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mrs/mom/rn

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  1. Some people have a hard time working nights. Some have almost been in car accidents, felt physically ill and their marriage suffers. Nursing is stressful. It usually takes a full year before a newer nurse feels comfortable on a new unit. Mixed with fighting circadian rythems, it is understandable to want to switch. Try 12 hour shifts (as someone suggested). I would try to stay for one full year before making a change. It looks better on your resume and maybe at that point you could go per diem or part time there(keeping seniority) and work perdiem at another facility or VNA. I work 12 hour nights. I try to schedule days together. If I am working f/s/s I will take a nap for 2-3 hours on friday. I try to take a nap after 1pm. I make sleep a priority. Supper on the nights that I work is either done by my kids or husband or is whatever is quick. Nights work for me because I can sleep during the day and I only work 24 hours. I occasionally pick up more, but untill my daughter has her license I need to be available. It sounds like you are in a new marriage, mine is 16 years old and some apart time is good.
  2. It depends. Some people have loved it and some have started working as a float pool, but decided to switch to a particular floor quickly. The orientation for new grads is comprehensive and the clinical instructors keep in close contact with new grads during the orientation and the beginning of their assignments. The problem with sticking to one floor is you learn only what that floor specializes in. Even the medical floors tend to specialize to specific types of patients. As a float pool nurse if go to tele- you get non-tele patients. If you float to medical you do not get pd,vent,tb,or eeg patients. We just got a new contract. A new grad starts at 27.70 as of Feb 5. 3.55 for perm evenings, 5.05 for perm nights.
  3. hi, Each unit is different. They have a special program for new grads. You have special orientation and classes. I believe that they want you to start in the float pool so you can experience the different units. They are part of mna and you get step raises annually. I believe you start at about 25/hour and at step 16 you make 60/hour. There are different parking rates for different shifts. I work nights and pay 9.5o a week. I like working there and I like most of the people. Hope that helps
  4. Hi, I work on a medical floor and we do pd often. They use to put insulin a long time ago in dialysate, but they do not any more. Besides with Lantus and there is no need. We never put kcl via pd. I would not feel comfortable secondary dwell time and renal pts are usually with high K. I know very little about hemo. patients with peritonitis always get antibiotics via pd. Other infections get antibiotics iv. By the way. I am doing a paper on system of care for renal patients with a focus on coordination between clinics(gambro) and inpatients. Any information on clinic system works and can better communicate with medical floor? Thanks
  5. on 7p-7, 7-11 we usually start with 4 or 5 , then we get an admission. at 11p we have 5 or 6 and may pick up an admission. 4 and 5 are okay unless one crashes especially if the ccu is low on beds and will not take a pt untill it is too late. (why do mds think you can 1:1 monitor) 6 and 7 are dangerous. I can not imagine the rural places that have 9 or 10. From 530-7am we have meds, capd, some charting,vs,fs, and turns. All the confused pts pick that time to try to get oob because woke them up for a protonix.All the patients wake up and want to go to brp,water,are hungry and any vs abberration will appear at this time. How can we accomplish this for 7 pts,not easily. The ratios would be great if they take admissions into account.
  6. I work on a straight medical floor. You get anything any time. Admissions come floor to keep open beds on specialty floors open and then if any other floor is full we still take their overflow (except Tele). Unfortuneatly staffing is based on numbers an hour before shift starts (even with full ED). There is so much to learn and since no-one knows everything, people seem to find it easier to admit thier shortcomings. Even though it is challenging and some days you just want to hang it up, there is always a fresh assignment to pick up on your next shift. ps- the dh coming out the peg is funny after the fact,
  7. I have one peice of advice. make sure that you have a copy of the incident report. Even though the manager said everything is okay. I would keep a record for future reference. Everyone has made at least one med error. Even though it can be devastating at the time, you can always learn from them. We are the only profession where we are expected to be perfect, and as much as we try we are not. The best nurses know how to ask for help when need it and admit it when they make a mistake. As for the apap. Stock should be available for nurses if needed. Unlike other jobs, You can not leave unless you are dying(and then only after count and notes are done) The facility should provide basics. If we need something and it not in stock we can call the pharmacist for it.
  8. good luck. I took my exam a long time ago, but I only had 75 questions and I passed. If I remember correctly. each question is based on the previous question. This goes on untill the computer figures out what level you are at. If it can do that by the 75th question you have passed. Do not worry. I do not know long it takes to get results. good luck.
  9. The poems and the essays are great. I have a 14 year old daughter who is going in to high school. I was trying to explain why I love nursing. I think I will show her this thread.
  10. I do not find it hard to believe that some instructors are to get specific students. You see and hear about favoritism in nursing schools all the time. I went to LPN school before I got my ADN. I had one clinical instructor who was incredibly unjust. She screamed at me because my uniform was wrinkled(which it was not bad) She taught two courses. I clepped out of one. She told me that no-one has ever clepped out of her class before. The class I clepped out of was the first one of the day and I did not have to be there untill her second one. She would flip the classes around and stated oops I am sorry I did not call you You will have to study on your own. She also told me that I would never make it to be a nurse. Well she was wrong.
  11. The art of nursing is subtle. Not all interactions produce masterpeices,but I feel the art during many interactions. When I take the principals of nursing and use them to help a demented patient stay safe, a dying patient feel peace, a dyspneic patient breathe, a family member connect, a doctor realize an important issue, and promote sleep for the weary, I feel that I have taken many individual skills and created a masterpeice.
  12. There is parking at bmc. It is taken out of your check pretax weekly. Day shift parks in parking lot and I think(but could be wrong) it is about 20 a week. Night shift parks in a garage and it costs 9.23/week.
  13. There is parking at bmc. It is taken out of your check pretax weekly. Day shift parks in parking lot and I think(but could be wrong) it is about 20 a week. Night shift parks in a garage and it costs 9.23/week.

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