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Ele_123 has 2 years experience.

Ele_123's Latest Activity

  1. Ele_123

    COVID in the Break Room?

    Our manager reminded us to social distance while on lunch. Due to our staffing or lack of in order to maintain minimum floor coverage we have few enough people on break if we sit at opposite ends of the table we are automatically social distancing, but occasionally a 3rd person overlaps with 2 of us.
  2. Ele_123

    face shields

    My hospital had staff wear face shields for all patient interaction until a couple months ago when the state started opening up and we had "adequate" PPE & it was changed to droplet/airborne precaution patients only. We are now at an all time high with COVID patients compared to March/April, so I have a feeling we'll be back to universal faceshields again.
  3. Ele_123

    Employee treatment after exposure

    I live in a different "right to work" state. They sent me home and once they determined I didn't qualify for COVID leave/pay like they thought they tried to insist I use what little PTO I have to help cover the unpaid days. I was then told unless I tell them not to use PTO they're free to use up all my PTO for me.
  4. Ele_123

    Employee treatment after exposure

    I pretty much already know this & that no matter how much better one healthcare Corp looks than the rest they always have their own "quirks". I can see it getting to the point where nurses who want a COVID test after exposure will have a "sore throat" just so they can get one to help protect elderly parents they care for.
  5. Do you think that the way employees- nurses, techs, etc. are treated after exposure by the company/hospital will effect self-reporting during employee risk management? I work on a COVID negative unit and later found out a patient I care for was COVID positive. Later I found out that out of several emloyees I was the only one who was sent home (several days later) & tested. I'm upset I'm the only one sent home & tested & later found out I am the only one who started after XYZ date and doesn't get COVID pay. Other nurses are upset they don't even get a test. I've been told the outcome is determined by who the risk management screener is. Do you think it will ever get to the point employees learn the answers to get a certain outcome?
  6. Ele_123

    New Job during COVID-19

    Blindly accepting job offer? I have a med-surg job offer at a large hospital in the metropolitan area. I am an LPN and acute care is extremely tough to get- I've been looking for a full-time for over a year. Due to COVID-19 I only had a telephone interview. I have never had clinicals at the hospital, had friends or family as patients, or worked with prior nurses from that hospital. I would be accepting the job blindly. At the same time the manager is offering me a job only knowing me from paper & the phone interview. It is not possible for me to shadow/observe or meet anyone in person due to COVID-19. This makes me nervous, but it is an amazing opportunity to pass up. It is not located in an outbreak hotspot. Though the hospital could get COVID-19 patients it isn't a designated treatment hospital. The nurse to patient ratio is typical, but the tech to patient is higher than when I was a tech(ortho unit), but maybe the patients require less physical assistance? Thinking of questions to ask before them before I make an ultimate decision.
  7. Ele_123

    LPN using the title of MA

    I took a job in a doctor's office. The majority of LPNs work in the nurse "closet" taking phone calls all day, mainly medication refills, insurance pre-auths, & post-op questions & occasional staple removals. The MAs interact with patients directly in clinic with the patients & doctor and coordinate follow-up care after/between visits. There are several MAs, an LPN who works in the MA position, and me. I feel odd referring to myself as an MA. Medical assistant isn't a licensed position, right? Am I fine to use that term? It doesn't feel right leaving out LPN since that's something I've work for and knowledge/experience I have. Maybe there is a way I can incorporate LPN & MA?
  8. Ele_123

    Should a nurse suggest a different doctor?

    If the patient expresses concerns to the nurse about the care the doctor is providing. It would be appropriate to remind the patient that they have the right to participate in their health care & tell them the ways they have to express these concerns- patient care hotline, house supervisor, or charge nurse. Giving the patient a list of hospitalists, neurologists, or whatever specialty and telling them they can choose a doctor if they don't like theirs doesn't seem right. If the nurse has documented concerns about the care a patient is receiving it needs to go through the appropriate channels- incident report, house supervisor, director of xyz medical service, etc.
  9. Ele_123

    Can they ask this during an interview?

    This is what I'm thinking too. If they have several qualified applicants the doctors might consider saving the 200ish dollars a month and hire someone who has no interest in a company health insurance policy. The clinic doesn't pay extra for required overtime.
  10. Ele_123

    Hydration Stations in the Nursing Station

    If shifts are 12 hours long & adults are supposed to sleep for 8 hours, that leaves 4 hours of the day to get in the classic 8 cups of water a day. Then figure in that a nurse could need more based on their body size or could walk a few to several miles in a shift and need more than the classic 8 cups of water a day. It just doesn't work out very well.
  11. Ele_123

    Can they ask this during an interview?

    No, they asked me what my desired wage is. I had already been to a few other interviews and it seems like the starting wage for clinics in the area is about $17/hr, so I told the $17 was my desired wage. The response was "I don't think our nurses make that much, I'll have to ask."
  12. During an interview can an employer ask if you need to/plan on getting/using their health insurance policy? I didn't think much of this at first because I had several other interviews where they talked about health insurance benefits, but I don't think asked that question. They told/asked me a couple other things that seemed a little odd too.
  13. I'm an LPN and for the past few years I've worked in acute care on med-surg & ICU units. My current job is cutting hours and wants me to drive almost 100 miles (1 hour 45 minutes) to another hospital. Staff end up working very sporadically. I might work full-time one week and nothing for a couple weeks. It is very difficult to get a position as an LPN in acute care so I've been applying as an LPN at outpatient clinics/ doctor's offices. There are a couple questions that have seem to come up in the interview. One is about pay (this particular clinic asked for your previous pay rates on the application) and the other question is about why I want to work in outpatient care or at a doctor's office. One lady told me their clinic was fast-paced and asked if I was okay with it. I think I've had some pretty tough/ fast paced assignments at an LTAC. I've tried my best explaining how my experience is transferable, but it hasn't worked out very well and I have a couple more interviews coming up.
  14. Ele_123

    Pt. regurgitated/vomited NG tube

    My patient was NPO & had been coughing up a moderate amount of sputum. Had current NG tube in place for approximately two days. About 1700 I retaped it to his nose, 1845 before shift change NG tube was still secure, bilateral soft wrist restraints on, pt. suctioned. After report I was filling out my timecard and the night shift nurse came and asked me to look at the patient because she couldn't figure out what was wrong with their NG tube. The tip from their stomach was hanging out of their mouth while it was still secured to their nose. I don't remember seeing this before. All I could think of was the patient was gagging or coughing so hard they "vomited" the NG tube. Has anyone had more experience with this?
  15. Ele_123

    Agency work- who to list as supervisor?

    At the hospitals I've worked with 8-12 different charge nurses and there isn't a clinical supervisor/department manager. It jumps from charge nurse to the CNO who I've only met in passing. The local staffing office doesn't have a manager either.
  16. Ele_123

    Personal Cell Phone Use

    I don't think it was HIPPA Bridge, but there is a large hospital system in the city that encouraged doctors & nurses to download this secure HIPPA approved app (if that makes any sense). There were three different types of doctors: the ones that really caught on and responded to messages in a timely manner, the ones that had the program installed on their phone but never set up notifications and only opened it once every few days, and the last type still used pagers. I work at a couple different LTACs. At one of them the charge nurse calls/text the doctor from a company cell phone for all the nurses, so the floor nurses don't contact the doctors themselves. Texting at that LTAC was used for simple or small issues, for example patients who want OTC medications, diet changes, x-rays for line/tube verification, etc. At the other LTAC I asked the charge nurse for a Dr.'s phone number, she gave it to me and told me that he prefers texting for small issues. I asked her for the phone & she gave me a strange look and told me that most nurses just use their personal cell phones. The LTAC had 20-30 patients split between 2-3 doctors. The nurses would either refer to the patient in the text message by room number or initials. A few years ago in nursing school we were taught that room number is not a patient identifier/PHI and is one of the safest ways to refer to a patient when talking with staff where information might be overheard. Also on all of our nursing care plans we used patient initials.

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