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evolvingrn

evolvingrn

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  1. evolvingrn

    Stuck in the rumor mill at work...

    When you yourself describe the relationship between your boss as 'flirtatious' it makes me cringe a bit......it doesn't speak much to the professionalism of the environment. and if your boss is telling you things that your not supposed to be told there is obviously some inappropriate boundaries. I'm ALL for having fun at work but i think that professionalism needs to stay at the center of that. Sorry you are having to deal with rumors though...that is always unfair .
  2. evolvingrn

    Staffing Sucks

    wow....i feel like i have it great now. night shift. usually 6 to 7 pts for an rn or lpn and each rn has a cna that 'teams' with them. usually not to bad.
  3. evolvingrn

    Inpatient Hospice Nurses ..I need your advice on pharmacy situation

    If people are coming to our IPU in the middle of the night we call and get orders, (we have standing orders) but if they are coming in the middle of the night they have already had our 'emergency team' out to their home and have gotten some meds and need more specific orders. We then fax the order to our pharmacy at some time but once we have the order were free to get the meds from the pyxis
  4. evolvingrn

    How fast did you find your first job?

    graduated a year ago, offer 1 month after graduation started just under two months after graduation.
  5. evolvingrn

    people seem uninformed....

    Im pretty spoiled, were held to pretty high esteem but i also have pts that think im their one on one
  6. evolvingrn

    Family wants to transport body.

    in my state family can take the body, we recently had a family that was going to be doing this we just had our social work go over the legalities with them.
  7. evolvingrn

    New Grad Float Pool

    yikes without any real floor experience that is a big task. My hope is that they will keep you on one floor at a time until you get your bearings and the progressively add other specialties. Good luck!
  8. evolvingrn

    What is your attendance policy?

    We don't have a strict policy but i know that it will now affect your raises , reviews as well as your ability to transfer to other departments. a co-worker was just denied transfer for that reason.......
  9. evolvingrn

    Ok, what's the real deal with new grads?

    Its hard to get an acute care job in my town, but there are still lots of LTC nursing jobs out there ........ My preception on the difficulty for our area is mainly because we have a lot of smaller towns and lots of nurses commute the hour in because we pay the best in the state.....That being said as a new grad i had a job offer within a month of graduating i have been there a year , love it and plan on staying ( i work in acute care). I also panicked reading post on here as i came up on graduation. I found that it was not nearly as I thought it would be but we just hired a new grad who graduated a year ago (she has been working in an lpn role) It seems like the ADN grads are having a slightly harder time finding work around here but they are finding work too in my experience. Good luck to you.
  10. evolvingrn

    4 medication errors in 11 months

    hang in there. most of your medication errors can be solved with a little re-organization. as another person mentioned your 'brain-sheet/assignment' sheet should have all the med times listed. mine has all 24 hours written across the bottome of each pt's 'area' i circle in red the time that meds are due on my shift. i think cross it out in black when i have given it (and only after i have given it, not just drawn it up) Looking at each mar is the first thing i do at the beginning of each shift.
  11. evolvingrn

    RN's, how much did you borrow for school?

    I graduated with 30 thousand in loans and paid it off in less than a year , by living off my spouses income and hitting the loan hard. good luck
  12. evolvingrn

    Mandatory Overtime-- what do you think?

    yep, i would look for a new job too. if it happened once every two years that would be different but once every two weeks????????? no thank you.
  13. evolvingrn

    OB Nurses that are insensitive?

    That is what surveys are for, i would pass it on nicely. When i gave birth to my first child nurses were grabbing my breast to 'assist' me with breastfeeding without asking left or right...it was very very uncomfortable to me but i didn't have the confidence to ask them to stop. I did pass it on in the survey and i think many other moms did to because the next time i gave birth, (while by then i was experienced and didn't need much help) but the nurse or two that did assist me all asked before touching me. They deal with that stuff all day long so Im sure they just weren't thinking how uncomfortable it was for new moms. that is why we do surveys...to learn how we can inadvertantly may be insensitive. pass it on...and help another mom in the future. congrats on the new baby
  14. evolvingrn

    Those that work a 6a-6p shift....

    I work 7pm to 7 am and almost all the pts have 2100 meds and many have 0200 and 0600 meds as well and i pick up a larger pt load at 2300 ( i generally go from 4 to 5 pts to 6 to 8) At our facility we still have paper mars so we have to recopy mars, do 24 hour checks, restock med rooms and we do more thourough assessments on 2 pts. (although day also has to on a couple pts) There is also less volunteer support and we take on a larger burden of adl cares with our cna partners than our day shift counterparts. I will acknowledge that the day shift has a heavier load in terms of meds , meals ect. but they also have a heavier support system. There are many days that i don't get breaks either..... For awhile we were also responsible for doing a full bed bath with our cna but that has 'disappeared' just by the fact that people quit doing them. I think our Cna's could still do this stuff but our system is setup on the night shift where they expect a nurse supporting them in 99 percent of adl cares. when i work days and pms the cnas often do more able pts on their own.
  15. evolvingrn

    Question for preceptors re: technical skills for new grad

    Your not going to see everything during your preceptorship.........and THAT is okay. I have been a nurse a year and i still have 'first' experiences with products/devices. I ask my charge and they are great about showing/telling me what i need to know. The important thing is that you be willing to ask for help when you need it. even when you switch specialties you have to learn a lot of new things..... good luck!
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