jadelpn LPN, EMT-B

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All Content by jadelpn

  1. jadelpn

    Medsurg

    What have you got to lose by taking the test? Is it a course you can repeat--even this summer--if you need to--if the test does not go well? If it is a flunk and you are out situation, that is...
  2. jadelpn

    Nurses as Costs for Hospitals

    I am not sure of the specifics, but how to home health agencies bill? It is by procedure and pay nurses hourly? If we are all wanting patients to feel at home in a facility, then by all means to bill...
  3. jadelpn

    Nurses as Costs for Hospitals

    And there are countless committees that make excellent suggestions that are vetoed by those in administration. Most all of the committee work nurses do are illusions. It gives the sense that changes...
  4. I would not go so far as to say "nutter", but I would say that if the OP's description of the hovering-used-to-being-in-control family member is spot on, I am sure that it IS driving her NUTS that a...
  5. jadelpn

    Stuck in my current position...

    "At my current job, it is company policy for our managers to not write reference letters". Perhaps the latest copy of my employee evaluation that was done on ____________ would suffice? Otherwise,...
  6. Eh, ya know what? Perhaps your co-worker is doing more "doting" than anything else. If you say the wife is excessive, perhaps you were all "too business" for her taste. And that's ok. When the next...
  7. jadelpn

    Problems with ER

    Maybe you can have a nurse who floats the unit assisting other nurses, and that would be your admissions nurse for the shift. Backed by the charge nurse if there's more than one admission and they are...
  8. jadelpn

    Deliberate sabotage?

    This is such passive/aggressive managing. And defeats the purpose of "learning ya'll a lesson" by stripping fully stocked rooms of mandatory items. IF there was a thought process that the nurses...
  9. OP, I have yet to read any of the responses, so forgive me if this is repeating. However, they don't need a reason at all to terminate you before the 6 month probation is up. None at all. What they...
  10. jadelpn

    Need Advice, Pato Nurse Relations

    I would have conversation with your primary MD, with the social worker at the hospital that you go to the ER at the most. Talk about what works for your flare-ups. Have a plan in place, and standing...
  11. jadelpn

    Falsification of Documentation?

    Please get your own malpractice insurance. And in lieu of pictures, hopefully the admission nurse did not skip over the skin care assessment? That the wound was described, measured, intervention...
  12. So not that I am suggesting for one moment that it is right, that it is an appropriate way to behave or manage a staff, however... Could it be that this was all some sort of sarcastic, doing it...
  13. jadelpn

    safe assignment

    Do you have staff meetings? Perhaps have conversation with your manager and find out if there are plans to increase staff due to acuity issues. A thought would be to have per diem sitters who help...
  14. I get more worked up when a family actively disapproves/convinces patient to NOT have pain medication due to an altered level of consciousness, the fear that they will become "addicted" and the like....
  15. jadelpn

    Failed my NCLEX-RN in 85 Questions

    First off, the style of the questions is really hard to get the hang of!! But here is what I can tell you--DO NOT go back and change answers. JUST SAY NO!! Unless you mis-click, do not do it!! Read...
  16. jadelpn

    Orientation + OT

    Then perhaps the ER should have initiated the transfusion...... (I am just being fresh....) The only thing you could have done is to per-medicate if you needed to, check the blood with the oncoming...
  17. Be so mindful and careful nynursey! I agree that clinical skills and excellent above par evals SHOULD determine (and be a huge dare I say only) thought process in getting a new position. But it is...
  18. First off, I am so sorry that this happened to your co-worker. It really, really stinks. With that being said, what is an ongoing theme in facilities is that it is a business. Period. Therefore, in...
  19. jadelpn

    Orientation + OT

    Anything to save a buck. In reality, because a manager looks at the business side of things, an orientee is already being paid along with another nurse--so that is 2 salaries as opposed to one. And...
  20. If you were not from the Midwest, I would think that we work in the same place!! There is other avenues to pursue. First off, as pp have suggested, write everything down. Times, dates....everything....
  21. jadelpn

    clique in the workplace

    First off, BE that person in the corner doing their work. I guarantee you that the first patient who writes a PG survey comment about "nurses chit-chatting while I was 'in pain' and resting" will get...
  22. jadelpn

    What to do

    And you have to remember, OP, that the ER is a constant barrage of bad news. Patients die, are seriously altered, have a complete loss of function, are in acute distress. Times that by many hours,...
  23. It is of no matter what kind of blood test you are obtaining. Everyone needs to be correctly identified, labels at bedside (do NOT walk your labs out of a room to label them elsewhere) most labels...
  24. jadelpn

    Dissatisfied RN

    Transition to the ER. On your off time, perhaps a paramedic class. There maybe some transport nursing in your future?! But you could pick up per diem paramedic shifts. Have you thought about going...
  25. jadelpn

    What to do

    The ER can be a tough gig. I am sorry that you had such a horrible experience. Sometimes, anxiety can rear its ugly head in not so pleasant physical ways. Wherever you end up. be mindful of the...