wonderbee

wonderbee BSN, RN

critical care; community health; psych

Member

All Content by wonderbee

  1. Took my Florida education up North and...

    Looking back, I can see where I put myself into total shock once I graduated. I left flat hot Florida for mountainous cold landlocked Pennsylvania. I left a community hospital population and mentality...
  2. I was wondering if any other new grads did what I did. I graduated from a community college program in South Florida. I had done my clinicals at local hospitals like West Boca, Boca Community and my...
  3. QUestion for the UPMC Nurses.

    Depends on the unit. Some units (like outpatient departments) start their pay much
  4. NCLEX test in one week from today!

    I got Mosby's online computer adapted NCLEX practice test (Mosby's CAT). After taking it a couple of times and passing it, my confidence was where it needed to be to focus on the actual test. It cost...
  5. older new grad not a night person

    What happened to the days when you signed up for a certain shift? There are day people and there are night people. Why do we put staff through this unneccessary stressor on the body? With an aging...
  6. Told to pee in her depends

    This could be a case of a family not willing to go the distance to do the deed. Putting mom in a SNF is a hard decision and no one wants to be the bad guy or even admit that it's necessary. Maybe mom...
  7. Told to pee in her depends

    I understand the OP's concern for the resident. So you do the best you can with what you have without anyone putting themselves in harm's way. This does not sound like a case of a max assist x1 or...
  8. new grad-critical care info.

    Have you been filling out online applications? They usually don't get much attention without a phone call to the recruiter. That was my experience when I was a new grad. Can't say much about Philly....
  9. 1 year in and I want out

    Sorry to see another one leave the profession. No doubt about it, nursing is a tough field. I think many of us had our doubts in school. I know I did. I have to say that my first year was pretty...
  10. recerting too many times

    I haven't run across this in HH but have in hospice. In hospice we held on to patients far too
  11. Q re: Home Care Orientation

    Orientation? Is that what they call that? What a joke! My agency (a small, fairly new one) sent me out too early to do too much. Three weeks out I had a full schedule with SOCs. The result was that...
  12. Can Employer demand production of medical records?

    The poor kid has narcolepsy and it's been flaring up. She's a HHA and has been having sleep attacks at terribly inopportune times. Now a sleep attack isn't what you think it is. She may simply be "out...
  13. Too slow for med-surg: other work options?

    Hospital case management. Lots of paperwork and tedious detail, not a lot of hands-on direct patient care. HH might not be a good choice. Acute care experience needs to be strong enough to handle...
  14. ready or not?

    Really, you don't see much different in the field than you do in the hospital. People are people and the wound care supplies are pretty much universal. We do a lot of wet to dry and see a lot of the...
  15. Fired for Yelling at Preceptor!

    This is not a battle you are going to win. If there is anything to be learned from it, tuck it in your brain for later use and walk away. What do you want HR to do? Do you want your job back? It...
  16. Don't you think that HH is a whole different ballgame? I do believe every day is an adventure and we meet so many souls out there. Some are kind and hospitable, some are mean and scary and others are...
  17. On admission, patients are bound by our admissions documents including "Patient Rights and Responsibilities". Terms include maintaining a safe environment for staff as well as respectful treatment. If...
  18. I don't want to come to work on my days off.

    The powers that be are trying to misappropriate something that belongs to you, your time. Why should you feel
  19. Hospice Vs Home Health

    I could share some of my experience with you as I left hospice for HH and have equal time in both. The pros of hospice are that you usually have time to get to know your patients and develop a...
  20. Do You Tell EVERYONE You Are a Nurse?

    Generally, I play it by ear. I don't feel a need to announce it to the world. Truthfully, family is the worst offender and there's no hiding it from them. Usually it's older relatives and the younger...
  21. PBCC-palm beach comm. college

    It was about 5 years ago so memory is kind of sketchy but I think it was 23. They really look at those NLN scores and your science prereq
  22. Just as an aside, this region is not experiencing a shortage to the same degree as others. I've heard it said that Pittsburgh is near saturation. With UPMC holding over 50% of the medical card deck,...
  23. A sign on bonus may look good now, but when you're a few months in and have discovered you are in hell, that bonus becomes a noose around your neck. It is a loan. Think "loan" with promissory note,...
  24. I work for a private HH service (like who doesn't?). Prospective pt. lives alone, alert and oriented x3, was called to expect visit. A second call was made on the road about a half-hour before arrival...
  25. HH RNs-I need advice!

    You've seen a lot in your time as an LPN in long term care. How are your assessment skills? Do you think, for example, you could recognize a probable DVT when out in the field by yourself?...