wonderbee

wonderbee BSN, RN

critical care; community health; psych

Member

All Content by wonderbee

  1. Happy Nurses Week!

    A couple of us are taking our CNAs out to lunch for some time out and fellowship. I really think they have the most difficult job with our hospice
  2. Moving to Pittsburgh

    Agreed UPMC Presby is a brutal nursing experience. My career began there and I was out by my one-year anniversary. The patients are sick, the morale is low, parking sucks, the pay is substandard. A...
  3. How many pts do you care for?

    Our team is new and still growing. When I was hired on, I took on cases from a very overloaded RN case manager with over 30 patients. She has an LPN and was utilizing two very capable HHAs. I don't...
  4. A Serious Problem

    You are the one who has them over a barrel being the only RN. They need you more than you need them. Perfect time to set some boundaries. When we get into a crunch, our PCC gets into scrubs and onto...
  5. What does it mean...

    To me hospice nursing is bringing the compassion back into a profession which was once all about compassion before staffing issues and managed care came into play. Hospice focuses on the art of...
  6. ICU jobs in Pittsburgh...

    I went to Presby's neuro trauma ICU right out of school. I was hired during the summer before my final semester. It was shockingly easy. As a new grad, I was set up with a tour of all the ICUs and...
  7. New Grads in Critical Care?

    Try UPMC Presby. Critical care orientation lasts 12 weeks. That's six weeks in the classroom and six weeks on the unit. More would be
  8. An Eye Toward PA: Your Experience Requested

    You don't have to go far outside the city (Pgh) in any direction to be in some beautiful countryside with rolling hills, wide open spaces and woodlands. The region is pretty difficult to navigate. I...
  9. Mileage reimbursement and when does "time" start for you?

    I think this is an expansion of my "corporate, do they have a clue?" thread. In my company, and I'm guessing most everyone's, that first trip of the day and the last one too is gratis. It's your dime,...
  10. How Do I Know If I Can Handle Hospice?

    I started hospice with only a year's experience. I'm new in hospice with only 3 months. It's much different than my critical care job. I think every new job has it's honeymoon period. Mine is over and...
  11. How much notice to give?

    I would say to at least finish out your current schedule. What kind of relationship do you have with your SICU manager? Why not just have a conversation with her. You know, talk it out. If your...
  12. HELP! Nosy pt family member driving me crazy

    You're not going to be able to change this one. I have a patient who is focused on her bowel patterns (she has IBS) to the exclusion of everything else. It drives me crazy though I try to change the...
  13. Hospice Nurse Burnout

    I'm new in hospice. Just three months in the field from an ICU background. The honeymoon phase is over and I currently have a case load of 11 patients scattered in four facilities and two homes. I...
  14. Getting my own cases now.

    After a month of orientation, I'll be getting my own case load of 10 pts. starting next week. We'll be pulling from other nurses who have been way overloaded. As these cases are transferred to me for...
  15. New member

    There was one family. They were mostly nurses themselves. I knew what they wanted. They each came from different states and the process was taking a laboriously slow turn. The patient was at the door...
  16. How is your medical director?

    He's wonderful. Ethical, kind and knowledgeable. Maybe a bit chauvinistic but in a charming sort of way. He likes to suggest rather than be autocratic. We are very fortunate to have him on our
  17. Finding Hospice Nursing Position

    The reason hospice organizations don't hire new grads is because the nursing is autonomous. You're out there alone with only your assessment skills to rely upon. The nursing isn't rocket science to be...
  18. Old and apprehensive

    I can't help with the anxiety thing. You do need to get a handle on it. You might want to look into getting a good physical exam. But as for the age thing? 50 is a number. There's 50 and old and 50...
  19. I've got to chime in here and you are right, you will get some negative responses to your plan. There are inevitable sacrifices that come with getting out of an abusive relationship. You will have to...
  20. Med error could cost my job? Need help!

    This is a more common occurrence than many care to admit. It's so easy to happen. I've seen it dealt with by wasting the next day with a buddy who won't make waves. We kept a written log for...
  21. Questions about Remeron?

    My son took Remeron. It was extremely sedating. If it's qd, you should talk to your provider about taking it
  22. Thinking about leaving critical care

    I read your post with great interest. It sounds a lot like my own story. It was difficult facing each day on the unit knowing I was a weak link on the nursing chain and just 10 months into my new...
  23. RE; Hospital employment

    The pre-employment test you refer to wasn't given to me here in PA. I did have to take one in Florida. I was top of my class in pharmacology but the questions they asked on that test were beyond the...
  24. Oh how I wish I had a better general experience (one I got in med-surg) before making the leap from nursing school directly into critical care. I watched others go through much the same experience....
  25. I just love CODES!. . . Not!

    Having to run codes was one of the reasons I left critical care. We would take turns as code responder. I realized that at 52 and having bad knees, running with the code bag up and down stairs was...