RoxanRN

I thought my first NursesRX recruiter was pretty shady. Because of him, I've been stiffed out of a recruiting bonus. My GF forgot to put my name on her application, but the recruiter (we had the same one) said he would fix it. (Yes, we goofed, but he assured her multiple, multiple time he would take care of it and it would be paid. It was never put in writting.) To make a long story short, they won't honor it unless she signs with them again (don't think that will happen) and they will put MY BONUS on HER check for her to give to me!!!!???? Needless to say, that's JUNK!! It's MY BONUS. Everytime my recruiter calls me (different one now), I tell her I want my bonus. I haven't heard from her in about 6 months. Go figure........ Rule of Thumb..... Make sure EVERYTHING is in WRITTING!!!!!!

KS and MO are NOT compact states (wish they were). However, I'm hoping to travel into KCMO starting January. Nothing firm at this time. Feel free to PM me.

I have never worked an assignment for them. However, a GF has and was't too thrilled. The high dollar completion bonus lure kept diminishing the more interested she became in the company/assignment. Her final bonus was about 1/3 of the advertised/lure bonus. I'm also still waiting on my recruitment bonus from them. And that been over 9 months ago!! Everytime my recruiter calls, I mention it to her. Oddly enough, I haven't heard from her in quite some time. Go figure.

Mods...... If this isn't the right place, please move it. I am a traveling RN. Per IRS, unless I want to pay a ton of back taxes, I cannot remain in one state (outside of my legal state of residence) for greater than 365 days. My question..... How long must I be out of a state before I can return? (I will end a 361 day (52 weeks) contract in January. To avoid the taxes, how long must I stay away?) I hope this question isn't confusing. Thanks in advance. Roxan

As a soon-to-be traveler, I'm loving all these threads!! I do have a question, though.... can I have written into my contract if I have no documented 'discipline' or 'personality' problems (like the 'problems' talked about above) that I will continue to receive pay for the 2 following weeks or until a new assignmnt, whichever is shorter? ..... and I like the idea of working the completion bonus into higher wages.

What system do you use? How can you drain and get a pressure reading at the same time through the transducer? With the system we use, we have to turn the stopcock off to get ICP readings (as well as wave forms). We also document hourly output and pressure.

as a matter of course, my dh and i carry a piece of paper in our wallets listing next of kin, contact numbers (including contact numbers of someone outside the family), pmhx, allergies, meds with sig. also includes distinguishing features and needs (such as glasses/contacts and hearing aids). as my children get older, they also carry something similar in their wallets.

Below is my opinion..... take it or leave it. My facility uses it for ER to ICU/floor report. Meaning, they call and tell us the SBAR is on the way (fax or pneumatic tube). No phone verbal report. We hate it!! It never seems to provide the info we want/need. Can't say as I've seen anything more worthless.

No extra pay here, either.... even for CCRN and CNRN.

If there were enough people close enough to me, I'd see what I could do about offering a CPR class. I'm an AHA instructor.

I'm a night shifter and all I want to do when I get home is go to bed!! I shower when I get up. I wash my hands regularly at work and, if needed, change scrubs

Ambien and Lunesta are my friends (and lifesavers!!). I've never been able to sleep well... even at night. My schedule for when I work 2 or more nights (12 hour shifts) in a row... I try to nap for a few hours before going to work on night 1. I come home and try to be in bed by 0830 or 0900 (with a sleeping pill on board). I sleep til I wake up (usually around 1500-1600) and go back to work at 1900. After my last night at work, I generally sleep until ~1400, get up and spend time with the family and go to bed for the night (with a sleeping pill) between 2030 and 2200 and wake up around 0630 (when the 4 year old decides she must start her day!! ). Speaking of the 4 year old... after I come home in the morning, she goes to the sitter for the day. The 14 year old is in school during the day and knows to be quiet when she gets home.

I agree, the test is hard!! It made NCLEX and CCRN look like cakewalks! :sofahider :biere:

Can you provide the citiation from JCAHC as I'm unable to find anything about it on their site.

This doctor is an MD as are the other doctors in the group. I have never heard of oral surgeons being anything other than MD.

Because of the placement required for a Hare Traction splint (under the ischial tuberosity; the patient should feel as though they are sitting on in), it is not used on hip fractures. A Sager Traction splint would be a better choice.

My daughter had her wisdom teeth out 2 weeks ago. I was present for the 'induction' of the sedation. The oral surgeon (an MD, not DDS) started the IV and pushed the drugs.... propofol, ketamine, versed, and decadron. She was on a cardiac monitor, pulse ox, BP monitoring and O2. Also available in the room was airway management equipment (BVM, intubation supplies, etc). I'm sure a crash cart was around somewhere, just out of sight. As far as the qualification of the staff, unfortunately, I don't know. However, I would guess RNs. It's probably the difference in dentist's office's and oral surgeon's office's.

my suggestion......... go to medic school (2 year degree) and go to rn school (2 or 4 year degree) - in whichever order you chose. personally, i think going the bridge route shortchanges you. there are subtle nuances taught in the complete course but not in abbreviated courses. and since you are in kc, you might check out johnson county community college. they have a very good emict program.

We have had several DCD donors (and a few brain death) over the last several months. Working with our local organ procurement organization (OPO) has been quite interesting. They are a wonderful resourse to address your questions and concerns. If a nurse doesn't understand why the OPO wants to do something, they (the OPO) are always very willing to explain the rationale. On a little bit of a more personal note..... I cared for patient who had a massive brain hemohrage. There was no hope of recovery, but unfortunately, this patient couldn't be declared brain dead because they were still overbreathing the vent as well as other things. The plan was DCD (family aware and quite cool with the idea - in fact had already said their good-byes). We supported the patient to support eventual retrieval of the liver and kidneys (only organs possible (I think) in DCD). However, a few hours later, the patient's heart rate skyrocketed and their BP plumitated and they quit over breathing the vent. An apnea test was eventually done and brain death was pronounced. We switched to brain death retrieval and organ support. It was awesome to watch and listen to the transplant coordinator call around the region to offer/place the organs (kidneys were placed quickly; the liver was soon after; the heart and pancreas would be offered/placed later after some studies were completed). All that to say this...... It really made me think about those families whose lives were about to be changed yet again - the first time with the diagnosis of organ failure and now a phone call will change it for a second time. Life is now full of the possibilities of being able to play with the other children for the first time in a long time, to see their daughters/sons grow up and be married, to see and enjoy their grandchildren, to be able to have a full and happy life. This one patient was able to enhance the lives of at least 5 different families!! I don't know how much better things can get!!

So how is an experienced staff person supposed to handle something? You make it sounds as though no one can handle an ethical dilema. Personally, I would have been on the phone to the house sup to find out what needed to be done to protect my a$$ (ie. potential legal ramifications, etc). And yes, that is a very hot seat. Oh, BTW, as a new grad, I went to the Neuro ICU and have since (even during orientation/training) handled many difficult situations. The only way to learn is to do. Now back to our regularly scheduled vent session....................

Take a look here....... http://www.google.com/maps?hl=en&rls=GGLG,GGLG:2005-42,GGLG:en&q=hotel+east&near=Wichita,+KS&sa=X&oi=local&ct=title If you have anymore questions, feel free to PM me. I'm in Wichita.

After you've gotten your drug and dilutant into the same syringe, aspirate an additional 1-3ml of air to the syringe. Invert several times. I don't think you can mix it any more thorough. After mixing, tap out any remaining air bubbles and push out the air. Now you're ready for injection into the port of choice.

You keep talking about 10ml syringes.... Do you have 3ml syringes? They are marked in 0.1ml increments. I draw up the required amount in the smaller syringe and inject it into a larger NS filled syringe as described by TazziRN.

Like I said, I've never worked in LTAC, only hospital. I know if a patient is a DNR at a NH and is admitted to me, I have to have an order written on the chart for DNR. I can't take the NHs DNR. An Advanced Directive is just that... a directive the patient makes in advance of incompatication with the goal of directing the family about their ultimate wishes when they are not able to speak for themselves. And unfortuately, the family is not bound to follow the AD. And as for the MD having everything in order for the nurse.... it rarely, if ever, happens. As for legal issues, you might want to consult an attorney if you have questions about an ADs validity.

Please take the following with a grain of salt. This is arm-chair quarterbacking at its best (and I hate it ). And I have never worked NH/LTAC (those who have (or even a legal nurse) would be better suited to answer the questions). Given her presentation upon re-admission, I probably would have been on the phone to the doctor to update the orders (at least the DNR if nothing else).