PeninsulaRN

I work med/onc. We're on 12s. On days it is 1:5-6 Nights it is 1:6-7

We use this on my unit, and I love it. It significantly decreases the risk of med errors. Pharmacy comes up and stocks our individual med carts in the am, PRNs and narcs are kept in the accudose. The best part is, once we scan the wristband and the m...

My suggestions are to take the NCLEX as soon as you can after school. Its been shown that the longer GNs wait to take boards the percentage of successful candidates decreases. I didn't take a review course. I really feel like you shouldn't have to, ...

Well, it depends where the MRSA source is as to what type of isolation is appropriate, you know.

Alright, I'll acquiesce that my post was a bit flippant. However, I maintain that we should not be expected to exceed safe staffing ratios. Luckily we are fairly well-staffed and have only been in that situation once in the entire time I've worked th...

:rotfl: So true! LOL!

It may be a wise idea to wait until you have worked as a staff nurse before making such judgments.

Oh no, I didn't mean to imply that I didn't believe you, only that it seems to be a waste of resources.

With all due respect, that's not really my problem. The ER is generally staffed with more RNs and physicians/NPs/PAs, and they are more than capable of handling it. If they are overwhelmed, they go on diversion. Of course, the ER staff need to priori...

You're welcome, and I hope you find something that suits your needs. I can't believe there are no acute care openings for LPNs where you are.

Holy unsafe staffing Batman! In situations like that, when our staffing is drastically low, we block off rooms that cannot be used. So, if our maximum ratio is 1:6, and there's 2 RNs, we can only end up with 12 patients, total. If they want to admi...

:rotfl: So true. "I"m sorry, ma'am, but this is the only room available right now. If Dr. Blank wants to come and construct a private room for you, that is between the two of you."

Well, if LTC is your only option, many of those things you can learn there. Have you looked into the subacute areas of local nursing centers? Those are the people that need slightly more care than the residents and are there on a more short-term basi...

I wonder, is this a facility policy or state-sanctioned? Have you worked other places in your states where LPNs are authorized to do admissions?

Ahh, thank you for clarifying. In my experience, most oncologists are very clear with the patient and their families about prognosis, life expectancy, and if the treatment is curative or palliative. It is really up to the patient and their family wh...

Totally inappropriate. Mind you, I don't work OB, never have, but that, to me, is as inappropriate as having a MRSA or C-diff patient on my ward with neutropenics.

I've also always planned to go back for advanced education and so I think that may be the impetus to push me to go back sooner. Not an altogether bad thing. I understand that many of you are bristling at the idea that your education is "not good enou...

Meh, ditto that. Congratulations on graduating, at any rate.

Meh, this is a strange question. Nurses by nature care, we are healthcare providers. That means that I care for my patients, holistically, attempting to meet all of their needs. In these days of high acuity and decreased staffing, though, that's dif...

We are an RN only floor. However, at previous hospitals I've worked for, LPNs were not able to do admits. The RN must do the initial assessment, admission history, etc. So the RN would "admit" the patient and then turn care over to the LPN. I'm sure...

Very true, Fergus. At my facility the most they can do is put you on "the list" if the census is high and no privates are available. Generally they do what they can to ensure that employees get private rooms but that's not always possible, either. W...

The most in recent history was 13 admissions for a 12 hour shift. Some of us had 2, some 3. I can't remember exactly how many RNs were on. That's not counting in-house and out of house transfers, discharges, etc.

I'm sorry, I guess I don't quite understand your question. Do you mean agree with the prescribed therapy for the patients (i.e. chemotherapy, radiation, etc.), or agree when the patient becomes palliative and is only receiving care and comfort measur...

Meh, I would demand a private room also. There is such a profound lack of privacy in semi-privates, and you're already a bit off-kilter when you're ill enough to require hospitalization. Besides, the last thing I would want is to listen to Jerry Spr...

I agree with llg's post. I've been on many interviews for nursing positions (more than I care to remember, actually) and I've never been asked that question. I have, however, been asked other broad-based questions that require a bit of thought, such ...