gabrielle76

Hey all!!! What online sites do you all usefor your CEs? I found Net CE and i was wondering if anyone has used it or if you all have others?? Thanks :) I have 3 hours to kill and I want to get some good credits!

This is perfect and it promotes a mature working environment.....and It will give you and them a chance to put your heads together and see if maybe somethings you have done they have taken incorrectly.

DON is on vacation that is why this thing is all screwed up. All other MNs are stating they never saw them and that my stapled reports never made it to morning report. I hope and pray they do showup, atleast I wont feel like my agency sent me to a facility that would compromise something like this. But as of now the ID, ED and all MNs have "no idea" where my three peices of documentation went!!! Atleast my note is still in the chart, although, I wish i could have the one paper that i stated it was pressure and moisture......im so irritated mty head is spinning....but whatever, i have only a month left to this assignment and 2 weeks of that are for my honeymoon.....and if it gets that bad, I will talk to my agency (which im going to call anyways and let them know the situation) and if it gets ugly, they can replace me......im ok with that.....there are 4 other assignments they want me for.....not a issue....

there are two good thing about this situation....IM AGENCY once my contract is up im outa here!!! Second thing is, per the ID and ED rns this RN manager is under internal investigations for this and other issues....so i dont think i have to worry here.....I want to speak with the DON on monday and If i receive resistance I will notify my agency and im out a here.....they have the contract they need to fill not me....as long as they fill it with someone its all good. I was asked by the DON to report any Abnormal findings and behavior.....and she asked me prior to her vacation if i would take a position here......HELL NO is my answer after this weeks goings on!!!

Hello all. For those who read my post about the stage 2 and the open area using skin prep here is my update. Ive talked to ID and Nsg ed. The skin prep is incorrect....DUH....and now they are going to investigate the floor for using it on a open are......ok......that job is done thus far (if they actually do it) And they are already on a internal investigation about this RN manager for other skin issues......its been an ongoing issue and I was told that they were looking for proof that I might have found about her changing stage 2s to "moisture related". Second.....ALLLLLL OF MY documentation minus my nurses note is MISSING. My skin sheets, diagrams and tracking sheets GONE. AND it was actually brought to the attention of a person that was there when i filled them out....and she was like HUH she did all of it and stapled it to office report.....WHICH I DID!! so now they are getting rid of documents.....great.....if they wanted to change the stage 2 to moisture they should have documented appropriatly on all of my sheets that they were doing so and then filed them with the old sheets.....but they distroyed everything related...and now they know that I know that they got rid of all of it....i made the other manager aware and also the ID nurse....and i will not back down on the fact that this action is INSANE and illegal! Hope this makes sense....im rambling.... :)

i spoke with the two people in the facility that deal with p and p and both agreed with me. I will present to the DON what I have found, its all that i can do. I understand as a facility they do not want decubs, but what will happen when this wound ( which assessed tonight is now PURPLE) has gotten worse and then they find that I documented it a day prior and the next day it all of a sudden is "moisture" I think that is going to be a large issue also. I refuse to change my feelings. And skin prep on open wounds ( i tried it on my husband and didnt tell him it was gonna sting) to get his reaction and he jumped from his skin. NOW imagine a 90 yo hospice frail and not aware of her surroundings resident........UGH im so annoyed. And i verified by pharmacy they ordered reglar skin prep, alcohol based!!!

Hello all!! Im working as a supervisor for a LTC facility via an agency. I am contracted here for the next month and have been here for this last month. I have a resident that has a very obvious stage 2 pressure ulcer which along with a mosture issue. It is located on her lower right buttocks near her peri area. She is 90 with poor nutrition and on hospice. She spends all of her time in bed or in a wheel chair. Here is my issue. I assessed the area last night, developed a tx plan and called md and received orders for a tx to the area. Open skin to have tao with dsd and a tegaderm for protection with skin prep to surrounding area to hold dressing. The drainage last night was bloody, and continues to be. Now here is my issue, the RN and manager changed my TX (which is fine, if i thought their tx would help) changed it to skin prep to the area with no dressing and changed the stage 2 to "moisture related only". Now, im not a know it all by anymeans, but, skin prep weither it would be non sting or the regular formula per 3m and smith and nephew website states NOT TO BE USED ON OPEN SKIN. I am told that this rn manager has a tendency of changing stage 2 wounds to moisture related quite frequently. I spoke with the ID nurse and the nurse educator and they told me i need to speak with the DON when she returns. I have a passion for skin car4e and this is just eating at me. When i approched the rn manager she screamed and said "THIS IS wHAT we DO HERE" and stormed into the nurse ed's office. I feel like i should say something ( the don always asks me if i have any info about how things are going here" but m not sure if i should. What do you all think?? Thanks, gabs :)

Have any of you taken any medical coding classes online?? Im looking to take a program, and I have never did any coding. I have my RN and im just looking to have somemore options. Have any of you looked into or actually taken any of these courses? Thanks Gabrielle :)

I checked the FASFA website, over and over. It does not give you an idea of how much is avail for someone. I was just trying to get a ballpark figure before i filled out all of their requested information.

You both should have went yes. But remember, she as the oncomming nurse, and should have WANTED to go since she would be the one that would be dealing with this issue really for the remainder of the day. I have to say, Nurse A gets a L for being lazy. You were correct in going, it shows that atleast you cared enough to make sure the man was ok.

Just a question, does anyone know how I can determine how much Federal student loans my husband and I will receive with both of us being in college, two children between us (he pays child support also) and a fam income of approx 93k in 2009?? we are both trying to go back to school this semester, but im not sure how to figure out id the loans will cover us. With out them, he will have to wait for me to finish my schooling before he can finish his. I dont want to do that to him but..... without the money there is no way. thanks for any info!!

Hello fellow nurses!! Here is my post, i will try and keep it breif. Background is, Im a RN supervisor working for a agency while attending school for my BSN and Masters. This is my weekend on and I have to say....im quit annoyed so ill try and not rant. LTC facility, all LPNs (whilch is fine) i get a call to assess a resdient's right bruised leg. Resident is know for self transfers and turning off chair alarm so that she may do so unattended. Resident with know hx of "mild dementia" but could recall trying to transfer self but not if the bruise was caused by it or not. The bruise to shin lines up perfectly with residents metal frame on bed, and yada yada the I&A is filled out and completed. Here is the thing, documented is that this person is aox2 with intermitten confusion. I wrote intervention and note that resident was reoriented to call bell and that she could express what the call bell was used for correctly. This facility (floor nurses) are trying to state that this facility does not allow reeducation of a person with "mild dementia" but then wrote in her careplan that resident is aox2 and could name staff,find her own room, recongnize family, ADLs all done alone, and make decisions for activities....but you cant write that you reeducated her on a call bell!!!! WTHeck.....i feel like im in lala land. I will agree that she does have some confusion, but how can you write all those other things and then not educate her!!! really....i must be missing something...im only agency here, so im waiting for there DON to get here tomorrow and I can try and get some answers about this. They have a new RN here who redid my I&A!!! it was not handed in and completed it was waiting for that wings nurse to finish her part....but the RN told the wing nurse that she would redo it because of this education peice....UGHHHH am i the only one that see's it cant be done both ways.....you have to educate!!!! thanks for listening! feedback always welcome!

Im sure this board has discussed this several times. I am new to the Board (returning) AND I cant surf any more looking for a board that might answer my question LOL. So I want to ask and sorry If you have all discussed this several times. For you that are in school or planning to return to school are you doing it traditionaly or Online?? Im thinking for doing my RN to BSN online but really want some input from people that have done it or are currently. Any info pros and cons are appreciated!!! Gabrielle

I was simply asking in general what is your area like. I know here, in Schenectady, there are always jobs available. Weither its LTC,Acute care or agency there are plenty. What you might not get is the exact shift or unit you are looking for. But there are jobs in nursing. That was really all. :)

I was just wondering, is there alot of open nursing jobs in your area?? And where is "your area" lol. I am right outside of Albany NY. We have jobs for nursing everywhere. 3 Major Hospitals and tons of LTC. Is it the same everywhere? Nursing jobs on a continious rotation? Im trying to get my hubby to consider moving down south from NY. Like NC or VA. I was just curious how the rest of the US is doing with Nursing! Gabrielle

I worked 11-7 most of my career. 0700 is not a smart time for a med to be scheduled for. Not only being COS but Nights always has less staff. I spent the majority of my time helping my CNAs out because my patients shouldnt have to wait to do things like......go to the bathroom! Your ADON is nuts, she obviously has no concept of what is done by the night shift and when she is out of compliance with med times....she will wish she listened to her night nurses!

EVERY SINGLE THING you wrote about is exactly why I left my last facility. I worked too hard for my licence (i was a supervisor, not floor nurse) and i was not willing to put myself in a situation because my administration was to cheep to hire more med nurses for our floors. Its unsafe and unfair to the people we take care of. I could not do it anymore. My patients and staff were too imortant to me. Get out while you still can. I left after 2 years and 2 promotions. Not the best decision to just leave but it was truly the only decision I had at the time. State was in and the facility received an G tag for LACK of cleanliness. All the kids have strep G, and enough was enough. Adults being coded that were DNRs. I just had it!!! Get out!

Thank you so much for the reply. Im nervous, but I am hoping I can work that out. I am devistated that I had to leave my employer after not getting what I was promised and some other BS that comes with new management. I loved my Job as a Supervisor, and I loved my staff and patients even more!! I really needed this though, call it a career move and saving my rear befor something bad really happened. My ex facility is going down and all with a brain got out before the ship sank! The 2 agencies I am working with are nationaly known and several of my nursing friends work for them. I just hope Its works out for me. I did something not in my nature and just left my employer after 2 years. The new administration had just graded on my last nerve. 2 weeks with no sterile h20 or drain sponges.....and a promise of a day position.....ugh and the list goes on. I hope I can do this. My first assignment starts thursday.....we will see!!!

KOI scrubs all the way!! Check out their web site!!!!

Our facility did not even say "great Job you guys" "Thanks for working your butts off" Nothing......we were bought out by a for profit only ONLY company that is based in NYC, and we are disposable to them. Its sad, we give our all and our owners representation AKA Administration could care less. Another reason I put my resignation in!!! I dont expect gifts and prizes....but a THANK YOU for giving this facility time when you were off or not calling in EVER....lol....well I guess some employers just dont get it...and really some just dont care!

I have been a Supervisor for a LTC facility for about a year now. The hardest thing was going from being a charge nurse to supervisor in the same facility. I had several nurses that would night after night "bash" the facility infront of other employees. I would nicely say " you know, you have other options other than working here if you hate it that much". usually that was enough to stop the chatter. Its a tough job, sometimes made tougher by the people that you have to supervise. I just recenlty left that job because of things I personally didnt agree with, BUT up until I walked out for the last time I never made our dirty laundry even dirtier by talking with staff about it. Its tough, speak to her, and If it does not work...you are the supervisor for a reason.....go to your DON. Gabrielle

Mine is Nurses that dont wipe the ports off on IV tubing when doing a IVpush med or piggy backing a med into a port. I know its not cost effective but I always change my tubing if I was not the last person to use it. I dont know if the person befor me cared enough to take the 2 seconds to find a alcohol wipe and WIPE IT OFF!! Hello Nursing 101 people!!

HI ALL!!! I have not posted here in a very long time. I figured what better place to ask a bunch of nurses how they feel about agency jobs. After putting a lot of time and energy into a employer that was going nowhere, ive decided to go back to school in the fall and needed flexibility while doing so. I figured out after talking with a bunch of employers that it is probably easier for me to work for a agency for family and school scheduling. I was just wondering how any of you that also work for a agency, how do you like it? Im kinda nervous and excited all at the same time. Im actually taking a 4 week contract befor school starts to get started. Thanks so much for any and all input you can give me!!! Gabrielle:idea:

I work 3 12 hour 7p-7a shifts a week and make 59,200 base then add in overtime. It is good money if you ask me. And gives me time as a single mom to work my Master's in with my Daughter and work!

Hello all! Im sure this has been discussed and worn out BUT im having a hard time locating all the answers on here so I thought I would readdress it. Im a 5 year experienced RN, from Med surg to Vent unit, and im freeling the pressure to further my education. I dont mean pressure from outside sources more from within...LOL...anywhoo... I need to do this online, I also need to take out education loans to do so. Im a single mom, and can not afford to lose the money upfront. Can any of you provide me with any information that you or someone you know might have on doing this, and your experiences. Ive looked into several but I would rather get information from Nurses that have lived it, rather than a school selling themselves. Thank you all in advance, and to all of you that have probably answered this question a thousdand times thanks a million for repeating it!! Gabrielle :)