rn_nxt_dr

rn_nxt_dr

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All Content by rn_nxt_dr

  1. Outsourcing your Contract

    rn_nxt_dr posted a topic in Travel

    I had my last horrible travel experience in SoCal last June when I was outsourced to not 1 company but 2 until I got to the jobsite. Undisclosed by the originating company. What did you experienced...

  2. Outsourcing your Contract

    rn_nxt_dr replied to rn_nxt_dr's topic in Travel

    "Most vendor management contracts prohibit subcontracting from one agency to another. As the traveler, you are two steps removed from the hospital in the usual scenario you are in: hospital>vendor...

  3. Wound Nurse Workload in SNF's "We'll let the wound nurse know"

    rn_nxt_dr replied to wcextraordinaire's topic in Wound, Ostomy, Continence

    If you have no worries in life like a small child, a husband ---- go become a Travel Wound Care Nurse. There's tremendous need for your experience. Go for it! I would again....after I obtain and...

  4. Penile ulcer..HELP!

    rn_nxt_dr replied to ngodin's topic in Wound, Ostomy, Continence

    Thanks David! Healing from the inside out that is always underserved. We need more nutritional assessment and follow through with this and diligence. Not only what the eyes can

  5. Measure epithelialization as part of wound?

    rn_nxt_dr replied to msnurse1234's topic in Wound, Ostomy, Continence

    Wounds are not considered "healed", it is closed or newly epithelialized until granulation is achieved which is the sign of would healing. Only open areas are

  6. Dry Gangrene to Lower Leg

    rn_nxt_dr replied to notanumber's topic in Wound, Ostomy, Continence

    I suggest petroleum gauze or adaptic dressing and secondary dressing of conforming gauze

  7. Given another patient's medication to satisfy MAR.What do you do? Orientee

    rn_nxt_dr posted a topic in LTC: Directors, Assistant

    On my 2nd week of orientation, I saw this happen under 3 different nurses. The patient's medication packet was empty and the trainer pulled the drug from another patient's medication packet to satisfy...

  8. Travel Nursing Contracts

    rn_nxt_dr replied to mama2boysRN's topic in Travel

    You should juggle several companies but be upfront on the assignment process, esp. if you do not like the city and state. I experienced taking the last resort place to be, spent 3 weeks, got sick and...

  9. California Travel Assignment Help (Modesto)

    rn_nxt_dr replied to peachtree's topic in Travel

    Modesto is in the Central Valley area of Northern CA, not the best city though, flat and boring. If you know the hospital where you will be working, take the zipcode, check crime rate, as well as with...

  10. American Mobile

    rn_nxt_dr replied to DFRAZIER25's topic in Travel

    I worked for them for until I left them recently. Do not at any circumstances just accept whatever they want to offer you, juggle 4-5 recruiters to get the best place where you want to be and not...

  11. Bad Contracts

    rn_nxt_dr posted a topic in Travel

    AMN Missed Shifts that charges you $ 18/hr.---outrageous! Even when you're sick! I can imagine my fault for missing a shift but being sick is over the top. This is total GREED! Remember to take...

  12. Bad Contracts

    rn_nxt_dr replied to rn_nxt_dr's topic in Travel

    Yes, I am learning these now. They are all too good to be true. I will just do this few more rounds and settle down with something

  13. What are your Missed Shift company policy? How about Sick Calls?

    rn_nxt_dr posted a topic in Travel

    My company makes me pay them 70% of base hourly rate. The missed shift is allowed to be made up within the same pay period but the most egregious is including when you're sick. It made me feel sicker!...

  14. What are your Missed Shift company policy? How about Sick Calls?

    rn_nxt_dr replied to rn_nxt_dr's topic in Travel

    It was with AMN. They are even threatening to contact past and present employers I had been that I was ill and that I have to present a medical certificate clearing me and without physical...

  15. What do you love/hate about home health nursing?

    rn_nxt_dr replied to JJsMama79's topic in Home Health

    Look for a company that pays hourly and not per diem if you want steady pay, I had experienced being exploited because I needed the nursing experience, and I got the break I needed, but not without...

  16. Starting HH next month...any must haves for this specialty?

    rn_nxt_dr replied to RN_Mommy_2_3's topic in Home Health

    I started in HH without med-surg experience. I trained in theory and shadowed another RN and that was it. No book will tell you about HH other than the actual experience. You seemed very motivated. I...

  17. worst, most corrupt agency ever!

    rn_nxt_dr replied to lsvalliant's topic in Home Health

    I recently experienced a similar situation in Orange County. The owner will change her contract every month, change per diem rate bec. of low census, etc. I finally got fed up and quit. I realized...

  18. CNA work

    rn_nxt_dr replied to I♥Scrubs's topic in Medical Assistant, CNA/MA

    I am inspired by all of your comments. I had my CNA in the 90s and did not retain it after not completing CEUs. In 2009, got my RN license and I cannot penetrate any acute care jobs at all w/o the 1...

  19. Reporting med errors...

    rn_nxt_dr replied to Time4dilaudidyet's topic in Patient Medications

    I think we have to face the reality of a termination if such a thing happens. It just depends of the company policy for 1st offense. But admitting mistakes is more for the patient than for yourself...

  20. New Grad and HH

    rn_nxt_dr replied to Iammblessed2011's topic in Home Health

    To KateRN1 Accepting new grads is not the problem. The problem lies on people who hire them and not provided adequate training for a period of time. How else would new/old grads get their break if...

  21. New Grad and HH

    rn_nxt_dr replied to Iammblessed2011's topic in Home Health

    To Sehille4774 What State are you at? Not in CA at least or in the big cities. I would imagine that in the suburbs. That is good to

  22. New Grad and HH

    rn_nxt_dr replied to Iammblessed2011's topic in Home Health

    I've never heard of HHA accepting a new grad for HH. In CA, 1 year acute/clinical experience is always required and that really makes it hard to get a job, new grad or old grad. Read as much as you...

  23. Should I go for an ADN or do an LVN-BSN program?

    rn_nxt_dr replied to guevarrar's topic in California Nursing

    Check out Job Fairs all the time. If you are amenable to go into Assisted Living----google the most prominent companies or simply google job fairs in CA. Search Assisted

  24. MRSA in the nares

    rn_nxt_dr replied to ilovemicrobiology's topic in General Nursing

    Correction on previous posting; 1. Staph. aureus is not a normal flora but a COLONIZER. 2. Pyogenic MEDIATED....... 3. THEIR instead of there (not

  25. MRSA in the nares

    rn_nxt_dr replied to ilovemicrobiology's topic in General Nursing

    Staph. aureus is a normal flora of the nares. MRSA is a highly virulent strain of S. aureus. Colonization of such bacteria if there is open/abraded skin. Hand washing is surely helpful but it also...