 months of orientation with a preceptor. This hasn't...
  13. klone

    manager proposed promotion

    I don’t count progressive degrees separately. I don’t count my ADN, BSN, and MSN as three different
  14. klone

    manager proposed promotion

    I can’t get beyond the part where you have 8
  15. Depends entirely on the state’s labor laws how overtime is calculated. In California, anything over 8 hours is OT. In most states, anything over 12 hours in a day is OT, regardless of how many hours...
  16. klone

    Skin to skin after delivery

    Yes, we practice this with every baby as part of having Baby Friendly designation (unless there is a medical need for baby to be at the warmer). We keep the infant skin to skin for at least an hour or...
  17. klone

    "Not sure what unit you will be hired into..."

    What on earth are you talking about? Several of us did. Don't call me a coward. You don't know
  18. Except that they actually CHANGED her clock-out times, removing 10-20 minutes from each shift. So not only is she not getting paid OT, but they're not paying her, PERIOD. Falsifying her time card and...
  19. Nowhere in your OP did you mention the additional 4 hours of residency program. That’s why there was confusion as to how 3 12-hour shifts could add up to 40+
  20. Oh ***. How the hell do I unpack this
  21. If a person is hourly, and the state labor laws mandate overtime pay over 40 hours per week/80 hours per two weeks (depends on the pay rule), then yes, it's illegal to not pay her. It's also illegal...
  22. True, they may say you can't work overtime. But if you already have, they are legally obligated to pay you. Changing your timecard and taking away time that you worked is illegal. Going forward, you...
  23. This is illegal. I would approach it as, "Hey, I noticed that my timecard says 0700-1930, and my actual clock-out time was 1948. Do you know how that got changed? Over the last 2 weeks, there were...
  24. klone

    Staffing postpartum mag

    Off the top of my head, without consulting the AWHONn staffing guidelines, a postpartum mom on Mag should be a part of a group of no more than 3 women, assuming the other two are stable antepartum...
  25. klone

    Kudos/Patient Compliments

    One big gripe were I am is that the pay ladder (union facility) - step one is <2 years. That means that a new grad starts at the same pay as a nurse who has 23 months of experience. I think that's...