mmc51264

I worked at an ortho rehab facility for 10 months and when I applied for a new job at a hospital, I was considered a new grad. It was great! I had 10 months experience and got the new grad time to orient. I believe you are considered a new grad up until one year.

No! Epic came out when I was new nurse and I picked it up quickly. It actually made my life easier!! You got this!

when someone is on fluid restriction d/t Na+ levels, I explain what is going on and suggest alternating water with something else. Also, educate what 1500mL or 2000mL looks like. I know some people don't realize how much they are drinking. There are people out there (nurses included-I've seen those gallon jugs they walk around with) who think water is good for you so more is better. If someone is in the hosp and I have orders, I will follow them. I will purge a room of food unless pt has a their own purchased food.

I don't have a lot if info to give you because I only did one semester (they were in a transition period) They have their stuff together now though. I know a lot of people that have done the program. I ended up doing mine through UNCW. I think the cost is pretty comparable. My hospital reimburse me for most of my tuition. It's been about 10 years, but it was about $3K per semester. I don't know whether they require clinical or not. I did not have to do it at UNCW. ECU is a very good school for nursing.

From what I have been hearing from friends and colleagues that this seems to be a new trend! Also taking indirect time from people that do audits, attend council meetings. I know my last job that if you asked to complete required modules not during your shift, it HAD to be during like 9-5, no hours that had shift differential times, like weekends. That's getting really petty. I am one of those people that cannot concentrate on a module while I am working. Insanity.

So sorry you feel the way you do, but you really need to try and not let this kind of stuff get to you. People lash out at us all the time! It's hard not to take it personally and I find it hard to not lash back at times. Don't be so hard on yourself.

I turned 60 last year. I work bedside ortho. I was thinking of wound care. I never thought I would but it seems I am the "go to" person for lots of things. I have a new jon and most of the staff has not had a lot of experience with ostomies. I am the dork with my own ostomy scissors ? I was also looking into diabetes education or pain. Right now I still love my job and am able to do it. I may need knee sx so I have to start looking at options.

TBI pts can be especially trying as they can be on the verge of "normal" or not and they are sometimes aware enough to know that something is wrong but they can't figure it out. I was on a trauma unit and it was challenging. Our sister unit was neuro. I find it very challenging and like PP said, it's very difficult physically and emotionally

I love my 3-12s. That gave me 4 days with my kids and now dogs. My husband has always been very involved so it worked really well with our schedules. Plus I make more $$$ doing bedside. That's just me. I think I would get bored with a clinic type job

I didn't realize this was an HCA hosp!! I hope they lose their shirts and have to close up. I feel sorry for people that this kind of hospital is their only choice ?

I am looking for legit sources to read about the nurse (and the hospital) that is in trouble for allegedly harming NICU babies. What have y'all heard?

Maybe you can make an appt with the manager so that you can have the manager let you in.

Wow! That's awesome. What is the nurse ratio? I have new job and we actually have some aides and most of them are amazing. Our pt ratio is usually 4:1 Aides are 10:1, At my old job we were lucky to have 1-2 aides for a 37 bed SD unit. ?

I am so sorry that happened to you! I work on an ortho floor and while we don't get a ton of spine pts,, all pts should be repositioned, bathed, ADLs offered. That's unforgivable. Last time I was in the hosp and was not treated well, I had a non-emotional conversation with the charge nurse before I was discharged. I didn't want them to know I was a nurse but one of the PACU nurses saw it in my chart somewhere. I hope you gave feedback to not only the unit, but also your surgical team. ❤️

I worked in a ST rehab as my first job, mostly ortho. With the total joints not coming up to the units, there aren't as many adm/discharges. When we used to do that, all ankles were done on Fridays and we might have 10-12 discharges Sat mornings! Don't miss that. ?

Not a HIPAA violation. I used to do a lot of hypoglycemic audits at my last job and there was a pop-up about the chart and one of the options was "chart review" Same for doing CAUTI prevention audits

I am an ortho RN. For 12 years now and I LOVE it. Since Covid, it's changed a lot. The total joints are barely admitted anymore. LOTS of falls with hip fractures. Not so different than med/surg d/t all the comorbidities. I am not a night person either. It's a tough decision. Is there any chance of moving to days after a while if you do the ortho? Personally, I'd have to take the M/S just because of the days vs nights

I just changed jobs. Previously, I was at a Magnet teaching hosp. I am an ortho certified RN and my old hosp is JC certified for Total Joint Replacements (I was there 12 years and went through 3 recerts along with regular JC surveys) FF to new hosp, they are trying for JC TJR cert. We are having mock survey this month and was told that it is not allowed to wear a scrub cap that is not hosp issued. I work on in inpt floor, not peri-op or in the OR. I have never heard of this before. It was explained that it had something related to infection prevention (?) and how it's laundered (mind you there is no regulations about our scrubs). I was looking for some other things and found a thread on Reddit where some anesthesiologists getting dinged regarding facial hair and beard covers (they were having a good laugh about chest hair and eyebrow hair peeking out over glasses and scrubs LOL) I explained why I where a scrub hat (I am all but bald on top of my head-I am the victim of thyroid and post-menopausal hormones) and asked what my options are. I can get paper scrub hats or if I could wear a bouffant over my scrub hat. Then, I asked about others-what about hijabs? Are they going to make them wear a paper hijab? What about other cultural head wear? I am thinking that this is come from OR protocols, not floor requirements. Anyone gone through a survey recently and heard of any of these issues? Specifically on the floor. TIA

I don't work nights, but I have been a weekend option nurse for over 10 years. Just recently had to change my schedule a little because of some knee issues, but I worked F/S/S forever it seems! Now I work S/S and either Tue or Wed. Ironically, I just had to work 3 in a row and it took me all day the next day to recover. I hate that. When I work 2, off 2, work one, off 2 and then the weekend again, I feel like I get a lot done on Mondays, I am not exhausted. The $$ is worth it. The weekend shift differential adds up.

At my old hospital, it was forbidden and if a person was filming us, we had to get admin involved. They would also tell family that visiting is a privilege, not a right and that they could lose their visiting privileges if it continued. Kind of brazen if you ask me. I wouldn't be worried about them seeing me, I try to be super careful and do things properly, but sometimes we have to do things that look like we're hurting the pt.

I am so sorry!! They are such an important part of our lives! I had a rescued dachshund when my mother died unexpectedly and while I had good support, he was my little lifeline. hugs ♥️

I wonder if they are. I cannot imagine a more cost efficient way to move some of the things around that the tube stations handle. If they use robots, it seems they would need a separate pathway to get where they need to go, it seems it would be a disaster to put them in the same hallways as people traveling in the halls (visitors or staff or even transporting pts in beds/stretchers). Can't wait to see what they come up with!

1. What would you want the alternative solution to pneumatic tubes to have/feature?* (Choose as many answers as needed) -Time (solution should transport specimens as quick as possible) -Cost (be more affordable) -Size (larger or smaller) -Navigation (self navigates/ doesn't need someone to send it back) -Security (requires a badge, a password, other recognition) -Temperature controlled (to store test tubes/blood) -Maintenance (rarely breaks down/ rarely needs to be fixed) -Variability ( a wide amount of specimens or objects can be transported) -Other: 2. What objects or specimens would you like to see be transported with the alternative solution?* (Choose as many answers as needed) -Test Tubes -Blood Tests -Medicine -Urine tests -Other body fluids (other than blood/urine) -Biohazardous materials (chemotherapy, radiopharma - ceuticals, cytotoxic medications -Documents/Papers -Larger objects such as lab equipment, first aid kits, medical devices, PPE, surgical instruments -Other: 3. What would you want the size of the alternative solution to be?* (Choose one answer) -Standard size of a pneumatic tube (around 1 foot) -Larger than a pneumatic tube (around 3 feet) -Smaller than a pneumatic tube (around 1/2 foot) -Other: Whatever size needed to contain materials being transported 4. How important is NAVIGATION (the ability to self navigate without anyone needing to control it)?* (Choose one answer) Not that important 1 2 3 4 5 Navigation is the most important thing 5. What changes if any, would you want to see in our alternate solution? (Optional Question) The tube stations are pretty necessary in very large institutions. If they were to be replaced, I think it would be challenging to make them efficient and reliable while being cost effective. I would love to hear what alternatives you all come up with! This is a very challenging ask! Best of luck ?

Thank you for this (and all the comments)! I have been a nurse for more than 12 years and just changed jobs. At my old job, there was an IV team, I never needed to place one. Hadn't done them since nursing school! Now, I have to do my own ? I am getting better, the more I practice, but I am grateful for the tips! I used to work for a vet and was pretty good at doing the art lines for BP monitoring on horses during sx. I am hoping it comes back. I hate hurting people but I know it's a necessary fact of life (possibly, literally) being in the hosp.

The only time they didn't make us use PTO for sickness was during Covid, for Covid. Even if you use FMLA, it is paid out of PTO bank. I have a friend that had intermittent FMLA for migraines, she didn't want to use PTO, just go unpaid and they wouldn't let her. As for the other part, this seems to be the new trend post-Covid, the hospitals are staffing up so that there is virtually no OT or use of PRN staff. Another friend has been working a lot of OT (too much, I think) and is upset that there are not going to be much available. Not to mention that she really liked "incentive pay" that was being paid to keep us safely staffed during Covid and after, up until now. We were getting as much as $50/hr for working OT. This nurse started right before Covid. I told her that this is not normal. We would work at minimal levels. There was no IP and little OT. I have changed jobs and am not at the same hosp as I was during Covid. I am not looking for OT anymore LOL I had my fill during the pandemic! The money was great, but no more. My Covid "reward" was a German Shepherd puppy and now I enjoy my time with her. ♥️