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SquishyRN

SquishyRN BSN, RN

RN
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  1. Every facility (sometimes even department) handles scheduling differently. At my current place we self-schedule 12hr shifts, at another place we had set blocks of 12 hr shifts. Neither place rotated between nights and days though.
  2. SquishyRN

    RN's and LPN's working as Nursing Assistants?

    At a facility I used to work, this would not happen because the nurses didn't usually want it done that way. The patients were all usually total care and ventilated so it threw eveyone's daily routine into a funk to have to do all the bedside care too, even if it was less patients. If we were short NAs, as an LVN, I'd "take one for the team" and volunteer to be the NA, which was very much appreciated by all the other nurses.
  3. SquishyRN

    Two step triage process and registration

    We have a two-step "quick reg" triage system. When the patient first comes through the entrance there is a desk with registration and a nurse. This nurse enters the chief complaint and assigns an ESI. If there are rooms open, the patient goes straight to a room and the triage is completed by the primary nurse receiving the patient. We use a 5 level ESI system. If there aren't enough rooms for all patients to go direct to a room, 3s, 4s, and 5s get sent to a triage room for triage to be completed by another nurse and then they get sent to the lobby, 1s and 2s still get sent straight back and, again, triage is completed by the receiving primary nurse. Full registration is completed when the patient gets to a room.
  4. SquishyRN

    2018 Nurse Salary

    In the hospital setting, short answer, yes. Co-workers leave in droves for better pay. It doesn't bother me for the time being because my priorities are more than pay. Management doesn't micromanage, I get to self-schedule, I generally like my co-workers, and I don't have a family to support which would make getting paid more a bigger priority. When my priorities change and I do decide to leave, the experience I've received at this ER will practically let me write my own ticket to any ER.
  5. SquishyRN

    2018 Nurse Salary

    Location: Los Angeles, CA Experience: 4 years RN, 3 years LVN (LVN experience did not count towards wages) Current specialty: ER Pay: $37.50 base, $1.00 BSN, $3.75 night, $2.25 weekend, $2.50 charge, $1.25 ER/ICU differential
  6. SquishyRN

    Current hourly wage LA area

    Nope. Large level I trauma center.
  7. SquishyRN

    Current hourly wage LA area

    My $36.88/hr before differentials is starting to look laughable... and I'll be at my place of employment 3 years next month. But some things are worth more than money.
  8. SquishyRN

    LVN am i underpaid?

    2 years in you're good in terms of experience before looking for another job. Time to move on indeed.
  9. SquishyRN

    Is becoming a lvn a waste of time?

    As long as your expectations remain realistic in that you're likely not going to get a hospital job as an LVN, there are still plenty of job opportunities for LVNs in SNFs, clinics, and home health. I didn't find becoming an LVN a waste of time. I graduated with a Bachelor's in the social sciences and could not find a job, so my sister told me to go into nursing. I had zero prerequisites done, so trying to go the straight BSN route would result in four MORE years of schooling without working. Going the LVN route first allowed me to start working as a nurse after my one year of LVN school. I already had two years of nursing experience under my belt by the time I finished my pre-reqs, 3 years by the time I got my ADN, and 5 years by the time I got my BSN.
  10. SquishyRN

    Do you have a free charge nurse on your unit?

    In the Med-Surg unit I worked the charge would not have an assignment 99% of the time. If we were short, the charge nurse might have to take 1-2 patients, but it was always the easiest patients. In the ED I work the charge never has an assignment and is primarily responsible for patient flow and staff management. It would be ridiculous to have the ED charge take patients. EDIT: In the Med-Surg units of the hospital in which I work ED, the charge nurses have a full patient load, which I think is absolutely ridiculous. I hope they at least get a charge differential (as we do in the ED).
  11. SquishyRN

    Base Hospital/MICN Question

    Non-base hospitals are capable of receiving EMS patients, but they are directed there by a base. Does that make sense? Pretty much the process is that EMS will call a base station from the field and the base station will direct them to the nearest appropriate hospital, regardless if that hospital is a base or not. EDIT: I think the confusion came from when I said non-base hospitals don't receive EMS calls. EMS will not call a non-base for orders and directions, but can take a patient to a non-base hospital after being given directions by the base hospital to do so.
  12. SquishyRN

    What good does a BA in anything do for nursing

    Yeah pretty much. And once you're done with school, it means absolutely squat in the nursing employment market.
  13. SquishyRN

    Length of Time it Takes to be a Good Nurse...?

    As a new grad LVN working in SNFs it took me AT LEAST 6 months before I wasn't a nervous wreck going into work, not to say that after those 6 months I wasn't nervous, I just at least wasn't ready to cry, throw up, and quit nursing altogether after every shift. It WILL get better with time and experience. I would probably say I didn't feel like I was a "good" nurse until 2 years in. And then I became an RN, changed specialties, and went through the roller coaster all over again Hang in there. It will get better.
  14. SquishyRN

    Base Hospital/MICN Question

    A base hospital is, like previous poster mentioned, a hospital designated by the EMSA (or Emergency Medical Services Authority) to give EMS personnel orders for treatment of patients in the field and designate the nearest appropriate destination hospital for said patients depending on certain criteria. Contrary to previous poster, the base hospital does not only designate destination for MCIs (or mass casualty incidents), they designate destination for ALL calls. For example, if EMS calls a base station and a patient exhibits stroke-like symptoms, the MICN will direct them to the nearest primary stroke center open to receiving patients. A non-base hospital is any and every other hospital that is not designated to receive EMS calls. The format/procedure for answering the phone is irrelevant to you right now, and will be for quite sometime actually, since in LA County you have to have at least one year of RN experience before being qualified to start MICN training. At my facility, nurses typically don't get offered to get MICN trained until they're 3 years in and have more than ample ED/trauma/triage experience. Even if your facility only requires the year as required by LA County, that's a year more ED experience and knowledge you'll have than you have now. I love your foresight and initiative, but as a nursing student, I would focus less on what the MICN does and more on what the other ED nurses do since that's what's you'll be doing right out of school if you decide to work in ED.
  15. SquishyRN

    ED Pay vs Med/Surg Pay

    At both facilities I work base pay is the same for all specialties and determined by years of service, but there is a critical care differential for ICU and ER.
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