MomBabyUnitRN

^^^^This

I absolutely don't think it's wrong to tell them you can't take patients. How would a med/surg nurse like to come up to L/D and take a patient? I used to float to med/surg all the time early in my nursing career from a PP/L/D floor. I worked med/surg for years and was comfortable there. Just because we've all gone to nursing school, those in administration believe we can be floated around and take patients wherever we are. Not true; the old days of med/surg are no longer. It became more specialized and when I'd float there, I was finding I was more of a hindrance than a help. So I'd go and basically work as an aide or a tech. I'd refuse to go unless going as a tech. I can take people to the bathroom, do VS, bathe and bring them dinner -- I can even help out in a code... but managing art lines is a different matter altogether. Yes, our med/surg floor took care of art lines. Give me a good old laboring mom... I'm comfortable there.

It can be hard to forgive yourself when a med error is made. I still remember my first med error; gladly, it has faded over the decades. I had floated to another floor which was common back then. It was a written order, but at our small hospital, we had no pharmacy at night, yet, they were supposed to fill the patient med drawer with the appropriate meds. When I went to give it (it was a cardiac med) it wasn't there. So I called our house supervisor who had to go to the pharmacy, unlock it and get me one and bring it to me. My fault was not checking what she brought me, but I assumed that it was the correct med. I took my patient in the meds and all was well... the next day, the pharmacy caught my error as she has signed out the wrong med to give me. My supervisor called to tell me I'd given a beta blocker instead of an ace inhibitor or vice-versa -- I don't recall. But I do recall the conversation. She's still a friend to this day and I'm grateful she used it as a teaching moment instead of a blaming and shaming moment. No harm came to the patient, but I learned my lesson that giving medications are to be checked, and double checked and using those 5 rights, I would have caught it myself. I didn't have the right med. Stupid mistake and I was totally in the wrong. Kinda like drawing up a medication and expecting another nurse to use it. (Yes, I've seen nurses do that) I'm no longer doing bedside nursing, but teaching now. I wish we were all perfect. We're not. No one is. Forgive yourself. You're going to go on to be a great nurse and help many people and save lives. Best of all, forgive yourself.

Where I work, it's $800 per credit. My CNA class is a 4 credit class; so it's $3200 per semester. Some semesters are module classes meaning they may be only 8 weeks long or it could be a traditional 12 week semester. The clinical instructor gets 1 or maybe 2 credits of that which is $800-$1600. (If there is a T.A., that's 0.5 credits s/he earns.) The CNA instructor gets the other 2-3 credits. I also offer non-credit CNA classes. Those are paid hourly at $25 for the CNA instructor (Which has to be an RN) and $20 for the clinical instructor (which is usually an LPN). If an RN does clinicals, it's $25 an hour. As a CNA Coordinator, I have to teach one 12 week credit class a semester. I get zero credit money; just my usual salary. If I teach another credit class, I do get that adjunct wage of 2 credits. The other 2 credits are split up between the two clinical instructors.

What do you mean they oversold it?

I've been teaching high school CNA classes for about a year and a half. I love those kids! They are so much fun. These are 4 credit classes that they take through our professional-technical education program. Most of them are wanting to on to earn their RN and having a CNA is often a prerequisite. I also teach college non credit CNA classes and both classes are taught basically the same, except I have more projects for my high school classes. They are now also required to join HOSA in our state. I was just promoted full time to CNA director (my bosses job) as she went to the PN program. I won't get to teach the high schoolers anymore, and I'm sad over that. But on to newer responsibilities. :) Good luck to you in your role! You'll have a great time!

Hi fellow nurses... I'm in this class right now, and I can feel your pain so acutely. Is that Era III? Anyway... Just know that you're not alone in your painful feelings of reading and trying to understand this. :)

Oh my gosh... sorry, I just seen this! I have 46cu's left to get my MSN. I believe you have to 150cu's to get your MSN. My first term went very well. Booted up some classes from my next term to finish this one. I LOVE WGU!!

I go to WGU and have never had a course mentor that doesn't have a Ph.D. My student mentor has an MSN however. I know that there are course mentors that have MSN's, but they're generally not teaching or lecturing there. At least, this has been my experience since I've attended. I LOVE WGU. It's been a very positive experience.

I am starting the first of July. I have two friends who have gone there. One completed her MSN and now teaches (at home) for WGU and one completed her BSN and works for public health. She is pregnant and will continue her education for her MSN at WGU when the baby is born. Their enthusiasm has encouraged me to go back! Right now, I am an ADN and teach CNA classes, but would like to do home teaching plus gaining more knowledge is always a plus, right?! :)

It's been a long time since I worked in a SNF, but it was against policy to get residents up before day shift. We didn't mind getting them dressed if they were already up, but to physically get them up and get them dressed was considered assault (I think) by the admin. because it was against their will. Breakfast was usually at 8 or so. Day shift got there at 6. Restorative aides got there at 5 to start the few baths that they could do. We pretty much had a skeleton crew at night anyway. At the very least, we'd have 6 or 7 dressed because they were already awake and wanted up.

Hi Rhonda. I work in L/D part time. I remember when I first started working there, we'd use oranges (baby's head) to apply fetal scalp leads. That orange would be in a box of course. And it would be held there by the instructors hand. That was useful. We can guess hemorrhage(water and red jello) amts on blue pads. There are four different stations of hemorrhaged blue pads. Guess in mL's how much blood she's lost. We weigh pads if needed on our floor. Do a strip review of a a few different types of strips. Decels, variables, accels, ones of varioius variability and contractions. Does that help?

We follow AWHONN as well.

Just curious to know your Group B protocol. Ours keeps changing and it's driving us nurses crazy.