westieluv

westieluv

Med/Surg, Tele, Dialysis, Hospice

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All Content by westieluv

  1. Is taking 10 patients too much

    Short answer, because they can, and if you "only" get ten patients in sub-acute rehab, consider yourself well staffed. At the facility where I used to work, the patient load on the crazy busy...
  2. I, too, am no fan of the President, but seriously, while I'm also not a big fan of Obamacare, I can see that it has really become somewhat of a scapegoat for everything that is wrong in the healthcare...
  3. Night shift is killing me

    I am a recent empty nester who has worked nights at various times throughout my nursing career. I could never do it successfully when our kids were little, I just didn't get any sleep because I felt...
  4. Can't sleep!

    I work four nights a week right now and I find that if I come home on my day off and go right to bed by 8 AM and then get up by 11 AM or noon, I am tired enough by 9 or 10 PM to go back to sleep and...
  5. I feel like I caused harm to pt

    Look up the definition of "preceptor". It means "teacher, instructor". I'm still trying to wrap my head around the fact that this "preceptor" was teaching another nurse to ignore chest pain and assume...
  6. I feel like I caused harm to pt

    Yikes! She doesn't follow up on PRN meds and she assumes that a patient with chest pain is faking and blows it off. It makes me wonder how many other nurses there are out there who are this...
  7. Hello, I need your advice, please.

    Have you considered being a dialysis tech? They work in outpatient dialysis clinics where the hours are more regular than in a hospital setting and the Big Two dialysis providers, Fresenius Medical...
  8. Left while on medical leave

    Just in the last couple of years, it seems like I have worked with and heard about more and more nurses utilizing their FMLA leave to ease their way out of a job that they don't like but don't...
  9. I feel like I caused harm to pt

    I have been an RN for 25 years, with several years experience working Med/Surg Tele. Here is my take on this: When the patient first complained of chest pain and her BP was 100/55, the preceptor...
  10. Two things: First of all, at least in the state where I worked in a hospital setting as an RN, we were not allowed to work outside of the role that we were hired for. As an RN, I was bound by my...
  11. I recently started a new position in a LTC/AL facility. I have since developed a very painful medical condition that has caused my doctor to restrict my hours. The facility only has one other nurse...
  12. Solutions for Acutes?

    Our acutes department is really struggling. I don't know how many RNs have been hired, trained, and then quit, just in the past year or two, but it's at least eight. We are swamped with treatments and...
  13. New nurse, feeling helpless and depressed

    I am guessing that you, like me, tend to be a type A, perfectionistic type of person. Sometimes our type does not do well in an environment like acute, inpatient med/surg. In my case, when I worked in...
  14. I recently took a job at a retirement community where I work nights overseeing a couple of locked dementia units and a couple of open assisted living units. While I like the job overall, I see that I...
  15. I am an RN who recently started a new job working four ten hour night shifts a week. I am the supervisor of 3/4 of a very large assisted living and memory care facility and walk literally miles every...
  16. Areas of nursing you would NOT like?

    Anything to do with the birthing process. The worst patients in my book are young women in pain. I couldn't deal with them on a daily basis, plus too much family dysfunction and too many sad stories...
  17. If I could quit nursing today, I would and never look back. I have been an RN for almost 25 years and I am VERY ready for a mid-life career change but am not trained and do not have any experience...
  18. I recently began working at a beautiful LTC/AL/Memory Care facility and really enjoy the job. The down side is that I have to walk a TON during my ten hour shifts and I am no longer a young nurse. As...
  19. FMC transfer

    Good luck. When I worked for FMC they were real sticklers about this, even though I was staying in the same location, just switching from acutes to chronics. I'm not sure how much power your regional...
  20. Acute First time alone!

    Don't try to hurry. Take your time, think through each step as you do it, picture yourself in training with your preceptor if you need to. Believe in yourself! This is critical. Do not think, "Oh,...
  21. Solutions for Acutes?

    Amen! With my new job, I can go home after a long day (with scheduled hours! What a perk!) and go to bed without having my phone next to my head. No more on call for me ever again!
  22. What do you think of 11 am- 7 pm shift?

    Honestly, I think it sounds horrible if it's five days a week, but not as terrible if it's, say, three days a week. It would be almost impossible to get anything done outside of work on any day that...
  23. to work in retail sales. I know that it won't be all fun and games, that I'll make much less per hour, and that the holiday season will be very crazy and busy, but the very idea of working somewhere...
  24. is going to be this Sunday, 9:30 PM-7:30 AM. I accepted the night position because it is at a much sought after retirement facility that rarely posts nursing positions because the nurses that work...
  25. Is Hospice nursing "easier"?

    Right, and our case managers did a phenomenal job of teaching patients and their families, so it wasn't like families were calling us just for incontinence issues, which is the impression that I think...