gladtobeOB

All of that Vetpro stuff worked out now I am having trouble getting a transcript sent from Penn State. Seems that I have an outstanding loan that I am deliquent on and was sent to collections so I have a hold on my transcript. Going to have to find a way to pay the money or they will not send the transcript and I will be out of this job opportunity.

I am trying to submit my info but when I try to sign and complete it says something like your application has not been submitted. Any advise as I would like to submit it adapt.

Well, just to update everyone. I was offered the position! So I am super excited to say the least. NM went to bat for me as they needed two staff members and then they put a freeze on the job. HR called today stated I wouldn't start until at least May but that gives me time to resign from current job and do all of the long tedious hiring process. Still no idea on pay but of course need to go to the board with all my info. Will keep you all posted. Thanks for all the support.

Please tell me what kind of work shoes are the best. I am in desperate need of a comfortable supportive shoe. Thanks

Thanks, Interview next week!

Thanks JeckRN. The position would be in the Altoona, Blair County VA, so I don't think it would be any different than the rates you have up there. That pay rate would be acceptable for me at this point.......:yelclap: Thanks

Hi, I am looking intoa regular staff nurse position at a local VA here in Pennsylvania and was wondering if anyone could give me any assistance in the boarding and hiring process? I can not find any up to date pay scales and need a little assistance in understanding them. I am an RN with 9 yrs experience and a MSN. Could anyone give me a ball park figure on salary? Thanks!

There are two nurses in the office one does, careplans, updates, idt meetings etc. Then the RNAC does all of the rest. How would you adjust this to meet their needs or how would you divide duties and then justify adding additional staff members.

HI, I work at a facility that has 124 beds. There is one RNAC and a Care Plan Coordinator who also does the IDT meetings and insurance updates. With all the recent changes the RNAC needs help badly. How do any of your facilities staff per number of residents who performs what role etc? Need Help fast in order to devise a proposal to our administrative team.

Also, there is a new medication out for use in place of coumadin call pradaxa. We have had two residents recently started on it and have had GI Bleeds. According to their doctor and literature, it cause 20% more gi bleeds than warfarin.

Well first of all good luck and Congratulations. You need to be confident in your nursing skills and assessments. You also need to develop a relationship with your staff and physicians of respect and knowledge. You need to gain a knowledge of the facility policies and employee handbook because I can guarantee they will test you on these things. Set up some basic things with staff expectations, rules and most importantly communication. Without adequate means of communication say a change in pt conditions your shift will not go smoothly.

Hello, Thanks for all the comments. I have decided not to take the job that was offered to me after talking with the nurse that was leaving that I had previously worked with on occassion when I floated to her floor at her previous job. She stated she loved what she did but could not deal with the charge nurses attitude and deception, and the manager who would do nothing about it. She stated that as she did not know dialysis so she had to learn everything. Well the charge nurse, a relation of hers, would tell her to do things wrong, then turn around and say she never told her that etc. She discussed this with the manager and nothing ever came of it. As it stands I don't need to work in that type of atmosphere as I did that before and don't care to do it again, One good thing is that the manager stated they staff well, they are all either RN's or LPN's no PCT ratio 3-4 pt to one nurse. Well for now I will stay where I am at.

Hello, Haven't been here at allnurses for a while. Have been offered a RN position for a local dialysis unit under the management of Dialysis Corporation of America. What do you know about them? I have 4 years of nursing experience, none of which are in dialysis. Upon reading some posts I am having some regrets for a lack of a better term about dialysis as very few seem positive. It seems as though I need to ask more questions about my responsiblities what is staffing like, nurse, pct ratios. Charting and other job duties. I currently work agency med/surg at a local hospital so I am used to stressful fast paced situations but usually have other qualified staff available in times of need or emergency and for the most part posters are saying that RN are usually the only licensed staff and work long hours etc. Well I guess I will await posts and direct these types of questions to the director of the unit tomorrow. By the way what does FA stand for?

Fe3 Sorry to hear of this. Yes you may have been the last to remove Ambien from the Pyxis but you certainly was not the last person to use the PYXIS. Anyone could have accessed that same drawer and removed their desired medication for their pt and then removed the ambien. Just think about it or was ambien the only medication found in that particular drawer. Good luck and keep your chin up.

OK, I will try to explain how we do it at our facility. The RN is =8 hours The LPN is =7.75 hours The CNA is = 7.5 hours Then add all these hours up per staff at the facility on that said day or shift and divide by the number of residents in the facility Per our facility or the state they like to see that our PPD is > or = 2.7 Hope this helps or I would just ask the administrator/DON for help. I only hope to someday be in your shoes. Good luck and hang in there.

HI, I am new to LTC and working as a supervisor has been a drastic change to say the least especially since I work weekends night shift. My question is in the subject of the dying process. What would you do if there was an acute change in resident status and they were a no code. Would you call for Lasix, Er admission etc. Need your input. DON says I am doing ok but I am worried about what you really should do as to especially honor the wishes of the resident. Would you give and start and IV for Lasix when resident is comfort measure,no code. Thanks in advance

I would suggest that she actually sees a physician whom specializes in wound care. They may have some alternatives to the wound vac. I could ask numerous questions about the type of wound but this could be a long response then. Does it drain much, what type of wound exactly. what are the current treatments that they are doing etc, has she had recent lab work and as the other posters stated is her nutrional value good ie vitamins C, E and Zinc. Is the affected area getting worse, or is it just slow to heal? Stopping smoking is also important increase blood flow to the affected area. Some additional testing may be needed to check blood flow to the affected leg, venous dopplers or what they calll at the facility I work a TCOM in which they check oxygen flow to the leg. These all check to see if blood flow is adequate for tissue perfusion and healing. Another alternative if you have one in your area is a hyperbaric oxygen tank which is used to treat wounds by using pressurized 100% oxygen. Good luck to your mom and keep in touch.

No LPN For the floor, So RN supervisor had to do her job plus the LPN's. Telling this facility tomorrow. Do not want to jeopardize my license. Most of the staff is new because they have fired so many people and they are all new, so who do you go to for help, no older more knowledgeable staff are there anymore, take that as good or bad but I don't think it is the place for me. Plus some of the stuff that was said and I had seen makes me very leary of the type of care given and it scares me enough to not go back.

I just begun orientation at a LTC facility and was wondering the same things you were about staffing(of which I am very concerned about) 93 residents at night yesterday RN supervisor acting as lpn with one other lpn and 4 aides? What's your opinion? Stay or run? My position would be Rn Supervisor.

Hi, I Think I Am Finally Getting Burned Out From Doing Hospital Nursing And Looking At My Other Options. What Do You Look For In A Facility? Coworkers, Responsibilites? Had A Call From A Ltc Facility Yesterday Offering Me Part Time(need Full-time) But She States It Will Soon Be Fulltime Because Another Rn Is Being Disiplined And Most Likely Fired???eeeks. Don't Know If I Like The Sounds Of That.

Well I just wanted to tell you of my recent experiences and I think I can probably top all of you posters. When I interviewed for this job manager stated they were a tight group and if you don't fit in you will be out. Well as of Wednesday morning I am out........ She stated she feels "friction" between staff but no one has said anything????? Yes, being the new girll I have made some mistakes but that comes with learning to know policy and such and how they do things as opposed to how other facilities do things. And yes I have made some statements that if you read my last posting about a psycho homicidal pt admitted to the general floor to the 2nd in charge that she didn't agree with. So I guess I was on the shi## list since those two are so far up each others A$$. Anyway she commented that she thinks I am more suited for a supervisor in a nursing home because get this.... I care about my pts, independent worker, give good pt education well organized and document well, I just don't fit into the group that works there and she didn't want to have to be working 80 hrs a week because people might start calling off because so and so is working tonight. Well I would like to be a fly on the wall to see who will be working 80 hrs a week this month since everyone and his brother is on vacation and I was willing to work my 40 + 20-30 a pay to help out. All I can say is to bad for them they lost a good decent nurse who stood up for and cared for her pts.

Thanks, for the responses. This patient was evaluated by a Crisis worker who further infuriated him and made a bad situation even worse. They tried to get the pt into numerous faciltities but was turned down or said they had no beds. The pt would have had a dual dx being bipolar and a drug addict and many facilities do not accept that type of patient according to the crisis worker. There is from what I have been told going to be a Root/Cause analysis done on this so this won't be the last thing I hear from this situation. My point with accepting this pt was his homicidal ideations, anger, drug abuse and possibly harming himself, staff or pts/residents and then I would be responsible in some way for his actions, no security or police involvement in the hospital. To me just my opinion when some threatens to kill they should be taken to jail no matter what the threat and charged not putting innocent people in danger because the dr doesn't want trouble and was really trying to the pt help. I had no trouble with the pt but the whole idea of the what could have and still can happen from such threats. Like I said before to many details to type but I want to know for future knowledge my rights under the nurse practice act and what legal ramifcation if any could have happened if staff or pts were injured because of his actions etc

Had An Incident Last Week Where I Work, Small Hospital With Nursing Home Included In Which A Man Well Known To This Facilty Came In Seeking Psychiatric Help. (we Do Not Have The Capacity Or Doctors To Care For This Specialty). He Had Homicidal Ideations In The Er, Hx Of Being Bipolar, Hopped On Every Known Drug But Heroin. Stated In Er He Would Kill Everyone There In Er If Cops Were To Become Involved. So As The Story Goes He Was Admitted To The Floor Dx Recurrent Headache(which Obvously Had Since He Was So Jacked On Drugs) And Homicidial Ideations To The General Med/surg Floor For A 1:1. Many Other Things Happened To Long To Write But What I Am Wondering Is If I Could Under The Nursing Practice Act Refused To Accept This Patient Under My Care With Such Statements And With The Potential To Harm Everyone That May Have Been In That Hospital At The Given Time? Your Advise Would Be Greatly Appreciated.

Hi, I have a decision to make between two jobs. Here is the story....... I am currently working at a facility part-time. When I interviewed at this facility I was told by the manager that there was an opening on the LTC side that this person would also work part of the shift 3-7 on the med/surg side(small facility with hospital and nursing home). She stated if a current staff member would take this job it would leave me a full time position which is what I wanted. Well as the story goes no one bid on the job so once I started I then bid on it. Was told by DON of LTC it was mine if I wanted. Told her yes. she stated that once my orientation was over on med/surg I would then begin orientation on LTC. As the story goes 3 people come out of the woodwork and bid on the job, thus leaving me out of the job and full time status. I have told them numerous times my need for full time hours/pay. So I have since interviewed at a nursing home for nights RN supervisor and have been offered the position. I talked with the nurse manager the other day stating that I would work for someone who's son has been ill if need be. She told me that she was going to be talking to human resources about making my job full time since they still have another part time position available. She would know on Tuesday. Tuesday is also when I have scheduled my series of PPD to start at the other place.......... What would you do? I have heard the promises before and am somewhat leary of what she says and I don't want to let this other job slip away. It is more pay, I would think a step up on the career ladder from regular staff nurse to super with more responsilbiy What to do HELP

I have heard that it may take several months sometimes a year before your menstrual cycles become regular after taking birth control pills. My experience was the opposite though. Was put on bc after my second child due to still having an enlarged uterus several months after giving birth. Was on bc for 2.5 yrs and stopped taking them midcycle to try to have our third and got pregnant I think probably the day I stopped taking them. Go figure. My hubby and I must be bunnies.:rotfl: