cienurse

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All Content by cienurse

  1. cienurse

    That awkward moment when....

    I do it all the time!! Especially if the lower extremities are discolored, I think to myself, "Vascular ulcers waiting to happen!"
  2. cienurse

    I was fired today (I think??)

    It sounded to me like he was asking you to step down from the position you're currently in. Are you the charge nurse? If so, you might not have quite the experience he's looking for. Inviting you to apply again only to tell you that you wouldn't b...
  3. cienurse

    Corrective Action or Bullying???

    Most companies now have policies which prohibit workplace violence ie: creating a hostile work environment and intimidating and bullying. If you received an employee handbook, you would find these policies located in it. There are also no retaliat...
  4. cienurse

    I Lost a Medication: Controlled Substance

    Yes, NEVER put meds in your pocket!! It's not a good habit to get into. If your facility doesn't have a policy for how to transport controlled substances from one floor to another without having to pocket the meds, ask for one. No nurse should eve...
  5. cienurse

    Nursing is not related to gender

    I have employed many excellent male nurses in my long term care facility. In fact, I prefer them! Men come to work on time, take their assigned breaks, and punch out on time, having been able to complete all of their work in the allotted 8 hours. ...
  6. cienurse

    Assistant Directors

    If I could, I'd make a few just like her to fill my empty positions! I've had a 3-11 open for months now and just can't seem to fill it. I need someone with experience who is a great multi-tasker and manage being the working supervisor. Only had s...
  7. cienurse

    SNF rehab unit 25 patients to one nurse

    I have 2 nurses on the day shift for 32 residents but am budgeted only for one nurse on the 3-11 shift for the same 32. I have tried to get my point across that most of the admissions come on 3-11, and that's when the labs come back as well. Also, ...
  8. cienurse

    Assistant Directors

    She is not salaried so she punches in and out and is kept to 40 hours-she's just amazing!
  9. cienurse

    Assistant Directors

    My first expectation for my ADON is that she maintains a united front with me at all times. It's okay to disagree behind doors but there can be no undermining or gossip on the units. My ADON is the clinical supervisor and, as such, is expected to b...
  10. cienurse

    New Grad RN concerned about new LTC job

    I orient my new grads for a minimum of 4 weeks. Two weeks are spent on the day shift, getting to know the residents and how to do a med pass. Two weeks are spent on the shift where they will be assigned to learn the routine and get to know the staf...
  11. cienurse

    June 2013 Caption Contest: Win $100!

    Some days, the job just gets the better of me!
  12. There needs to be a discharge planning meeting with the family. If he were at my facility, I would be having the physician discontinue the care and comfort orders and send this patient to the hospital. The family obviously is not ready to deal with...
  13. cienurse

    When did nursing caps go extinct in the wild?

    I wore mine last week for Nurse's Week. I had a group picture taken with my staff as well, which came out beautifully. The residents were all so impressed by a nurse wearing her cap and said they missed those days. I had to feel bad for my new gra...
  14. cienurse

    May 2013 Caption Contest: Win $100!

    Who's been mixing the contrast dye with the KY Jelly again?!
  15. cienurse

    Burned out and hate nursing

    Research Medical Writing or Legal Nurse Consulting. After taking the course, you can start your own business from home and both pay pretty well. Just remember that you will have to have enough clinical experience to draw upon as an expert, should y...
  16. cienurse

    57 and need to start over YET AGAIN!

    I hear you! Unfortunately, nursing homes are no longer cushy little jobs pushing a med cart and are really considered a specialty. It takes a long time to orient even an experienced nurse to all the paper compliance, regulations, and skilled docume...
  17. cienurse

    Seriously?!?!

    All great stories but you all are also describing the reason why our healthcare costs are soaring-because of wasteful, unnecessary, time-wasting, life-syphoning people who waste everyone's time, not to mention precious resources, on their frivilous a...
  18. cienurse

    Just let me be...

    I, too, went from nurse's aide (in the days when you didn't have to be certified!) to LPN to ADN and I have a very well-respected job in senior management in addition to my own business which I work from home. Nobody has ever told me that I should g...
  19. cienurse

    Always thank your nurse...

    Ain't THAT the truth!!!
  20. I drive an hour to work and have been doing it for almost 4 years. The trip is opposite the traffic that's travelling into the city so its not too bad. I find the drive relaxing and I'm completely de-stressed before I get home, making for a nice ev...
  21. cienurse

    My heart is just not in it...

    We need more nurses like you in LTC. Some of the newer ones I've hired recently told me how much they loved working with the elderly while in school and have always enjoyed being around their grandparents, etc. After 1 years comes, they high-tail o...
  22. cienurse

    Wish me luck!!

    Best of luck to you!! And let us know how everything turns out!
  23. cienurse

    Win $100! February 2013 Caption Contest

    You can run but you cannot HIDE!!
  24. cienurse

    Why do some people think they are God's gift to nursing?

    I've had "bosses" above me ask ridiculous questions or make comments like they know it all and it fried me because I knew they had no idea what they were talking about but they did it to make themselves look important. When I pointed out mistakes or ...
  25. cienurse

    Clinical experience on resume?

    I like to see clinical experience on a resume when I'm reviewing. I want to see which hospitals and other facilities were willing to give students a chance at some experience. One of the questions I ask furing an interview is "How do you feel your ...