nlk96

Got it--sent one back. Thank you!

Thank you---sent one back to you

I have been following this thread for quite some time now, and am hoping to join you all as a Humana Independent Contractor Care Manager R.N. I filled out the information on their website, requesting more information about joining their network as an independent contractor, but haven't heard anything. How long does it usually take to get a response? Thanks for any information.

I have a question and can't seem to find the answer here on allnurses. I could've sworn I read something about this once, but can't find it now--I apologize. If a nurse contracts with a company such as LifePlans to perform in-home assessments, is it a conflict of interest to sign up with another company to do the same type of work? Or is this simply like working for two different agencies? Also, if anyone can recommend any companies other than LifePlans, I would appreciate any info. Thanks so much for your time and help!

Hi everyone! I recently accepted a position at Monmouth Medical Center, and need to take the pharmacology exam before my start date. It's been many years since I've taken one of these, and I'm honestly terrified by the fact that it's 50 questions in length, and I can get no more than 2 calculation questions wrong--more than 2 is an automatic failure and one re-take is allowed. I'm getting all stressed out and nauseous over this....Has anyone on here taken the exam?

Hi! I don't want to step on your husband's toes, but you are the one who will be working and you need to like what you're doing, or you will face burnout again. Working in a skilled nursing facility isn't easy--it can be both physically and mentally draining. I'm in my early 40's, and most days after work, I am completely wiped out! I wouldn't recommend going to the orientation if your heart and your head aren't into this job. Good luck on getting the clinic job that you really want!!!!

Thank you so much for your feedback! I will work on it some more, taking your suggestions.

I am having a such a hard time with this. I can't seem to come up with a decent PICO question, and I would really appreciate some constructive criticism and feedback! Thank you in advance for anything you can offer. I worked with a transgendered patient a few months ago, I really started thinking about many things. Here's what I have: For a patient in a sexual minority, does the availability of culturally sensitive care increase their physical, psychosocial and material well being? P--population--sexual minorities I--intervention or variable of interest--culturally sensitive care C--heterosexual population (have seen on several websites that the "C" does not have to be stated explicitly in the question--is that true?) O--outcome--physical, psychosocial, and material well being Do I need to narrow this down further?

Hello everyone, I'm re-vamping my resume and cover letter, as I have a strong desire to leave bedside nursing. How do I indicate this in both a professional and tactful manner in a cover letter? I've been looking on this site, as well as "Googling" for an appropriate cover letter, but haven't found one as of yet. Thank you for any suggestions.

Last weekend, my co-worker complimented one of our residents on her blouse, telling her, "Oh, it's very summery and pretty. Where did you get it?" The resident responded, "From my closet, you dumba$$!" We howled!!!!

I forgot to add something that I already do, that I find helpful. Years ago, when I worked in Med Surg, I would take report and write everything in black or blue ink. Then, anything I needed to write that occurred during my shift, including vitals, blood glucoses, etc...I would write in red ink. This way, I could easily see what was "old info" and "new info" for charting purposes and for giving report to the oncoming shift.

Wow--I want to thank each of you for replying to my post, and for giving me some really great tips. I appreciate it! The computer is used for MAR and for charting, so it's got to be with me at all times. I wish I could somehow combine the med carts, but there are 3 wings on each floor, and each wing has its own med cart. I'm going to work tomorrow, and tonight, I am going to sit down and make a list of everyones' suggestions, so that I can see which ones I can incorporate into my day tomorrow and in the future. I really love these forums. Thank you all again! I hope that I can help one of you with something in the future!

I recently returned to work in a LTC facility after a 10 year hiatus taken to have a family and return to school. I seem to be having more of a difficult time with time management now, than I ever did before. I could really use some tips/advice. Here's the lowdown: I'm responsible for approximately 24 residents, on 2 separate wings There are 2 separate med carts, along with 2 sets of keys There's 1 laptop, that the battery always seems to be dying on. I am constantly going to the nurses' station to plug it in to re-charge it. This is so time consuming! As you know, there are lots of p.o. meds, IV therapy, G-tube, many nebulizer treatments, nitro patches, lidoderm patches, and at this facility, all syringes are kept locked up and must be signed for when used. There are 7-8 residents with blood glucose monitoring. Some get insulin at 7:30 AM, one gets it at 11:00 AM, and then there are the 11:30 finger sticks with coverage. Insulin is kept in refrigerator, which is in locked med room. There are about 12 residents on health shakes at 2 separate times during my shift. These need to be kept in the refrigerator until given. Again, these are locked in the med room. I just feel like I'm often running around like a chicken without my head. I feel I'm doing an awful lot of unnecessary back-and-forth running, from the floor to the med room, getting the insulin, getting the shakes, getting whatever. Then, I have the residents that want their meds sooner or later because they're going out with family, going to an activity, etc....so I am running back and forth between the 2 med carts. Then, of course, there is the privacy issue, so I often have to wheel residents to their room or a shower room for finger sticks, insulin, application of patches, etc....By the time I sit down to chart (which is also done on the laptop), it's already the time I should be leaving! I'm sure many of you are probably laughing right now, and believe me, I feel very silly typing this, but I really do feel that I could benefit from any tips you may have to offer. What can I do better? Thank you for anything you can offer!!!

Thank you so much for your reply--I really appreciate it. I'm going to hold onto those names!! Nancy

Hello, everyone. I have an unusual request, and am hoping some of you will respond. My mom is moving from NY to NJ, so she needs to find a good cardiologist. She had an MI 6 years ago, and her recent persantine stress test was not good. I am unbelievably stressed out right now--My dad passed away years ago, and I have no siblings to help with anything. I have a family of my own. I am in school. I work part time. I just really need some help! I am looking to find a doctor affiliated with Jersey Shore Medical Center. If anyone can recommend someone that YOU would trust, as a healthcare professional, to care for your family member. If posting a reply is inappropriate, please email me at [email protected]. I hope I did not break any rules by posting this. If I did, please forgive me. Thank you for taking the time to read this. Nancy

Mary, thank you so very much for your reply, and your excellent advise. I appreciate it! I'm going to do exactly what you suggested!! Nancy

I am so happy to have found this thread. I've been reading these boards for about a year now, and just officially decided to join in. Mary...I could have written almost the same thing! Wow...When I worked in Med-Surg, I had a patient load of 10-14 patients. When I worked in a nursing home, it was 1 RN and 42 residents. I felt completely overwhelmed. I spent lots more time doing paperwork and giving out meds than I did assessing and caring for my patients. It was depressing. When I was working in the nursing home, I felt that my residents were not as safe as they should be with only 1 RN. I also had a very negative/bad experience when I almost worked in L&D. I never completed my orientation. During my 4th week of orientation, I was left alone in the triage area because the unit was short-staffed. I told my preceptor and nurse manager that I was very uncomfortable with this, and did not feel competent at this point. They said, "Oh, don't worry about it. It's just triage." Just like that. They displayed a very cavalier attitude about it, and seriously didn't care. I had never delivered a baby before, and had observed less than a handful of deliveries at that point. Well, a woman come into triage in active labor, 5th term pregnancy. I paged the resident who told me, with a terrible, sarcastic attitude, that she couldn't help because she was in a class. I paged her attending who never responded, and then I didn't even have time to page anyone else. I ran to get the emergency delivery kit, and God must have been watching over me...I saw an attending outside the locked unit. Had no idea who he was, but I ran to him, begged for help, practically crying I was so nervous. He ran in to help me, and baby was born less than a minute later. I resigned that night. I worked hard to get my license, and I felt that it was in jeopardy sometimes. I left the workforce to stay home, and I had 3 children. Well...fast forward 10 years later. I am pursuing my BSN part time, and would like to go back to work per diem. Eventually, I would like to go back to work part time. I am seriously considering hospice, because I have always felt drawn to patients who were terminally ill for some reason. I am an extremely compassionate person, and I really feel that either hospice or some other LTC is my calling (provided the ratio isn't normally 1 nurse to 42 residents again!!) I live in Central NJ. Do any of the seasoned hospice nurses out there have any advice or suggestions for me, as for how I should "get back into the groove?" I honestly lost some confidence before I left the workforce after those experiences, but I have put that all behind me now. I want to do what I was born to do, and that's to work as a nurse once again. I would really appreciate any thoughts, suggestions, advice, or comments. Thank you. Nancy