kcksk

There are supposedly big differences between 6 and 7. My hospital will certify you after they hire you. You just have to get it within 6 months. You could always let them know you are in the process of getting your NRP and sitting for the practicum on xxx date.

Had a pt come up from the ED for admission. Refused all treatment-no IV, wouldn't give current med list, wouldn't allow an exam. I finally asked her why she was here if she wasn't going to allow us to do anything. She said "Dr. XYZ made me." My response? "Well I don't see him here now." She finally let me do her admission but man was she a handful.

There are a couple of different things going on here. First, were those positions posted anywhere? If they weren't posted internally they must've been posted on a company website in order for the new grads to apply. Keep you eye open for those positions and apply! If you qualify for the position it would have to go to an internal candidate before they hire someone from the outside (unless it was posted as new-grads only.) At least that is how it is in my hospital. Hourly employees would have preference over on-call though. During your probationary period you can usually be let go for any reason and the union can't help you. My advice would be to either look for another position or wait until there is another one posted in the unit and apply. At that point you would be out of your probationary period and the union could then fight on your behalf.

Maybe she means to give the meds first that are the most important. Sometimes it's difficult to get a lot of meds into some pts. I would give BP, lasix, any psych meds, etc and hold onto the colace, multivitamin, etc for last. I hate getting to the end and then they refuse to take anymore.

In some areas it isn't easy to find a medical ASL interpreter. In our state you have to go through one facility to book them; they supply interpreters to anyone who needs them. I used to work in an office and we had a horrible time trying to get an ASL interpreter to last minute appointments. Legally we had to supply someone but it was next to impossible to get one when we needed it.

I had a pt scheduled to be discharged, everything in place. All I had to do was go over paperwork with him. He didn't want to go. He called the police and told them we were killing him. Needless to say it was a very long day by the time he left, the police came to check things out and everything go straightened away. He was by far the most trying pt I ever took care of. He was so challenging, nobody got him for more than one shift.

I had a provider ask me about something that would've been done on night shift but wasn't documented and I didn't get it in report (nothing major and something she could've gotten in report from the dr who signed off to her). She kept asking me the same question. Finally I said to her "I'm sorry, it doesn't matter how many times or how many different ways you ask me that question, I don't know the answer to it." She stopped and then ended up apologizing to me five different times. LOL We never had a problem after that.