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delilas has 6 years experience.

Registered nurse, horse enthusiast, bookworm extraordinaire

delilas's Latest Activity

  1. delilas

    Started a new faculty job...[rant/need advice]

    Yes. Even so, they had a relatively good rep until the last few years, apparently. They were purchased by a large national for-profit at some point.
  2. I just hired in to be a full time faculty member in a school of nursing. I am on my second day of orientation and already wondering if I should be looking to jump ship. My first big red flag was that after long discussions in my interview about my seeking work/life balance. I discussed that I was okay with the paycut I had to take to work there, because I would no longer be working crazy hours and weekends. The ADON I interviewed with agreed. I was given a sample schedule that was M-F. On my first day, it was casually mentioned that I would be taking on a Saturday/Sunday clinical group. They want me to work more weekends than I ever did as a bedside nurse. Second, this school has gone through multiple DONs/Deans in the last 5 years. The most recent left after less than a year. The current assistant DON is extremely new and attempting to do the job of several people. On top of that, several teachers have recently left, leaving them with very serious holes in their program. I oriented to the site of one of their clinicals today, and discovered that the school is on extremely tenuous standing with the hospital. In fact, the students are barred from passing medications on site, and are on their last legs and close to being removed from the site entirely. In attempting to talk to the interim DON and clinical manager about these issues, I was told that all schools have such problems, and that teaching shortages are an issue everywhere and that none of this should bother me. Is this true? Are these not red flags waving in my face?
  3. delilas

    Hospital staff/no weekends/holidays

    I float system-wide for four hospitals. I don't have to work weekends, holidays, or essentially any day I don't want to work, and I get a higher base rate, but I don't get benefits or PTO!
  4. I hated wearing 60 pounds of gear and running alone to emergencies across a 3/4 mile wide spanse. My facility was built in 1918 and now consists of 11 different buildings, any of which I could be called to at any moment. COs were cut a lot lately so I never felt as safe. It wasnt uncommon to have an emergency in the dining hall or a bunk house with 300+ inmates milling about with only one guard anywhere nearby. I realize my facility is a specialty, as most prisons are mostly enclosed besides an exercise yard. I hated doing chest compressions alone while waiting for my 2nd responder to show because a dirty guard was slipping girls enough benzos to overdose. Alternately, I feel way overcrowded now during a code in the hospital. I hated hangings and attempted hangings. And inmates swallowing things, namely razor blades, but I also saw eyeglasses, a fork, batteries, you name it. But then, I have excellent stories :) I loved dealing with the aftermath of break out fights. Your assessment skills can be a thing of art as you sketch diagrams of injuries and take statements and try to get some semblance of the truth. I 'hated' a lot of things but some of them are also what made me love it. You wont find a lot of this anywhere else in nursing. The only thing that truly made me hate it were mandatories. We were constantly short staffed, so you would be held for a 16 hour period some times for them to meet staffing. There were some weeks when this happened four or five times. You literally dont have a life outside of the job, and you certainly arent functioning anywhere near the level you should be at to deal with the danger and emergencies you're attending. But, again, my facility was kinda unique. So I hope others have better luck!
  5. delilas

    Obs Unit?

    I've seen plenty of obs units that are extensions of the ED - usually patients who may not meet criteria for admission but the doc doesnt want discharged yet (often chest pains, SOB, etc). I've never heard of an obs unit that is an extension of an ICU, however.
  6. Ohhh, I got lots of it. Correctional Nursing is definitely a niche. I loved it and hated it at the same time. I've moved on to hospital work since then, but I continue to PRN at the prison to keep my emergency skills sharp. Be ready to get a thick skin, and to be pretty autonomous. I'm c/p a post I made a long time ago about correctional nursing, and adding a little here and there. Stand your ground on your assessments. When I first went corrections, other seasonsed/jaded nurses butted in a lot and would insist an inmate was malingering or faking. Don't let others second guess your own assessments. The inmate in question would have died of a blown appendix if I hadn't insisted. There are a few good websites about pitfalls, traps, and other parts of correctional nursing. One of my favorites was Correctional Nurse . Net - read up! There is a lot of information on security vs medical, which is an issue that may plague you till the end of your days in corrections. Never enter an area if you don't feel safe. Just today, I refused to enter the holding room of a new intake who was high on god-knows-what. It is not worth your safety! Get to know your officers and what their "areas" are. For example, I know which ones are okay with me making my life easier (like letting my infirmary patients bathe instead of shower when I ask) and which ones will stick very strictly to protocol every time. I also know who truly has my back if a situation were to become dangerous. Talk to your COs about everything! I learned a ton of information about the prison and security measures just by talking to them when things were slow. We're there to help inmates - physically and mentally. But never let it slip your mind that a large portion of the population is manipulative and/or malingering. Never let an inmate "use" you for extras - even an extra band-aid to them can be establishing a broken rule that they'll use to manipulate you further. Know your protocols and follow them accordingly! A nurse got walked here (aka fired) 3 weeks ago for giving out too much OTC allergy medications to some inmates. Learn what meds they can abuse. You'd be surprised! IE -albuterol inhalers? They can be sprayed on a surface, and when dried, they scratch it up and snort it. Advair diskus is similar (but worse, because they can remove all the parts of the diskus, but it appears intact). Allergy meds are very popular here to get high on (so much so our formulary only allows even benadryl to be written once every two weeks, and it can NEVER be given OTC anymore). If you're expected to respond to emergencies, bone up on your anticipated actions for seizures, chest pains, drug withdrawal, overdoses, stabbings, hangings, and anaphylaxis. ACLS is never a bad idea if you're expected to be a responder without a doctor. We don't have a crash cart in my prison, but we carry an AED and suction machine to all emergencies, along with an assortment of other equipment, epipens, etc. Know the signs, how to treat, and how to call for help. Know tattoos! Know the signs of a fresh one, the signs of an infected one, and what your prison's policies are on new tattoos. For example, our requires an exam form filled out, captains office to be notified, and blood to be draw for HIV/Hepc testing. Then the inmate is usually put in segregation as punishment. Ditto for fights, accidents, and use of force. There is usually a different form versus what you may use in Infirmary or Nurse Sick Call. I could probably go on forever - Correctional Nursing is definitely a horse of another color! I'll stop there. You're always free to ask me any questions or PM me!
  7. delilas

    Note from a new nurse to all the preceptors out there

    There are definitely preceptors who like to eat their young still, but you also have to understand, that a good chunk of the people we precept are lazy, know-it-all, unappreciative, and argumentative. I stopped precepting for awhile because I burnt out on trying to help and teach people who made each 12 hour shift into one long battle to do things right. I love teaching and answering questions (and preceptors should!) and I hate that a lot of people run into preceptors who like taking on new grads because they feel like they can get a bit of vacation and have them do all the work. But I don't think they're the norm.
  8. delilas

    Top 10 Reasons We Get Fired! - Social Media

    Don't friend your boss, either, and be very wary of even what coworkers you friend. One of my jobs has a policy to not be friends with anyone in a leadership or management position over you, and my boss tried to friend me later that week! Also, set your profile to the strictest privacy settings. This won't keep people from being able to screenshot what you say, of course, but at least limits who can see what about your personal life. And even though I am a mouthy person who likes to rant once in awhile, I never, ever talk about work on FB unless it's super positive, like thanking my team members for getting through a rough day. It's simply not worth it.
  9. I still work with LPNs at one of my hospital jobs. Most of the time I don't mind, but days they are assigned patients with lots of IVP meds, or for oversight reasons given patients with CVCs and PICCs, it does get really annoying, because I have my own full team of patients, plus have to cover all their IVPs.
  10. delilas

    FORTIS college columbus ohio?

    Either way, fortis is not a reputable school. They've gone through multiple name changes in the last 10 years because they kept getting in trouble; they were reprimanded just in 2011 for having an RN teaching RN coursework (requires an MSN). Just in the time I got my ADN at a different school, they were RETS, Bohecker, and then Fortis. A school doesn't change their name repeatedly for good reason. Last I checked, they were still in provisional status in the state and many others.
  11. OSU doesn't require you go through new grad residency, at least, not for the position I interviewed for recently - I was interviewed along with a brand new grad. I could've had the position, but it would've required a pay cut so I turned it down, and it went to the new grad on their 8 Rhoades PCU (or maybe they just didn't mention the residency?). But it's a good program to apply to either way, as it lets you see a lot of different types of nursing. Don't ever be afraid of fellowships and residencies; you're getting paid to gain more skills. MCHS has a new grad program that is very difficult to get into, as they have their own nursing school. I work flex for Mount Carmel now, and although they aren't magnet like OSU and OhioHealth's Grant and Riverside, they have excellent pay once you hit the 2 years of experience mark. OhioHealth has an amazing Critical Care Fellowship for new grads. You have to have had excellent grades and references to even begin the application process, but there isn't a comparable program anywhere else that will get new grads in-depth ICU training. Alternately, if you're willing to drive, Springfield Regional (1 hour outside Columbus) often takes new grads. Downside, they're broke and hemorrhaging experienced nurses, upside, they'll take everyone so when you get desperate, it's a good way to get experience on your resume if you're willing to work super short-staffed and bust your ass for a year!
  12. delilas

    BSN vs ADN in Cleveland/Akron Area

    Ohio as a whole is going for "BSN in 10" and trying to get as many nurses as possible BSN prepared. Regardless, BSN is the way to go. I did my nursing in 3 steps (LPN, RN, BSN), so either way you go about it is fine, as long as you understand that progressing past floor nurse will, in most facilities, require a BSN.
  13. delilas

    RN Salary Survey 2013: Post here!

    1. Ohio 2. 3 3. PCU 4. Hourly pay: 24.40 5. Nightshift diff = 5.00/hour, Weekend diff = 3.00/hour 6. Union? Nope
  14. In 10 months at this particular hospital, I can count on one hand the number of times I have gotten out "on time" -that is to say, within a half hour of the time Im SUPPOSED to be clocked out. We are supposed to leave by 730, giving our shifts 30 minutes of overlap, but we have had a lot of issues streamlining the process - not the least of which is that we cannot do a normal process of handing all your patients off to one nurse. We have 1 to 2 LPNS on the floor regularly, and so it is not uncommon to have 6 patients and hand off to 4 different nurses, which means we often have to sit around and wait for another of our nurses to be done with report from someone else in order to give them our report. It's unnecessarily complicated and kinda useless. We bring it up time and time again in meetings and it seems like no one cares. I wonder if I bring up the pure financials of it like nurse2033 suggested if I'd get anywhere.... ALL THAT BEING SAID - it is normal for me to stay over 30 minutes, in fact, pretty much expected, but only on the worst of days am I there longer than an hour.
  15. delilas

    Acuity in patient assignments

    I think we work on the same floor
  16. delilas

    Can scrubs have chiffon?

    I agree with Sweet Wild Rose, the final answer is always in your facilities dress code, but chiffon is not easy to clean. At least in my job, lint is the least of my problems. Chiffon is generally dry-clean only.