laughing weasel

I would be back to security at 14.50 an hour or anything but. I love nursing but will not watch the patients die from minimum wage relief nurses.

As a nurse no matter how horrid my day is going odds are it is much worse for some one else. It kind of puts things in perspective huh!! I really do enjoy it and feel like I am doing good every day. I agree that this job has taught me that things change so fast and that you need to hold tight to your loved ones. We are all only here for a short while.

Change the voices in your head make them like you instead. Pink says it well. If you do not like yourself then sure as heck no one else will. Acknowledge mistakes (if only to yourself) and fix them as soon as you can. Ignore the tone and acknowledge the message from the meanies. There was only one perfect person and when he came along we crucified him. Be well!!!

Nah don't titrate at night unless this is a long term patient and you know how they will react. What if you had titrated and he just stayed down? I also agree with AJPV "If you can't astonish them with your brilliance baffle them with your $%#%."

Would you ask for special favors in her position? I bet you would not. You are not responsible for her problem. Take the job.

Party at my place the day it is legal!!!!! Not until then though. I have promises to keep. Ahh let the liberals win one or two or they will stop playing.

Diseases have always been really dangerous for extremely short periods for first exposure. Look at pt zero mortality for Ebola. Viruses adapt quickly and if you kill your host to fast the virus dies out. Washing hands stops most epidemics "cold". That is why no nation state wants to waste good money developing killer plagues. They only kill the placid population that you need later not very effective against troops and police. The Zombie apocalypse is fun to talk about but very unlikely scenario. Go ahead and shake someones hand it wont kill you(most likely).

Bic Atlantis beats more expensive pens for smoothness and non smudging. I hate smudging!!! pretty nice width of writing also.

Insurance depends on the size of the agency. Home health can make more at first but I believe that certs and experience can really up total salary. Home health salary is usually determined by medicaid reimbursement. There are several different kinds of home health visits are when you go to there house do an assessment and teaching and probably a treatment about thirty minutes a visit. I do shift work 8-12 hours a day in patient home. I do not recommend this to new nurses. You are in a position where you are it until the ambulance comes and that can be a very lonely time at three o'clock in the morning. It is very nice only having one patient to care for at a time.

I agree that you should go in and talk to the boss work your way up the chain. Figure out who you have to complain to this was supposed to be a student job so there should be a way to break the orientation up.

I have worked HH for 5 years tried different companies twice for more money. If you do home health ask if you can speak to some other nurses. It is extremely important to find one that you like and can trust. I love working nights and working with one patient. The problem with hh from management view is because of the demand you have finicky nurses,parents who get picky(these people are going into their homes!) and nurses who lack skills or ability to bond with pt family while remaining proffesional. You are responsible for keeping every one happy with as little overtime as possible . YUUUUUUUKKKKKEEE!!!

Make sure your resume is letter perfect and have two persnickety grammar Nazis proof read it for you. Try nursing homes and hospice care and try VA hospitals. It is easier to get first job if you can handle night work hours. Where are you at?

If patient coughs out trach and you can't put it in. Remember your obdurator and make sure to do a trach change with other care giver so you do not end up with patient who has a special way to put it in. ( I had one patient that had false trach passage that would always be the destination unless you cork screwed in counter clock-wise.) Mouth position open or closed will affect the breath rate of an uncuffed trach and can be used to control breath rate. Watch out for mucous plugs. If you patient starts having problems breathing and suctioning is obstructed or totally ineffective then you might need to change trachs. These are just some of the things that can go wrong I hope you get enough training to be comfortable and have good contacts in case of questions.

If it is going off frequently your mind will automatically reduce the priority of the alarm no matter how concientous you are.

Talk to your recruiter you should be able to go to ocs for a very short period and start out as an officer in any service.