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Problems with ER
Our policy is if the admitting nurse can't take report right away then the charge nurse has to. They will absolutely not send the patient up without report.
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Pregnancy and 3rd shifts
Speaking from personal experience, I rotated 7p - 7a and 7a - 7p while pregnant. I actually did better on nights, it was slower, etc. When I was on days it was so busy, sometimes I didn't take a break until 3pm, I wasn't able to sit down because it was so busy and there were too many people around that I couldn't find a seat and my feet would get so swollen. After the baby came, though, it's been rough working nights, lol. That's just my experience though.
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How to prevent falls
We use a fall risk score and most of our total joints come up with a high fall risk score and require a bed alarm. We actually had an alert and oriented patient fall and fracture their wrist on POD 0 because they didn't want to call anyone and ended up falling. We have had patients sign a refusal for the alarm and we put it in the chart. I use my nursing judgement and will often not utilize the alarm because I encourage the use of the trapeze but I always take that on a case by case basis. With regard to TKR, we always use a knee immobilizer and I haven't experienced any falls when ambulating as you've described.
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how many patients
I'm an RN, but our aides have between 12-14 during the day and up to 22 (or more!) at night. This is on an ortho/neuro floor. It's so ridiculous...
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for those who passed with 75, how long did it took you to take the test?
I took it back in July...75 questions in under an hour.
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Does going to a well reputed 4 year BSN program
A high percentage of students that started with me for new graduate orientation (maybe half) went to a very respectable university that does clinicals at the hospital and has some instructors affiliated with the hospital as employees. Most of the rest also went to some very well known schools. Two nurses graduated from a community college, so in that respect I think it's a game of luck. I went to a lesser known state school and feel like I mostly got the job because I was already an employee in the hospital.
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How long is the average wait before an offer?
I had a phone screen middle of May, interview June 5, shadow interview two weeks later, and was not offered a position until July 29, started 8/19. It was a long process. This is for a new graduate position. I have a friend with experience that waited nearly 3 months between interview and offer.
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RN Salary Survey 2013: Post here!
1. Connecticut 2. New graduate (BSN) 3. Ortho/Neuro 4. $30.90/hr 5. 12% evenings; 20% nights; +$2/hr weekends 5. Non-union
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Were you guys allowed the use of a calculator when you took your dosage test?
We could not use a calculator, and had to get a 100% on our last dosage exam. All you can do is practice, practice, practice; it will make it easier!!
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Med Tech to RN
I worked as a med tech and the only thing it was helpful for was that all my prerequisites were done to get to nursing school, as well as my general studies that would have been required in nursing school (history, sociology, etc.). It took me 3 years part-time to finish with my BSN, which worked for me because I was able to work full-time as a med. tech throughout school. Like the previous poster mentioned you could probably do an accelerated program and be done in a year. I think in some ways my previous experience was helpful to me (lab values, specimen requirements and collection, time management and delegation). Of course it's very different but I personally think it helped a lot.
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What do you use for personal alarms on psych units
I've worked at two different places that utilized panic buttons which we wore at all times. I've never had to use it but had coworkers who have. It initializes a code so security will report to the unit ASAP.
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Out of town clinical sites?
We had to drive one hour each way for our pediatric and psych clinicals. We carpooled and took turns driving. One facility also cost $20 to park per clinical day. We split it up.
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Tell me about a time....give example questions.
I will be perfectly honest and say I have made up scenarios or bended the truth to answer these questions. There is no other way, especially coming from someone with little to no experience.
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Starting Salary [new grad]?
New grad BSN in Connecticut. 30.90 per hour, 12% eve differential, 20% night differential, +$2/hr on weekends.
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INR results might get me fired