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Boston-RN

Boston-RN RN

LTAC, Telemetry, Thoracic Surgery, ED
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Boston-RN is a RN and specializes in LTAC, Telemetry, Thoracic Surgery, ED.

Boston-RN's Latest Activity

  1. Boston-RN

    Florida RN license by endorsement

    Hello, I am an RN in Boston, MA. I just sent my ppwk down with the application filled out to the letter, a copy of the Nursys verification, copy of the medication error CEU and 2 copies of the fingerprints along with the $223 fee, sent is certified. It was received on Dec 7th and on Dec 17th the board had my license number posted. I still don't have anything by mail but that seemed pretty quick. There is also an option to fill out the application online pay online and mail in the fingerprints.
  2. Boston-RN

    'Onboard' New Nurses to Prevent Them from Jumping Ship

    ummm....although I think new grads are tough to train and retain....if an organization doesn't make the effort, then who is to support the remaining staff during vacations, PTO, LOA, retirement, career changes and the rest of the inevitible?? new grads are necessary in all careers, not just nursing, that to me is kind of an obvious statement.
  3. Boston-RN

    Need shoes for plantar fasciitis

    danskos are supposed to be good for plantar faciitis, I lost my danskos a couple months ago and my feet are KILLING me....have a new pair being delivered tomorrow. Give them a whirl.....expensive but worth it
  4. Boston-RN

    Agency nurses how do you do it?

    I agree with the above....I started my first per diem as agency....the only slack I got was from other per diems because they were afraid I was going to "steal the better per diem shifts" I always make a point of introducing myself to whomever is the charge and let them know I may have some questions about (policy/procedure). A sick patient is a sick patient anywhere you won't go wrong with the standard interventions....if they know you know your stuff and are willing to pull your load (and maybe help with theirs) they should be happy....but I'm in the ED so maybe it's different on the floor. I know when I was on the floor I was happy to have help and since I wasn't paying them out of my own pocket...didn't really care about salary
  5. Boston-RN

    So, I have to be a bad nurse to be a good nurse?

    this is the key reason that I only spent 2 months in LTC...as a new nurse you can always talk to your nurse manager/ADON and as the legit question of "how do I get this all done (correctly) in 8 hrs" if you hear that you need better time management and they offer nothing else...have them (or nurse educator) to follow you for a day for feedback....the reason why....it can't be done legit.....if they are truely invested in you doing well and they truely feel it can all be done in 8 hours I'm sure they will be able to give you good constructive feedback....otherwise they realize it can't be done but still expect you "document" that it has been done....Be very careful Some of my very good friends are in LTC for years and cannot do it all by the book. Don't feel bad about it.....
  6. Boston-RN

    Do you know how to find all the pulses?

    agree with other posters......identifying and palpating pulses is very important....don't be afraid to keep looking even if the pt thinks your crazy....don't be afraid to use the doppler/steth
  7. Boston-RN

    Dealing With Animosity

    I agree with the others....if your co-workers are not supportive then they remain co-workers and not friends. Share your successes with those that appreciate them and can share them with you. I know sometimes that is discouraging but it's better for your mental health in the long run.
  8. Boston-RN

    blood exposure from hiv patient

    I know you had a scratch that was bleeding but what blood or bodily fluids of THEIRS came in contact with your open wounds? If they were not bleeding and it was only your blood then in my facility it would not even be considered an exposure. If their actual blood came in contact with your actual open exposed wound I think it's like 1 in 300.
  9. Boston-RN

    Rules of the Dr.office

    yup....and all those pts end up in the ED anyway....
  10. Sorry....going to have to agree with all the others. The PICC line is there for access both giving and drawing. One of the perceived benefits to the patients is a decrease in lab sticks....even though it's more time for you it's less discomfort to them.
  11. Boston-RN

    Calling all New Grad NPs in Boston!

    I have heard as a new NP in non-acute it is roughly the same pay as an experienced speciality RN. One of the RN's that works w/me in the ED works mostly as an RN because of the pay. I think in acute care it's higher pay (worse shifts)
  12. Boston-RN

    Beth Isreal Deaconess Medical Center

    Hello, I also work at BIDMC. Make sure you let the HR/rec know that you're looking at all tele / RN opportunities so you can cast your net wide. Otherwise you can apply to the float pool and get a taste of all the different floors. We are full full full of pts so there's no reason with your experience you shouldn't get some position. And if you don't, I'd LOVE to hear it.....
  13. Boston-RN

    Anyone leave ED for homecare and regret it?

    Trauma....do you mind if I ask why you think an outpt clinic is any better than HH for future of FNP. I can understand saying that it's better to stay in the hospital but I would think that at least w/HH you're using your assessment skills and some more than you would use them as an RN in a clinic. I don't know any clinic RN's so I really don't know what their scope is. Thanks for your insight.
  14. Hello, I'm and ED RN x 1.3 years. I work at a large inner city level 1 trauma center. I LOVE my career. Currently I don't really like some parts of the job (BIG PARTS). Currently we have no nurse:pt ratio in our ED and sometimes that gets hairy especially when we're short staffed which happens regularly with no offer of OT to fill the holes. I get paid pretty low compared to the area. I just got my CEN (with no raise or reimbursement for taking the test), I'm getting my BSN ($3k/yr reimbursement but no raise upon completion) work 36hrs (3x12) day/night rotation w/every 3rd weekend. There is blantent favoritism in the department. I did get a good review but our wages have been frozen for a year. We get good amount of vacation time but rarely a chance to use it. I like the MD's and most of the people I work with and I enjoy working in the ED. Right now there are no other ED jobs in the immediate area. I have been told by people that have left that they are now very happy, especially the ones that do homecare. The money is better by approx $5/hr, no nights no weekends no holidays. All my friends and hubby work M-F jobs. I am seriously considering going into homecare and keeping the ED as per diem. Has anyone done this and truely regret it? I don't know how either environment will be effected with the healthcare reform. Oh and my long term goal is FNP.
  15. Hello, I'm and ED RN x 1.3 years. I work at a large inner city level 1 trauma center. I LOVE my career. Currently I don't really like some parts of the job (BIG PARTS). Currently we have no nurse:pt ratio in our ED and sometimes that gets hairy especially when we're short staffed which happens regularly with no offer of OT to fill the holes. I get paid pretty low compared to the area. I just got my CEN (with no raise or reimbursement for taking the test), I'm getting my BSN ($3k/yr reimbursement but no raise upon completion) work 36hrs (3x12) day/night rotation w/every 3rd weekend. There is blantent favoritism in the department. I did get a good review but our wages have been frozen for a year. We get good amount of vacation time but rarely a chance to use it. I like the MD's and most of the people I work with and I enjoy working in the ED. Right now there are no other ED jobs in the immediate area. I have been told by people that have left that they are now very happy, especially the ones that do homecare. The money is better by approx $5/hr, no nights no weekends no holidays. All my friends and hubby work M-F jobs. I am seriously considering going into homecare and keeping the ED as per diem. Has anyone done this and truely regret it? I don't know how either environment will be effected with the healthcare reform. Oh and my long term goal is FNP.
  16. Boston-RN

    My patient caused her own code.

    I've had to use paralytics because of the same thing
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