RNinSoCal

RNinSoCal

Home health, Med/Surg

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All Content by RNinSoCal

  1. First Travel Assignment

    RNinSoCal replied to laughingthrutheday's topic in Travel

    I hope they are paying for your housing. I worked at Sequoia Hospital (which is 20 minutes from Stanford) in 2008 and made 57 an hour as a staff nurse on med/surg. My rent was 1625 per month for a...

  2. Need resource for MD orders guidelines please

    RNinSoCal replied to RNinSoCal's topic in Nursing Educators, Faculty

    You are misunderstanding. They are doing this on the regular order pages outside of the monthly printed orders forms-on the hand written daily order sheets. The regular MD order sheets look like a...

  3. Need resource for MD orders guidelines please

    RNinSoCal posted a topic in Nursing Educators, Faculty

    Hello educators, I have run into a problem with nurses crossing out MD orders that have been changed or discontinued at a LTC facility. For example an order written on the MD order sheet reads...

  4. crossing out MD orders??

    RNinSoCal posted a topic in Geriatric, LTC

    Hello all, I have not posted here before. Switched to MDS nurse (LTC) from med/surg for a change of pace. My feet still hurt from all the years of med/surg!! Not that LTC nursing is easier, just...

  5. crossing out MD orders??

    RNinSoCal replied to RNinSoCal's topic in Geriatric, LTC

    I have not been able to find any professional nursing or medical texts/articles on orders charting. I wonder if there is a standard for orders that I would be able to bring to the nurses as evidence....

  6. crossing out MD orders??

    RNinSoCal replied to RNinSoCal's topic in Geriatric, LTC

    I agree, it makes the original order appear to be invalid. It also could look like nurses are trying to falsify medical records when viewed from a legal standpoint. I have to say something to some...

  7. crossing out MD orders??

    RNinSoCal replied to RNinSoCal's topic in Geriatric, LTC

    OK, here is what they are doing: MD order on regular order sheet " 6/15/10 Tylenol 650 mg po q 4 hours prn mild pain Dr. Knowitall" The nurse receives new telephone order from MD on 6/24/10 for...

  8. crossing out MD orders??

    RNinSoCal replied to RNinSoCal's topic in Geriatric, LTC

    Thanks for responding! I thought it was wrong too. I asked the DON if it was done on all order pages or just the monthly printout and she said on any order sheet! State should have fun with...

  9. moving to the bay area i guess, advice

    RNinSoCal replied to FLOBRN's topic in California Nursing

    Sequoia has a great reputation all around and the pay is great for experienced nurses. It is worth a try to see if they are hiring, you can apply

  10. Certifications?

    RNinSoCal replied to iijrzpnoyii's topic in General Nursing

    I recently turned down chemo certification classes at my facility because there are no benefits and many draw backs. There is no pay increase for chemo cert where I work. Nurses who are chemo...

  11. Pyxis, Omnicell, Accudose Comparison

    RNinSoCal replied to jkarras81's topic in General Nursing

    I like omnicell for 2 reasons: You don't have to count your narcotics The omni machines are bigger so more meds can be stored in them. We just switched from pyxis to omni. We used to have 2 pyxis on...

  12. Need advise and support

    RNinSoCal replied to ncnov88's topic in General Nursing

    Cg88, I know your pain. My mother was diagnosed with cancer 6 week after I graduated from nursing school and I moved home with my family until she died. This was 10 years ago. I needed time to...

  13. Would this happen at your ER?

    RNinSoCal replied to AlisonBSN's topic in Emergency

    I agree with the other posters, that situation should not have happened to you or your patient. I would have refused to leave my other patients to take a pt anywhere for longer than 15 minutes....

  14. patient nurse ratio 4:1 in California next year?

    RNinSoCal replied to ddsd's topic in California Nursing

    If California goes 4:1 on med/surg you can bet it will be primary care with no CNAs. I dread the day I have to work without help. The CNAs on my unit are worth their weight in gold. I would rather...

  15. nurse to patient ratio

    RNinSoCal replied to Michellex1013's topic in California Nursing

    The ratios are true in California for hospitals, but not for nursing homes and subacute care centers. I f you want to work in California look for union hospitals. My hospital is contracted with CNA...

  16. Bad Rep for Med Surg

    RNinSoCal replied to kellyskitties's topic in Medical-Surgical

    I work in med/surg on a floor that has a max of 48 beds. We have a very low turnover. We lose nurses when they move away from the area, retire, or decide to be stay at home Moms. We have not lost a...

  17. Is it too late for me?

    RNinSoCal replied to FinderKeeper's topic in General Nursing

    I was recently thinking about my career. I started as an RN at age 25, if I work until 65 I will have been a nurse for 40 years. If you start at age 29 and retire by age 60 even you will have been a...

  18. Time on Feet/Area of Nursing

    RNinSoCal replied to wugfun's topic in General Nursing

    I have been wearing a pedometer to work recently and the shortest amount of miles I walk in a day on med/surg is 4.5 and the longest is 7. My feet do hurt when I get

  19. is salary.com accurate?

    RNinSoCal replied to hushpupgrl's topic in General Nursing

    From what other nurses have posted, NO. Every time I post the salary range for my hospital other nurses on this site tell me that according to salary.com I am a liar. I have never lied and that site...

  20. Say What??????!!!!!!!!!!

    RNinSoCal replied to gt4everpn's topic in Patient, Colleague Relations

    This one was from a patient's daughter who was trying to control all of the pt's care. "Can't you give her some Nitroglycerin to help her diabetes?"

  21. Aspiring Nurses: Why not Med School??

    RNinSoCal replied to muurman's topic in Pre-Nursing Students

    I never have to be on call. I never work more than 40hours a week unless I want to. I have never been sued in 10 years of nursing pratice. I do not have to pay for malpractice insurance. I make...

  22. How did you know "your calling"?

    RNinSoCal replied to goldie66's topic in General Nursing

    I had problems with my right foot from age 9. I was so fascinated by the surgeon's descriptions of how he was going to repair my first metatarsal that everyone was surprised. I was more interested...

  23. So I got in..Now what?

    RNinSoCal replied to fifi2323's topic in General Nursing

    Everything happens for a reason. I wasn't ready for nursing school straight out of High School but I flourished in nursing school when I was 22. I am sure you know that nursing school is a challenge...

  24. Name hospital and salary--everywhere

    RNinSoCal replied to mistydave's topic in General Nursing

    I just wanted to support and encourage all nurses who do share their wages and benefits with other nurses who are considering switching areas. I love teaching nursing students and precept whenever I...

  25. ethical dilemma

    RNinSoCal replied to starbin's topic in General Nursing

    Code status and Advance directives are the major differences in these cases. If the family and/or the patient insists on full code status then the MD has no choice but to order NPO for patients who...