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Clovery

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Clovery has 1 years experience.

Clovery's Latest Activity

  1. Clovery

    Bedside Reporting

    I have worked on units where bedside report turns into "let me give you a long list of things to do before you can leave". I work nights and I understand day shift has the pressure of administration on their backs about every little thing (I've worked days, too). But sometimes it just gets ridiculous. Once I was giving bedside report and the patient decided at that moment to finally cough up their sputum sample into the container on their table. The incoming nurse said to me "You're going to send that to the lab, right?" I didn't want to argue in front of the patient so I just did it but I couldn't believe she asked me to take care of it. Other things like I didn't put a chair alarm on the bedside chair for the fall precautions patient who came in at 2 am and has been sleeping in bed all night. Although I have to admit getting bedside report "right" for the most anal nurses has become somewhat of a personal challenge. I prefer to give "real" report at the desk, then make rounds together, the incoming nurse updates the white board, checks the IV, asks about pain, and mentions the patient's upcoming procedures and treatments. I think this is good customer service, gives the patient the security that their needs have been communicated without wasting too much time in the room.
  2. Clovery

    Would You Report Me for This?

    You were definitely in the wrong here. As your co-worker I would not have written you up but would have advised you not to leave meds at the bedside. As your manager, after a family member complaint, I would be forced to write you up in case that family member reported the incident to the state. I would need to have the incident documented and show that action was taken to correct it. Try not to blame your manager too much, she really had no choice but to write you up. And she's right that it's poor practice. I have worked in LTC and I know how little time you have to pass meds to all the residents. I found it nearly impossible to get the med pass done on time while still following all the rules. However, I always made sure the meds were actually taken. If you leave a pill at the bedside, another resident may take it. This is one shortcut you really can't take because, as you learned, it will come back to bite you somehow. If the resident is slow to take pills try to convince them to take them in applesauce or pudding so you can just feed it to them and be on your way. If they won't take it right then and there, save it for later and try again. If they still won't take it for you, they have refused that medication and you can document their refusal.
  3. Clovery

    Should I take this job?

    $19/hr? Is this a decent rate for your area? I assume you are an RN? I would worry about the drive home after working nights. I have never minded driving to work. I work 10 minutes from home now and I miss the drive time of previous jobs. Driving into work gave me time to drink my iced coffee, listen to some good music, be alone, and mentally prepare for my shift. One hour would be my limit, though. 30 minutes is just right. Now I spend just as much time walking from my car to my unit as I do driving into work. I can never complain about the short commute home, though. Especially when I have to work another 12 the next day. A two year contract is a long commitment if you find that you can't stand the drive.
  4. Clovery

    Attack of The Killer Poop

    I worked in LTAC for over a year. Whenever someone asks me what it's like I have to mention the poop. It's all total care patients, mostly vents. Many of them have c. diff. So basically we run feeding into their tubes and then it just streams out their butts and all over the bed. I always warn CNAs especially.... "you don't want to work at an LTAC".
  5. Clovery

    12 hour shifts - sub-acute

    I'm from further south, but I know Genesis does and they have facilities all over the state. I haven't heard good things about working there, though.
  6. Clovery

    Poll: Nurse and law enforcement couples

    My husband isn't a cop, but my mom is a nurse and my dad was a police officer.
  7. A quad patient with a chronic infected sacral wound became infuriated with me for waking him up at 0900 to take his meds and encouraging him to eat his breakfast. He didn't want to eat so I tried to get him to take his marinol to stimulate his appetite. He only wanted his IV dilaudid of course. After I gave him that, hung an IV antibiotic, and again talked about the importance of nutrition for wound healing, he accused me of being racist. He then asked to talk to my supervisor, who I brought into the room. He told her that I was extremely rude and said "maybe I'm the wrong color for her" (he was African-American). Management assigned an African American nurse to him and I didn't have to take care of him for the rest of his stay. Fine by me.
  8. Clovery

    Email Follow up

    I interviewed for a position recently, was told they'd be making decisions in a week or so. Three weeks later I got an official offer letter. Since you are past the recruiter interview stage, you don't have to worry so much about annoying the recruiter. The decision is no longer in his/her hands. I would call the recruiter, tell them you interviewed for the position and you would like to know if you're still being considered. If you get a voicemail, hang up and try again at another time. The problem with email is that it can easily be ignored. If you send the email, the recruiter might read it but not respond and then you'll be left wondering. It's best to catch them on the phone if you can. At my hospital system, it's against policy (or at least frowned upon) for the nurse manager to have any contact with applicants in the post-interview/ pre-offer stage. So you may not get a reply from the nurse manager. However it could prompt her to contact HR to send you the offer or "not selected" letter. The four hour shadowing experience sounds promising. I have never heard of anyone doing this, although it could be a form of a peer interview. Did you send thank you emails to the nurse you followed and the manager after that?
  9. Coming from an area with a similar nursing job economy, it has been my experience that hospitals aren't hiring per diem employees who have no experience in acute care. For a new-to-acute care nurse, the orientation is generally at least 8 weeks on a full time schedule. Think about how long it would take just to orient you if you are only available one day per week. I agree with the previous poster.... look for a full or part time hospital position and leave your current job when you find one. You could easily pick up a per diem position in LTC/rehab to supplement this once you are off orientation.
  10. Clovery

    Vasoactive drips

    One of my family members was in a medium-sized community hospital (admitted from ER with SVT). She was in the ICU on a cardizem drip and once the drip was d/c'd they transferred her to the tele unit. I have worked on a tele floor in an LTAC and vasoactive drips were also limited to the ICU.
  11. As someone who has had numerous headaches with trying to get insurance from the marketplace outside of the enrollment period, I sympathize. Have you tried looking for a plan on https://www.ehealthinsurance.com/ ? I have purchased plans there in the past and it was easier than going through the marketplace. To enroll outside of the open enrollment period you need a legit reason. In my situation I selected a plan, and it was pending until I provided proof that I lost coverage within the last 60 days. I had HR at my job write a letter that I was no longer eligible for benefits. My insurance was activated after they received the letter. It might get a little more complicated if you apply for a subsidy, because I believe then it will still have to go through healthcare.gov. Like other posters have mentioned, it shouldn't be too difficult to find a clinic to do the necessary exam and labs for roughly around $200 for everything. Going to the department of health and family services would also work. Plan to spend the better part of your day there and show up early. They can help you get insurance through the marketplace. Don't leave until it's sorted out.
  12. Clovery

    the wait is killing me

    Congrats!
  13. Clovery

    Two CVICU nurses singing about ACLS!

    This is pure awesome!
  14. Clovery

    Jobs at Sarasota Memorial in Florida

    I lived in Sarasota for a couple of years and I didn't like it much either. Unless you live out on one of the islands, it kinda feels like a New Jersey suburb (strip malls, traffic, and crowds) and not much like a beach town. The population is very transient with lots of older people who go there for the winter. They have a major problem with fire ants. Like... don't stand outside in the grass in one spot without constantly checking to make sure you are not being swarmed by vicious ants. There was a lot to do with Tampa being just an hour's drive and lots of state parks, museums, and nature. It was a pain to go to the beach because it's a long winding drive out and around to the barrier islands. I believe you have to be rather rich to live anywhere close to the beach. I wasn't a nurse when I lived there so I can't speak for the hospitals or the job market. I just had to check out of curiosity... Lower Keys Medical Center (Key West, FL) has some ICU positions posted. There is also Fisherman's Hospital in Marathon (half way down the keys). I used to live in the keys and would go back there in a heartbeat if I didn't have family obligations up north. Especially if you are just looking to be in FL for a few years and rent a home, the keys are awesome. And medically you'd probably see some pretty interesting things like marine life and scuba diving injuries. Although I imagine they have problems with drug seekers and psych patients because there is a large homeless/drifter population there.
  15. Clovery

    What would you suggest to your preceptor if..

    I suppose I'm sensitive to criticism... I prefer to hear criticism coupled with something positive. Like "It was great how you did C but next time remember you need to do A before you do B". Or "you have amazing customer service skills and rapport with the patients, but you need to balance this better with time management." I'm definitely a hands on learner. I could watch someone do something 10 times but I don't really get it until I do it myself. If I'm being walked through a new procedure I like to verbalize what I'm going to do then get a quick approving nod or "okay" then do it. If a preceptor needs to take over because I'm doing something wrong, realize that I'm going to feel like a complete failure and be really nervous about doing this again in the future. It would be best to talk about what went wrong right away, practice or verbally walk through the procedure again, then make me do it again as soon as possible before I develop a phobia about doing that task.
  16. Clovery

    Trying to get that full time night shift job...

    You're welcome! I have been a nurse for two years now, and am finishing my BSN this month. I finally just landed a full time med-surg night shift position, which was what I wanted from the start as well. Depending on where you live, the hospital position may not happen until you get closer to finishing your BSN. I'm in New Jersey, and all of the hospitals here pretty much aren't considering ADN new grads anymore. I think that started the year I graduated with my ADN, go figure. I worked in LTC/subacute and long term acute care (LTAC) for two years. If you have an LTAC in your area, try there. It is great experience and you will learn tons. I worked LTAC for over a year am now experienced with telemetry and vents, and they usually don't care about a BSN. Good luck in your search!
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