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fawnsternurse

fawnsternurse

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  1. fawnsternurse

    Periop 101 Final Exam Advice? (2018 / 2017?)

    Hi The Study guides are not at the end of the modules, they are almost hidden in the MY AORN area. you have to download them, save them as , then print them out. Sort of like finding a buried treasure. I only happen to know this because a few of us new to the OR met with the educator and we then went on a scavenger hunt to find these study guides. Geez why do they make it so difficult!
  2. fawnsternurse

    OR orientation general question

    Oh my gosh! Yes, absolutely unsafe. You stated," usually 6-9 months around here". Where would "here" be?
  3. fawnsternurse

    OR orientation general question

    Hello everyone, Just wondering what is the usual amount of time to train and orient a new Circulator at your place of employment before they are unleashed on their own. Trying to get a gauge on what it is like around the country. Yes, I am a new Circulator( not a new nurse) just enrolled in Periop 101 Course and trying to get a sense of what is happening around the USA. Thanks in advance
  4. fawnsternurse

    South Georgia Medical Center

    Done. :) Thank you. Anyone else?
  5. fawnsternurse

    South Georgia Medical Center

    Hello, I recently accepted a position at the above Hospital. Although I have been a nurse for many years I have not worked in a medical area for many years. I am to take a 50 question, Medication test. They sent me a two-page study guide which is really generic. Would anyone on here happen to have any insight about the test, how hard is it, what to focus on and what did you utilize for study guides besides what they gave you? Thank you P.S. recent test takers are welcome to respond :)
  6. fawnsternurse

    Care Management Verses Case Management

    Hello Everyone, I am just wondering if someone can explain the difference and the difference in duties and responsibilities. I just took a Care Management position in NY State. It is with a Managed Medicaid long term program. We use TruChart, which I have never been exposed too. I have also never had any experience with Insurance companies. I am wondering out there in Nurse world what the average nurse to patient ratios would be? The Flow of a persons day. Any cheat sheets or things you do to help prompt and remind you to do certain tasks. Can you chat a little about Authorizations for DME, supplies, PCA's Etc. I know I have asked a lot of questions but I am wondering what others experiences have been. Also we do the UAS on the Health Commerce System in NY State. Thanks in advance for any feedback on your experiences.
  7. fawnsternurse

    NC license continuing competence

    Hello, Question: I am out of State and I had a North Carolina Nursing license . I then moved back to NY state and renewed it but placed it on deactivation. I now want it back. What is the fastest way to get the competency required to get my NC license back ? I am a bit confused. Is the fact that I have been consistently working good enough or do I need to do special things to get it back. I am sorry, probably this may seem like a DUH question but I am just not clear and I am on the site but cant figure it out. Anyway I thank you for all your responses.
  8. fawnsternurse

    Psychiatric Medication Nurse

    Thank you everyone for the feedback. I have come to find out that this is not only a new unit and a work in progress but it is also steering away from the medical model to a more Social work model. However, with that said the bottom line is that when someone is assigned to medications that should be their only responsibility especially when working with high acuity violent patients.They don't seem to "get that". This is not so much about me not being willing to help out but more about overall unit safety. The charge nurse keeps telling me " we work together as a team" Which means that when I am doing rounds they may very well pass a med. or two... That makes me feel very uneasy as this is not always communicated to me in a timely fashion. Oye Vey! I just want this contract job to end with my license intact.
  9. fawnsternurse

    What's the meanest thing a patient has said to you?

    I had a person with Psychosis ( but looks fully functional, so more Cluster B traits) call me an incompetent nurse (I was only going to take his Blood glucose via glucometer before he ate) and then say I was probably an incompetent wife as well! Oh yes, I am disgusting too!
  10. fawnsternurse

    Psychiatric Medication Nurse

    Hello Davey, Thank you for the feedback. I am a Travel Contract Nurse, so yes, I do not always know what I am getting myself into before I start. They would like me to re sign but I am pensive especially after last night.
  11. fawnsternurse

    Psychiatric Medication Nurse

    P.S. I have forgotten to mention that this facility has been in the news for not only the level of violence but successfully completed suicides.
  12. fawnsternurse

    Psychiatric Medication Nurse

    Hello I have another question and this forum seems the best place to ask these questions. How many of you have worked in Facility's that may assign you the medication room job and then also place you on safety checks. (Every 15 minutes) I am currently in a facility on a unit with the most violent Psychiatric patients. There is bare bone staffing. And they are also utilizing Licensed Mental health Counselors. Which is not a bad thing , I am just sharing to give a visual. There is one Charge nurse ( recently a new Nurse and only a few months experience and a week experience as a charge nurse) One Medication Nurse ( me who is Agency) and 2 LMHC for Patients with a history of violence. I find myself the Medication nurse daily because I am agency and not trained for charge.Although I do have 18+ years of experience in this realm. 27 years experience as an RN. However as a Medication Nurse it is my responsibility to make certain that the medications are set up and passed safely. This is the first facility I have ever worked in that does not have a psych tech(s) to do safety checks, and they have the RN's and LMCH's to do checks. Well, pray tell how do I safely pass medications, PRN's etc and also be responsible to do State Mandated Every 15 minute checks? The facility Administration refuses to have more staff even though it is the most violent, acute unit. I have never worked in any Psychiatric Facility that expects the RN's to do these checks and still maintain a safe med pass as well as be available for high unit acuity and escalating patients. Recently we have had a rush of all violent men. Myself an Agency Nurse on Medications(I have loads of experience but have not been oriented to all the policy's of the hospital as well as paperwork) A new RN charge nurse and two young, female LMCH's. We had 3 admissions last night. A high unit acuity with physical and verbal altercations between the patients. In the middle of me attempting to pull medications, or return medications because of refusals and document, the LMCH wanted me to do checks. I said No, because I needed to finish what I was doing. I can honestly say I have no down time in this job, have not taken any regular type breaks(How can I with unit acuity being this high and bare bones minimum staff) I am on the unit in Milieu as often as I can safely be. But I am also in a back room with an Omni Cell and computer so I can pull medications, document and do my BIRP notes. I feel pulled in many different directions here. My feeling also is if a patient escalates the Charge RN should give the checks to the LMCH's ( who cannot pull meds) and have me pull emergency medications.(Also last evening I had a diabetic patient with a very high blood sugar.... but oh wait... Stop everything , I have to do safety checks! ) I have NEVER worked anywhere that is not the expectation. If I am wrong about this please feel fee to share. I am humbling asking what other peoples experiences are in this and thoughts?
  13. fawnsternurse

    Addiction travel Nurse

    Hi I am on many Travel Nurse sites on Face book and i have noticed that it is very difficult to meet with the other psychiatric nurses and to have recruiters post jobs in this specialty. So I created a psychiatric travel nurse face book site. I realize Addiction Nursing is different than Psychiatric and Behavioral Health. However many patients have dual diagnosis and sometimes whether we like it or not these areas overlap each other. So I decided to be the change I wanted to see. Since i apparently am not allowed to post sites on here , I just wanted to give people the heads up and let you know that if you go to your Face book and put in search bar psychiatric travel nurse the group should come up. Then request to join and i will approve it. Thank you
  14. fawnsternurse

    Travel in psychiatry

    Hi I am on many Travel Nurse sites on Face book and i have noticed that it is very difficult to meet with the other psychiatric nurses and to have recruiters post jobs in this specialty. So I created a psychiatric travel nurse face book site. Since i apparently am not allowed to post sites on here , I just wanted to give people the heads up and let you know that if you go to your Face book and put in search bar psychiatric travel nurse the group should come up. Then request to join and i will approve it. Thank you
  15. fawnsternurse

    psychiatric travel nursing

    Hi I am on many Travel Nurse sites on Face book and i have noticed that it is very difficult to meet with the other psychiatric nurses and to have recruiters post jobs in this specialty. So I created a psychiatric travel nurse face book site. Since i apparently am not allowed to post sites on here , I just wanted to give people the heads up and let you know that if you go to your Face book and put in search bar psychiatric travel nurse the group should come up. Then request to join and i will approve it. Thank you
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