tippeny

Our GI doc likes to use a Simethicone rinse to get rid of bubbles in the colon. He will tell the GI tech how much, but I am looking for something written that recommends a specific concentration of simethicone for this use. I'm coming up empty handed...

The specialty clinic that I work in is overhauling how we treat patients who vagal in the clinic. We see derm, GYN, and GI patients and have at least 2 or 3 patients each week who vagal after minor procedures (IUD insertion, skin biopsy, etc). We typ...

I manage a section at a military clinic and I have a wonderful LPN who would like to go to school to earn their RN degree. Does anyone know of any programs out there that would allow a nurse to earn their RN and maintain employment? I have been told ...

I'm no sure how the ADN to BSN will affect things, but the step increases are automatic in the GS system. The first couple of increases are yearly, then they go to every 2 years, then to every 3 years. Just Google GS step increase and you will find l...

I am relatively new to the management side of things. I have a new(er) employee who is still in a probationary period and they are just not picking things up very quickly. We are in a clinic setting and this nurse has been here for over 5 months and ...

I would also think that 5 minutes is super fast in regards to infection control as well. That doesn’t allow much to time wipe down the room/equipment and allow for an adequate dwell and drying time for a number of products.

I work in an outpatient clinic and we do routine colonoscopies and EGDs. I don’t have a specific script, but we have a checklist for our follow-up calls. Basically we are asking if they are experiencing any pain (if so, get a pain score); are they to...

Hoping someone on here could answer a general question regarding the probationary period of new government empolyees. If a nurse has previously held a gov job and completed their probationary period, do they have ANOTHER probationary period at a new ...

Thank you for all of the comments. They really are helpful. I have engaged senior leadership as well as HR, so everyone is aware. I have had a sit down with the employee to let them know of the deficiencies and have a written record of the conversat...

I work with a gastroenterologist who only does Colons & EGDs. We mostly use conscious sedation as our patients are typically healthy. For the less healthy folks (high BMI, cardiac problems, PTSD, anxiety, etc) we use CRNAs and MAC (protocol). Whe...

We do have a RRT where I work but it doesn't seem at ALL efficient to me! They overhead page- sometimes code purple, sometimes Rapid Response, sometimes code BLUE!!- but the response time is very lagging. A crash cart is brought (just in case) even t...

Stressful? Absolutely! Worth it? Absolutely! My experience as a school nurse was that there was a fairly steep learning curve the first year- just like any new job. But like the previous posters said, you are the only medical professional in the buil...

You didn't mention what kind of school you are at (or did I miss it?) When I was at my middle school, the kids were fairly independent. They could work calculations, dial up insulin (all had pens or pumps) and self administer. They were, however, req...

Our middle school did send and email and told the teachers at the beginning of the year during a staff meeting that the Health Room hours were from 9:00-3:00 (school was open from 8:45-3:25). We explained that the times before/after those were for ki...

I, unfortunately, just left school nursing for financial reasons and had no problem returning to a clinical position. I am not doing bedside however- I am working in a multi-specialty clinic a as an RN. I only hve 4 years of nursing under my belt, bu...

I have recently been hired as an RN at a military hospital. I am in the GS service and am a GS 0610-11. I am looking for the locality pay scale for nurses. The salary I was offered doesn't line up with the normal GS table and I couldn't find a specia...

I just started 2 weeks ago at my clinic and the nurses there said that in 2013 about half of the staff was furloughed when they came to work. They did receive back pay for the time they were furloughed. Ours is not a critical unit and our job descrip...

Thanks! I haven't seen that pay calculator before. It is quoting me the same as the OPM website- which doesn't match what I was offered. Hmmm. I'll have to find time to go to the HR department and ask there.

You mentioned that you didn't know much about the Thrift Savings Plan (TSP). You are enrolled at 3% personal contributions, pre-tax. Your employer will match 4%; so you will have a total of 7% contributions with only putting in 3% of your own. You ca...

We make a little over $47k a year and we are not paid what the teachers make. We are paid by the county health department and have virtually no benefits as we are considered contract employees. And there are no merit raises or anything based on exper...

I have my first Type II Diabetic at my middle school as of this morning. We have plenty of Type I's (6 of them) but I haven't had any experience with the Type II in the school setting. So I have a silly question- do Type II Diabetics still need gluc...

Thank you for the information regarding students affected by Harvey. I am in Maryland but we have a student that transferred here from Houston b/c the family lost everything and now she/he lives with a sister. We have no immunization record at all fo...

I am in a middle school and we will check temp, HR and BP. Of course a lot of the kids haven't eaten or had much to drink that day, which is frustrating because our school has free breakfast for everyone!! We do have a number of kiddos who have had a...

Good for you for wanting to jump back in and put your nursing skills to use! I have only been a nurse for 3 1/2 years (career changer w/a family) and have recently made the switch from bedside nursing working fulltime night shift to school nursing. I...

Please leave my office I'm sorry that you are bored Yep, I'm their school mom