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How do I transfer non ambulatory pt from WC?
There should be orders in place from PT so you can safely transfer this patient. Generally a hoyer lift is used and should not be used alone. Who does your supervisor think is going to help you?
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Huge disaster
So the count was correct when you got there, then when you left you did not count then a whole card of narcs turned up missing? See above^^ and you can also go and get an independent tox screen. Best wishes
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Huge disaster
When you counted with the off-going nurse was the card there? Did the medtech pour meds in the dining room and you passed them? Big no no if so. How did they "find" narc sign out sheets in the shredder? Is that not the purpose of the shredder? There is so much going on here, hard to help you.
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A really stupid incident
Methadone is a controlled substance. Not sure what state you are in but in CT controlled substances must be wasted with two registered nurses. So now you have a "missing" dose of a controlled substance. This is very much frowned upon. No, your patient cannot witness you wasting anything. Also, she said to go get a drug test that tests for methadone to prove you did not ingest it. Good luck!
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withholding medications ethical dilemma
Because you were assigned as a sitter, so you did "not need to know". You did not have any medical reason to be in her chart as you were not assigned to care for any of her medical needs. If you truly are in nursing school the fact that you do not know this is very concerning.
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Tattoos in the workplace
All of my tattoos can be covered by short sleeved scrubs. I did that for a reason and your current issue is the reason! Find out your official hospital policy and go with that. I do not think she can override that, can she?
- Commute time to hospital job
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Vivitrol shots: Troubleshooting
Yes, I have had this issue.This med is very very thick. Make sure it is well mixed before you draw it up, then you have to inject very slowly.
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Am I overthinking this?
I was orienting there. Red flags all over. I agonized over it for 2 days and realized there was NO WAY I wanted to work under those conditions, so I let them know that. Feel so much better. : )
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Am I overthinking this?
That is what the DON told me today when I brought up some concerns via TC. Some background: RN 7 years, 5 in school nsg, 2 temping. No med surg background Position available to me: SNF 30 pts, all of them have a certain disease in common, plus a lot of comorbidities. 2nd shift, LPN on til 7p, then I will be alone with 2 CNAs. Is it possible to do a 30 pt med pass in 2 hours? By my calculations, that is 4 minutes a patient. I did half the med pass the other night and it took me 2 hours. Also, CNAs can not do fingersticks here. Charge obviously since I will be the only RN there. Plus any admissions, 911 calls, etc. Is this even possible? I have no issues with doing meds at all. I just do not want to hurt anybody. And fyi, they have zero permanent staff for 2nd and 3rd shift. Huge red flag? I have no idea what to do here. There is more training being offered but my gut instinct is telling me to run far and run fast. On the other hand, if I leave, i will have no job. Help!
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Summer jobs?
Summer day camp or residential camp. Last summer I worked at a camp that cost ~ 400.oo a week to attend. I got to bring my dgd for FREE and they fed us for FREE everyday. And they paid me good money! It was awesome spending that time with her. She would pop into my office now and then, or I could go watch her do whatever she was doing. They had a zipline, a climbing tower, an inground pool, a pond, a water trampoline, etc. It was awesome. I am hoping to go back next summer! : )
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Yale New Haven Hospital Job
If you got an offer from any hospital in CT, good for you! It is taking some people years to find a job here. 30 ish is the average, I believe. It should be doable but the cost of living is extremely high! Also, Yale University offers a grad program if I am not mistaken. (I think I looked at the site recently) Good Luck!
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What did you get for nurses week?
I got fired!
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Ferpa violation? I'm so confused!
Thanks for the input. I met with my supervisor today and all is well.
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Ferpa violation? I'm so confused!
I'll keep this short and sweet. The school where I work has a partnership with a major university. They come in and provide extra support with the help of their grad students. This includes social work and nutrition. They recently received monies to work on a special project re: A**D . ( a certain common affliction) They need a certain amount of students, so the very head of their school (s/he has a PHD in their profession) asked me to email our teachers to start to populate the list of whom might best benefit by being included. So stupid me sends out the email. Absolutely NOTHING has been done with the information, yet I have been called into several "meetings" over the past two days getting my butt reamed. I have another "meeting" tomorrow. For the life of me, I can not figure this out. Did I totally screw this up? Please be honest, I am looking for feedback to improve my skills. TIA