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I don't think it has anything to do with the medications, but some facilities have set times for the med pass. So, you can always get an order clarification and ask for those residents to change their HS meds to an earlier time. Any NP or MD will say "OK." It is against your facilities policy to give those meds early, so you either need to call the PCP to change them or give them at 9pm, if you don't want to go against the policy. I had to do that for a few residents where I work, because they requested it.

Well, if the resident is ambulatory and does not spend a lot of time on her buttocks, then you could leave out barrier cream. If she is OCCASIONALLY incontinent, then regular incontinence care should be good enough to prevent excoriation to the buttocks....so if the fungal infection is specifically in the peri-area, then apply nystatin. Once the fungal infection is gone, then barrier cream should be applied after an incontinent episode. Well, I hope you guys find a way to agree on it. Good Luck!! :)

Thank you! Thank you for the information about the places that are saturated with applications. I will consider New Mexico. I have no problem relocating to anywhere in the country for ANY RN position in any area of nursing.

Not good. I cannot find an RN job for the life of me. I have been searching and searching and have placed 30 applications into facilities in Minnesota, Wisconsin, Iowa, Texas and North Dakota. Not one call, email or even a call a reference. What is sad, is I am an experienced LVN and worked as an LVN charge nurse in a skilled Nursing unit for 3 years before I decided to quit my job and go back to school to get my RN. I have resorted to working as a cashier at a gas station, because I am single and don't have anyone to support me. So, to your question, NOT GOOD. I put in 5-8 application around the country in a week and have been for about a month and a half. I have decided to continue my education, so I applied to a RN-MSN program and to finish off with my Clinical Nurse Specialist. I am running out of options and the idea of having to move in with my mom at 24 years old, is possibly going to come true. I know I should have gone to culinary school........

Honestly, I think so. Most employers try seeking out those with BSN's, which my nursing instructor reports as just a degree full of "fluff" classes. The changes I have seen in the past with phasing out the LPN's in acute care setting or in hospitals all together and basically filling those positions with RN's with ADN/BSN and now the all of these facilities are moving towards hiring those who have BSN's. It basically makes it look like those who went from being an LPN to an RN-ADN is just a lateral move. The 2 year RN is now the new LPN. I personally think its a bunch of crap, but whatever. I have my ADN, but plan to go back to school for my MSN-Clinical Nurse Specialist, because I can't stand being a floor nurse anymore. Too much melodramatics and politics involved, along with the large number of insecure power hungry trolls running around the profession. Going higher so I don't have to be subjected to that as much.

If you request only day shift, you are creating stipulations to your job preferences. It does limit your selection and opportunities. Jobs will not consider candidates if they only request a specific shift, while the employer is looking at hiring for a different shift than what the candidate specifies. I personally have to leave my options completely open to all shifts and variables, which in time, I can eventually ask for my desired shift. I would keep looking, but jobs are a bit scarce nowadays.

"Nursing is the most stressful, exhausting (physically & emotionally) and disapointing thing I have ever done. If you do it for the money, I promise you, you will quit in your first year." You couldn't have said it better. There are way too many people looking into nursing for the wrong reasons and it only ends in misery.

A lot of people think that Nursing or any profession in the medical field are immune to our disastrous economy. Nursing is a profession that looks good on the outside, but it can be a nightmare on the inside. I had no idea that there are so much caddy, power-hungry people in a severely politicized career. I would advise everyone to start off working as a CNA, Med-aid..something. 6 people from my graduating class (RN-ADN) are without work. Jobs are scarce and most employers want some kind of Nursing experience before consideration. Since you volunteer, that will definitely help you out.

Can we clone your nurse manager. I think we need more of those type of people.

Well, its not good to work in a job that you hate. I had a job in Texas that sounds just like you described. I ended up gaining weight (eating my stress) and developing a peptic ulcer. Yes, you have to put your health and sanity first, however, you should secure employment before jumping ship. What really helped me get my day organized, was a census. I went home and created a census sheet on my computer, with room #'s or last name. Included crushed, whole, or GT as far as the med pass goes. You could include anything you want on a census to help you organize your day. If you can't manage to get all of the things done on your shift, organize what needs to be done and leave it on your pass along. I couldn't take the job that I had any longer, so I quit. I found that it was a good opportunity for me to quit and go back to RN school. Best of Luck.