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Redhead28

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All Content by Redhead28

  1. I'm speechless. I've only ever worked in hospitals, so I never knew that you could assign that many residents to one nurse. What happens in the event of a fire? I would look for a new place to work.
  2. She has a right to be upset. You have a right to change positions and support your family. Ethically you gave her a two week notice. If she waves that 2 weeks it is up to her and you've fulfilled your obligation.
  3. This was obviously ordered for several reasons. You lower the risk of infection by keeping the area clean. Patient more comfortable by not requiring frequent cleaning of a burned area. I'm shocked by people that are suppose to be in the caring field not realizing why this would be ordered? I would prefer changing a tampon to disimpacting a megacolon....
  4. Different strokes for different folks. Not every nurse has to work in a hospital. How about public health? Research? Case Management? Clinic? School?
  5. I've worked in hospitals for over 14 years now. 3 different places. I would say as a whole healthcare is a tolerant profession. Two of the hospitals have offered insurance and benefits for same sex partners. My youngest son is gay. I am open about my son and his partner, who I love like he was my own son. It twists my heart to think of the ignorant remarks and discrimination I know he must face in his life. Who would "choose" to be treated poorly is my answer to the ignorant people that still think sexual orientation is a choice.
  6. As most have said previously the "physical" usually consists of health hx, vaccination verification, tb test, drug screen and N95 fitting. I have been through several and they are all some variation of the above. If you do not have proof of vaccinations they will draw titers. Interesting enough now they are including flu vaccine on start of job. Being a nurse you know that they need to make sure that the public is safe from us carrying disease and they also wish to protect us from the public. Explain your fear to the person performing the tests they may be able to limit the amount of invasive procedures. i.e. flu vaccine can be given intranasally.
  7. I'm old fashioned in the fact that I believe in writing notes. I know that the new thinking is charting by exception but this tells you nothing if you have to go to court 20 years from now. I work pediatrics and the "pt" the child can go to court until they turn 21. Your charting should tell the story of the day... So my first note usually starts... Assumed patient care,.
  8. Had a kid that consistently failed room air trials and could not get weaned from 02. Doctor wrote "Give next dose of prednisone to oximetry machine, as child is pink and without s/s of distress."
  9. CPN

    Redhead28 replied to smurfynursey's topic in Pediatric
    It depends on the company that is issuing the certification. I have mine through ANCC. It requires a BSN, so many hours working in the area and so many hours of education. On original application you always have to take the certification test. It usually costs around 400.00 and renews every 5 years.
  10. Want to know the sad thing? I have a BSN and a Certification. 14 years of experience. My son with no college makes twice the amount I do, working in the oilfield.
  11. I would go into the administrator's office and demand a proper orientation period. If they are unwilling or unable to orient you to all of your duties, I would resign. They are looking for an office manager and a nurse but only willing to pay for a one, and not very much (I assume).
  12. Good Grief, I complained last year when we had no hot water at the hospital for a week. Cannot even imagine no water. It goes back to third world nursing. It can happen but why?
  13. Way back when we had a camera set up in a private room. This room was used for abuse cases, or "munchy" parents. We all felt it was an invasion of privacy even in these cases. Consent was signed if it was ever used. Eventually the camera was taken out.
  14. I assumed Ativan or Valium and these are usually with the narc's.
  15. Perhaps you can set up an appointment with the DON and explain your concerns. Also some support groups for caregivers of dementia patients. Good luck.
  16. I think the responsibility lies with both of you. You as the off going shift, know the patient and what has happened in the last 12 hours. The on coming shift has to be in there to know what is now going on. Report should be interrupted for patient care, the patient should always come first.
  17. In at will states the work contract can be terminated at any point with no cause. It would be better to resign, would not get unemployment but could leave with your dignity intact.
  18. Many children's hospitals have intern programs for new grad's. The hospital I work at frequently takes new grads into the heme-onc program.
  19. When your ADON got the order why didn't she pull the med and bring it into the room, where you were monitoring the child and give it? Or was the concern that you did not call for a prn order sooner?
  20. 12 hours and two patients on Isolation. I hate those blue gowns. Just standing in the room scanning and drawing up medications I had sweat dripping. HCA owns our hospital so think we are probably stuck, but good to see everyone's opinion.
  21. I've cath'd multiple uncircumsized boys, just clean well and cath. In fact just had a 5 year old in for emergency circ. Apparently he or someone else forced retraction in tub, got caught caused swelling. They brought him to e.r. and had to be split to relieve pain.
  22. This is great information, keep it going! Thanks. We did talk to them about having both gowns available and using our clinical judgement on whether we need fluid protection, but of course that was a no go. Our NICU nurses were also very unhappy but they do 12 hour shifts in those gowns with the MRSA babies. I can see someone getting dehydrated after 12 hours of sweating.
  23. Many hospitals are not using LVN's. I believe the extra time is worth it in the long run to wait and get your RN. LVN's make less money for the same work and have little autonomy d/t scope of practice. Just my point of view.
  24. We don't really have a policy per se, it is up to each director. Having asthma I'm qualified for intermittent FMLA as is every person in the U.S. with a chronic condition or a caregiver to a person with a chronic condition. So if you or your child have asthma, seizure disorder, etc and have to be off intermittently it pays to look into this law. It is a federal law.
  25. It seems unprofessional to me to have board announce to my co-workers that I might be responsible for an infection. If you need to council me do it in private. If you and your peers address this with the director I would it on these grounds.

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