LA_Style

Dear readers.. I am currently an employee at Kaiser Redwood City. I, along with 9 other new grads, some who have been waiting for well over 2 years to transition into an RN position have literally BEEN GIVEN THE SHAFT by our employer! As an ancillary employee, I worked tiredlessly to improve my credentials by enrolling into an RN program. Under the encouragement of management, doctors, and many other co-workers; I took the plunge and made tremendous sacrifices by reducing my work hours to return to school full time. I aquired HUGE loans and almost lost my home but doubted that the reward of obtaining my RN liscense would be worth the effort. Afterall, my employer all but goaded me and practically groomed me into, what was to be, a promised position. Anyways, when all of the area Kaiser hospitals began hiring, many positions opened all at once throughout the region. I, as well as the other 8 employees of RWC Kaiser, followed the guidelines by applying to the various nursing positions posted internally. We waited, and waited, and waited for weeks. Then, after hearing no word, we began questioning what was going on. The Managers kept assuring us that they were trying to satisfy politics and that we would be brought into the positions as soon as the processes of interviewing were completed. Then, like a hammer, BOOM! We find out that NONE of us were hired into ANY of the positions. In fact, ALL of the positions were given to OUTSIDE applicants. We were completely passed over :/ Now, some people might question the skill level, reliability, integrity, or even the competence level of those passed over. Well, I'm here to tell you that I'm aware of several of these employees who are already LVNs and have worked for kaiser for years in that capacity; providing nursing care. Another employee is a respiratory care practioner who has over 15 years experience and is considered by a great majority of the RWC staff, including may doctors, to be one of the highest qualified new grads with successful RN potential. Yep, he was passed over too. So, here we are... 9 Kaiser RWC employees still holding onto our RN liscenses and unable to find a job within Kaiser. We would apply to other Kaisers but the window of opportunity has closed. The positions have all but been filled or pulled. Most of the positions posted by other area Kaisers were filled by their own internal employees. Unlike our hospital, new grads were able to transition into new grad programs. As for us, we keep getting, "Well, hopefully, we will re-open a newgrad program in January of 2011..." Should we stick around and get the shaft twice? Well, as tempting as it is to move on... we all have invested years of our lives to Kaiser RWC. We all find ourselves in the middle of a Union war between SEIU and UHW, therefore, we find ourselves without any union support. So in heinsight, I guess we will all just incur our indifference towards what happened and learn to work with the new nurses that now fill the positions we sought.

Thank you so much.. I am revising my careplan based on what you have shared here. That information gave me a pretty solid foundation to build off of. THANK YOU!!!! I will post more info on this patient when i get out of class so that u can get the complete picture, i.e ,meds and lab values.

I NEED HELP!!!!! Im doing a careplan for a patient and I need help. Im so confused... My patient has facial cellulitis and was admitted for a blood glucose of 647. HX: DM2, Bipolar, smoker, underweight. (6.0'/ 145pnds) with 2+ fetal pulses. Recent hx. PT states he burned both feet recently and has recently suffered a small cut on his lip that caused his whole face to progressively swell. The CT confirms cellulitis in the face. The patient also has a abscessed tooth located in the affected side. Nare swab confirms MRSA. The patient is eating but, oly ate 20% ofe lunch and dinner when I took care of him. He C/O pain when he opens his mouth to eat. other labs upon admission 4 days ago were K 5.7, sodium 124, alkaline phosphase 179, ALT 134, AST 43. Right now, the glucose is under control and new labs are pending. My first nursing diagnoses iis risk for unstabel blood glucose r/t lack of diabetes management, AEB sugar level 1 (severe deviation from normal). Now, I have no idea what the second nursing DX should be. I need STG and LTG with 5 interventions with rationals.. Can someon please help me? I have been at this for 2 days now. Thanks.