optimist

New RN grad here (with LPN experience), very rural southeast, just accepted an offer for outpatient Dialysis position, 3 twelve hour shifts, $24.50/hr.....Im still smiling!

Hi and thanks for taking the time to read, Ive recently been accepted into Davidson County Community College LPN-RN bridge program. For the clinical aspect of instruction, the student is responsible for securing their own preceptor in a acute care/m...

Thank you for replying! Where did you do your clinicals if you dont mind me asking? I live in central NC and cant find anything in Greensboro,High Point, Winston Salem, Thomasville, Asheboro, Kernersville,Lexington, Siler City or Burlington. Everyone...

First semester nursing school...explaining my rationales for each med I was giving that day.....couldnt understand why the instructor giggled at me each time I said ass-a-teem-an-if-en (aceteminophen LOL)

Whats with this complaining? You have a job. You get extra pay for working a weekend. You want extra money on top of extra money because its considered a Holiday? What about those that dont observe the holiday? should they not get holiday pay because...

I do wound care in LTC. Last week I had a pharm rep representing a very popular debriding agent contact me to give a demonstration on the proper application of this med and new guidelines for ordering from pharmacy. I thought it was very nice that sh...

Ive been working weekends only since my daughter was born in 09 and I wouldnt have it any other way! I didnt want her growing up in daycare, I wanted to be the one to teach her how to walk,potty,talk,manners and I must say that her having a one on on...

I do wound care in LTC. I had a pt admitted 6 weeks ago following surgical intervention for hip osteomyelitis. During that hospitalization he suffered many complications from infection including sepsis,prologed ICU stay and intubation.Came to me with...

*caregiver/staff ratio *inadequate staff training *odor control issues *medicare/medicaid budget cuts *implementing stimulating activities for Alz/dementia pts *mass herding policies that serve to convenience staff instead of pts (i.e. all pts must g...

"Tell me when Im in all the way" (measuring the depth of abd fistula) "I dont like how juicy this is today" (referring to copious exudate in previous abd fistula) "could you open your legs a little more? the light in here is terrible and I cant see w...

Latex finger cots?

Hmm, Is that position in the greensboro NC area? If so I think Ive seen that position advertised for quite some time now. If im not mistaken, I believe that is just a fancy term for a regular LPN slingin meds all day. I think at one time Brookdale wa...

I love my job! Been doing wound care in LTC for 2.5yrs now. Weekends only. I love the autonomy of working at my own pace, having the time to take a break or help a L.O.L put her makeup on in the morning,sitting and talking to a lonely demented little...

As a child my mother SWORE by mayo on sunburns! Can you imagine my torture in bed at night with HOT MAYO slathered over my face and shoulders. yuck!

I think a lot of this trend is $ related. The SNF Im at is beginning to accept more and more acute pts because they can charge more for their care. As the older 'retirement home' pts expire, they are replaced by trachs, fresh off the vent with multip...

As if unemployment rates arent already sky high! Now you can be denied a job because you're A:too fat B:Have inherited high BP or cholesterol or C: partake in (legal) nicotine products on your personal time.Before you know it you will be expected to...

I visited a Dermatologist today to check out a painful spot that had developed on my lip. It came up in conversation with his assisstant that I was a nurse. She glanced at my chart and remarked "I see you dont have insurance, and you're a nurse? How ...

I work in LTC doing wound care. We have this very cantankerous patient that came in with a small wound to a lower extremity. He is well known for verbally abusing many staff members (especially non-caucasions). On numerous occasions Ive gone in to do...

The investigation was substantiated because they claimed we were not meeting this patients "psycosocial needs". When they interviewed the staff, 90% of them quoted the exact same line....."I only go into Mr.X's room if I absolutely have to,I do whate...

If Im picturing this correctly, is it a horizontal surgical incision (wide and narrow?) If so I would first cleanse the periwound with an antiseptic wound cleanser (antisept,silvermed wound cleanser,etc) then I would use a large gauge needle and syri...

PRECISELY!!!! I use this trick when Im waiting on my pharmacy to return my call for my refills, work to return my phone call, basically any phone call that Im really waiting on.I also like leaving my phone just out of reach on the bathroom sink and h...

You're going to feel really overwhelmed for the first weeks/months.Nursing school does not teach you how to administer meds to 30 people in an hour,while performing neuro checks on the frequent faller Q15, responding to emergencies, hunting down miss...

Ive been doing weekends only since my daughter was born 2 years ago. While it does suck that I miss out on family cookouts,weddings,social get togethers, etc. (oh and Christmas for 2 years straight) none of that compares to being at home with my lil ...

I made the choice of family over career when my daughter was born 2 years ago. Since then, Ive worked weekends only (12hr days) with no insurance or benifits. This way I get to stay home with her during the week and she stays with her dad or family o...