rn_nxt_dr

rn_nxt_dr

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All Content by rn_nxt_dr

  1. Outsourcing your Contract

    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 if any as horrible as this? Decided to go perm afte...
  2. Outsourcing your Contract

    "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 manager>your agency>you. So I'm not understa...
  3. Wound Nurse Workload in SNF's "We'll let the wound nurse know"

    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 become CWCN. Forget about the SNFs....they're a pain an...
  4. Penile ulcer..HELP!

    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 see.
  5. Measure epithelialization as part of wound?

    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 measured.
  6. Dry Gangrene to Lower Leg

    I suggest petroleum gauze or adaptic dressing and secondary dressing of conforming gauze roll.
  7. 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 the MAR; because as we all say, if it's not docum...
  8. Travel Nursing Contracts

    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 was charged MISSED SHIFT, I did not go back due t...
  9. California Travel Assignment Help (Modesto)

    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 housing if you take it. Always, get local papers ...
  10. American Mobile

    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 settle. They have on the contract MISSED SHIFT that yo...
  11. Bad Contracts

    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 Housing Stipend than taking their offered housing becaus...
  12. Bad Contracts

    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 perm.
  13. 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! Please share your experiences so we may all rise ...
  14. 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 limitations. You cannot recoup missed shifts within the pay p...
  15. What do you love/hate about home health nursing?

    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 the price to pay. I eventually found an FT posi...
  16. Starting HH next month...any must haves for this specialty?

    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 suggest the following; 1) get a good medical histo...
  17. worst, most corrupt agency ever!

    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 most newer companies 2-4 years in the business are ha...
  18. CNA work

    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 year recent clinical experience. I got into SNF for...
  19. Reporting med errors...

    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 because detrimental consequences could have happened...
  20. New Grad and HH

    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 they are seen as "Know-nothing-nurses"?; how would t...
  21. New Grad and HH

    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 know.
  22. New Grad and HH

    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 can about your case, esp. medications and drug inter...
  23. Should I go for an ADN or do an LVN-BSN program?

    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 Living.
  24. MRSA in the nares

    Correction on previous posting; 1. Staph. aureus is not a normal flora but a COLONIZER. 2. Pyogenic MEDIATED....... 3. THEIR instead of there (not thinking....).
  25. MRSA in the nares

    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 eliminate the normal flora that occupies there norma...