RNinSoCal

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 tiny 1 bedroom apt though.

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 "6/15/10 Tylenol 650 mg po Q 6 hours prn for mild pain ...

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 confused mess with orders crossed out everywhere. ...

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 MDS work. I am helping to enter MD orders for the m...

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. They don't know me well enough to know my years ...

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 of the nurses who are doing it. I already talked to...

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 Tylenol 325 mg q 4 instead of 650. She goes back to o...

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 her:eek: I am just the alternate MDS nurse, not in charg...

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 online.

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 certified are asked to float or travel to other units to ...

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 the unit and we were constantly running between t...

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 grieve and recuperate after the stress of her death. ...

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. There should be charge nurses who have no pt assignmen...

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 have 6 patients with help than 4 patients alone an...

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 and there are consequences for going over the rati...

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 single nurse in 1 1/2 years. None of our new gra...

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 nurse for 31 years. Think about the long term, n...

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 home.

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 must be way off for the Bay Area in CA. The site mu...

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?" Ummmmm........NO!!!

What I would like to pass on to you as the daughter of a person with generalized anxiety disorder is that no one is thinking about you as much as you are!! I am much more pe-occupied thinking about myself than I ever will be with anyone else and tha...

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 more money than a medical resident and more money th...

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 than afraid of surgery. I was similarly fascinated...

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 on many levels, but keep your eyes on the goal. N...

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 can. My students always give positive feedback on...