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Hyperbaric Medicine and Wound Care
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CaliBoy760 has 20 years experience and specializes in Hyperbaric Medicine and Wound Care.

CaliBoy760's Latest Activity

  1. CaliBoy760

    Saltines - thinking beyond the office

    Justin Wilson, the Cajun cook, had a recipe for no-potato potato salad using saltines instead. Never tried it, but it seemed interesting... No Potatoe Potatoe Salad
  2. CaliBoy760

    LPN Revisiting Traveling Nursing

    I had a great time as a travelling LVN, although it can be difficult finding the right kinds of assignments.
  3. CaliBoy760

    Outgoing LVN refuses to do a Narc Count

    In the big scheme of things? Probably not. I refuse to start my shift until the narc count has been completed, and scrambling to find another nurse to do the count is a waste of my time and theirs when the nurse responsible refuses to do an integral part of her job.
  4. CaliBoy760

    Outgoing LVN refuses to do a Narc Count

    I agree. But, it's never the nurse who has actually done the med pass. My issue is with the LVN who did, but still refuses to count narcotics at the end of her shift.
  5. I've been working the NOC shift (6P-6A) at a county correctional facility for a couple of months now. One of the nurses who I relieve from day shift refuses to do a narcotic count with me at the end of her shift. She makes the excuse that it's already been done when I arrive, and the RN backs her up on this. Every time I come to work, I ask her politely to do the count, and every time she refuses. Luckily, there are other nurses that understand Nursing 101, and will assist me in the count. I have informed my nursing supervisor of this problem, and his response was that "hopefully you two can work it out...". I have no intention of jeopardizing my nursing license because some other nurse refuses to do her job, but, I'm becoming increasingly agitated when I know I'll have to ask her again, and she will again refuse. Thoughts?
  6. CaliBoy760

    Help! LVN Wages?

    Pay really is all over the map, even in California. My first job out of school was for $19.21. Second job was $27.00. Third job was $31.00. And then the recession hit and the bottom dropped out of everything. At the time I had enough experience to start working as a travelling nurse. Mostly Primary Care and Urgent Care as a maternity leave replacement where I made between $25.00 and $27.00. BTW, I went to Kaplan in Vista, and, if you ask me, the nearly $30,000 price tag is a joke. If you choose to go LVN, do it at a community college.
  7. CaliBoy760

    Hospital that bans family members

    Working the NOC shift will significantly lower your exposure to family members...
  8. CaliBoy760

    Mobile IV infusions... for hangovers

    Before working in an Urgent Care Clinic, I had no idea how profoundly beneficial a liter bag of NS could be. I learned that chronic dehydration can be manifested without any real physical symptoms other than generalized malaise. Pushing a liter of fluids and watching them perk back up was a real joy, especially in the peds cases. I don't see moving that to a HH environment as any more, or less, dangerous with adequate assessments. As to O2 use for hangovers, as a flight medic in the Air Force we used to strap on our helmet and mask and breathe O2 under pressure for 5 to 10 minutes after a rough night. While it may not have completely cured the hangover, it certainly lessened the symptoms.
  9. CaliBoy760

    Potential Kaiser assignment, opinions?

    Frankly, I'd be more concerned with AMN than with Kaiser. As a traveller, you are hired help to both the registry you're working for and the receiving facility. I did a stint at Kaiser through one of AMN's affiliates. The management are not nurses, and therefore, do not understand any concerns you may have as a nurse. Their English comprehension was hit and miss at best. You are expected to know your sh*t right from the first shift. As a traveller you get used to that, and should expect it in any new assignment. The nurses I worked with were, generally, helpful, and I got through the assignment fine. P.S. If you hit them hard enough for mileage reimbursement, they will cave and give it to you. Same goes for your hourly rate. Don't be afraid to play hardball during negotiations.
  10. I have been working registry/travel for the last couple of years. Whenever I apply for a new position I'm asked to provide my work history including my supervisors name and contact info. I never know how to answer this. Yes, as a travel nurse I reported to an onsight supervisor, but they really weren't my "supervisor" in the true sense of the word. Often times I reported to a voice on the phone who may have been in an entirely different state. They are the ones who can verify my employment dates and such, so I end up listing them. After all, they are my actual employer. How do you handle this question?
  11. CaliBoy760

    First on scene to car wreck

    I keep a basic med kit in my car that includes a box of gloves, a seat belt cutter, and several towels. I was on vacation recently and had just checked in to the hotel when a medical transport van was t-boned right in front of the hotel, flipping it on it's side. There was a patient on a stretcher in the back who was hanging sideways and I had to cut him down. He was basically unharmed but the two attendants were cut up pretty bad, one with a shattered elbow. You do what you can to stabilize, control any bleeding, check ABC's, and wait for EMS.
  12. CaliBoy760


    My mother was an ER nurse in the inner city and she carried a snub nosed .38 in her purse in to work every day. This was long before Draconian laws prevented doing so. I own firearms, but I don't feel that I work in an environment that warrants carrying, either at work or out in public. But, I don't fault those that have a different opinion on the subject.
  13. CaliBoy760

    Picked on by resident

    Tell your DON what you've just told all of us. It's no big deal, really. Patients who have been in the hospital for extended periods sometimes try to create drama where no drama really exists. You could also make a point of checking in with him before the med pass and ask him if he is in pain and if he'd like his Tramadol. Believe it or not, most patients don't really understand the concept of PRN.
  14. CaliBoy760

    I used Kaplan and didn't pass NCLEX on 1st try

    I'm not sure why you singled out Kaplan as the reason you didn't pass. You failed because you didn't correctly answer the required number of questions. That has nothing to do with Kaplan. All NCLEX study aids, and, indeed, the NCLEX itself, are dependant on you understanding what question is being asked. I, personally, found those study aids to be a joke. NCLEX questions are written in a way that the answer is in the question, and it is up to you to decipher what the question is. It's Critical Thinking 101, and if you have relied on "study aids" to pass, you'll likely continue to be disappointed. Instead, I would suggest that you get your hands on 50-100 actual NCLEX questions. Black out the answers, and then try to decipher exactly what is being asked in each one. Even if the answer isn't clear, once you understand how the question is written, and what is is asking for, you'll be better prepared to answer it.
  15. CaliBoy760


    The vast majority of Travel Nurse agencies are RN only, with the (very) occasional LVN/LPN slot. I'm currently working for Cirrus Medical in California at $27.00 and hour. One thing I've noticed as an LVN is to focus on agencies that staff government facilities, i.e., the VA, and military installations, both of whom still utilize licensed nurses.
  16. CaliBoy760

    Attention New Nurses in LTC. Night shift is where it's at.

    My first (and only) job in LTC was a 12 hour NOC shift. I enjoyed it immensely and I learned a lot, especially time management. Three med passes actually ate up most of the shift, and charting between the hours of 2400 an 0300 took care of the rest. As has been mentioned, no management, no docs, fewer family members, and the patients slept most of the time. It really is a hidden gem of a shift if you can tolerate the circadian disruption.