mom2michael

mom2michael MSN, RN, NP

Rural Health

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All Content by mom2michael

  1. Sometimes you can't win (long)

    mom2michael posted a topic in General Nursing

    There is no point to my post, except to vent. 2 months ago I applied for a weekend option position at another facility about 15 miles away...I mean...who wouldn't want to work 4 days a pay period but...

  2. new med/surg grad. Don't want any enemies, got a new preceptor, need advice permali

    mom2michael replied to ltmja's topic in General Nursing

    Actually, about 5 months into me being an RN I got a new grad. I was still trying to figure out my role as an RN, didn't want a new grad in the mix. I talked to my manager about it - no avail and I...

  3. 'average' patient/staff ratio?

    mom2michael replied to Dinith88's topic in Emergency

    1 ER job I worked 4:1 or 3:1 depending on the time of the day. "Maybe" one medic to work an overlap shift (11-11 or 3-3)- no techs. 14 bed ER with 9 Urgent Care beds open from 11-11. We also have a...

  4. How many of you work 3 days /12 hrs shifts?

    mom2michael replied to AspiringNurse7's topic in General Nursing

    I work Mon, Tues, Wed nights. Wouldn't trade my 3-12 hours shifts for anything in this world. I get 4 days off in a row, no weekends unless I want them for extra $$$$. Holidays if they fall on my 3...

  5. no more techs for us....

    mom2michael replied to Uptoherern's topic in Emergency

    My PRN job doesn't use techs and we have a 3:1 or 4:1 (depending on time of day) ratio. One a great day, we have a float RN or Medic that can double during our busier times, but since that doesn't...

  6. Working Two Jobs...

    mom2michael replied to punkstar's topic in General Nursing

    I've been working 2 jobs since I was 6 months into being an RN. My PRN job has been AWESOME to work with my schedule at my full time job - they work around my requirements there w/o a problem. I...

  7. Suicidal patients who are discharged from the ER

    mom2michael replied to DoubleblessedRN's topic in Emergency

    I work in 2 states. State #1 requires you to do a screening by a QMHP for a 96 hour hold for all patients who are a danger to themselves and others. Since we are not a screening facility - these...

  8. ER Nurses Week-What's everyone doing?

    mom2michael replied to ERnewbieRN's topic in Emergency

    Well....my one job gave me a great coffee mug with some candy and a very well thought out thank you card. My other job gave me a bag, a T-shirt and a generic card that EVERYONE got...the only diff was...

  9. Three Questions - New Grads, Please Read

    mom2michael replied to Perseus Mandate's topic in First Year After Licensure

    Question #1. I actually work days at my facility of only 8 full time RN's - so no, I wasn't stuck with "the crappy shift". I actually worked 11-11 for the 1st 8 months I was an RN and the day shift...

  10. How many shifts & hrs worked every 2 weeks do you work?

    mom2michael replied to Gottago's topic in First Year After Licensure

    I work 36 per week, 72 hours a pay period and I'm only paid for the hours I work (I don't get paid for 40 hours). Anything above 40 hours a week is considered OT and all OT is voluntary where I work....

  11. Do you compliment your co-workers?

    mom2michael replied to Sassybottom's topic in General Nursing

    We have a board and we use it to "thank" one another for the tasks we do each day. We are a small, fairly tight knit ER, so these words are awesome.....especially if you've had a crappy shift or 2....

  12. How to be a nurse when the pt's family is around.

    mom2michael replied to big apple's topic in First Year After Licensure

    You just smile and say....I need to get Ms. so and so all tucked into bed and some questions answered. I would love to have you all stay....but it will go much quicker and smoother if just 1 person...

  13. Skaggs?

    mom2michael replied to rachelgp's topic in General Nursing

    Skaggs is going thru growning pains and massive management changes in their ER. The good goes with the bad and I've heard mixed results. They've also added some very top notch ER (and other) docs...

  14. Difference between Registry and PRN?

    mom2michael replied to SpiceChick01's topic in General Nursing

    Our registry is guarenteed X amount of hours each pay period. PRN is

  15. When called to fill in, what should I be paid?

    mom2michael replied to zoo*moon's topic in General Nursing

    At my PRN job We get $75 in cash and then $10 extra to pick up critical need shifts. It has to be deemed critical need though by the house supervisor. No one signs up for OT because of the fact if...

  16. How long of orientation in ER is enough?

    mom2michael replied to Nurse4AU's topic in Emergency

    Brand new RN's get 12-16 weeks and near the end they pretty much just float room to room to gain as much experience as possible and they take (with the help of everyone else not busy) the critical...

  17. New Grad + JCAHO in ED = Could get Ugly, Help!

    mom2michael replied to RNcDreams's topic in Emergency

    Know your SBAR, know Core Measures, know where you keep PPE. Keep food and drinks away from the desk or areas in which you store medications and/or body fluids. Wash your hands more than you...

  18. Non smoking hospital: What is this?!!!

    mom2michael replied to CaLLaCoDe's topic in General Nursing

    Missouri does not allow you to smoke on hospital grounds or actually anything that is deemed a healthcare facility. It's been in effect for over a year now. Employees at my current job are fired if...

  19. HIPPA and Law Enforcement

    mom2michael replied to htrn's topic in Emergency

    We are required by state law and by policy and procedure to report all assaults, gunshot, knife, animal bites and MVC's that come into our ER. We always ask.....have you notified police and if they...

  20. orientation

    mom2michael replied to dkspudette's topic in First Year After Licensure

    You need to sit down and have a long talk with the NM of your floor. Obviously taking patients alone after 2 months is scary, let alone 2 days. Rural facility or not, new nurses need orientation and...

  21. Anyone ever try working 60 hours a week?

    mom2michael replied to buff nurse's topic in General Nursing

    Between my 2 jobs, I work about 50-60 hours per week. It's tough but right now in my life, it's not an option, I have to work both jobs. I wish I didn't but the pay for RN's in my area is insanely...

  22. How many of yall use noncertified nonSANE nurses to do sexual assault examinations?

    mom2michael replied to texascowgirl's topic in Emergency

    We have 1 SANE nurse but anyone in our facility that is an RN can perform all the steps leading up to the actual physical exam. They can collect the evidence, clothing, etc...... We have put...

  23. License Revocation

    mom2michael replied to auwrestler197's topic in General Nursing

    The Missouri State Board of Nursing publishes every quarter everyone who has either had their license censured, put on probation, revoked or voluntarly surrendered. 99% of the revocations involve...

  24. Had orientation today for RN program...heard something disturbing.

    mom2michael replied to justme1972's topic in General Nursing

    Oh....there are a million reasons why people leave NS. We started out with 56 but graduated with 48 but somewhere in the mix we picked up LPNs and students that had failed previously, but then lost...

  25. Night shift

    mom2michael replied to sister s's topic in First Year After Licensure

    When I work nights I have to do all of them in a row, otherwise I live in a cloud of confusion for days on end. After I've done a couple, all is good and I'm fine and I get back into the routine of...