KHowesLPN

Two Midnight Rule In your hospitals how is your UR Dept. Handling this change by CMS, and are you having difficulty with doctors complying?

Thank you for sharing! I too have been in the same situation!

tHANK you for your study plan and congratulations! Could you please tell me what NCLEX 3500 and SATA are. I am preparing after being out of school for some time and two not so succeessful attempts at the NCLEX.

I am just now getting back to reading this and it seems that you have found the right facility to work. Teamwork approach sounds really great there.

You sound impressive as a boss, tough but fair. I can see that you are consistent and do not show favortisim between your CNAs and Nurses. Which is something I cannot stand, in my situation, the CNAs were always right and nursing staff was always wrong. I have witnessed nurses being extremely disrespectfull to the DON and even almost cursing her to her face and it was allowed. I will tell you my experience, I was employed six years, was working as a nursing supervisor, and was terminated for allowing a CNA to work out of scope. The aid was working on a day I was not even working and was caught drawing blood. Now after a full investigation myself and two other nurses were fired along with another aid. I was termed for teaching the aid to do it. Here was what I explained to the board I did not teach her anything I answered questions as HOw do you know what tubes to use? and this aid also helped to hold patients while drawing but I never stood over her and taught. She also helped me in putting in a foley catheter and I had to have her to insert the water in the balloon. 30cc, patient in side lying position, very combative. Now I completely explained this to the board and they fully understood that you do what you have to in the real world of nursing and said CNAs ask questions all the time that is how they become nurses, if the aide was dumb enough to try it then that was her problem not yours. Now my problem I had with DON was she had a well liked nurse in our building to make a completely new TAR after we circled that a tx had not been done, because not all of the nurses had been instructed on how to do CPT, this was told to us that it is a nursing measure and should have been implemented, I could have done it myself because I had seven years experience as a Respiratory Therapist. Last time I checked CPT is not a nursing measure and cannot be done without a doctors order. So she destroyed the TAR and just made a new one, completely destroying part of residents medical record. Last time I checked to that would be considered illegal. I have been a nurse for fifteen years and this almost destroyed me, because I had married myself to my job and thought I was doing a good job, only to have it taken from me. I have lost my drive over the last sixteen months but have finally went back to work, after a seven month lay off from another job, and will be taking my RN boards in three months after being out of school for over a year, this also almost cost me furthering my career. It is nice to see that you can run a tight ship, the DON I worked for has lost respect from many of her coworkers, and lacks professionalism, but I have let it be a humbling experience for me and have tried to rethink my strategy and really figure out to improve myself as a person and a nurse and all you can do is learn from your experience, and remember that you have to protect yourself and your license and hold an extremely high standard for yourself, and dont be afraid to speak up when those higher up are doing wrong. Keep up your good work!

Wow, your story seems quite similar to my LTC experience. It is sad but can be true at times, DONs not caring and letting others get away with things, that you would not be allowed to. I can only say work exactly by the book, in my experience I wish I would have tried harder to do this, because unfortunately I was fired but my DON still has the same job, in which she has had encouraged nurses to falisify documentation because state surveryors were coming in, did I say anything when I caught all the things she was doing, no I never did, because I was afraid for my job. Because they wanted me gone, I was fired along with two other nurses and two CNAs. Funny thing was my state board of nursing dismissed everything against my license and basically wanted to know who I had ticked off. In the past two years there has been close to probably ten firings at that facility, scary isn't it.

Hi, Sorry about your not passing. I am from WV and have taken it twice and have not passed. I agree with what others are saying try to retake as soon as possible, I usually end up putting it off because it takes me so long to build myself up again to take it. This last time I thought I really had past at 235 questions, but was near passing standard on every area where before I was weak in my Pharmacology part. If you have previous nursing experience as I had, don't really rely on it, because this test is looking for text book answers. I do agree with the Kaplan Review Course it is good and I know people have passed with this. Just keep up the good work and remember you are already a success, you can do this!