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Corporate Healthcare nightmare
It is awful. My husband had an appy a couple of years ago... knowing the state of health care from an RN perspective I made sure I was with him pretty much 24 hours a day. I slept in the room and provided pretty much all of his care. If I hadn't he probably wouldn't have gotton what he needed. I had him deep breathing and coughing the day after surgery [he didn't like me much for that one ] - I had to ask for towels -they didn't bring him any. The nurse would come to hang meds and not tell you what they were for.... I kept making him ask. I haven't had an issue with my HMO [yet] but I have several family members that have. It's scary. I actually had more issues with a PPO 16 years ago when I had my first child. He was an emergency C-section and they wanted me discharged after 3 days regardless. My doctor them "fine, he would discharge me and he would also give me the name and number of an excellent attorney" -- they backed off very quickly... :roll
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how have you dealt with flirting doctors.
Do they even get Sexual Harrassment 101 in med school? haha But you are right Mattsmom -- many nurses do that and they may make the assumption that we all are alike [course you know what happens when you ass-u-me :roll ]. We had one nurse that I recall when I transferred to the facility I am currently working in -- the most work she did was trying to find a doctor that would marry her.
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how have you dealt with flirting doctors.
I once had a doctor [resident] leave a note in my locked "locker". How he got it in there remains a mystery still. He didn't sign it, all he did was right "you're hot" on it. It took me about two weeks to figure out which one it was. At this particular hospital most of the residents we called by name - not title and we had a great working relationship between them and the nurses. Once I found out which one it was [was single] we went out once and then I told him I wasn't interested..... he was a little strange. I agree with everyone else though... if you're married make it known -- even if it is just in dropping hints about your significant other....
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Artificial Nails
Do what mine did -- do it annoymously... if your ID people would do it. I'm surprised your hospital has not gotten on board with many others and not allowed them. If you can get the nail from her [heck I wish I had been offered margaritas!! :roll ] and the ID people will cooperate, don't tell them who you got it from...... I was really glad people didn't know where the one they had at the health fair came from ---- people were offering to pay if our ID nurse would tell
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Artificial Nails
NICU Nurse -- see my previous post on this thread... my IC nurse here actually did culture an inhouse acrylic nail..... it was mine! And I don't even come into contact with patients.... so that should tell you how much fungus, bacteria they can carry. I would have hated to see it if I still worked with patients!
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Artificial Nails
tntrn - you're right it doesn't mean ALL nurses with fake nails are running around with a fungus growing under them. But, if you read the articles and the studies it shows a STRONGER incidence of infection spread, fungus, etc., in those with artificial nails. Think about it - how would you feel if you were the parent of one of those infants who died and the result well could have been your artificial nails? Much less how would you feel if you were the nurse - even knowing you were diligent in wearing your gloves and washing your hands? Perhaps if you have that much problem with your natural nails you should be seeking medical advice. My natural nails are now week and split simply because I wore acrylic nails for so long. They have been off 4 months now and my nails are just starting to show signs of "healing". I don't think it's a matter of not seeing both sides as much as it is in being smart enough to understand the risks to our patients.
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Artificial Nails
You beat me to my comment Klone.... you don't wear gloves for everything you do in the patients room.... you can easily leave your little bugs on the door handles the patient uses. I don't recall wearing gloves when I handed out medicine that went in a cup - but I touched the cup. I have seen nurses that wear gloves for everything.... while I understand not wanting to pick up something from the patient.... how impersonal to stand there with gloves on every time you enter the patients room??? I'm sure it makes the, patients feel like they have koodies [sp?] or something.
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Artificial Nails
Okay -- I too can't resist to respond. We have a policy in our hospital that nurses in the patient care areas can no longer have artificial nails... they can actually be written up for it and terminated. Many hospitals have gone to this policy based on the fungus fact. I am in an area outside of patient care and up until about November had artificial nails. We had a health fair about that time and our Infectious Dz nurse was looking for one to culture. Since I decided to remove mine any way I was able to pop one off into two pieces. She cultured both pieces [mine were not kept very long, done professionally, etc] - one the pieces at through the gel on the petri dish with the bacteria and the other had so many different fungus' growing it was ridiculous.... even after that some people still wanted to keep their nails. They always say -- I wash mine, I keep them clean. It's not the washing that's the issue, the bacteria gets into the acrylic or gel and just gets overlaid each time you have them filled - so it's not just what's underneath them but what's in them....I guarantee you that if I'm ever a patient in the hospital and some nurse walks in with fake nails -- I'm requesting a different nurse!
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Nurse patient ratio
To all those out there wishing JCAHO would make unannounced visits -- my understanding, at least here in California they are now doing that. You will know the year, but that is it. They could show up on our doorstep tomorrow.
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NC NCLEX Becoming Harder to Pass...
I agree with Vicky..... when I graduated we were one of the first [at our school anyway] to be able to take the computerized test! It was way much better than sitting for 2 days. I also like the teir that if you answered so many questions in one teir correctly it automatically took you to the next teir until you were finished. I finished the exam in 45 minutes - and passed the first time around. :roll
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New Student
It most likely depends on the facility. I work for the federal government [and recently have seen the state and local governments doing the same thing] is that we generally do not bring ADN's in anymore. Most of our posting say directly on them BSN. The ADN's that we still have out there make the same as the BSNs that are at the same level.... but like others have said in this thread the ADN's will not advance to management..... in fact, some of our management positions are now listed with Masters preferred.
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Looking For The Best Start
Klone - I didn't see that her "caps" were on except when she listed the college that she was looking at....which is the proper acro for that college. Babydoll: How difficult is RCC to get into? I live in that area and I am familiar with the RN program which seems to take an act of congress to get into! There would be no reason not to go that route as many people go directly into PA programs. With your LPN school, perhaps some of your classes may help you in that you may have completed some prereqs already - on top of that the LPN will allow you to perhaps work part time while in PA school giving you clinical and assessment skills. RCC is not the only place that has a PA program depending on where you live. Off the top of my head I can't remember the name of the other one that is close, but I do know it is in pomona. Best of luck!
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Toasted or burned to a Crip
Unlike what you are doing I jumped right into a BSN program... with two small children [18months apart!]. There were some days I questioned my sanity in doing that. The worst part came the week before I was suppose to graduate -- I just truly wanted to quit. If it had not been for my husband at the time I might just have done that. I think most of us have been there -- just hang in there- like someone said above.... it will pay off in the end. The only thing additional I would add is that make sure that whatever decision you make is based on what you truly want to be when you "grow up" -- it took me 6 years to figure that out and another 4 to get my degree...... I love the medical field always have - just got discouraged with two year programs and their waiting lists. It takes a special person to be a nurse [i should say a "good/caring" nurse] and believe me nurses will eat their young even if you are dedicated -- I never believed that until I got out there:o But, you can do it!!!
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HELP! Need Las Vegas Nursing Info
cc - while I am not a "nevada RN" I work for the VA Administration which has an outpatient facility, home health and a small inpatient facility in Vegas. The pay is pretty decent when you consider the "perks" -- great benefits and I don't think you can beat how many holidays we get. :roll I haven't checked their postings in a while - but I do supervise staff in a non-RN arena so I know they have jobs available and they are getting ready to expand their home health service line and I know they are going to be hiring quite a few nurses for this. I also know the teaching hospital pays quite well -- and you are right, the nurses are stressed. I can't tell you if that translates into more money or not. One of my former employee's wife works their and she is always busy. Good luck......if you are interested in the web address for jobs let me know!
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Telemedicine
Thanks so much -- I'm heading for the website now.:roll