RNKPCE

RNKPCE

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All Content by RNKPCE

  1. Wanting to Work in California, I need to know everything.

    RNKPCE replied to Nurseboi's topic in California Nursing

    I would look into travel nursing. That way your housing is paid for and you aren't locked into a long term lease. I agree that you need a car for almost anywhere in Cal, espec by the beach. San...

  2. Break at the beginning of the shift

    RNKPCE replied to maggiecheung's topic in Patient Safety Issues

    I agree that you should get another break. After reading your first post I search on-line for CA labor laws and it says that rest breaks should be if possible in the middle of each 4 hour work period....

  3. Break at the beginning of the shift

    RNKPCE replied to maggiecheung's topic in Patient Safety Issues

    From your posting it says you are from California. Did this practice of meals break at the beginning of the shift start when ratios started in January? We have a break nurse who works 11a til 7:30p,...

  4. How fast to you run a unit of blood?

    RNKPCE replied to DutchgirlRN's topic in General Nursing

    If the doctor doesn't prescribe a rate I run it over 3 hours, our units are aprox 240cc. We wouldn't have a shocky patient needing blood on my floor n quickly. Like 3rdshiftguy we have a lot of CHF...

  5. What should they teach in nursing school but don't. What do they teach but shouldn't?

    RNKPCE replied to Roland's topic in General Nursing

    When I went to school we had nursing diagnosis( alteration in skin integrity instead of decubitus), that was worse than what we use now for care planning. Now we list problem statements. For example...

  6. old skills that we do not use anymore

    RNKPCE replied to sassykitkatt's topic in General Nursing

    Palplate the radial or brachial pulses, then pump up sphynommeter(sp), when you first feel pulse again that is your systolic. You won't get a diastolic. So it will be 80/p

  7. Are you on pay when giving or recieving report?

    RNKPCE replied to oldhag's topic in General Nursing

    Do you realize that they are saving about a minimum of $5k a year per full time employee by what they are doing? Assuming 3 shifts a week, 50 weeks a year, at a pay rate of $32/hr equals $4800 they...

  8. Are you on pay when giving or recieving report?

    RNKPCE replied to oldhag's topic in General Nursing

    We are paid while getting report, we do written report and when the oncoming shift if getting their report we are still taking care of patients. Our shifts overlap 1/2 hour. If the night shift gets...

  9. plavix use and CABG

    RNKPCE replied to heart queen's topic in CCU, Coronary, Cardiac

    I heard this was the reason they held off Clinton's surgery several

  10. old skills that we do not use anymore

    RNKPCE replied to sassykitkatt's topic in General Nursing

    I remembering having the apothacary system on my first dosage and solution test in first semester of nursing school. About the only thing I remember is that V grains of tylenol is equal to 325mg. The...

  11. cardizem drip nurse/patient ratio

    RNKPCE replied to lihuejan's topic in Patient Safety Issues

    We get Cardizem gtts on my tele unit. Ratio are 5:1 on all shifts but usually days and pm's have about 4 patients. Insulin gtts require ICU as they require blood sugar check far to often for our...

  12. SHIFT DIFFERENTIAL AND TIME & A HALF...please define

    RNKPCE replied to leeh's topic in NCLEX Exam, Programs

    The funny thing is I only work 2(8hr) shifts a week and rarely work extra. But I am pretty familiar with our contract. My friend works at another hospital and they get 1.5 times pay if they come in...

  13. SHIFT DIFFERENTIAL AND TIME & A HALF...please define

    RNKPCE replied to leeh's topic in NCLEX Exam, Programs

    I don't know the legal stuff around overtime, but if you search "overtime" on this forum there are quite a few postings. The has been some stuff regarding federal laws and overtime recently making...

  14. SHIFT DIFFERENTIAL AND TIME & A HALF...please define

    RNKPCE replied to leeh's topic in NCLEX Exam, Programs

    In most institutions this is what I think it means: Shift differential : it is the added amount you make for working a shift other than day shift. This can be done is a percentage for instance 10%...

  15. Hospital shut down yesterday!

    RNKPCE replied to KacyLynnRN's topic in General Nursing

    San Jose Medical Center which is the only hospital serving the downtown San Jose area is now closing in 90 days instead of in 2007. They are owned by Columbia HC They have lost over $45 million in...

  16. what are they looking for during probation period?

    RNKPCE replied to Ms.RN's topic in Nursing Career

    competencies, attitude, work habits Just because your weak in an area does not mean you will be let go. This is espec true in the area of competencies. They should sit with you and develop an...

  17. weekend differential

    RNKPCE replied to allevi's topic in General Nursing

    10% diff for

  18. Jacho

    RNKPCE replied to HazeK's topic in Medical-Surgical

    Ours was the end of July. They used the tracer methodology which is a way to analyze care by following patients through the healthcare system in the sequence a patient would follow. Example a patient...

  19. New grad not wanting to work

    RNKPCE replied to MSMCnurse2004's topic in General Nursing

    I won't make any judgements about working or not. But I do want to say it will be harder finding a nursing job later than it is now. You have skills that are fresh. You will probably have to take a...

  20. IV heparin, PCA and central line question..

    RNKPCE replied to daz2003's topic in MICU, SICU

    It would be rare to disconnect a Heparin gtt so patient can shower, and only with an MD order. Fortunately not as many pt on heparin these day since lovenox is avail. Hospital policy flush central...

  21. Earthquakes

    RNKPCE replied to jaimealmostRN's topic in California Nursing

    I also experienced the Loma Prieta Quake in 1989. I was at home and my husband was outside. When the rolling started it seemed like it was never going to end. I really only felt little shakes before....

  22. ER experiences with cooking

    RNKPCE replied to sierranurse's topic in Emergency

    The ER nurses where I work say they see a lot of turkey related injuries on Thanksgiving. Burns, dropped turkey on feet(broken foot), GI

  23. What do you like/dislike about being a nurse ?

    RNKPCE replied to mandi88202's topic in General Nursing

    I like that every day is different. I meet wonderful patients that make a lasting impression on me. The job is flexible. I don't have to work 9 to 5. I can work very part time to full time plus. I can...

  24. telemetry floors and staffing

    RNKPCE replied to lee1's topic in General Nursing

    We have 5:1 all shifts, in reality we average 4:1. We don't have a closer observation unit within our unit. We have a stepdown unit between us and ICU they are 4:1, and it can be pretty rough with the...

  25. Evening Shift - support needed.

    RNKPCE replied to Anniekins's topic in General Nursing

    I have worked evenings for 14 years and don't feel that it is disorganized as much as it is different. Day shift comes out of the starting gate running and doesn't stop. Evening picks up the mood of...