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supervisorhatchet

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  1. Know what you know, and all the rest.....ask lots of questions. Use your peers to help you gain knowledge! There are never any dumb questions, and mistakes are just new opportunities to learn!
  2. Don't worry too much. It is no different than any other nursing job....Your job is to follow the MDs order. No order no med, tx, etc. And in case of emergency....you are never alone! There is internet every where! You'll make it, and ace it to. ! :yelclap:
  3. I worked at a place for over 2 years and never got a locker....When one did open up, it was on another unit, all the way on the other side of the building, on a lock down unit that I did not even have access to. >LOL<.. seriously i don need anything at work. bring my lunch enough for or figure if someone needs to steal food then they it more than do but really will share. carried property in left pockets and nursing stuff right . car keys cell phone bra. what ya a locker> something we did at another place what that the lockers were for daily issue only. if after shift change your lock was still on "your" locker, it became the locker with the lock cut off. this works nice if you share someone on another shift...people are crazy....specially bout things like lockers. I wouldn't worry about it. Get more pockets, carry less stuff.
  4. this may seem silly, but how can I get into the ICU? I have been RN for 2& 1/2 years. I have worked med surg & long term care, and briefly in home health. They dont want new grads...so I am not a new grad anymore. But they still don't want me. What is it that they are looking for, or what can I do, to become what they are looking for. please HELP!
  5. I just read a report from a recent survey, and one of the tags was that insulin was administered after the meal. Is this accurate? I thought that FSBS was checked before the meal...the insulin could come any time (W/IN 30 MINUTES) of the meal...before or after. please clarify....tell me which is right and what are surveyors expecting me to do? thanks
  6. administrative, hourly paid RN if on call nurse can't get someone to come in, and the floor isn't covered, the nurse gets to work the floor:down::down:
  7. It seems like every day I get a new job description. Can you do this. and oh today, I need you to do this. And focus on this today.. And today beat all. I was informed after being in my position for several weeks, that I will be having to take on call responsibility every 4th week I am really irritated. Part of the reason that I left my last job is because I really HATE being on call. And I am certain that I expressed this in my initial interview, and taking call was not part of the job description that I agreed to. I have a sleep disorder and I take medication. I take medication in order to SLEEP. I don't sleep without it. At all. NONE. ZERO. And I really can't be on call, if I am on sleep aids. Is there anything I can do about this? Do I have any rights as far as this is concerned? Other than the right to quit? And another thing, I am an hourly paid worker, and there is no "on call" pay. I know that the on call rate is only $2/hr or something like that...but don't they have to pay it? VERY FRUSTRATED!
  8. without knowing what the nasal spray is...it is hard to say...However, there are different classes of inhaled medication... flonase is an anti inflammatory = reduces swelling then there are steroid sprays, antihistamine strays, and even sprays for thyroid troubles...so it really depends on the medication often a combination of meds gives the patient the best result
  9. hi everyone...I am new to management, I need some resources for common meds that require lab follow up common dx that require lab follow up a system for chart audits and a system for compliance rounds
  10. not sure about hospital procedures. in long term care, we do RCA for just about any negative outcome... such as pressure ulcers, falls, skin tears, etc it really isn't a big deal, it is a risk management strategy to find the cause...so that it can be prevented in the future this is esp true with facility related infections/conditions...such as catheter related UTIs, PUs...thing that medicare won't pay for if the facility did not do EVERYTHING to prevent them from happening.
  11. thanks for the replies I have a lot of work to do. The administrator has sort of put me in charge of getting the MARS cleaned up. I found about 40 of this type of error on 1 med cart in 1 shift (I don't usually work the cart) thanks for the clarification...I guess the first thing I should do is sit down with my list and talk to pharmacy and find out what they can send...make sure all of the orders are right... URG!
  12. just wondering... recently noticed several medications on the med cart not match what is on my eMAR... such as eMAR might say tylenol 650mg 1 tablet q6hrs...but what I have on hand is 325mg tablets & I must administer 2 tablets to get ordered 650mg dose. or it might say medication XYZ 10mg, and what the pharmacy sent is 1/2 tablets of 20mg tablets..still the right dose... I guess the question is...in preparing for survey, and as risk manager...does the eMAR have to match exactly to what I am passing or is it okay as long as the appropriate dose is being administered. If it needs to be changed, any suggestions avoid recurrence....and for wording on the order to stay in compliance. thanks in advance
  13. I say the same thing..The bad ones weed themselves out, usually.
  14. Just wondering if anyone can tell me what my legal/ethical/moral responsibility is when "RN supervisor" has been assigned to my name. and if I am going to be assigned RN supervisor, shouldn't I get a raise?

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