tookalongtime

The Clinical Nurse Leaders at our facility are not from a program. They are experienced floor nurses that are wanting to have more responsibility and have leadership skills that are necessary. We do have a training program that is in-house for Nurse Leaders, and the requirement is at least a BSN.

I am a Clinical Nurse Leader on a busy Med-Surg floor. This is definitely an expanding role. We transitioned from the charge nurse role into the Nurse Leader role. The role has expanded into more than just a supervisory role. We are an extension of our manager.

There is not a difference between a BSN and a BS in nursing. It is just the individual school's preference in what letters they use. I checked into this extensively before starting my bachelor's degree because one school offered a BS and another offered the RN to BSN program. There is not any difference in the degree. Hope this helps you.

At the hospital I work at, you must take a class and that will certify you to give and read mantoux tests. You must also take a certification renewal class once a year. That is the policy at our hospital.

Can someone tell me what I need to do to get licensed in Ohio. I live in Ohio, but have my RN license in Indiana. I live only 2 miles from the Indiana state line and I work in Indiana. I want to apply for a job at our local hospital which is in Ohio. Can someone help me?? I tried calling the Ohio BON and was told to call back later. Thanks for any help you can give me.

My charge nurse once called me on a Sunday at 0730 to see if I would consider coming in at 1500 to 0330 that afternoon and I would not have to work my normal shift on Monday of 0300 to 1530. I told her that I would and and made sure that if I worked on Sunday I would have Monday off. She said yes that was the deal. I got home Monday at 0430 after working the Sunday shift, stayed up until 0630 when my hubby left for work, went to bed and was woken by the phone ringing. It was the staffing office wanting to know if I could come into work at 1100 that morning they were short staffed. Go figure and of course I told them no. :uhoh3::uhoh3::uhoh3:

J. Thanks for understanding my post. This discharge was happening at the same time as another discharge for a patient that was terminal and all they wanted was a slip saying they could go back to work the next day.

You know how we are supposed to be the patient's advocate??? You know, looking out for their best interests and making sure they get the best of care and all that. Have you ever not wanted to be their advocate? I am talking about the frequent flyers that take up your time, are on the call light constantly, never happy with the doctor or with you, want cheeseburgers in the middle of the night, complain about the hospital, and when it is time for discharge they try to make up all kinds of reasons they should stay. I just had one this past week. They are non-compliant, and you can't say anything to them to that effect. All they want is their pain meds given to them. I was happy when the doctor decided to discharge them because there wasn't anything we could do more for them. They would not do what they were supposed to try an take care of themselves. When I told the patient they were being discharged, they got mad at me. The patient said we were kicking them out of the hospital and they were still in pain and asked what was I going to do about it. I told them I had a script for them, they asked if it was for pain meds and I said no, it was to help them quit smoking. They got mad about that, and asked what they were going to do for their pain. I said you had pain meds before coming to the hospital, you will have to go back to that source for pain meds. Well needless to say they left mad and said they would probably be back in the ER because of the pain. I could have or maybe should have paged the doctor to see if they could have a script for pain meds. I didn't want to. I guess I wasn't a very good patient advocate. I was not looking out for my patient. Has anyone else had this same feeling for not wanting to be the patient's advocate??

I have found that some of the frequent flyers that we deal with are homeless. Usually their significant other stays in the room with them, and the patient may be admitted for one complaint but inadvertently developes some other ailment as the day goes on. Then we have the residents that want to be thorough and order tests that are not going to find anything and this just prolongs the stay. If you did not have to pay for your hospital stay, you had a bed to sleep in and a wait staff 24/7, it sure beats being homeless. It does get hard to feel compassion for some of these people, but I get paid the same whether I am taking care of someone that really needs it or not.

I work at the other hospital, one that Lutheran calls the "Mean green machine". Our management has been rolling out new ideas from the TCAB bit by bit. Our nursing assistants are even starting the bedside reporting. We have had no negativity days, where we cannot say anything negative or roll your eyes or anything like that. It has been kind of fun. We got stickers to put on each other's badges if we were really nice to someone. We have been implementing new fall risk procedures also. I did my clinicals in the Lutheran ICU.

We have started implementing this at our facility in Fort Wayne, Indiana. It seems to work well, a lot of patients like the bedside report. It has also helped in making sure the patients are set up for the next shift, ie..turned, dry, and IV fluids OK. Some nurses don't like it, but it seems to be working out. There are still some things you don't want to mention in front of the patient, such as their family being a pain the the you know what. Good luck with it and let us know how it works out at your facility.

I start my new RN job tomorrow. I am a new graduate and I haven't done blood sugars and insulin injections since my med/surg 2 clinical last spring. I am going to need a quick refresher on what to do. It doesn't mean that I was never trained to do it, if you don't do something over and over it is easy to forget how to do it. A lot of times you get to do a procedure and you get checked off for doing it and you may not get the opportunity to repeat the procedure. So it is very easy to forget how to do something, and then we are so afraid we are going to screw something up as a new grad that we may ask for guidance on how to do something. Please remember what it was like as a new graduate. I am scared to death that I will appear stupid to my preceptor. Most of the time during clinicals we did mainly CNA work. So it is not that we are not being trained, it is that we do not get to practice over and over what we have been taught. If you were taught something 6 months ago and never saw that procedure again, could you just pick up and know how to do it again??? Just a thought.

i passed!!!!!!!!!!!!!!!!!:yeah::yeah::yeah: thanks to everyone that replied.

I took the NCLEX-RN today and it shut off at 79 questions. This just has me so freaked out. Has anyone passed or failed at 79 questions?? I know some have passed and failed at 75 questions, but have never heard anything about 79 questions.

You can take the test in any state. You have to determine which state licensing agency you want the results sent to. I can take the test in Ohio and have the results sent to Indiana. It just depends on which testing center you want to pick. Good luck, I take my NCLEX on 9-10.