brillohead ADN, RN

Cardio-Pulmonary; Med-Surg; Private Duty

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All Content by brillohead

  1. brillohead

    Nicu to home health. Am I crazy?

    For private duty, lots of people are signed up with more than one agency at a time. There are always cases SOMEwhere, you just have to get your name on every list. Don't rely on one agency to keep...
  2. brillohead

    NCLEX Pass Rates vs. Graduation Rates

    Honestly, I think going to a full-competitive process is going to significantly increase graduation rates. It's going to disqualify all the people who were marginal to begin with... the people who...
  3. brillohead

    Unit Manager Demands I Cut My Hair

    Any updates? Still getting grief since the "shorter but still ethnic"
  4. brillohead

    Interim Permit

    Keep in mind that once you get your ATT, that doesn't mean you'll be able to take the NCLEX that same day -- there may be a delay until you can get a testing spot. All those other applications being...
  5. brillohead

    Starting over age 40

    I graduated with my ADN (my first college degree) at age 44. My job experience prior to that was fast food management, banking, propane management (I sold propane and propane accessories!), and then...
  6. brillohead

    white scrub tops and jackets

    Another white-top-wearer here. I hate it (I don't wear white in my personal life because I'm such a klutz!), but I like being employed, so I suck it up. The bleach wipes for C-diff disinfection work...
  7. brillohead

    What would you do if you knew someone was actively using

    I couldn't live with myself, if I knew that someone was under the influence while caring for patients. I would report it to her employer and report it to the BON. It's a nice thought to "warn" her,...
  8. brillohead

    What Nurses really Want to Say When They Chart

  9. brillohead

    Refusing a case in home care

    We call that Private Duty Nursing (versus home health, which is usually just short visits in multiple homes per day), and there's even a separate forum here on AN for it:...
  10. brillohead

    Nicu to home health. Am I crazy?

    Instead of Home Health (many visits per day, driving all over the place), maybe look into Private Duty (working a whole shift in just one home). Especially with your NICU experience, you'd be in high...
  11. brillohead

    Hard to not gain weight working nights

    How on earth do you have enough time to eat that much at work? I get a lunch break around 12:30ish, I scarf down something from the cafeteria, and I'm back on the floor
  12. My hospital recently started using a nurse-initiated electrolyte replacement protocol. We have one for ICU and another for med-surg, and it's an order set in Epic. If the attending has ordered the...
  13. brillohead

    Are nurse's all that and a bag of chips?

    Too lazy to read the whole thread, but had to share
  14. brillohead

    Small hospitals/units bigger drama hotbeds?

    I think a lot of it depends on management. In a small unit, you can also have a bigger sense of "family" where people look out for each other. And in a large unit, you can have a lot of "strangers"...
  15. brillohead

    Physical for new job-question

    My last two pre-employment physicals included a TB test, peeing in a cup, standard vision/color blindness test, vitals, then in to see a NP/PA to listen to lungs/heart, glance in eyes/ears, bend over...
  16. brillohead

    NCLEX Pass Rates vs. Graduation Rates

    I think there are MANY reasons that need to be taken into consideration, and I don't think it's always possible for a school to disclose them because in many cases the school has no idea why someone...
  17. brillohead

    Sleep Rooms

    Oh, how I wish this were the case! Last night on various patients I hung IVPB antibiotics or fluids at midnight, 2am, 3:30am, and 5am. I had IV or PO meds at midnight, 2:30am, 4am, 5am, and 6am....
  18. brillohead

    BSN degree seems off topic

    I'm going to get my BSN simply because my hospital requires it within five years of hiring on. I have no desire to become a CRNA or NP or get my MSN or get a job in management / away from patient...
  19. brillohead

    Sleep Rooms

    Exactly. Plus, I am never tired at night... I sleep in the daytime before I go to
  20. brillohead

    How do you wash your scrubs?

    I love peroxide for blood stains. If it's not stains but "decontamination" that concerns you, just wash and dry them on hot. No virus or bacteria is going to live through a hot water wash and hot...
  21. brillohead

    How to manage life on night shift?

    Our unit is really good at making sure everyone has a chance to run down before 0100 if they didn't bring a lunch. Even if you don't get to eat it right away, you have a chance to get your food and...
  22. brillohead

    How to manage life on night shift?

    This totally depends on the facility. Our cafeteria opens from 2100-0100 for the night
  23. brillohead

    Nasonex use for trach patients?

    I would think that the nasal spray is to reduce production of nasal secretions which will then drain post-nasally (and, as you noted, need to be suctioned). I have year-round allergies (dust / dust...
  24. brillohead

    Union vs Non-Union

    There are two major hospitals in my area. One is union, one is not. The non-union hospital has higher wages and lower nurse-patient ratios than the union hospital. IMO, you want to look at the...
  25. brillohead

    LPN, BA, MA

    Depends on what kind of nursing you want to do. Hospitals in my area (SW Michigan) are hiring ADNs (I have been one for three years and just got hired into a hospital a couple months ago, and we have...