tyvin BSN, RN

Hospice / Psych / RNAC

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All Content by tyvin

  1. tyvin

    At the End of my Rope.

    Oh yes; this is exactly how I learned (except a nurse in one of my rotations in school let me know how to survive the first year). I learned to jump through those hoops as big and senseless as they...
  2. It doesn't matter what you call it, a DUI is a DUI. I know for a fact that many people have been turned down for licensure in CA for past DUIs. You can go to school and even take the boards but when...
  3. tyvin

    California licensing with a DUI

    mainecat I am so sorry; hopefully it will happen. I had a DUI in 1986 and I'm trying to endorse my license to WA state. I am currently trying to get a pardon for the DUI because my state does not...
  4. tyvin

    At the End of my Rope.

    The thing is you didn't nip it in the bud when it started. Yes, I've worked with an LPN who told me upfront that my BSN was crap and it meant nothing. I kept a close dialogue with the DON because...
  5. tyvin

    New grad pay and schedules at a SNF?

    The pay all depends on location. What I've read so far is pretty accurate. A SNF differs from LTC in that the SNF has all skilled beds which makes a big difference in care. Also, the patients in a...
  6. tyvin

    pharmacology class question.

    Your question depends on your ability to study and retain information. Are you a fast study, what's your GPA, etc... Some people have a difficult time with regular courses let alone a short session...
  7. tyvin

    How long?

    A year is good as long as you can justify it on your resume/employment application. What employers are looking for are people who are responsible and aren't going from job to job randomly with no...
  8. tyvin

    Crazy Night Last Night!

    Sounds like a few residents need to be assessed for fall prevention. There are a few things that can happen to reduce the risk of falls but at night I prefer mattress on the floor or bed alarms....
  9. My state is non-nursy and I am moving and going to a non-nursy state and my state said they sent off the stuff: the new BON state claims they never got anything. That was 6 months ago...errrr Maybe...
  10. tyvin

    LTC 101: What To Expect

    A SNF is nothing but med-surg over amplified. Instead of 4 or 7 patients you get 12, 15, 20, or maybe more, depending on the facility. When I worked SNF I had 20 patients and it's almost dangerous. In...
  11. tyvin

    Do you need a doctors order for this?

    Oh; yes, yes...I prefer not to make the posts too long but happy to answer questions. The man's foley had clogged earlier. This was a noc to day shift situation and at report they told me they found...
  12. tyvin

    New Nurse Mistakes

    I do recommend a search before posting on any website. It's possible that a search was done and it was found that the existing posts were dated and it's perfectly fine to revive a subject. This forum...
  13. tyvin

    Do you need a doctors order for this?

    I haven't met a foley I couldn't change except in one case. Older very thin man at a SNF with indwelling foley supposedly resting in his room; I was the charge and the RN came and told me she was...
  14. The internet will give you current research on just about everything; as with your nursing books, they are quickly outdated. I know the profs love to tell the students to hold on to the books for...
  15. tyvin

    Nclex invalidated due to cell phone

    Don't sink. What's done is done and all you can do is pick yourself up by the proverbial boot straps and prepare for the next NCLEX. Don't take the phone next time, or if you do, have it sealed at...
  16. tyvin

    Surrendering RN Scope!

    Well I don't know where you've been, but where I am, we have always had to have an order for Ensure for at least the last 20 years. It's expensive, and insurance companies hold the MD's feet to the...
  17. tyvin

    Nursing and waitressing/food service industry

    I worked in fine dining before, during, and after school. In fact, I owe my success of multitasking and being able to fly from room to room (table to table) to being a former food server. Only...
  18. Me thinks you knew your inflammatory heading to your post would summon many responses since most RNs believe and endorse or are generally OK with alternative medicine. I think you are possibly angry,...
  19. tyvin

    suboxone

    They are required (by law) to tell you what test is being administered and what drugs they are testing for. If for some crazy reason they don't, ask them. You should get some paperwork and get a list...
  20. I was hired back in a similar situation and I am here to tell you that I never should have went back. They retaliated against me and eventually had me terminated. I am currently in court with them...
  21. tyvin

    I felt belittled by a Dr.

    Look, he just wanted answers and was having a bad morning. The one thing I do make sure I get in report is the PRNs the noc patients get because that's what the MD wants to know. They want to know...
  22. tyvin

    *Urgent* Is this dangerous for my license?

    IT is very rare to find a LTC/SNF facility that will train longer than 4 or 7 days. The SNF I worked at told me I would train for 5 days and then there were a bunch of staff call outs and on my 3rd...
  23. tyvin

    The Face of a Medical Error...

    Oh yes, I love my cat...how so very true! If an RN says she's never made a med error, than there's a concern. The thing is, if an RN really believes they've never been involved in a med error; that's...
  24. tyvin

    Current and former sacred cows in nursing

    72 hour stay was the norm and then the insurance companies said it wasn't necessary so it was reduced to the 24 hr (it came down to the almighty dollar). What happened was the new moms and babies...
  25. tyvin

    how long before taking off orders

    Check your facilities