Excellent news, VivaRN! I'm so glad you have found a good place to be. I hope every little thing will keep going your way! I'm still pounding the pavement, myself. Market is really tight here. I may try my luck with some travel nursing.
I, too, have worked at a small rural, critical access hospital ER. I know what it is like to work codes with a less than ideal number of staff. I have worked in a larger General Medical hospital, too. I understand your tendency to feel loyal t...
I was fired February 1, after two months on the job. I was told that there had been "staff complaints." The supervisor claimed she didn't have her notes with her, so she was unable to tell me what sort of complaint there was. The only person I'...
Ruthfarmer replied to Quark09's topic in Uniform/Gear
Aveeno Intense Relief Repair Cream works well for dryness. Zim's Crack Cream helps heal cracked areas. Paraffin manicures helped me so much that I bought a paraffin warmer to use at home.
I did it quite a few times for my first husband, when his ears would become stuffy. It would make his ears "pop" and he said it relieved his discomfort. He found it to be very effective.
I am so glad to read this thread. I visited my patient on Tuesday and her feet were perfectly fine. On Friday, there was a 5 cm Stage II with yellow exudate and purulent drainage on the inner aspect of her heel. The location of the wound was totally ...
There's no shame in having done honest good work. Being dependable enough to work when scheduled without excessive tardiness or missed days, and being entrusted with the responsibilities of training other employees are very desirable traits. Working ...
Ruthfarmer replied to UpinawayRN's topic in Hospice
I don't think of myself as an adrenaline junkie, but I left the ER in November and started with hospice. I love it. I work for a non-profit, and what I value most is having the opportunity to spend the necessary amount of time with my patients and th...
I'm new to hospice, and loving it. I have dealt with a lot of phlegm in my time, but last week I came across a patient with really super thick and sticky phelgm like I've never seen before. The patient is a bit obsessed with the phlegm and frequently...
Ruthfarmer replied to SoCalRN1970's topic in Hospice
The "needy" patients to which I refer are made to "appear hospice appropriate" upon admission. During hospice admission these patients gain weight and have stable VS that are WNL. There is NO decline of any sort to be documented and these patients ar...
A colleague and I were discussing this topic in regard to one of the patients on our hospice service. The cardiac specialist involved was adamant that he would NOT order the defibrillator shut off as that would be euthanasia. My thought is: what abou...
Ruthfarmer replied to SoCalRN1970's topic in Hospice
Having been with hopsice only a wee while, it seems to me that sometimes MD's refer "needy and annoying" patients to hopsice in order to get a break from them. Please understand that I'm not judging the patients; I'm sure that all nurses have noticed...
I'm new to hospice, and loving it. I have dealt with a lot of phlegm in my time, but last week I came across a patient with really super thick and sticky phelgm like I've never seen before. The patient is a bit obsessed with the phlegm and freque...
Refusing unsafe assignments is the only way to go. Unsafe nurse patient ratios with very sick patients is a recipe for disaster. Patient safety must be our priority. Administrators will push things as far as nurses allow them to push. It's up t...
It is amazing how many vile heartless people are able to get a nurse's license. I do not abide such comments. I will very calmly and deliberately tell someone, "Your comment is inappropriate and unprofessional. Please keep such comments to yours...
I don't know about the Associate Degree Programs in your area, but the local community college ADN program from which I graduated required us to be full-time students. We were told from the outset that it was best for us NOT to try to work and attend...
Ruthfarmer replied to LGiammarco09's topic in General Nursing
Talk to all you nursing school buddies and any other nurses that you know. They will be able to give you hot tips on which facilities are hiring. They can put in a good word for you and often help you get an interview before job vacancies are posted....
If you are at a facility that has computerized charting, you may be able to print yourself a "hand-off" report which very succintly tells you all the crucial details about the patient. You can highlight the info as you receive report. Then you can pr...
Ruthfarmer replied to LeavingTeaching4RN's topic in General Nursing
You should find out what the nurse patient ratio is on the unit, and the actual acuity of the patients. Some tele floors house patients who OUGHT to be in ICU. You may find yourself playing musical beds shuffling unstable patients back to ICU. If the...
Ruthfarmer replied to pedsnursing's topic in General Nursing
Amen. Amen. Amen. There's very little care in health care any more. A non-traditional student, (over 40), I went back to school (for a third degree) to become a registered nurse. I have a graduate degree AND 20+ years of work experience in fields whe...
How is your oral English? You seem to have very good command of written English. Is English a second language for you? You mention that communication is difficult for you. Is the problem with expressive or receptive speech? In which region are y...