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Guest296136

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  1. Regardless of anyone beliefs I am always kind and do not judge. I will pray that the hatred in your hearts will be filled with love and joy instead.
  2. What happened to "my body my choice".... My last day of work is 10/1 because my company mandated the vaccine and I will not get it. I have natural immunity and feel that is better then this so called vaccine. I worked in a hospital when Covid first started and for 9 months saw so many things, doctors being told to list Covid as cause of death when it wasn't, reporting more cases then we actually had. I walked away from that setting and took a case management job that I really like but have to give it up because I won't be forced to put something in my body. I am sickened by what has happened and how it is pinning people against each other. This is all about control and fear and I am not buying into it. I know of 2 people that died shortly after getting the vaccine, so many others haven't been reported. I pray for all those in the same situation of having to choose between feeding your family or complying with this mandate.
  3. I used a few different sites, trying to remember them.
  4. My computer crashed and the file where I kept my CEU's as I do them through out the year is not gone. I didn't print them out. Need to renew my license by Sept 1. Does anyone know a way to get all CEU's in one shot. Getting ready to go on a 3 week vacation and don't have much time. Please help.
  5. Then don't go into administration!! Stick with something that allows for flexible hours. The politics of administration is brutal, I work as RNCM for hospice also I was offered management positions but the managers make less money and are stuck at a desk. I am out in the field and make my own hours. Our director is worthless and does nothing but play politics to keep her job and will not stick up for the nurses. I am thinking of going for my APN or NP if I can stay in hospice.
  6. Just have a clinical note ready on each patient, just brief notes that give pt status and needs. Your manager should help you out with the first couple of IDG's meetings.
  7. I haven't had less than 18 pt's for 6 months, the most I have had is 23!! We can't seem to get fully staffed which is the main issue. I work for a good company with great benefits but it is hard to find hospice nurses with experience in las vegas. I work a lot of over time which is paying for my pool which I need to relax with this case load!
  8. I recently switched from med/surg to home hospice, it is very different. I am a case manager so depending on what your position is such will determine your responsibilities. I do bedside but manage the care for all my patients, aides, supplies, plan of care etc. Other RN just do home visits they are over flow, nights weekends etc. It is different for me because I have to show decline to make sure they qualify for hospice where as the hospital I had to show improvement. The charting is the worst part of the job, I spend a lot of time at home charting. I like the flexibility and being on my own and one on one with my patients. The families are usually harder to deal with than the patients. It is difficult to keep nurses in hospice, many don't like being in peoples home, but I really enjoy it. My company has had a high turnover with staff, the pay is really good(I am in Las Vegas), I moved here from NJ. Having med/surg experience is an asset in hospice, many nurses turn to me because of my experience with central lines, chest tubes etc. Good luck
  9. There is a lot more going on than just choosing which path to take. First you shouldn't be jerked back and fourth from day to night, 2nd a 4:1 ratio is almost unheard off unless you live in California. I have worked both shifts and am currently working nights because I took a clinical supervisor position and didn't have a choice. I am almost finished with my BSN and plan on going into more administrative roles and wil continue on for my MSN. Don't let the stress of one unit determine if this is right for you, try tranferring to another unit or outpatient work, such as infusion therapy etc. Bedside is rewarding but it has the highest stress level and it will get worse with the new medicare laws coming down the road. Try something different you may be surprised what you will find.
  10. Orientation is overwhelming. Stay on days, you will learn a lot more, due a good year or 2. Nights you need to be more independent and those skills you learn on days will caring over and really help you with nights. I have had many new grads go to nights and it takes them much longer to feel comfortable and learn more skills.
  11. What hospitals are Union? I have been applying to all the hospitals, I am in the process of relocating from New Jersey. I am just finishing up with selling my house. I haven't had much luck yet, but I don't know if that is because my resume shows the NJ address. I already have my NV license and can fly out for interviews, I am a little nervous about leaving a good paying job but my husband has been out of work for a year and has an offer in Las Vegas.
  12. I was hoping someone would have some words of wisdom for me. I have been feeling very conflicted between moving to a place for a better quality of life and leaving a job that I love.
  13. I recently became a clinical supervisor for my med/surg unit and I have been a supervisor for a rehab facility part time for a year now. I want to relocate to Arizona or Nevada but I am afraid it would set me back on my career path. I will have my BSN the end of this summer, and will start the MSN program next fall. I am looking to further my career in management but I am fearful that if I leave my current employment before having a few more years exp. it will hurt me. I have 3 yrs med/surg/oncology right now. Many positions for management want 5 yrs and BSN I would be a year short if I move next year. Any thoughts?
  14. I was just made clinical supervisor on my unit for night shift and one of the major problems is falls. I have been put in this position to "fix" the issues on the unit. A major issue is that when the bed alarms go off it is always the same few nurses running into the rooms, while other staff sit on their butts even if it is their patient. With the new medicare laws we don't get paid if patient satisfaction and safety issues are not addressed and this is based on our HCAP scores, which have fallen this past year. Maybe these nurses will start to run when the bed alarms go off if it means they won't have a job otherwise. I have my work cut out for me, many have been on this unit for 20+ years and are set in their ways and their chairs!!!!!!
  15. I turn my phone ringer off when I go to bed and don't want to be called which is almost every day!!!! If you have a union file a greivance every time you are under staffed and let them earn their dues by fighting for you. If you don't have a union see if one of your councils is working on staffing issues and get everyone on the unit to join forces and take a stand not only for yourselves but for patient safety. If it doesn't get better an anonomus call to the state will wake up administration and make them accountable.

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