raindrop

Gtubes: aspirate gastric content? How much is too much...as in...when should doc be notified? Is checking placement via air bolus still OK? J tubes: usually no aspirating, right? And no air bolus? How to check placement? same questions with NG, keofed, dobhoff.

Yes, nurses in general have a reputation for being awful, lateral violence in nursing is no joke. But this is my first correctional job where the nurses are state workers and protected by the union. This environment is very toxic, One minute they are talking smack about eachother, the next minute they are talking about getting drunk together on their next day off, I'm new and I'm their hit list because my pay is high, everyone's pay grade is accessible on the state Intranet. I have been thisclose to quitting since day 1. I have been told that my preceptors loaded me heavy with work and abusive behavior because they wanted me to quit, I'm the one who is going to take away their overtime. What are some common ways they can get me introuble if they wanted? I'm asking because I'm not used to this behavior. For example, in the hospital, the charge ongoing and off going would count sharps/narcs together. Not here. Usually the offgoing tells oncoming "I counted at 6 am, all is good" and the oncoming nurses just signs off. They do this because they trust eachother and it's soooo busy at 6 am that counting would throw off that nurses day. But I do t feel comfortable not counting and I'm getting grief for it…”you are slowing up the early NSC visits or intakes and putting all the work on us jusr because you are busy counting for am hour.”

At My last hospital, vitals for patients who were on the Amio maintenance dose at 16 ml/hr were only required q 4 vitals unless nurse discretion to check more often. But at this place, vitals are q1hr for Amio gtts. My Patient was on the drip for at least 20 Hours and her pressure was checked Every hour. That seems like overkill, don't you think? Pressures/rate were stable.

My sister says the same thing, but she sounded SO young, It is a smallish town so it is possible, but the bully nurse “girls” and the manager from 2004 are likely old enough to be her mom. Nothing against young nurses, but it was also quite condescending of her, a young nurse and already at a desk job, to question me so harshly about 20 years ago.

Shocked, fumbling her words. She said twice “I mean...it’s pretty much standard to ask about past employment” and both times I told her “you haven’t asked me anything about past employment, you have only asked me what happened 20 years ago at this hospital.” After that she finally said “so your sure you don’t want to move forward with the interview?” and I said “I’m sure, I have other opportunities, this one is clearly not for me.” She then said “good luck” and I said “good luck to you, too.” I’m mad at myself for not asking: “why are you grilling me? I did nothing wrong, I was the victim of bullying and hazing, what should have happened back in 2004 was a reprimand to the bully nurses, instead of allowing them to push me out.” But it is what it is. Super annoying. I’m , she grilled me and then “sighed” because she didn’t like honest response about why I quit, she wanted to hear the standard “it wasn’t a good fit for me” and I wasn’t going there, so I heard a “sigh” on her end and then another condescending tone/question, and I had enough. I know my worth, and I’m not ever ignoring my gut-which was in overdrive during our conversation similar to when I worked there, just that yucky gut feeling every morning. Nope. Never again.

Thanks!! It felt really good to flip the switch. Bad vibes all the way.

Had a interview at a job that I worked at 20 years ago as a new grad, I quit while I was still on orientation. I tried transferring, but that was against their policy, and I tried to tell my manager that I need better training and by a preceptor who isn’t bullying me, but it fell on deaf ears. So, I decided to put a notice in, but they told me that I would be taken off the schedule immediately since I was still in orientation. At present day, 20 years later. I reapplied, and the recruiter didn’t ask what I’ve accomplished the past 20 years, she went straight to 2003 and grilled me on what happened. I asked her if I was rehirable, and she said I am marked as rehirable, but she wanted to get to the bottom of what happened. I ended my interview after I told her what happened (the bullying, lack of training), and she kept rehashing it, and kept trying to dig deeper. I ended the interview. I told her she hadn’t asked me about my Daisy awards over the years, she hadn’t asked about accomplishments, goals, certs...she’s focusing on 20 years ago when I wax a new grad, and I can see this isn’t a place where I’d like to work.

I’m actually very nice, I’m just unhappy and frustrated with the unprofessionalism of recruiters lately. I am not needy and don’t need them for anything except submitting me. I don’t understand why she can’t answer a text with 3 words max though letting me know if I’m hired or not. Anyway, traveling is trendy now, and it’s just not the same.

I’m aware of the bait n hook tactics that recruiters use, but it seems like it’s becoming more common nowadays than years ago. Recruiter: Are you giving me permission to submit you? do you need any time off or are there certain days you can’t work? OK, great..I’ll get you submitted, and oh, it looks like the hospital will want to interview you so have your phone on over the next day. Oh, and your start date will be 4/11, is that OK? As a seasoned traveler, I was wondering why on earth the recruiter is submitting me without any updates profile - my competencies and skills check list are old. And I wondered why this job that she presented me with is not listed on the job board which is supposedly updated constantly. But I went along with it, I wanted to see how it would all pan out. And then the next day, which is 1 day after getting submitted... I received an email from the competency department, they wanted me full out the standard forms: Background check, W2, emergency contact, etc. And then a couple hours later, another email that said I’d get the competency tests that the hospital itself is mandating. So I text my recruiter, asking if I got the job without an interview? No response. The text I sent was at 10 am Friday. I didn’t hear from her over the weekend (not surprised) or at all on Monday. I then text her this morning (Tuesday) and asked if I got the job, and if so, please send the contract. No response thus far (5 hours now). And then I Emailed competency today (Tuesday) and told them I haven’t received any competency exams from the hospital or at all. She replied “Will resend.” I waited an hour, nothing. I emailed her back “not received in my inbox or spam,” and then I suddenly received it. Her email response was in a passive aggressive manner: “I’m sorry you are having problems, but I am happy to help you. Let me know if you have any other issues and I’ll get right on it! Have a great day!” I’m not having problems, the problem was on her end. And oh, the link she sent to the competency exams isn’t working, and I tried on different browsers. And still nothing from my recruiter. Please explain...why they play these games? I’m not wired to understand child’s play.

Thanks so much!! It is what it is. I’m sure I’ll find an even better agency.

Thank you so much for your kind responses. I’ve been consistently traveling since 2014, and have only used 2 agencies/recruiters , which includes the agency that apparently canned me. I really liked this company, especially their phenomenal health insurance. Oh well, back to the drawing board.

I’ve been loyal to a well-known and reputable travel company for 2 years, only taking contracts with them. So needless to say, I’ve gotten to know my recruiter well. My last contract... I did not extend; and it ended in November. The extension was offered, but I declined because I wanted to take a few months off to concentrate on finishing my MSN, and well...it was a danger to my license. My recruiter told me she has heard nightmare stories from other travelers about this hospital, and the hospital has been firing travelers without good reason from her company. So, yeah, contract ended in November, and I’ve been busy with school; however I did send my recruiter a standard e-card at Christmas with an amazon gift card, and I thought it was kinda strange that she didn’t reply per usual, but I didn’t give it too much thought until recently. So, I’m ready to travel again, and a few days ago I sent my recruiter a text telling her hello, and how I’m interested in XYZ job listings that were just posted on the job board. She quickly replied “those are filled, I’ll call you when any in those states come up.” In the past, she’s always been big on getting my profile updated and competencies taken so if something does pop up, I was ready for submission. So yesterday, I looked on the job board and several new listing ms were just posted. I text her about my interest, no response. And nothing today. I think I’ve probably been fired, likely due to a bogus “do not return” from my last hospital. I expected to be on their list, but I also thought my recruiter would ask me about it and not ignore me. And also, I have several contracts under my belt with them and I’ve always received rave reviews from past jobs, but I guess that doesn’t really matter. Ill admit, I’m hurt by this. And eventually I’m going entertain getting a staff position, which means the prospective employer will ask this agency if I’m rehirable, and they’ll get a NO. Has this ever happened to you? Any advice? Just shows that recruiters/companies are more loyal to the facilities.

Hi everyone, I am in an online program and my course instructor doesn’t have any availability until Wednesday, so I’m hoping you can help me out. I have looked everywhere for the past 2 days, and I cannot figure out how to connect A to B to C. This is a modified quality improvement project..in other words...I’m not really implementing it or presenting it to my facility. I am just going through the steps as if it were a real project. SO... A: my short term KPI is to have a 10 percent reduction within 6 months with our CAUTI rates within the adult ICU by rolling out a CAUTI prevention program. B: The benchmark that I chose is the CMS NHSN. Why? That’s where all my research has led me to. I even described how the CAUTI RATES can be calculated at the end of every month using a NHSN formula. Now I need to show how I will a compare my (fake) projects outcomes in comparison to the benchmarks. I cannot find any data on how my projects outcomes compare to local/state/national levels because the data is not out there for me to find. Help??

Mona is the acronym for Morphine, oxygen, nitro sublingual, aspirin. Mona should be given for any Patient with chest pain.

Thank you so much. In my mind, I did do everything but I am kicking myself for not asking for morphine, nitro or putting him on 02 during his CP episode (Mona). I was running around like crazy and when I saw that his EKG was normal and Trops fine, I let it go. I gave him the Lovenox and Tylenol, he was better afterwards. I would have called the doctor and asked for MONA orders, but I could barely understand him when I called to get admission orders - he had a very strong and different accent than mine, and his phone connection was bad. I also had to page twice for orders because he didn’t call after my first page. I did the bare minimum to get the patient thru it because I had too much going on than to keep paying him. I wish I would have listened to my gut and gotten MONA orders and a Mag, but at the same time, I’m not the doctor, why didn’t he open up his computer and put orders in himself, ya know? I hope the patient is good, getting TPA, and not in a “vegetable” state now. I know he’s still in ICU, but I don’t know his condition.