treeye

We are a 220 bed community hospital with a very high percentage of the patient population being medicare and medicaid. We were just officially informed that our hospital is 1.7 million in debt and 7 million short for next year. We were told that ever...

by "skilled care beds", do you mean long term care / nursing home/ rehab that is attached to the hospital? As I understand, this type of units rely greatly on Medicare/Medicaid too. When the reimbursement diminishes, these units are struggling to sur...

I work on a rehab unit, pts come to us from med-surg floors. One of my pt had run A-fib around 100 for over two weeks and she is on Cardizem 240mg q day. Today the doctor put in a NOW order for 120mg additional at around 9:30am and I didn't give it t...

I figured one hour is appropriate turn around time for NOW medication, so 10:30 is on time and 11 is 30min late. Anyway, I don't deal with this type of order often since our floor is not considered acute care. I got carried away when it became busy. ...

I'm a relatively new nurse with 15 months' experience. One of my patient fell over the past weekend with no injuries. When the DON questioned the charge nurse, she rendered me incompetent to make a point that she is irrelevant to this incident. DON ...

I just started nursing school in the spring semester and my program runs through the summer semester. The financial aid office has been telling me that they don't know the tuition rate for the summer semester but last year it was $200 per credit. Tod...

I am out of state student. I have been to Financial aid several times during this semester inquiring what summer tuition is, they pulled the numbers from last year and told me that tuition was $200ish per credit for out of state students. The officia...

thanks for the post. I was planning to go directly to MSN as soon as I graduate from BSN program since my GRE is going to expire next year. However, I'm not sure which field I want to go into. Now I think I should work as a RN for a couple of years a...

what's your ultimate goal? LPN? RN? it's hard to find a job as a new LPN grad, but it's harder to find a job as a new RN who has to supervise the LPN and CNAs.

I worked part-time at my floor for 15 months after graduating from nursing school and got used to the routine and work responsibilities of my unit. Now there is a full time position in the pool opening up and I'm tempted. I'd like to work three twelv...

about a year ago as a new graduate, I was so appreciative that I find a part-time job with no experiences. In addition, I started school and working part-time did give my some flexibilities. However, now my workplace keeps on hiring part-time nurses ...

I know showing emotions at work is a bad thing. I just can't help crying when the patient's wife told her dying husband "I'm taking you home, my love". Is it bad? I don't want her to think that I'm weak and not composed and I'll let emotions affect m...

On Wedesday, I noticed an older lady on our floor was a little drowsy after getting a blood transfusion. It is hard to wake her up, but when she wakes up, she is A&Ox3. She smiles and talks just fine, and showed no s/s of unilateral weakness. The...

My program starts spring, and it runs through summer, fall, then spring, summer. So if I enroll in spring 2013, I'll graduate in summer 2014 after five semesters. It says on the school website that out of state tuition is 11000 per semester and 22000...

I got accepted in a good nursing school in November and the school will start in Jan 13. However, I ran into some problems in providing Hep B immunization record. The school requires proof of three vaccination plus a positive titer test result with l...

Hi everyone, just a quick question I have a positive Hep B titer result but the last dose (not sure 2nd or 3rd) was in August 2004. Now my school requires proof of three Hep B vaccination. So my question is whether the shot in 2004 counts as first do...

One of my coworker had a bad day, two of her pts are very difficult and demanding. When I came to work, the charge nurse assigned both pts to me and let her pick up an easy pts on my hall. so we are both split. I confronted the charge nurse and asked...

Two weeks ago at the beginning of my shift when I was passing meds, my husband called crying because his Dad coded twice in a hospital and was transfered to ICU. He wanted me to come up immidietely because he is afraid his Dad won't make it. I was e...

This past weekend, a pt was just admitted onto our unit. The son of the pt was nasty and screamed at us that his Dad doesn't look right. The charge nurse panicked, she called the rapid response team. They did EKG, blood gas and everything. There were...

I am a new graduate nurse and have stayed at my current job for almost seven months. Nursing is my second career. I have not worked in medical field at all before January this year. However, I am blessed to have three months orientation and most of m...

This weekend at work was hell. We are short staffed, I was split, had 1.5 times the normal pt load to beging with, and have to help with the lights all the time. One of my pt got blood, another threw up and had a fever, the other tries to get out of ...

just curious what happens to floor nurses, new nurses, and different level of management when monopoly takes over local hospitals. thanks in advance.

on a night shift, a pt c/o nausea. I assessed pt and documented as following: pt c/o nausea. No emesis, no palpitation or sweating. Bowel sound normal in all quads. Water offered. will continue to monitor. is the above documentation sufficient? Fro...

It all depends where you work and who you work with. I love my job and I won't trade any other jobs with my current one. Maybe you just have to find another job. If you can't in the current economy, you have to stay in your current job and accumulate...

I'm a new nurse (5 months) working primarily in a local hospital (part-time position) and I am debating whether I should quit my other job in a nursing home (casual position). Reasons to quit: I really like my primary job and usually can pick up f...