evelynkarirn BSN, MSN, RN

Hi Everyone, I've been working as an on-call hospice nurse (Fri 5p - Mon 8a, 63 consecutive hours) for just four months and had a real crisis this past weekend on two death visits. The previous weekend I handled six without incident. Last Saturday I ...

Not all RNs in a district are considered “certificated“ staff/retirement eligible. It’s a question for the district you anticipate working for as to job classification and the contract/MOU between the district and the union. My position as a Credent...

Yes. Public School in CA, but the world certainly has changed since I posted that...

So great! I love that you’re starting just in time to get paid for the winter break. ? I think you’ll love it and when you have a tough day just reflect on the awesome schedule. Good luck!

Yup. A city school district.

I worked as an on-call Hospice nurse for a while. The 3am calls to go out to pronounce and provide post-mortem calls wasn’t so bad, but the distances I had to drive in the dark, on country roads, was a killer. Patients were in private residences or ...

Hi There, To answer some of the questions... As a Credentialed School Nurse in central CA my initial pay cut was about 30%, but with contract changes, that gap has narrowed (started at $82K in 2015 - now at $105K w/grad degree). Lots of SNs do some p...

I’m in CA (Central Valley). Since writing this, salaries have increased another $13K but that’s with a master’s and post-grad units at the 15 year mark. Much of northern CA offers salaries over $100K. Still loving what I do!

My CA Central Valley district's last school day is 6/5 (1/2 day). You know how the first month of school is absolute insanity with overflow enrollees, kids missing IZs, first graders w/o proof of physicals, and new students on 504s w/health plans? T...

This is hilarious. Also, include a picture of the flying lice found only in your city/schools.

Considering what a "growth" industry palliative care is, it makes sense that more education should be available in this field. The company I work for is growing at an astonishing pace and can't find/keep enough qualified RNs to serve the patients: Ma...

I love this! Thank you so much. I've attended many deaths, and had not run into this type of vitriol. I will use these words and concepts in the future. I did pull in the chaplain and social worker, but the family declined visits: However, I benefitt...

Hi All, As a former acute in-patient psych, ED, and correctional nursing RN, I'm pretty tough and don't frighten easily. I never feared serious bodily injury - it was more about being treated disrespectfully (way more disrespectfully than even the ED...

I wholeheartedly agree. Unfortunately, as the weekend on-call nurse, I am often visiting them for the first (and last) time as it's typically a death or other crisis. The "case manager" hospice nurse(s) see them regularly. Also, many hospice patients...

TY Oceanblue52. My leadership's response was supportive, encouraging me to focus on positive interactions, reiterating what I know about grieving, etc. But I was blown away by the executive director's initial response - "So we can expect a negative r...

I disagree - critical thinking skills are very much needed in this type of nursing. Last week I saw a gentleman with extremely painful 4+ pitting edema and ascites. He had been seen by two other nurses -the first initiated furosemide and the second i...

I just started a weekend on-call RN position (Fri 5p - Mon 8a). This is a newly created (full-time) position to back-up the existing weekend on-call RN. No scheduled visits. Our territory is >100 miles in any direction, so my role will be to make ...

I just started a full-time On-Call RN position (hours Fri 5p -Mon 8a) in central CA. $80,080/year, fully benefitted. Salary is $20-30K less than school or hospital nursing. Should be interesting as I also work FT as a School District Nurse (184 days...

School Nursing is my dream job. I've done LOTS of jobs as an RN, including ED, L&D, Tele, Public Health, Mental Health, Step-Down, Utilization Review, and more. Been everything from an interim permit nurse to a Deputy Director. I've taught RN cla...

Oh yeah. Are you in CA?

i have a split custody kid w/IDDM whose parents dose him differently - he's always low or high depending on which parent he's been staying with. I told them both that I will dose him according to MD orders - not popular with either of them.

I have a parent who has "diagnosed" her child as having ADHD and Autism, and treats his conditions with tinctures prescribed by a self-proclaimed naturopath - when we contact her with questions (to complete a health assessment associated with an IEP)...

I'm new to school nursing, too (Elementary and Middle School, 3 schools, a total of 1,900 kids). AND I LOVE IT!! My peers are fantastic, the days fly by, the students keep it interesting, the pay and hours are great for me, and I have summers and sch...

Please don't be dissuaded. You are likely familiar with Patricia Benner's Novice to Expert Theory: It is a difficult transition and patience is required. When I graduated from nursing school with my BSN (and nursing as a second career), I thought ho...

I would expect the LVN to do the first responder note before moving to the next step. Exceptions would be rapid exsanguination, hypertensive crisis, possible CVA, acute change in mental status, or the like (call the ROVER ASAP). In any event, the LVN...