vanlo001

Top 10 reasons CRONA nurses must reject the hospitals "last, best, final offer". 10. The sign on bonus was specifically included to blind members to the hospitals ultimate agenda. It is a smooth move that plays on everyone's fears in hopes of dividi...

I absolutely never meant to take away from the fact that there are hard working RNs in every state and find that response odd. I've worked in many states and each group of nurses stood out in a special way. Nurses are incredibly gifted people who tou...

There's an LVN on my unit who graduated, found no jobs, and now works as a CNA. New grad RNs are also having an incredibly hard time. Maybe applying for CNA position will get you in the door. Yeah, it's not about the grades. It's not fair, but it is ...

19 years, no one that was named in a suit or called to court, once I received a letter from a hospital where I worked that said my accurate and complete documentation of an event that led to restraining an alcoholic man led to the case being dismisse...

Thanks Caliotter- but once you work here it is hard to walk away from the dedicated and hardworking nurses.

I struggled with this question too. I'm in school now for my MSN/MBA. My advisor told me I could do the same thing with a BSN/MBA that I woulddo withMSN/MBA andit would take half the time (and half the cost). He explained his sister was doing IT impl...

Where do u work sunny Calif? U can just say the state and what part or the hospital name if your comfortable. That seems a very strict ladder. Are the roles for RN 4s different than the RN 2 or 3?

How does your hospital recognize nurses. Most places I have start new nurses at RN I, advance nurses to RN IIs automatically then you must perform some leadership or committee roles to earn the RN III and IV. How does your institution do it? Do any i...

Is there a preferred experience requirement? At least one year of experience on hospital in the specialty area they are looking for. I'd recommend at least 2 years of experience because travel nursing is not easy. You need to quickly assimilate to a ...

I have oriented to countless jobs in countless states so I speak from experience: bite your tongue. Observe how they do it and even if you feel you know a better way now us not the time to bring it up. Orientation is the time for you to learn how the...

I have always hated the term Strong vs. Weak. However as a charge RN it is essential when planning staffing to consider skill mixes in order to even things out. You may not hear the term weak because we do not use that term to people directly. Howeve...

It sounds like you have all the steps down. Perhaps someone else has advice but rest assured you more you do your job the easier and less stressful it becomes and these calcs will become second nature as well. Best of luck.

Are you talking about figuring mg/kg/minute or something like that or how figure out 50mg/kg when you have a patient who is 10kg and the vial is 100mg/ml. I'm just not sure what types of tips you are looking for. I'd be glad to help I've done nicu PI...

I think it is great that you want to recognize your preceptor. The foundation you receive from a preceptor is irreplaceable. I would go with a small gift- a nice dr grip pen, a gift card for a scrubs store, a card with a handwritten message. The lett...

Your nursing license is on the line here. Think of it that way. When a patients discharged the meds need to go. Either with the patient or back to pharmacy. If it's still hanging out when the patient is readmitted I would send those narcs back to the...

Your question is so vague... Just look up each drug your giving for recommended dosing. Understand how todo the math....

Good job.

Oh my. Oh my. New grads take years to become proficient. Talk to a couple of nurses just off orientation they a scared s*it-less. And if they are not their ego is so big they don't realize what a liability they are. I love new grads. I love teaching ...

Well that's interesting about the discrepency. We use buretrols with any drip medications (heparin, lasix, dopamine) and chemotherapy drugs that infuse over 24 hours. We also find our chemo infusions lasting 25 to 26 hours which is a huge issue when ...

I've used it in a few situations and it works if you know what to include under each heading. I'm sure you all know the deal behind it. It was developed at kaiser when it was noted that doctors are more factual and direct in their reports while nurse...

In that particular situation I might have just gone it alone especially if my biggest obstacle was that I didn't know where half the supplies were. Are the residents the same? If they were I wouldn't have demanded an orientation day. In the case that...

It's an excellent way to buy a house or save up for a dream vacation. I've worked two fulltime jobs and it is doable but you do sacrifice. I found after a couple of years I need time for me even if it's just cooking a nice meal, taking a walk, and wa...

Typical. Be grateful u have your job still. Reflect on what u could do better and how u plan toprevent yhos from happening in future.

Your post doesn't make a lot of sense.

Hi fellow nurses: I'm doing an evidenced based change project on empowering the bedside nurse to provide patient education for the newly diagnosed oncology patient. What are your thoughts or experiences on the subject. When do you introduce new ...