mslove

I used to be fulltime, now per diem but about to leave. 40 bed unit, 4 nurses on day and evening (10 pt), 2-3 on nights. Very acute conditions, most are really just used as overflow from med-surg. They send over the difficult patients, the ones who need an extra day or 2 to recover due to comobidities, age, etc. The things they try to pass off as "rehab" is hilarious. Understaffed, poor management, etc. It's really not LTC.

In the past - Teachers have never seemed to report. They always call me or the counselor to "deal with it" basically after the student confides something in them. The AP told the medical director she shouldn't have gone back to class because "what if she left our office, texted her dad that we were calling CPS, and he came to the school and signed her out and killed her." I also later found out that CPS, the police, and her dad were in the principals office... at what point they all got there I'm not sure, but I don't think they wanted her crossing paths with her dad. 1) she left with the counselor 2) she said the dad had told her when he dropped her off at school: have the school call CPS so that I am rid of you (how freaken sad) 3) the police had left her with the dad They also brought her to my office a 2nd time to just wait, basically. She sat here for 40 minutes doing nothing (it was her lunch) and another AP went and got a lunch for her in the cafeteria, then brought her back to her office to eat it. Seemed weird to me

Elementay school - early-mid 90s, I loved the nurse's office. She always had the radio on softly and was momish, and just made me feel better. I loved laying there and listening to her bustle around. I didn't go often though, I wasn't a frequent flier, but I went occasionally MS - I have no memory of going, although I might have HS - I never went, except for a sports physical and to get my work permit I am the school nurse at my old high school now! lol

Do you have a set protocol at your school? Background: Yesterday a counselor brought a 9th grade student to my office who had been attacked by her father the night before. police had been called, she filed a police report but apparently they left her with him because he drove her to school. She had told a teacher, who brought her to the counselor, who then brought her to me to assess. She had no visible injuries. I asked the counselor who was reporting this to CPS (teacher, him, or me) - so that there weren't duplicate reports. He said he was going to let the grade-level principal know but I didn't have to do it, he would. He left with the student. A few minutes later, grade level principal comes in, somewhat flustered, asking where student is. I say she left with counselor, and I think she was going back to class. He asked why she wasn't in my office anymore (because the counselor took her...) and why I didn't take photos of the injuries (there were no injuries to take photos of, plus I am uncomfortable taking photos of students on my personal cell phone). He later went to the medical director and said he was unsure the health office understood they were mandated reporters and we shouldn't have let the student leave. Medical director (who is an NP and also one of my best friends at work) discussed with me and she also clarified with him what happened after speaking to me. He was more calm and seemed to understand better. Questions: Who calls in and fills out the CPS report in your school? It is my understanding duplicate reports don't need to be made (so the teacher, counselor, nurse, principal don't all need to call it in, just 1 of us). What do you do with the student? Do you hold them in your office, another office? Call police? We have a meeting on Monday to create procedures. Principal also asked for any "resources" we have that will assist in drawing up the plan.

Librarian. I even got into an MS in Library Science program, but couldn't attend due to logistics right away (in another city) and then got the nursing bug in the meantime

i remembered it as soon as i thought about it for a couple mins. Just been awhile since I've done these type.The DA method just works best for my brain that's why i use it. I've taken algebra, stats, all that fun stuff. I just had a brain fart and was hoping to have my memory jogged.

I've done these before but for some reason I'm blanking out on how to complete this problem. I usually use dimensional analysis and I can't remember how to set it up. 1. The order is to infuse 1000 units heparin per hour from an available solution strength of 25,000 units in 500 ml D5W. Calculate the ml/hr rate. 2. A solution of 25,000 units heparin in 500 ml D5W to infuse at a rate of 1200 units per hour. Calculate the ml/hr rate. 3. A 500 ml D5W with 20,000 units heparin infusing at 1000 units/hour. An order states to increase by 240 units/hour. What is the new rate? (do you just add the 240 to the original 1000 units?) Thanks for any help!

Teaching jobs are even harder to find...that was my first career choice. I live in western NY state and there is NOTHING for teachers. 75% of my college friends (we went to the #1 teacher's college in the state) have had to move south to get teaching jobs. And they make about 1/2 as much salary wise down there too. My one friend was actually my little brother's 1st grade teacher this year... they let her go at the end of the school year telling her she *may* be hired back but probably not. And well, she wasn't. So now she has to substitute teach there this year, for $10/hour and no benefits. Luckily she kept her high school grocery store job making subs...which she is having to do part time. My ex bf is from Long Island and he had to go teach English in Korea because it was 3 years and he still hadn't found a teaching job! Also, here in NY you need a Master's degree to teach. Do you know how much student loan debt these people have?? How can you pay that back when you're unemployed or only making $10/hr subbing? The city school district fires 90% of its teachers (literally, it was just in the newspaper) EVERY school year and then only rehire back about half of those people. Horrible horrible; I can't imagine constantly losing my job like that. And those are just the one's "lucky" enough to find work. So no thank you, the education field has it MUCH worse right now, in this area at least. I'm really sorry you can't find a nursing job. Here, the local nursing schools just feed their new grad's straight to the area hospitals. Everyone i know in my program ahead of me who's graduated had a job lined up before graduation. I think a lot of it really is just where you live...I've heard the NYC and NJ area is hard. Are you going in to apply? I know it may feel awkward but you have to stand out somehow. GO in and ask; it's also harder to reject someone when they're standing in front of you and it's more likely you'll be hired when there's a face and voice to the resume. Have you looked for jobs outside of hospitals? More importantly, are you willing to move? I think if you ARE then you will find a job quickly. Like I said, up here there are still plenty of nursing jobs and new grads are hired easily.

there are terrible bosses/supervisors in every job, place, and field. The best advice is just to do what they want, or look for a different position so that she won't be your boss anymore. She does sound like a witch, I don't blame you for being frustrated. I don't think it really matters who's "higher" on the professional ladder. But in my short life experience, there's little that can ever be done about a bad boss other than moving on out of there!

Thanks for your response. I went to a couple local stores the ones there were packaged and they wouldn't let me open them. I don't know anyone with either; a friend of mine has a littman but not either of those 2. Classes haven't started back up yet so I'm not surrounded by stethoscopes at the moment to test out. And unfortunately i need one ASAP, if I'm going to order online (which I've found seems to be a lot cheaper than the local stores) I need to do it soon.

I'm about to begin my 2nd semester in nursing school and my beloved stethoscope recently broke because of my own fault (i got it free from someone, there wasn't even a brand name on it!) and so I'm in the market for a new one. I don't know if I should get a cheapy or invest and get a better one. I really don't want to spend more than $50 though as I am broke and I fear it'll grow legs at clinical. It looks like the Littman Lightweight and the Littman Select are both around $45 online, are they worth the money? If so which one is better? Any other good ones out there that are not super expensive? Thanks!

thank you so much for that info! I was confused on what that title actually was because you don't see it very often.

I'm only 5'2 as well and get CHerokee petite's. They fit pretty well!

whenever I go to my doctor's office I see the NP. I rarely see the MD anymore. I think they play a good role as a doctor substitute in the PCP or office setting.

Well I agree with you. And as someone who has lived abroad (spent much of my teen years living in Asia, and I also have a Chinese stepmother now, who just came over to America this past May, and a 7 yr old half brother who lived in China until he was 6) I can say that the way they teach "culture" in schools is still just sweeping generalizations that don't even apply to many of the cultural groups they say they do. It's like this corny American interpretation of "cultures" because Americans like to think they're being culturally sensitive and diverse. When we learn about Asian culture things half the time I roll my eyes because I know they're wrong! I'll go back and report to my stepmother what we learned about Asians today and then she'll laugh. Yes it is important to know some big things with certain groups, DO NOT GET ME WRONG, but I don't think you need all the (many times incorrect or too sterotypical) details; people are all different and not defined by their race, ethnicity, etc. Luckily my nursing course doesn't beat this topic to death, it was just 1 main unit in fundamentals and then little sprinklings of it throughout.