x19amanda

x19amanda

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All Content by x19amanda

  1. Should I quit my 2nd job? How many work 2 jobs here?

    I work one part time job and two per diem jobs on a weekly basis between 45-65 hours weekly. If you don't value the experience anymore and don't need the money then work one
  2. Very good points, thank you. One full time job is very stressful now that I think back to previous FT jobs prior to nursing. I think it's just learning how to manage & not letting outside...
  3. 24yr old RN, began in 2013 at age 22 working as overnight supervisor/evening charge in LTC. At 23 picked up 2nd PT job on a Outpatient Behavioral Health Clinic at small local hospital in a high...
  4. Failing. Help!!!

    Hey, it's okay! bad grades come with the territory. take it from someone who failed a semester of nursing due to not really giving a ****, to beginning to truly put all my blood sweat and tears into...
  5. My experience in LTC

    Okay, so I am sure most of this is in my head but here it goes. I have been working as a new RN in LTC for 4 months now. I work overnights as the supervisor for both floors. It was stressful at first...
  6. Outpatient Psych & Medical

    I currently work as an outpatient RN on a behavioral health floor, and we have recently reveieved a governement grant of over 4million dollars to renovate the floor and integrate kiosks that offer...
  7. A day in the life of an LTC RN

    I've been working in a LTC/Rehab facility for almost a year and far from the contrary it has truely made me a strong nurse and even though I dont utilize many skills I have to say I am thankful this...
  8. Do you know your patients?

    One simple answer...time. I've been at the same LTC facility for almost a year with 120 residents, and I can now feel comfortable knowing almost everyone's diagnoses. You get to know by when...
  9. 1st LTC Job! Am I suppose to hate it?

    LTC was my first job as well approx 8 mths ago; I was overwhelmed as a supervisor/charge nurse and taught myself the 30 person med pass (no tx nurses and no aides allowed to do any creams etc). ITS...
  10. How does your facility do the following:

    o2 tubing and nebulizer masks and o2 get changed once weekly by 11-7 shift. MAR change over is done as well by 11-7 shift. so two floors by usually one or two nurses in 8 hours plus if anything else...
  11. Do you have to count lyrica at your LTC facility?

    yes we do. some nurses count coumadin by dating next to the cartridge when removed, and antibiotics are usually ordered with the correct amt of dosages in the cartridge needed, so you can tell if one...
  12. Am I doing something wrong?

    Hello, I recently started working in outpatient psych, and regularly give Haldol and Prolixin Decanoate injections, as well as Invega Sustenna and Risperdal Consta. So far, I have been able to give...
  13. Am I doing something wrong?

    Thank you for all of the feedback. I saw the client today, and he stated he was only sore for a few days which is expected. Over the phone he made it seem as though his arm was swollen and tender...
  14. Why do you Love LTC?

    I may want to rip my hair out and run out the door d/t short staffing, behaviors, MDs, admissions and paperwork, but all in all these residents live here, not me, and I get to go home at the end of...
  15. med error

    I understand your reasoning, but if it was scheduled it needs to be given. How often is it scheduled? If the resident is given other prn meds throughout the shift, than those prn meds should be...
  16. IM meds question

    The MD that wrote the order should have not wrote it for "anxiety." It should've been written for restlessness and agitation, because who is to say that his person is experiencing anxiety? You would...
  17. Outpatient psych

    I began working outpatient psych at a local hospital approx 2mths ago. I am one of two RNs on teh floor. My job is administering all medications such as IM's that are given Q2 or 4weeks, such as...
  18. i started as a new grad 6mths ago...i was terrified. some advice: 1) ask questions...they are never dumb. there is always someone with more experience. 2)communicate with your aides efficently...
  19. well usually all the labs that were drawn that day should come at the same time, and i collect all necessary resident's charts so I have the proper information at hand if certain labs are effected by...
  20. Least busy nursing job??

    If an office job is too stressful I dont know where else would be
  21. What aspect of nursing do you pride yourself in?

    My charting. I've been noted several times but the DON, other RN's etc on how detailed and thorough my charting is, especially when it comes to discharges and admissions. I like to give a full...
  22. What to do when a patient falls?

    If anybody falls, you immediately assess the postion that they have fallen in, and begin vitals and a head to toe assessment. Ask the res if they remember how they fell, if they hit there head (if...
  23. worried nurse at ltc

    If you document on the PQRST each time and the effectiveness of each prn medicaiton, there should be a pattern as to if the medication is working effectivenly or not. What type of pain was the pt...
  24. I graduated in May and started in June in LTC....not many hospital jobs. I do not think this has caused me to lose my skills or lose knowledge. I still read and keep up to date on info all the time....
  25. A few questions about bedside manner.

    you sound like you are doing a great job. You are being formal, polite, and very professional. You cannot spend all your time with one patient and you are going back to your nursing school roots it...