David13 MSN, RN

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All Content by David13

  1. David13

    State survey

    I guess I just do not like the mindset of guilty until proven innocent. Common sense is the missing link here. It is just a shame, in my opinion, that so much time and energy must be expended on...
  2. David13

    State survey

    State surveyors definitely have their place in maintaining patient safety. However, having said that, I have seen many instances in which their interpretation of events was questionable or just plain...
  3. The hospitals may think they are saving money, but wait until a patient sues because of an error that occurred due to inadequate staffing. I have an idea. How about if that bean counter who came up...
  4. David13

    PTO and giving notice

    In general, most employers will cash out all of your remaining PTO at some point after you leave. When PTO is cashed out (vs. actually being used), it is taxed at a higher rate by the government, and...
  5. David13

    Job loss fear

    I personally have seen much of the same thing. It sometimes appears that middle managers and supervisors get changed more often than the bed sheets. Every time some bone-headed executive gets a bright...
  6. David13

    Name change from DNR to AND

    My first impression is that AND - Allow Natural Death, is a much more accurate means of expressing the intent of what is or is not being done at the end of one's life. In my opinion, DNR - Do Not...
  7. David13

    Vacation - We need to find our own replacements

    I agree with the other posts thus far. It appears the staffing office is trying to get out of performing an admittedly difficult task. You should not be held responsible for finding a replacement....
  8. David13

    vent after a job termination

    I am so sorry to read your description regarding the manner of your termination. In my opinion, if you were doing something incorrectly, you should at least have been given an explanation and an...
  9. Don't be too hard on yourself. I think you had a fairly normal reaction to a chaotic and stressful environment. Importantly, you experienced an insightful "take away" from this situation: You...
  10. I think it all depends on the organization with which you are interviewing and the human resource personnel who work there. Some of them act in a professional manner and some, alas, do
  11. David13

    What would you have done?

    It looks to me like a case of those nurses trying to take advantage of the fact that you are fairly new to try to get you to do work they do not want to do. In my opinion, this is extremely...
  12. David13

    Is this appropriate? (regarding charting)

    It is always best to check the policies at your particular facility, but in most case it is certainly proper to add pertinent information to a patient's chart. If this information was omitted at the...
  13. This behavior is, in my experience, generally perpetuated by small minded administrators who look the other way because to actually deal with it would require more effort than they are willing to put...
  14. Many nursing certifications have experience requirements such as 1 - 2 years work in the area of certification and/or educational requirements such as a BSN. There should be websites for each area of...
  15. David13

    you know you are in for trouble when.....

    In my experience, the most reliable indicator of a potentially problematic new patient is that patient's allergy list. An extremely lengthy allergy list is almost always a sign that a "challenge" is...
  16. David13

    HELP !! Can anyone else handle LTC ??

    When you spoke of nurses "giving 150% only to go in the following day & get written up for something soooo completely ridiculous", it brought to mind the fact that the ratio of licensed staff to...
  17. David13

    Job Professionalism

    I think your primary concern here is about "burning bridges". There are a lot of "what ifs" involved. What if the other job comes through? It may or it may not. What will the LTC facility think of...
  18. In my opinion, I think negotiation can play a huge role in the final salary that a person ends up earning. This is particularly true if you are negoatiating from a position of strength, i.e. you have...
  19. In my experience, it seems that the starting salary has a great deal to do with not only where one works (certain areas have higher costs of living, etc.), but also the precise timing of when the...
  20. David13

    new grad options

    Because there are so many different types of people who are drawn to the nursing profession from so many varying backgrounds, there can never be a "cookie cutter" response to this question. A great...
  21. David13

    nursing home injustice? need advice!

    It seems as though the administration wanted this family member off their backs, and so you were the "fall guy" who was punished in order to appease them and to give the appearance that "something was...
  22. David13

    Getting into Nursing Just to Get a JOB!!

    I posted a similar reply in another thread a little while ago. The most important thing, in my opinion, is not that the nurse "has a calling" for the nursing profession, but that he or she is...
  23. The scenario as presented does seem as though they were just looking for an excuse to get rid of you. I don't say that to hurt your feelings, because it was probably not something that you did, but...
  24. I am so sorry to hear about this, and it is perfectly natural to be upset. However, as others have said, this may be a golden opportunity in disguise. Your former employer did not appear to be very...
  25. Ditto.