RNBSNxo

bothers me? It is about patient safety and providing proper treatment, there are rules for reasons, ok!?

Well hospitals have different policies, I know, but for ours there are certain meds they say MUST be on a syringe pump and cannot be put into the running IV fluid line-retrograded. The policy also is you cannot retorgrade a med that is more than 3mL, since tubing is only 20mL long and you will basically be pushing the med if you do. She will go in the room with a 10mL medication that must go over 30 minutes-per policy, per the only ok'd pediatric drug book in the hospital-but she is there for a few minutes, comes out, and never returns. A nurse went in the room minutes after she left and said no med was running. Its any meds.

The policy says only medications in less than 3mL can be retrograded-put directly into the running IV fluid line and then you set a new rate on the secondary pump setting. So she goes in the room with a medication that is prepared in 10mL and per policy must run over 30 minutes but is in there for a few minutes, comes out, and never returns. Something is up, she is pushing it is only thing.

Suesquatch The patient is lying in their bed and the parent at their bedside thinking their nurse is providing the best, safest care per policy. So...I consider it unethical for a nurse to be giving medication not according to policy and/or not according to the pediatric medication book that is the only one ok'd by our hospital. I did not say in my post she is "lazy" what I said is she is somehow never going back and flushing meds that MUST be ran over specified times and cannot be retrograded in the running IV fluid line. She knows the policy, we have asked.

You said "nurse starting out" read your own message. Not new nursing student or just interested in nuring. The title of "nurse" means something. Now you say pre-nursing student, good job. And I still did give factual information about my facility, I also gave my concern because you said "nurse" not student.

Altra, she said "as a nurse starting out," This did not say as a nursing student starting out. It said as a NURSE starting out. You wouldnt be concerned if a "nurse starting out" did not know these things, I would. If the poster said nursing student starting out then it would be a different story. I cannot check all profiles.

No "ghost" stories but some of our pediatrics patients during their palliative care/dying process have said people were in the room who were not, one child said he saw angles, another girl said "god" was here for her. The only time I was kind of scared was when a girl was saying "don't let them take me" and she had not been talking for days. It was only her parents and me in the room. She was dying, end stages, so I assume she saw someone there to take her to heaven.

Are you a new nursing student because if you are a new RN then you should have learned these things. As a nursing student you went to different areas. When you are hired for a floor no they do not have to rotate you. Many hospitals have floating though. If your floor is overstaffed and another floor is shortstaffed then you will be floated to that floor when it is your turn. For example, if you work on general pediatrics unit and your floor is overstaffed then you can be sent to the ED who is understaffed. Usually floor RNs do not float to the PICU though. You have to float if your hospital does that like many others. You are an RN and should be able to function as a nurse on different floors. Of course it can beyond your knowledge or skills and you have to speak up and say your concerns but no you cannot show up to work and say '"no I am not going to the ED." New nurses start out as floor RNs. With experience and knowledge some move on to become charge RNs. Some charge RNs still are floor RNs depends on who is working what shift. Did you learn about nurse managers and CNOs in nursing school? Those require BSNs or MSNs, experience, knowledge, etc. no new grad is going to be a manager or CNO anytime soon. No one "controls" a nurse, especially not a doctor. This isnt 1930. Nurses have managers, managers have supervisors, supervisors have the CNO, etc. I do not think you are a new nurse or else your school should be reported.

Well they need to know what to do, patient safety is the concern. It can be an issue of competence. I know in emergecny situations some of us lose our heads and thinking skills. Maybe your hospital needs some mock situations, inservices, etc. You seem to know the drill so why not do some inservice projects about what to do in emergencies? Make some posters, something. This will get farther than the jokes and grudges to follow. We have emergency situations, RRTs and Codes often on our floor so I have even caught myself before thinking how did the nurses on a lower acuity floor not know what they were doing. But I see these weekly, not an expert by any means, they see two a year. Educating them would be great.

Do you have to tell them? If not, don't. It isnt there business. I know I have heard about some employers going to start or are doing credit checks more now but I did not know it was that common/already started happening. Mine has never been checked or asked about.

This is nosey but has anyone ever called the ethics hotline to complain about a nursing issue? I have never heard about it happening but some fellows nurses have talked about it because we have concern. I wonder because there is a nurse that has some questionable nursing practice. There has been shifts that we say "ok everyone watch her and see what she does for the next hour." She sometimes has not moved for a few hours except from the break room to her computer, which she uses for online social sites and shopping, not patient care. We are a high acuity floor and there is no way I even sit to chart for 20 minutes straight without having to get up for some reason. She will go in the room with medication that must go over a certain time and exceeds the amount able to be retrograded but then somehow never has to return to flush the line or turn off the syringe/med pumps beeping (no there is no silencer). She is a manager's pet so it is useless to bring up concern about her, people tried before. Would this be considered ok to call in to the ethics hotline? Would anything get done? The nurses who were talking about it think so but I am not sure. I told them for now on people should try to see what she is doing with her meds to know for sure. So is something like this reportable? I wonder what has anyone heard about being reported or have reported yourself? Maybe you cant tell, sorry I don't know. I have never heard of any complaint at all so just wondering. Thank you.

We have issues to with cnas but just a few of them. There was multiple nurses talking about it and finally someone wrote a letter and it was directed to managers from the RNs as a group. If your managers do not step in then you go above your managers, if you want to take it that far. Yes RNs are still accountable, responsbile, whatever but if a CNA is making up vital signs instead of taking them, like we have had happened here, then that is a safety risk and must be taken care of. Guess you all need to come together as a group or need to go above your manager/supervisor now to their's.

Yes appeal. Tell them all you have done like you did in this post. Hopefully you do not have past issues/unexcused absences or tardies/emergencies. Do you have any medical proof- Was your son take to the doctor? Do you have any proof of your colitis? Even as a nurse if you miss work like this some managers will ask for actual medical proof, your school is still being harsh. For them to go this far over just not having your portfolio at 8 seems stretched so I wonder if there is something else or this has happened before? Update this post after Monday's meeting???? Please.

you do blood cultures at first spike and then start antibiotics but you dont stop there. here, every 24hrs a culture is redrawn when a patient spikes IF they have a central line. maybe the current antibiotic they are on doesnt cover the infection they have. another antibiotic may be needed. there can still be an infection in the line or bloodstream.

Nursing school is not easy, your school is corrupt. Some schools do lose funds for low pass rates. Is there an ethics board to report these things to anonymously like there is in hospitals? In the end you all will be affected. When you get into the real world of nursing and do not know what to do. They may pass now and have big, big stumbles later whether it is failing the NCLEX or harming a patient. Sad. Also is your school for sure accredited by the BRN? I cannot imagine a dean, director, and all instructors being in on a lets baby these students to make them pass corruption.

Who is per diem? Here per diems get a little more pay because they do not receive the benefits-medical/dental like the full-time or part-time. If your friend is per diem then that explains her higher pay. If you are the per diem then it makes no sense. Your pay should be higher. You mentioned your friend will receive higher pay when license comes through, is your license already through? If so it is...Strange.

This is funny and confusing. People cannot test positive unless they did the drugs. You say you were told you should have done a flush, strange. No one ever told me that nor would i have though of it because I do not do drugs or go near them. Someone mentioned poppy seeds, which I have heard of poppy seeds from muffins/bread and the use of afrin causing false positive for different types of drug test. It is also said you had to have eaten bags and bags of poppy seeds and used bottles and bottles of afrin, so doesnt make sense.

syringes are not measured in gauges or '', wish I could see the book. For PIV we have to draw up the heparin ourselves and it is a 1mL syringe, for CVC they are prefilled 3mL.

BSN is not required as the entry-level for hospitals in California. I live and work here. Which hospital were you referring to? Some hospitals may prefer BSN but ADNs are hired all the time. I know hospitals here in Californiathat use a point system as a small part during the hiring process. For example, you get 1 point for ADN 2 points for BSN, 1 point for any previous experience like CNA/LVN/etc., and other point options. Hospitals do encourage those to go on to BSN programs but ADN programs are great.

Just ideas...I do not remember much about nicu/newborn rotation and I do not remember the proper nanda but nicu/newborn ideas: look into temperature regulation issues, feeding issues, knowledge deficits-breastfeeding teaching, or there can be family teaching needs with first child or family stress issues with nicu.

While I was in nursing school I worked as a nursing assistant. I was not a certified nursing assistant but the hospital did not require this. I would find a hospital that does not require a certificate and is understanding of how your schedule will be when you are in nursing school. I worked part-time and my nursing program was full-time. If the certificate is an issue then I think once you have one year of nursing school experience, or something like that, you are able to work as a nursing assitant. Call the human resources department of whatever hospital you are interested in and set up a meeting with the recruiter or just over the phone explain your situation. Its also better, my experience and my friends, to be working in a hospital as a nursing assistant/aide when you graduate as an RN because you have a better chance of moving up in the same hospital from assistant to RN rather than doing a whole hiring process as an RN in a new facility.

Hello- I completed the BSN program through CSUDH online. I am interested in the MSN program online now. Has anyone completed the BSN program at CSUDH and gone on to the MSN program, both online? I felt like the BSN was such a big step when I was applying and then once in it felt the program was not that difficult. I am now feeling the MSN is a much bigger step and am nervous. I know both programs are a lot of group work and what the MSN final/graduation project is. I would like to talk to someone who has experience in both CSUDH programs to know how much a difference-work load, hours, instructor expectations, etc. there are? Or if anyone completed CSUDH BSN and wants to try doing their MSN process together...? Thank you. (I posted this in another forum also because the question pertains to both, hope ok.)