BacktoBasics

Are your ECMO and HFOV 1:1's?

Anywhere in CHOP is extremely competitive. From my understanding, CHOP and Penn will put workers through school to work for them. It might be harder for you since your external and still have limited experience.

If you can work then work. You never know what's going to happen in the future and you may burn one of your callouts for a reason you could have worked through. Don't put your job at risk. Like another poster mentioned, if everyone called out for the simplest reasons then no one would ever work.

If that ever happened to me, you can be sure you would be written up. I working critical care, so if i need you to come in, I need you to come in. By not coming in, you're being unprofessional, disrespectful leaving the unit in a unsafe situation. I can't determine the census. The hospital can't determine the census. We only staff RN's based upon our average daily census. If you're called off, you have the option to use PTO, education hours (every staff have so many per year), choose another day that week to make it up or not get paid. In my hospital it's not just RN's that partake in this. RT, NA's, US's even managers do this to help the org stay on budget. You can try to make whatever examples you want about chandeliers but bottom line is hospital are a business that need to make money- whether you agree or not. In past, staff have called out for 4 hours only. It's not recommended or common because you probably won't be needed for the rest of your shift since we just found coverage to cover your absence. It's the risk you take.

It's not as low key as you asking but how about pre-op, PACU, Endo, etc.

I wanted to get your opinion on patient abandonment. Some responses in another thread have me curious. A long time ago I know of a RN (RN1) who was being questioned for abandonment by the hospital. She let her shift early and told the Charge RN "RN2 is here. I'm leaving". Charge RN's response was pretty much "okay have a good night!". RN2 comes in early all the time to prep for their for shift. RN1 left a written report for the oncoming shift (RN3) but no one knew. RN3 (who was RN1's shift replacement) didn't realize RN1 left for the day (he thought RN1 was just busy). Charge assumed RN1 gave report to RN2 (since they came in early) and RN2 was supposed to give report to RN3. RN2 was never given report and not aware she was supposed to take care of RN1's patients. I feel like this is similar to the other thread. Is that considered abandonment or not? I mean Chg RN knew RN1 left but thought another RN was covering those patients. This occurred in a monitored unit. Ps- please don't quote I plan on editing.

Many mistakes but I've learned from every one. Those that keep with me. 1) Gave 25mg PO metoprolol instead of 12.5. I check the MAR but overlooked the part that said 1/2 tab. 2) 1 of my patients had to go to MRI at change of shift. The Resource nurse who travels with patients was pregnant so she couldn't go. The Charge RN arranged for the Resource RN to cover the other patient and the oncoming RN would go to MRI instead. I gave report at change of shift to the Resource RN. Well after that I left, the Resource RN did too and left the patient with no RN covering. No one realized it until 0100 in the morning (I left at 1900). The Resource RN denied she ever took report and I was then accused of patient abandonment even though the Charge RN vouched for me that was the plan and the Nurse Manager saw me "talking to her (Resource) but didn't know what it was talking to her about". I learned to always write "Care endorsed to xxx using SBAR format" in the EMR after giving report.

We offer no difference between ADN and BSN. We are Magnet so now we have a requirement of hiring only BSN's. New grads start out around $30 but some RN's with 20 years experience do make over $40 base. Our company is paying lower than others and do plan to increase us in early spring. I make $37 with 5 years experience RN experience total but also work in a ANM/ANCC role. I live on the east coast in a HCOL area.

Go down on the drip by 1ml - this is also assuming it's per hour. I've never had a CaCl- infusion.

I think they will entertain a non-BSN degree but you need to be AMAZING. But more importantly the low GPA is concerning to me. B grades are nothing special. I did not get into UPenn but they offered me a chance. BSN GPA-3.3. Science GPA 3.83. Numerous community and international health volunteering, writing a book and nailed the interview. They offered me a deal since I was the right candidate for community efforts and where I want to take my career, but a 3.3 BSN was too low for them. The deal was not something that was mentioned anywhere on their website but I'm a great go-getter. After I got my rejection, I called and spoke with them about what I could do to get into their program. The person (won't give out contacts) actually said "we were hoping to hear from you!". The deal was if I got a B or higher in their graduate Patho course, I would be accepted in their ACNP program. Well, I completely messed up my chances and got a B-. I'm totally kicking myself in the behind because I know what I did wrong - I missed 1 online quiz because I misread the holiday (Thanksgiving) schedule wrong. There's no makeups. Even if I took the quiz and got a 40 on it, I would be a fully enrolled UPenn student...I'm so stupid and hate myself for that mistake to this day. So do the best you can because you never know if that is your 1 chance!

No but you said it's an ethical topic which is stating the nurse is being morally wrong. Anyway, I am one of those person who if I speak loader my "tone" gets meaner. My husband tells me that but I can't seem to change it.

As someone in management, you did everything you were supposed to do. He was having pain, you offered, he said no. Often family members want us to "do something" and they forget the patient has rights in guiding their care. If I were that NM I would have backed up your Choi e and spoke with the family regarding his rights. Don't worry about that rep. If the NM is concerned over a RN doing what's appropriate, then she has issues. Don't worry about it and have a great trip.

It might not even be about you. Maybe its about another person and wants to know what happened from another source - like "hey did you see Susan throw a muffin at a patient? That patients family member said it happened but Susan denies it. "

You worked on a pediatric unit. I would have fired you as well. No compassion for those patients let alone them being children. Your behavior sickens me.

Performance reviews are just for feedback. Sometimes we don't know how others view us and we're all not perfect. Even though you stated you received positives marks for going above and beyond, your manager may have set higher standards for your unit.

I wouldn't even bother going for your AS in healthcare management. You need a masters to move up in nursing leadership also, magnet hospitals need a certain percentage of their leadership with masters. Its not worth the money to get your associates now when in 10 years your hospital will go Magnet and you'll be stuck.

I don't think its as big of a deal as others think. Everyone's getting freaked out over the term "voluntary termination". Basically what's its saying is that they want your availability. They'll make the schedule. If something comes up, you got to give them 2 weeks notice. If you don't bother to come in, its considered that you quit. That's like any other industry- if you don't show up when your supposed to be there its assumed you quite (some organizations do have a policy of how many shifts you can not show up for before they considered you quit). Not a big deal. And they being nice by finding coverage for you if you can't work. Most places make you find your own coverage.

Would not say anything unless you had proof. If she told the stealing money incident in front of other students and they would be willing to agree/speak with the dean, that would be hard to do. And the story kind of doesn't make sense. Why would she place the money in their hands instead of stealing it in the first place? Or why not just keep it in their wallet and then steal it when they passed.

Just study at the latest possible time. If you need to study the day before so you can pass, you really don't know the material. Or ask someone to switch days with you.

First recognize 9:30-12 is 2.5 hours.... At my hospital 1.5 isn't a big deal as it can take pharmacy up to 30 min to approve and 45-1 hour to receive on the floor.... but 2.5 is long. I would try to recall what the delay was from and just be honest about it.

My hospital will audit call lights but only when there's a complaint. Our hospital has a sophisticated call-bell system that will ring our work phones. In the case's I've heard of, it's actually worked to our benefit. Patient/family would state the call bell was going on "for hours" or "no ones been in all night" but they can audit it and see that it was answered timely. A smarter idea in your case is instead of the Unit Clerk tracking what the RN is doing, go answer it!

Primary RN should stay. They know the patient the best. And not to be rude, but as an ICU nurse, if I need to leave my patients to come to your RRT, you're staying at the bedside.

I found out I did not get into UPenn :-( ..... But congratulations to all who will start a program in the fall!

In the US, I know of cases where people (RN's particularly) refused sedation. Instead, they just gave local. It wasn't really an issue but something that they did commonly.

Yes it is. Unless the RN has given a full report on the patient, it can be considered as such. Personally, in the cases you mentioned, I would not watch their patient unless I received a more concise report. There's a difference between going to the cafe, where you could be back in you unit in