Staragate

It's regulated by medicare. Generally: 12 patients per nurse. 4 patients per CCHT(tech) The techs handle most of the hands on stuff. The nurse does in/out assessments, med checks, foot checks, admissions, care plans, trouble shooting, medications, education.

Wiggle the cap back and forth. Perhaps putting ice around it to get the plastic to shrink a bit. Make sure your gloves are dry.

So, I'm an acute HD nurse. I work crazy shifts where 16-18 hour days are common. I have been doing this for 3 years, but I can't keep this up. I had C4/5 spinal fusion and the radiculopathy is already coming back post op. It's worse when I'm fatigued. I don't want to work in the clinic again. I have been a nurse for 5 years now. I've never worked FOR a hospital, but I work IN a hospital as a contractor. So for health reasons, I need a career change. I've always enjoyed education. I'm working on an (ADN)RN-MSN in Clinical Leadership. Tracks I'm looking into are transplant coordinator, doctor's office nurse, case manager. I would love to be a nurse educator, but I don't have that degree yet. I'm wondering about the dramatic change in specialties and if I will even get hired? What do I say about why I want the change, when I don't want to highlight my medical problems? Also, I will lose any FMLA benefits if my condition worsens again with a new job. I will have to start out with a new out-of-pocket total with insurance. So many what-ifs. I would love any advice or assurances.

I did both. Dialysis is better, hands down. SNF gives you an unreasonable workload, understaffed, under trained and under supplied situation. ...and I worked at one of the better ones! In dialysis, you have the same patients all the time, about a dozen meds to worry about and likely no night shift. I like it a lot better, though it is still very challenging. If you can get a base in hospital experience first, that is best. In this climate, that can be hard for a new grad to get hired in one.

:) :) :) New nurse on the unit, getting kudos from both patients and the Sgt Nurse.

It's a separate book... med surg study guide. Check your college library, they might have it. Mine did

I got a kid's Timex watch for $20. Analog watches are hard to find and much more common in the kid section. The one I have looks very grown up and fits my small wrist. If the strap is too small, you can buy a new strap.

Arizona ADN. LTC job full time $29.50/hr Quit for low census. home health $36/hr... limited hours. Dialysis. $28/hr. Full time. Only doing this now. It seems the salaries go up if you aren't in a hospital and specialize.

Better not work in dialysis then!!!

1 page, no more unless you are going for CM or higher. Remember, resumes are Cliff's Notes for your career. Keep it relevant. Include departments and hospitals for school, GPA if higher than 3.5. Include all health care employment for the last 5 years unless you job hopped. If you don't have health care experience, include skills used in your basic job that would make you appealing. If you were the one searching for a candidate, you don't want to read an essay. What would you want to see if you were the interviewer?

Way too many grumpy pants lately. Besides, I'm proud of myself. I landed in a specialty as a new grad. Job hunt has been real feast or famine. Most of the 'feast' has been mediocre.

I quit my LTC job, which I hated. Now I'm hired into a dialysis clinic, have a long orientation and love my new boss! ... and I am a new grad.

I've been hired as a new grad, but I get a 10 week orientation. They are training me as a tech and then learn the RN part of it. I love it so far. Classroom training with clinical days, like in nursing school. I'm 4 weeks in now. Be prepared for lots of safety videos and power points. . i'm noticing that the majority of the staff have been there a long time. This bodes well, but it does vary by clinic.

New nurse, no experience $28 AZ

With a new nurse, you line your purse. A bargain you have made! Load up the boat with easy scapegoats. A bully has it made in the shade!

Chocolate milkshake.

I love Carla from Scrubs. The show is hilarious, but don't mess with Carla!

My facility has itty bitty "grab bars". It helps the patient grip the bar so she can turn and repostion by herself or with help. Otherwise, we don't have them. In my LTC, side rails are considered a restraint, but grab bars are not. *shrug*

You need to do better than a C+ average. College courses are more difficult and in depth than high school. That means really focusing and getting INTERESTED in it. I recommend the BSN route and try to take as many courses at your community college to transfer in/save money. Take all the prereqs first, apply, then head right into the Co-Reqs while you are waiting entry. You don't want any non-nursing classes to distract you while you are in the program. I personally went the ADN route. I plan to get my BSN in a couple of years. BSN doesn't make you more money for the most part, but it does give you a lot more opportunities.

Generally, the alarms are put on when the patient is shown an inability to judge. Like dementia or confusion. If someone has an altered LOC, then they can't judge as well if they can walk safely. You can educate, but you can't rely on the retention of information. This plus impulsiveness makes for a dangerous combination. If they are AOx4 and simply stubborn, then educate and document like crazy.

Use it to help study for exams, it's really helpful! Use it to review points that are unclear. The practice questions are excellent.

We take opportunities where we can get them.

Ha! Yesterday, I got all my assessments done in the morning. I'm still really thorough, so it takes me a while. I got charting done midshift and got out in time. No emergencies, no admissions.... just the LOL who pulled out her PICC after it had JUST been reverified. :)

cute!

So far, I am liking it. There is no end to excitement though. I've been at this two weeks and I've had one hospice passing, an attempted elopement, two trips to the ER. One was a flu, but get this about the other one... I came to work and this gentleman had a drooping face and left sided weakness. I sent him on to the hospital. He got admitted to the ICU. I got a thumbs up from my boss for that. I get a kick out of my patients and wish I could spend more time just talking to them.