prettypaws

I do not allow students to do any sort of work on me- period.

I did leave documentation all over the place that the order needed to be clarified and who I told that too. I had also "lined" the order,etc. Someone actually went back and scrunched things in above the lines. I made copies of everything. So, it looks like I did everything I could. Now, I just have to wait and see what happens. I'm so thankful this is a temp job.

I've honestly never come across this before. I work LTC. Recently, I took a late night phone order. After hanging up with the doc I realized something needed to be clarified. It wasn't an order that could be carried out at that time of night, so, I left it for days to clarify during doc's rounds. I went back after several nights off and looked up the order. Someone clarified the order,but, they ADDED to my order. They made changes to dosage,etc. However, they never signed it. To make it worse, the changed orders were never carried out and the patient died. So, it looks like I took these orders and never bothered to carry it out. I wrote it all up and left it the DON's box. Is there anything else I should do to cover myself?

I just recently started working LTC and this is my first experience working with CNAS. Frankly, I'm a little uncomfortable. Those on my shift constantly thank me for doing anything that helps them in anyway. These CNAS are wonderful and have taught me more about what's going on at the facility than the other nurses. It makes me wonder what kind of nurses they are used to working with. On the flip side, one of my duties is to do the shift following mine's assignments. These aids are HORRIBLE to me. I finally had to submit a complaint after they made me cry the first time I did the assignemtn out of orientation. Now, they don't yell at me. They just say mean things without ever actually addressing me. If I ever was asked to work that shift, I'd turn them down flat!

This was an issue in my class as well. Thankfully, we had a lone male student. We pointed out that he wasn't required to wear make-up and that little rule was qucikly done away with.

What happens when all the staff on a shift is "fired"? If the patient is total care and only one staff member is allowed to care for the patient,what exactly does the pt/family suggest you do?

I have never worked with a med tech. I don't know of any facility around here that uses them. What exactly are their responsibilities? Are they hired to JUST give meds? Or are they expected to pass meds and do baths,transfers,etc..?

At the facilities in my area,charge nurse gets nothing as incentive. It depends on how many staff members are there as to who gets charge. Two RN'S: one is charge,one does all IV meds. Only one RN: charge plus all IV meds. No extra pay. Just the lovely title and extra grief.

I haven't worked in about 3 months,so, I thankfully donated my oh-so-attractive scrubs to my mother. That being said, my husband still works. He wears his scrubs home every day and they go straight in the hamper. He alternates between 2 pairs of shoes that are treated like,well,shoes. He takes them off and they usually stay where he takes them off. I am somewhat succeptible to illness due to Prednisone use. He has yet to infect me despite wearing his scrubs home.

" Nice ghost free office" HA! That's what I thought I was getting into. Instead, I was stuck in a place where you ALWAYS felt a presence. Corporate recently shut down our clinic,but, while I was there the office staff and I were convinced something was there. The building has lots of windows and lots of glass. I was always catching a glimps of something out of the corner of my eye. And there were many days/evenings when I'd have to admit defeat and get the heck out of there. We would hear things and try to locate them, but, the sound would keep moving like we were chasing something. In fact, in the 2 years we were open we went through 4 office manageres. I decided not to mention anything to the last one. Withing a week, she had come to me to ask about "weird noises". It got to the point where I wouldn't stay in the office alone.

OB is really not my field, so, I have a question. Last Thursday I had a positive HPT. Since I was at work, I had the lab draw a blood test totally off the record just to confirm. Sunday, also at work, I had some very bright red bleeding. My coworkers took me around to er. A pelvic was done that showed my cervix was completely closed, but, blood in the lady partsl canal. A beta was run and the numbers were in the 4600's. This is right on target with my dates(this was a VERY planned for baby). The doctor told me to go home, stay in bed, and come back today for another blood test. Well, my numbers today were 6287. So, I went up but I didn't get my 60% increase. An ultrasound is scheduled for Tue. The bright red bleeding stopped almost immediately. Now, I have just a very dark brown. The amount was never very much. In fact, I never soaked a pad. Of course, to a newly pregnant woman any amount of blood seems huge. I guess my question is, how bad is it that my HCG didn't double? The hospital lab says the number should have doubled by now. My lab book says that it can take 72 hours. I'm hearing so much conflicting info that I really need some straight shooting. Thank for any advice you might have.

I need some advice on resigning from my current job. When I began at this facility I was lead to believe 2 weeks notice is required. I've been offered a wonderful position that is closer to home and meets my family's needs better than where I am now. I have now been told by people with more seniority that policy is 4 weeks- since we do three 12 hour shifts a week this works out to 12 working days. The handbook confirms this. I feel that I HAVE to take this new job for my own well being. I am willing to give the two weeks that I agreed to when I hired on (of course, I didn't think to get this in writing). Has anyone ever dealt with this kind of situation?