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Med-surg, ER, agency, rehab, oc health.
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jammin246RN has 6 years experience and specializes in Med-surg, ER, agency, rehab, oc health..

Graduated from Texas in 2005, I dabble in alot of areas of nursing. ER, Medsurg, Ortho, Rehab, IV starts lol. Always good to meet new friends!

jammin246RN's Latest Activity

  1. jammin246RN

    Too Little, Too Late.....Too Bad

    Some jobs i have had that didnt require much running were medication research (babysitting healthy volunteers), occupational health (waiting for someone to get injured on the job), and school nurse (telling kids that no crocodile tears do not keep them from classes lol). My mother did hospice nursing and liked it.... Either way cheers and hope it gives you some ideas!
  2. jammin246RN

    Too Little, Too Late.....Too Bad

    So sorry to hear that. I had a similar experience.... Please understand that it doesnt sound like your hospital is singling you out... But instead going on seniority. I have a job i love... And at times census drops and i cant get my hours. I have chosen to have an agencey back up. This allows me to have a home base hospital which i like and be able to supplement my income during slow times. It also allows me to experience different nursing areas... Through my agency i have done ltac, rehab, medication research, med surg, ocupational health, and others!. . It might open your eyes to what is out there :) best of luck!
  3. jammin246RN

    MSN and intellistaff DFW agency

    So i applied to our local msn branch a while ago...My my it was interesting to say the least. They made alot of promises about jobs, and I jumped through all the hoops... never heard back from them. Called a month later and they hadn't checked references or something. I offered to come in and finish up everything I could...drug test and other paper work, but they declined my coming in. I haven't heard from them in months. Ah well no loss for me, I don't think I could work at an agency which didn't keep me apprised of the situation.
  4. jammin246RN


    Well I can tell you a little about concentra... and occupational nurse work, since I used to be an occupational nurse. Concentra is a cash clinic, they keep costs low and charge what it costs to run a test and a little overhead. Many of their clinics have a doctor on site, and many are located in an industrial complex with contracts with the local industries. For example when I went to get a ppd last year they charged me $12.00 to get it, get it read and to fill out my paper work. I would imagine they charge very little for visits with the doctor as well (say $35.00). Oc health is a different sort of nursing experience. It's kind of a clinic/non urgent type work. You must work around OSHA's codes and what not. For example... any "medical treatment" is considered a big DING against the company's insurance. Too many dings and they are shut down/higher insurance rates/can't bid on jobs/and other bad things. Medical tests aren't considered medical treatment. A prescription is. So an Oc health doctor is very leary of prescribing anything. They can tell the patient to take 600mg of ibuprofen but if they write a script for 800mg then it is a ding against the company. Companies would rather put a person on clerical duty for a month or two and count screws then show that they had an injury resulting in "time lost". This does not mean the Dr. won't prescribe something if the person NEEDS it but they don't hand them out like candy. When I worked as an Oc health nurse... We were the only ones available for the workers... no doc on site. So if a worker slipped and sliced his leg open (which if he went to the ER would most likely get stitches) you would ask the worker if he would like to either have us doctor it and do drsg changes twice a day... keep it clean, dry, monitor it, have a decent scar, and get back to work.... Or go to the ER for stitches and have a smaller scar... Most would opt for us to take care of the slice. They would be able to get back to work, they look like a productive employee, the company doesn't look like they had an injury... however it was documented so if something were to happen with the cut then it would at that time become a job related injury, and the employee, company, and our butts were covered. You will most likely do alot of clerical work, and urine tests, and possibly blood tests. It's a different experience to be sure! I kind of liked it
  5. jammin246RN

    Agency nurses how do you do it?

    You will find that in most places a few things are slightly different but for the most part nursing is nursing. I don't get the 4 hour orientation... I get a 30 min one...same deal quick run down and what type of charting they want at this facility yada yada. But once you work a shift at that hospital things at that hospital get MUCH easier the next time around... so try the hospital out for at least 2 shifts. But you can expect to get the toughest FAIR team. You will get the hang of it no worries!
  6. jammin246RN

    Agency status?

    Upsides to agency nursing: 1. Better pay 2. You choose what days you work 3. You can be selective on where you work 4. The agency works for YOU not the other way around 5. Good to put on the resume 6. Broader work experience 7. You get to see which hospital treats their employees right(for a future job there) 8. Most of the nurses are happy to see you and will do what they can to help you find that institutions flow 9. You get to network 10. You ultimately decide WHERE you work. If you do get put in an unsafe environment you have the option not to go back there! 11. Less politics 12. Sometimes some good benefits (I get up to $350 a month to buy any health insurance plan I want, free scrubs, and $80 a week bonus) Downsides: 1. First to be cancelled 2. Your agency can throw you in an unsafe working environment 3. You WILL get the toughest team. Its a given. A good hospital will give you a FAIR team (one they would give one of their own nurses). 4. You must be a quick learner. 5. You must put aside an emergency fund for the Summer and December (alot of low census then) 6. You must stand up for yourself and not be afraid to barter/bargain with the hospital/agency (gotten alot of free meals for working 16 hour shifts when a hospital needed it!) 7. You must be punctual/not call in. You do this and you could be DNRed. (I called in once when a deer jumped through my windshield... I took and sent a picture of this to my agency.... they were cool with it) That's my :twocents:0.02
  7. jammin246RN

    PRN nurses-need your advice!

    I work PRN and love it! Here is what I would do in your shoes.... first figure up how much the PTO is worth to you monitarily. Then go to www.ehealthinsurance.com and find an HSA plan that fits your family. For me it costs about $60-$70 a month with a decreasing deductible. It drops by 10% every 6 months until it hits like $1000. After the deductible is met ALL costs are covered. Now figure how much more the insurance will cost you and add your PTO. Also figure that you will get more dropped into your retirement plan. You may see some slow shifts in the middle of the summer and in December. However you won't have to work as many holidays. Where I work I am scheduled for a certain floor so I don't get pulled any more then any other nurse on the floor. I only get cancelled if no one else wants a low census in the rest of the hospital. So for the last few years other then last December I have had all the work I can handle!
  8. jammin246RN

    Number of agencies?

    Well there are two thoughts to this idea. The first thought is... since there are plenty of travel agencies and plenty of positions out there stay with one agency... all of your info is there and it is a smoother transition from one position to the next, and you get to know your recruiter. The second thought is this, it may be good to have 2 agencies working for you. One for the cash one for the vacation. Venture nurse is the highest paying travel agency.... unfortunately you must provide your own lodging and they don't have any benefits... you get the cash period. The next step up is something like Fastaff which provides you limited accommidations (like an extended stay suite) and lots of cash, you can even put in the contract you want garunteed overtime. They have short (some as short as 4 weeks) contracts or standard contracts. A nurse I worked with worked with them and did a 4 week assignment with them and made 20k in one month. Then there are your vacation travel agencies which give you all the frills such as a condo on the beach all expenses paid, an expense account, travel pay, completion bonus, and what not... however your pay will suffer. To give you an idea Venture or fastaff will pay 40-60/hr and the frills one will pay you $25-32/hr
  9. jammin246RN

    St Louis Agency Pay Rates

    Hey I work as an agency nurse for a decent st louis agency been with them for 3 years! I also have a full time job. The agency I work for has excellent benefits such as up to $350 a month for health insurance, weekly bonuses and other benefits. Unfortunately to qualify for most of these benefits you need to work for them full time. I have a full time job and need to pick up shifts on the side for extra money, so I am not looking for benefits...just straight cash. I need responses on which staffing agency in st louis pays the most cash per hour for RNs. Like I said not looking for benefits... just the cash per hour. Or a listing of all the st louis staffing agencies would be nice too!
  10. jammin246RN

    First year RN Flops. Does it get better?

    Keep your heads up! It DOES get better. We have all made mistakes, and ya you might have a couple old fuddy duddies which will always Bi*** at you but don't let it get you down. Get yourself a routine, remember that this is a JOB you aren't COMPLETELY altruistic.... or else you would be a saint... or an unpaid nun. That being said my shift that I have worked out for myself that works well is this... 7:15-7:30 introduce myself to all patients ask if they are in pain and make sure they are they are stable. 7:30-8:00 do my assessments. 8:00-9:30 pass meds. 9:30-11:00 check charts. 11:00-11:15 break. 11:15-1:00 chart audits and help other nurses get caught up. 1:00-1:15 break. 1:15-4:00 care plans and anything else that needs to be done. 4:00-4:15 break. 4:15-6:00 charting IV fluids and what not. 6:00-6:45 pass meds. I try to stick to this fairly closely. And if you are going into a patient's room try to get as much stuff done in that room as possible. Fewer trips = more efficiency. Now this doesn't always work exactly like that but usually it does, and usually I have time to help other's starting their IVs or help them get caught up. Also by taking a break you can organize your thoughts and hit the job again with a renewed vigor! What I have found is 1st year sucks, 2nd year can be discouraging... starts looking up about the middle of the 2nd year. Keep your chin up. And keep learning!
  11. jammin246RN

    Per diem nurses getting the shaft

    This is why as an agency nurse I work agency per diem. I expect the hardest of a FAIR team...a team they would normally give to one of their own. If I get the shaft from a hospital I will go back one time to make sure that it wasn't just a bad night. After that I will not be coming to their facility to help them out when they need a nurse. Cheers!
  12. jammin246RN

    starting to do agency..scared

    I will say that in response to your concerns about having to work with mean people/bad management or whatever here are my $0.02. You have the ultimate power of NO. Hospitals and staff are usually good to you and help if you have any questions because if they don't treat the agency nurses right you will never see them again. Expect to have the hardest of a FAIR team. This would be a team that they would give to a nurse that works for them. So if everyone has 6 patients and say 2 patients on average out of each team is on isolation... expect 6 patients with say 3 patients on isolation. Most staff are more then willing to help you get your feet and help you out. Your orientation will take about 15-30 min to overview their charting policies and where the med room/clean utility/dirty utility are. Apart from that it is standard nursing. From time to time you will come accross a hospital which treats nurses very poorly... don't go back. There is a hospital here which has a bad name and can't keep nurses...even agency nurses. They pay $40-60 an hour (standard agency rate is 28-30 in my area) but even with that pay nurses refuse to work there. I refuse to work there. Try different hospitals you will find some you like, some you don't tell the agency to book you at the ones you like and don't bother with the ones you don't. Always bargain with the hospital and agency. If the hospital likes you and you like them talk with them about their staffing needs for the next week... alot of times you can work 2 weeks at a time with them and get shifts not advertised. My friend who is agency as well has been working full time hours at one hospital (without a contract i might add) for a year or so. The hospital wants to hire her however won't meet her pay rate... so they pay the agency the agency pays her. Talk to other agency nurses and find out the best facilities to work at in your area. If you are asked to work a 12 hour shift then asked to work a double.... see if they will buy you lunch... alot of the time they will. They are happy for the help and your flexibility.
  13. jammin246RN

    Which agencies are the best?

    I will say my experience with aureus was HORRIBLE. They do not back their nurses. They sent my badges to the wrong address, sent someone elses contract to me. I never got my time slips. When asked at a hospital if I would give a 8mg versed IV push to a 7 year old which weighed 50 pounds...btw it was 10 times the approved dosage according to the med books... and I refused they cancelled my contract... Aureus didn't back me. They put me in a flea infested motel which they hadn't bothered to contact to see if there were rooms available. All during my first contract with them my recruiter/payroll/name badge processing couldn't communicate. I would call for my badge... since they sent me on assignment without one... they would say it was overnighted... 2 days later no badge and another call and overnighted again. I never did see my badge until after my contract ended.... 13 badges at the wrong address. They stated they paid travel expenses to get where I was going.... well turns out they booked me 2000 miles away and paid only 200 bucks to get there (and back... so I guess it is only 100 each way). The recruiter was to show up and take their nurses in that area to dinner. Me and another of the nurses working for Aureus showed up 30 min before hand to make sure we could get a bite to eat before our shift started. We asked where our party was and no one was booked by that name. We were at the right location. Well it came time for the dinner to start and no recruiter, 15 min later we called corporate and they had no idea where he was. And they couldn't reach him. Well turns out he was there.... just didn't bother to sign in and didn't bother to check to see if we were there. Both of us went to work hungry. The next day he calls to say he was there and sorry we couldn't make it.... and after he was told that we were there and asked where our party was... he blamed the mistake on the restaurant.... and promised us some other dinner next time he was down or some such nonsense.... never saw him or anyone else from aureus again. Just bad experiences all around.
  14. jammin246RN

    appropriate interview attire

    I would say I have never had a problem with an interview looking the part. If there is a question reguarding what type of dress attire you will be wearing for your job dress in a suit (for instance school nurse occupational nurse ect.) however as a floor nurse, I think a pair of nice looking scrubs works just as well. Always come prepared and do your research on your hospital you are applying to. Know pertinent statistics and what demographics they serve, when they ask "What do you know about this facility?" be honest and tell them what you learned. Any thoughts?
  15. jammin246RN

    A Common Problem

    I have had the same problem. I got a job with a staffing agency per diem. My was that refreshing. Didn't have to put up with the same people all the time and they didn't feel intimidated. I have worked with the agency for 3 years... And during those 3 years I have been employed full time for 2 of those 3 years with a hospital, under a manager who adopts a laze faire managerial attituted. Which basically means don't get involved with the BS and people aren't going to get into trouble over small stuff. She takes all of the tattling from the other nurses with a grain of salt. And consequently the nurses on the floor usually pick on the new person for a while until they get tired of it and the manager doesn't join in their games. It is a good floor to work on, and after the initial being picked on I haven't had any trouble. Now I am a charge nurse on the floor and been there for 2 years and it has gotten much better!
  16. jammin246RN


    Yes, it is hypertonic until it metabolizes then becomes hypotonic. It can help replace some calories lost by not being able to eat.... and help restore sodium and clorine ions. Also it is good at replacing fluid in the vessels and cells. A very common solution we give is D5 1/2 ns + 20meq K.