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I left the unit of the said manager 6 months ago. The same unit has ongoing problems with the manager and managment is trying to fix their problems. I still feel that I should have submitted some form of complaint against her poor conduct and rudeness. Everyone in patient care knows how this manager behaves and she still continues to work in the facility. She has also been reported to the union and HR. I didnt know that people can complain to the state about nursing management until I heard a similar story in my sister's facility recently. Would you advise filing a complaint with the state as well? And where do we file the complaint? I work in NYC.

Hello all, I am writing a paper on parish nursing and I am also exploring advance practice in this specialty. I am interested if there are any advance practice nurses in this field and what makes your role different in other settings, how do you get compensated, how do you maintain a patient relationship with a client, what are the legal issues in treating patients in this setting. Any info would be greatly appreciated!

We do get a lot of 'intresting' patients on the floor. We talk about them (PA, MD, nurses, management) constantly, nothing disrespectful. But it seems like if a patient is being difficult or demanding, rest assured that patient is well known to everyone. Is that considered violation of confidentiality?

Hello. I'm a pretty new nurse. Been working in a med-surg floor for about a year and working the floor has brought nothing but stress for me. I hate that I work like a horse almost everyday. I want to be able to do more not just giving meds, waitressing or housekeeping. I looked at the positions open in the hospital and most were for cath lab. Whats the schedule like in cath lab? Is it flex hours too? I dont know ACLS nor telemetry. Do you think they will hire me with very little experience and knowlwedge?

I work for a Jewish hospital system. I recently found out they have programs that is community and faith based?, now I was wondering if I can apply for a position as faith community nurse but I'm not necessarily jewish or plan on becoming one soon. Is that possible?

Hello. I've been intrested in parish nursing for a long time. Some time ago, we were filling prescriptions for mentally ill patients that looked like it came from a catholic community center and thought thats a really great idea to be able to help a comunity like that. Anyways, I have been searching the net and couldnt find such places in my area. My question: 1. What types of services do you have in your parish? Anything like emergent care or mental health of sorts in your church? I heard that some congregations would even contact the primary care and inquire about a pt's status/medicatione etc. Help with arranging insurance applications etc. 2. Do you get paid? Is it like a 24/7 job that people call you all the time? 3. Your primary role, is it a nurse or a ministry person? Are you actually required to do ministry work while in the field? Ive heard some say that pt's request prayers recited with the nurse. That seems ok, but do you actually preach the gospel? What kind of other spiritual guidance do you do with your patients? 4. Lastly, what are some of the problems you have encountered while working as a p.nurse? What would you like to see happen in parish nursing?

The pt takes Depakote at home, for some odd reason she told the PA that she has a hard time swallowing, when she's taking these big orifice pills!. I guess the PA just didnt realize how large those pills are compared to Imitrex pills. I would think that the Imitrex injections cost more than the pills. Most patients dont know anything about PCA unless they had several surgeries. I guess I've seen too many patients over react to their illness and demand unecessarily, worse practitioners that give in to their demands and leave it all up to the nurse to deal with! Most days the patient load is heavy that I am reduced to providing just what is necessary or else I risk neglecting my other patients, or I drop dead. Its frustrating that patients, even some practitioners behave like they have a private nurse on duty.

I dont mean to offend anybody. I may look like a dumbo after this post but I'm just trying to learn about my pt's and how I could have handled this scenario differently. Anyways, a pt was ordered Depakote tablet and Imitrex SC for her migraine h/a's. Of course pharmacy is giving me a hard time on the Imitrex so that prompted me to call the PA. I was told that the pt could not 'swallow'. I'm thinking, 'what?!', those DEpakote pills are horse pills.. and she went to say why the pt is on SC not tablets but I didnt bother to listen intently because I was just flipping out on the orders. The PA went mad as soon as I called on her 'absurd' orders. I do want whats best for the pt and I have no prblems following orders, even if I have to give my arm to get that order done. But the order has to make sense, especially if I risk neglecting my other patients for that order. The same PA oredered her PCA changed because she apparently "dry heaved" 1 time on another floor but wasnt documented. I had given her Anzemet and had no issues at all the rest of the time I had her. I think the order was unecessary since the pt said she was feeling much better. So basically I spent a lot of time obtaining meds and changing tubings for this pt for reasons I dont understand and agree and especially on a day that I have 4 post op pts and 1 bleeding pt. Those are the days I think I was gonna go nuts.

I sent in an application at one of my city hospitals to work in the ICU floor because I fell in love w/ the place! :chuckle To my surprise they called me for interview. But I always felt that ICU was intresting and its something that I could do. Anyhow, any tips for the graduate nurse with no experience in critical care expect from this interview? How should I prepare myself for this?

I sent in an application at one of my city hospitals to work in the ICU floor because I fell in love w/ the place! :chuckle To my surprise they called me for interview. But I always felt that ICU was intresting and its something that I could do. Anyhow, any tips for the graduate nurse with no experience in critical care expect from this interview? How should I prepare myself for this?

I am confused whether it makes a difference if I file now or after Jan 1. I am filipino and educated here in the states. I read somewhere that any petition filed after Jan 1 2002 will have to wait 2 years for visas to be available. So, if I understand it correct, anybody with a petition filed after this date will have to waits 2 yrs or more before seeing any kind of work authorization or papers from CIS. This also includes the EAD? Should I file now or no? Please someone enlighten me.

Woot woot! Im a GN as well! :biggringi

(sorry i made a mistake) what about: 1. risk for fluid volume deficit r/t possible maternal hemorrhage (also you could use r/t presence of aminiotic fluid in maternal circulation) 2. fear r/t threat of fetal death aeb verbalizations of specific concerns 3. risk for impaired fetal gas exchange r/t altered uroplacental O2 transfer (risk for abruptio placenta) mother may also be at risk for impaired gas exchange r/t presence of aminiotic fluid in maternal circulation (amniotic fluid embolism) textbook shd give u interventions how to prevent these complications. good luck!

I learned to never inquire over the phone! Not only is is time and money wasting(its long distance from jerzee!) and i usually end up stressed and angry! some of them can even be really nasty over the phone. anyway, a&p and micro is available in the summer, only in days and usually 6h/day, 4 days a week! remember its a 1 month course, thus the crazy schedule. you end up with no life and no income if you take the summer route!

im sorry to hear u were short of a few points to pass it. retaking sucks, i know. studying over the vacation sucks even more. but maybe just think of it as a practice exam for nclex. and you get a headstart with studying for the boards =) thanks for the heads up ganursechick!

im sorry to hear u were short of a few points to pass it. retaking sucks, i know. studying over the vacation sucks even more. but maybe just think of it as a practice exam for nclex. and you get a headstart with studying for the boards =) thanks for the heads up ganursechick!

Im taking my final test ever!- the hesi- at least in my adn program:rolleyes: and was wondering if the hesi is gonna be comprehensive or just med-surg? im thinking if i should party a lil early or study for hesi which one will it be? hehhe. so do i need to study ob, psych and peds?

Im taking my final test ever!- the hesi- at least in my adn program:rolleyes: and was wondering if the hesi is gonna be comprehensive or just med-surg? im thinking if i should party a lil early or study for hesi which one will it be? hehhe. so do i need to study ob, psych and peds?

Hi all! I'll be taking my FINAL hesi exam, aka the exit exam-the very last exam i have to take in my adn program! (took hesi on peds so i know the content). I would have asked my prof but I wont see her till the day of the test. My question: will it be a comprehensive test including peds,OB, psych and medsurg? or just medsurg? I've been hearing many different things. I didnt know hesi also has review courses and materials for nclex. I like their questions a lot(from my experince w/ the peds hesi) and I would imagine this is how the NCLEX questions would look like. Anybody taken/bought them? $75 for review materials(book and a questions cd) isnt so bad at all, comparing to kaplan's book and 2-3 comprehensive tests.

Hi all! I'll be taking my FINAL hesi exam, aka the exit exam-the very last exam i have to take in my adn program! (took hesi on peds so i know the content). I would have asked my prof but I wont see her till the day of the test. My question: will it be a comprehensive test including peds,OB, psych and medsurg? or just medsurg? I've been hearing many different things. I didnt know hesi also has review courses and materials for nclex. I like their questions a lot(from my experince w/ the peds hesi) and I would imagine this is how the NCLEX questions would look like. Anybody taken/bought them? $75 for review materials(book and a questions cd) isnt so bad at all, comparing to kaplan's book and 2-3 comprehensive tests.

question for u guys... im taking my final hesi next week. is it gonna be peds, OB, psych and med-surg? or is it purely med-surg? im hearing different things. please someone let me know so i could prepare somehow. thanks.

question for u guys... im taking my final hesi next week. is it gonna be peds, OB, psych and med-surg? or is it purely med-surg? im hearing different things. please someone let me know so i could prepare somehow. thanks.

i envy u guys that are done with all of ur exams and some even landed jobs already. finals not until 12/16...hesi on 12/22...pinning 01/07. nclex looms in the next 3months or so. no one in my group has really thought about the area they would like to work yet. i must be in a really bad place or either we're just a bunch of slow pokes.

wow thats an extensive list. does it take a long time for the apps to load, considering most of the apps are loaded in the card? i have isilo in my palm and it takes forever to read the memory card. it would be nice to have all these information handy but i usually lose my patience b4 the app gets loaded. =P

yes, i think it is. just for the portability and ease of looking up a drug makes it all worth the $40 something dollars that skyscape charges for. the nursing drug handbook works for me because it tells u the IV compatibility, RN considerations, pt teaching with the usual A/E's, C/I's and interactions. this particular rx guide even has pictures of the pills! the davis rx guide seems to have more stuff in it, even has herbal medicines incorporated in. i chose the RN drughandbook simply because it has information on setting up IV's, which was more impt to me.