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Rags2Riches RN

Rags2Riches RN

Psychiatric, Med-Surg, Operating Room
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Rags2Riches RN has 5 years experience and specializes in Psychiatric, Med-Surg, Operating Room.

Rags2Riches RN's Latest Activity

  1. Rags2Riches RN

    Is bedside nursing still a lifelong career option?

    Unfortunately (or fortunately depending on how you look at) it isn't. Nursing is saddled with increasing patient acuity and decreasing resources, schedule inflexibility, documentation is increasing (it seems as if every other week my nurse managers are rolling out a new paper to fill out to track if xyz is being done...so much for going green), and of course nursing is the dumping ground for all that is wrong. Housekeeping hasn't been around to clean patient rooms, blame the nurse. The patient's TV remote isn't working, blame the nurse. The physician won't make changes to the pain regimen, blame the nurse. Patient satisfaction is below benchmarks, blame nursing. Dietary delivers trays late, blame the nurse. Patient not compliant with treatment plan, blame nursing. The list goes on and on. With that being said, I don't see an issue with nurses wanting to advance their career beyond the bedside. If current bedside conditions persist it makes sense to seek out other avenues.
  2. Rags2Riches RN

    Can't handle the ICU

    The bolded sounds just like me. I recently left the OR and transferred to the surgical intensive care unit, and eight weeks in and I'm ready to go back to the OR. Fortunately, I have been in touch with my old manager who pretty much would welcome me back. To the OP, listen to your gut. What do you think would be best? Do you think you can handle the stress of the ICU right now? Remember just because the ICU might not be appropriate at this time doesn't mean you can't go back after you've got experience in a less acute unit. The PCU would mean learning new things too, however I feel like it will not be as fast and stressful.
  3. Rags2Riches RN

    Is This Common?

    I decided that I wanted to travel and 2 weeks ago I signed up with 3 travel agencies. The initial talks went okay with each recruiter. Then I did not hear anything from any of the agencies for a week so I called today to inquire about my status. The one agency tells me that they have not been able to get in contact with my references. I ask who she had been trying to get in contact with and I was floored. The one agency was trying to contact my current unit director (no one knows at my current facility that I'm looking to leave/travel) who I did not give them permission to contact and thankfully they were unsuccessful in their attempt. Two of the agencies were also trying to contact a previous manager who I don't have contact with and who also happens to be a part of the health system that I currently work for, so I don't want her contacted. The thing is I did not list these people as references when completing the application. They were listed under the the current/past employment section where you have to list previous managers and supervisors & I make sure to check the do not contact box. Is it common for travel agency to just contact past supervisors without your permission? The one travel agency (the one that tried to contact my current employer) never asked me for references at all. BTW I do have supervisor/charge nurse references from my past jobs.
  4. Rags2Riches RN

    I Lost All Respect For A Colleague Today

    I understand your reasoning and I agree. Heidi is behaving foolishy and her unprofessional behavior in the workplace can potentially have long-term consequences on her young career. However, I maintain that as a co-worker unless patients/families are being ignored/harmed while someone plays hanky panky in the supply closet, then there is not much to be done. Unless of course, you escalate the situation to management, but I don't know your work environment and if that is an avenue you would be interested in pursuing. Alternatively, are you close or do you feel comfortable just ever so casually mentioning to Heidi that she may want to tone down her antics less someone should see her and get the wrong impression. This can be done and without coming across as the Lt. of the moral police division. Also, I know the moral of your story is to forewarn nurses of engaging in such activities, but how about giving Dirty Dick a little advice. All it takes is for one person to claim that he's sexually harassing/being inappropriate before it leaves a dent in his reputation (and maybe his bank account).
  5. Rags2Riches RN

    I Lost All Respect For A Colleague Today

    So many questions. Have you lost all respect for this neurosurgeon or is he held to a different standard? What does her looks have to do with anything, or the fact that she gets her scrubs tailored? Do you personally know Mrs. Dick? Do you know what type of marriage they have? As many previous posters have mentioned they may have an open marriage, and perhaps the wife is okay with his philandering ways as long as she is provided for. If Heidi's doing her job and in such a way that patient outcomes are not adversely affected, then who cares whose lap she's sitting on or if she's sharing a one-seater with another (married) worker. As a co-worker, I can imagine that it is probably uncomfortable for you (and maybe some of your fellow co-workers too) but these two are consenting adults.
  6. Rags2Riches RN

    Insulin Administration: Standing and Sliding Scales

    Perhaps I should have been more clear. I would call the MD if I was uncomfortable giving a standing dose of rapid acting insulin depending on the patient's condition. If the patient has had a poor appetite or there is a pattern of the patient's blood sugar dropping significantly after administration, I would call to see if they want to make adjustments.
  7. Rags2Riches RN

    Insulin Administration: Standing and Sliding Scales

    This should be dependent on your facility's policy & procedures, patient condition & your nursing judgement. Personally, I would call the doctor before administering the standing dose with a bsg of 89.
  8. Rags2Riches RN

    To give or not give insulin

    Where I've worked the insulin orders came with a protocol to hold insulin if NPO or change in status. If I were unsure though I would consult with the provider.
  9. Rags2Riches RN

    Changing Specialities .. Psych to Medicine

    I know the feeling. The key is to keep trying & applying. I went into psych straight of nursing school. My hospital was part of a larger health system. When I approached my one year anniversary, I applied all over the health system for other specialties (ICU, med/surg) but with no luck. I thought it would be easy since I was an internal candidate. I became so frustrated that I could not obtain employment that I eventually left that health system and went to another hospital still in psych though. But I realized that I truly did not want to do psych (any longer) so I began applying to medical jobs again and finally someone took a chance, ironically it was with my old employer. I'll be starting on a general medicine/step down unit next week after working 2 years in psych:)
  10. Rags2Riches RN

    VA Hiring Process

    Update: I got my offer via snail mail today. I got a $2+ raise from my current hourly rate. Can't wait to start!!!
  11. Rags2Riches RN

    VA Hiring Process

    How did everyone receive their firm offer (e.g. email, snail mail)? I spoke with the HR guy at the end of October and he told me that my start date would be December 2nd since I had to give 2 weeks notice to my current employer. Well it's going on the 2nd week of November & I still don't firm offer...I don't know what my pay rate is? where to show up? More importantly I want to have the firm offer in writing before I give 2 weeks notice to my current employer.
  12. Rags2Riches RN

    It's Finally Happened!

    Honestly this sounds petty to me. Unless this individual is violating HIPAA or some sort of social media/internet use policy, you should base your evaluation on objectives not allnurses post. Also can you absolutely prove that it is indeed the person and not someone else? If by some small chance that maybe it's not who you think it is are you prepared for the consequences?
  13. Rags2Riches RN

    Losing respect for nursing students

    I think it's a combination of various factors. As graduate of a ABSN program, I can tell you that the annoying behaviors described in the OP's post were not a part of my program. Most of my clinical instructors told us that if we had to sit to either use a room that wasn't being occupied or give up our seats if a staff member needed them. We were also reminded that we were a representation of our program & that in order to keep good relations with the hospital/clinical site our behavior would influence those decisions. If students are texting on the unit or participating in other non-beneficial activities I would bring it up to the clinical instructor. If the clinical instructor did not do anything I would go to my nurse manager. People need to be held accountable for their actions (or lack thereof). If the students can not adhere to the professional standards of the clinical site then they (nor their school) should be invited back.
  14. Rags2Riches RN

    Should I be upset?

    I setup an interview for a job located 200 miles from where I live now. I went to the job and interviewed with the recruiter. Things seems to go okay. After our interview, she told me to wait in the waiting room while she called to see if the nurse manager was still available to interview. Well 5 minutes passes and she calls me back into her office. She then informs me that she just got off with the nurse manager and that the position was filled by an applicant who initially declined but then accepted (didn't even know things like that happens in todays economy) the position and that they would not continue with the interview process. I was shocked but also upset that I wasted my time and money to go to the interview when they could have just called & told me that the position was no longer available. The excuse she gave was that it was graduate nurse season and that was it. But I also have a perceived suspicion that perhaps the nurse recruiter didn't think our interview portion went to well and used that let me call the nurse manager to see if she's available routine as a way to buy some time. In the past, I've been on interviews where even though the manager wasn't available someone was available to still conduct the interview.
  15. Working in dual diagnosis I have encountered similar situations. When I was orienting one of my preceptors says that if a patient is ordered Ativan and they can have it (i.e. enough time has elapsed and they're not maxing out) then administer it. She always told me that if the doctor didn't want the patient to have it then s/he would discontinue it. That's really been my motto, even though I try to offer alternatives like Vistaril which of course never does anything for them. If the nurses didn't feel the patient needed it then they should have mentioned it to the physician to either discontinue it or increase the frequency. Now as far as what you did, honestly it depends on the exact words that were exchanged. You stated in your original post that your preceptor "will tell her that all her pills are in her med cup and administer away." That might be a true statement, perhaps all of her scheduled meds are in the cup. Now if the patient asked if the Ativan was in there too (when it really was not) and she/you said yes, then that is false and rightfully grounds for some investigation or at the very least a teaching moment for you & your co-workers.
  16. Rags2Riches RN

    Nursing student lied about me to my manager, and I cannot prove it.

    Sorry to hear about this incident OP. Of course we don't have all the facts but based on your story I don't see where you did anything wrong. As with any situation especially messy situations like this it's best to live, learn and move on. In the future should you encounter a similar situation it would be better if you not only talk to the student but immediately inform your charge nurse/nursing manager of the situation. By doing this you give the student little time to exaggerate the encounter & you give your side of the story first. It may sound silly and tattle-taling to some but when you're dealing with scheming individuals it's best to CYA. And good luck finding a new job :)