vdrapeau

We are a stand alone facility and we don't have rapid response, we have to call 911 or ship them out if they are unstable. He was actually pretty stable. It was "just his thing". Generally with those patients we have orders with treatment parameters (ie give x for bp over y/z or don't call unless above x). But this guy was fairly new so we hadn't gotten parameters yet (it takes a couple of days to realize we need them sometimes and then time to get them). Usually we are given an order for a one time/additional dose or an early dose depending on the situation. But this doctor didn't know it was his thing (she wasn't his doctor), she just chose to disbelieve the reading completely.

I used to work nights at a SNF. One of my co-workers called the on-call doctor about a patient with an elevated BP. Her response was "I don't think it's that high. Just don't check his BP anymore". The patient did have a history of elevated BP and the day shift was trying to get standing orders out of his primary MD but sometimes that takes time and we can't just ignore it in the meantime.

I used TAA benefits too. We paid for my pre-reqs (already had all the GE type classes) and then used the retraining benefits to pay for nursing school itself. There have been changes to the extended unemployment benefits, the last I looked you only got it if you started the program within 4 months of being laid off. I didn't qualify for that, but I did receive some extra unemployment through the state rather than TAA.

My favorite in a funny cute way was my 90+ year old patient's last night. I work in a rehab/SNF and this guy is just ready to go home. So last night at 3am, he calls me into his room to run his "plan" by me. He wanted to know what I thought about his idea to pack up his stuff and leave with his daughters after the visited later that day. Yeah, I think that is kind of a bad idea. I do feel bad for him because he really wants to go back to where he was living and apparently it isn't appropriate for him anymore. Generally, most requests don't bother me out of context. Asking to have your toe nails trimmed doesn't bother me on its own but if it is 3am and I'm in the middle of Q 15min neuro checks because of a fall with all the ensuing paperwork/charting and the only reason you want your nails trimmed is because you heard another patients asking about getting her nails trimmed, well it bothers me a little more then.

The BP doesn't really really worry me. It is well within the range of normal. If you are looking for other causes of confusion in addition to possible head trauma, I work in a SNF/rehab facility and if we have an elderly patient that is confused or with increased confusion, one of the first things we do is dip a UA test strip to see if there might be a UTI. UTI's are surprisingly common cause of confusion and delirium in elderly patients.

Hemostats and scissors. I don't usually bring my own BP cuff to work but I've been pretty tempted lately. I'd like to get a pulse ox so I don't have to steal the vitals cart from the aides or wait until they are finished to get O2 sats charted.

If you are applying for your Oregon license straight out than you are fine. The endorsement is if you have a license in another state and also want to have a license in Oregon. Lilredrn (Hi!!) and I both got our initial license in WA and then got endorsements in OR. Mine took a while too but that was user error on my part. Our classmates that got their initial licenses in OR got them quickly after taking their NCLEX. I pretty much gave up any expectation of getting a position this time around since they had lowered the GPA requirement and there should have been so many more applicants than in December. I was really just going through the motions but that ended up being so liberating that I went into the interview (cardiac telemetry) freakishly relaxed and actually did quite well. So who knows. Good luck to everyone who interviewed!

Congratulations!!! I still haven't heard anything either.

You do not need to worry about the 1G. It is kind of extra information. You have 50mL that you need to get into the patient in 15 minutes and you want to convert that to mL per hour. So you could set up the problem a few different ways. For ex. 50mL/15min x 60min/1hr= 200ml/hr Or 50mL/15min=x mL/60min; x=200ml, or there are 4 15min periods in an hour so just times 50 by 4 and you get 200.

Congrats on the call back! That is the unit I selected so knowing that there is still a chance they'll call is great news. Thanks!

I wonder if you had a different person in the auditorium before the interview. Because I was told the same thing. No interviews on Thursday, 300+ applicants and 16-20 positions.