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  1. kaliRN

    Ask Me If I'm Safe At Home

    @Ruby Vee Thank you for being courageous enough to share your story so transparently, I felt the mental and emotional turmoil so powerfully. Brought me to tears - so grateful your resilience is serving you on this new path. I remember being in the hospital, twice I had allowed the father of the child to attend with me at the appointments, we had separated after a second incident of violence this one during my second pregnancy in front of my child. Someone on an online community made me realize with their own raw story and honest recounting just how deep I was in the abuse cycle and what I would be facing if I left without the protection of a TRO to address custody. I was still so “in love” and wanting to keep our family unified in some way that I would never have thought to do this and yet I have no doubt that was a precious gift that changed the course of my life. Thank you for sharing your story, that person will never know but she may have saved my life, and she certainly protected me and my children from devolving into his power to manipulate and control us. You may have done the same with your story of resilience, strength, and courage. Your story struck me to respond because in the hospital twice during admission I was asked if there was any history of abuse or violence ... I allowed him to be present for these appointments so how could I answer honestly? I was safe, I was separated, I was legally protected and stable in my home environment, but if I needed any support, I could not have sought it then and I will always wonder if any one could be helped by more open ended questions in private. In my new life, I was asked these same types of question in front of my husband, thankfully I am truly safe now but still disheartening that not much has changed - across 13 years and 3 hospitals and a multitude of doctor’s appointments no one has ever truly “asked” me if I was or felt safe at home in a manner I could answer if I chose.
  2. kaliRN

    What is the lowest HGB you have seen?

    3.1: Aplastic anemia. Transferred to ICU despite needing nothing more than a couple of units, A&Ox4 - walkie/talkie.
  3. kaliRN

    CNA shift for fulltime student and wife

    Disclaimer: I have never worked as a CNA - I am merely speaking from what I experienced in nursing school/as an RN. As a general rule: Acute care setting would offer a full time position with 12-hour shifts 3x a week. Long-term care would offer 8 hour shifts 5x a week. As far as working only weekends Friday/Saturday/Sunday, that would be up to the facility. The nature of 12-hour shifts usually comes with alternating days throughout the week (i.e. a different 3 days every week). There were students in my programs that were CNA's/LPN's that worked nights or had relationships with their employers that allowed them to choose the days they worked to match our program requirements. In the latter situation, these were long standing employment situations, no one walked into a job with that kind of flexibility. As an alternative, there are also CNA "float pools" at some hospitals and if you were lucky enough to gain employment at more than one facility, you may get three shifts that way. More likely, since you are wanting to work the (less desirable to most) weekends. But there's no "guarantee" here - so I mention this more as a "last resort" Please know whatever route you take. Working full-time - especially nights - requires a level of commitment I hope you are prepared for. Please seek advice from someone you trust on this. I hope you also consider the wages you will be making as a CNA and you and your fiance are able to budget accordingly.
  4. kaliRN

    First CNA Job, plus

    I am offering my humble opinion on the subject, I think on the job training is the most ideal situation for learning the role of unit secretary. Primarily because as a US, one needs to learn how to be one first on the unit and then in the facility as a whole. Wherever assigned these duties much of the US job is very specific to the charting and computer systems unique to an employer: facilitating orders, managing supplies, coordinating assignments or transportation, preparing documentation, etc. Not sure what literature exists to help you acclimate to the role, but just thought I would share why you are likely being trained in this fashion. This role is wonderful for reinforcing medical terminology, familiarizing oneself with physician's orders, understanding the dynamics on a health care team, and most of all ... USs are more likely than anyone to be able to actually READ physician handwriting. Trust yourself to learn "as you go" and ask for more support if you feel you need it. Good luck in nursing school.
  5. kaliRN

    post code icu stay mandatory?

    The one exception I have seen is when there is a change in code status following a resuscitation (a newly documented DNR allowed to stay on the floor). That is not to invalidate what the above posters have mentioned.
  6. kaliRN

    Can a prn employee collect unemployment?

    I agree with the other responses, that its the scheduled break that would prevent you from collecting unemployment, rather than your PRN status ... And that the best place to check would be the website for your state. In my state, per diem employees can collect unemployment during seasonal lows, provided they meet all other requirements. This does not apply to anticipated gaps in employment hours (like school breaks for teachers).
  7. kaliRN

    NCSBN Nursing Ad

    Here's a link:
  8. kaliRN

    Flu shot 2010-2011

    Originally posted by roser13: "In any given year, the influenza vaccine consists of the CDC's best guess at the pandemic potential of any current virus - this year, it happened to include H1N1. From any perspective, you were given the "plain old flu vaccine." " This! ... I hope this thread helps you understand the nature of the flu vaccine. You can also read more information about it on the CDC website. Every provider receives and distributes the same flu vaccine (they may contain different amounts of thimerisol - but the virus strains are all identical). This is true for all immunizations, you can educate yourself prior to making an appointment for this or any other vaccine for you and/or your daughter.
  9. kaliRN

    when do you tell your pregnant? and shingles question

    You should really ask you OB about taking shingles patients. Your company culture, how nurses are treated during pregnancy, would have a lot to do with when I chose to tell my employer. Congratulations and I hope you have a healthy and joyful pregnancy.
  10. kaliRN

    Fingerprint Card (for license endorsement)

    This is from the CA BRN, might be helpful: Board of Registered Nursing - Fingerprint Information
  11. kaliRN

    Who hires RNs is LTC?

    It's really kind of you all to take the time to respond. I appreciate your insight from a managerial perspective CapeCodMermaid. In my previous career, I would often spend time on the floor when we were hiring and could not believe how some people would present when asking for job applications. Forget cruddy crumpled clothing, shorts that look like underwear, and t-shirts with offensive language ... Many people had small upset children, partners with groping immodest hands at their side, and the lack of manners - for shame. I was a young woman and probably looked even younger most days, so I imagine it was assumed I was staff. We had "filled" the positions in all these cases. In some cases, especially with younger, polite applicants, I accepted their applications and offered them very similar advice to what you have listed here. Professionalism occasionally gets misplaced in service industries. As an aside, I have been asked to fill out some applications that do indeed take an hour to fill out. Usually involving skills, knowledge, and/or personality tests. I wonder if the applicants that take this amount of time with your facility's application would simply leave if presented with this type of application.
  12. kaliRN

    Who hires RNs is LTC?

    Thanks all, I really appreciate your feedback. I just wanted to be sure there was a standard here that I was unaware of. In acute care, if I asked for "the person who hires nurses," I would probably be met with a chuckle as they routed me to HR or a nurse recruiter. Seems like, as with many things in LTC, the number of hats one person wears is exponentially greater than in acute care. Just didn't want to start the conversation off with a potential employer sounding like a fool!
  13. kaliRN

    Who hires RNs is LTC?

    I am a new grad planning to start searching local care facilities for openings. My first thoughts are to call and ask about available positions and fax my resume. I called one facility and heard the question mark in the receptionist's voice when I asked for Human Resources. I am unfamiliar with the structure and the typical roles in this environment. This facility routed me to the MDS coordinator, I am sure others may send me along to the DON or ADON? I do not want to appear completely asinine when searching for jobs, it would also help to know the most likely person who will interview me. Any thoughts or advice? I am first ensuring they do not have a job website and online application process in place (some do). I am also considering most of these positions might be receptive to a "drop-in" application, since I saw this in another thread. Could I come in, dressed professionally, resume in hand and be willing to fill out an application. Should I call first? I am in southern California - if that makes a difference. Appreciate your advice.
  14. kaliRN

    New graduate "again" after RN-BSN

    Thanks for your insight all. I will definitely NOT be leaving anything off my resume. I really had not thought about it from that perspective! I was not trying to be dishonest or sneaky - just had considered it a judgment call what one would include - clearly I was totally off base. Most RN-BSN programs do not have a clinical component, aside from public health and community outreach settings. That is why they require an ADN and a current active license in most cases, essentially one is considered clinically competent. Further, programs are designed (in theory) for the working nurse. So there is an expectation that you are continuing to gain clinical experience while going through the program. (1 year of experience used to be the norm for these programs - that's changes in almost all of them at the BSN level). I am definitely going back, it was always in the cards, and I may have done it sooner if I was employed full-time. It would not give me acute care experience, but it may connect me to a greater number of nurses ... Networking was one of those things I didn't quite "get" in nursing school. Hiring personnel would have the best answers. Unfortunately, I have not found the HR departments of hospitals with new graduate programs receptive to inquiries of any kind. Most are so overwhelmed with applicants, a rejection email may even be a stretch. Many facilities have automated systems at their main office, so unless you know the name and number of someone with a direct line, you are unable to speak to anyone but an answering machine. That's why I wanted to throw it out there, just wondering if there was a consensus.
  15. kaliRN

    New graduate "again" after RN-BSN

    Thank you so much for taking the time to post LookForward, I know I am not alone and it helps to hear some information from a similar situation. I am certain each facility can define its own set of standards, but its nice to know, that some hospital are open to the idea Here's to hoping it won't be an issue by the time we graduate!