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  1. ruralnurse84

    Two mistakes in 2 weeks

    I think as long as you own up to your mistakes and verbalize what you have learned from them and will do differently in the future, then everything should be okay. We all make mistakes, it's learning from them and making sure we don't make the same mistake that is important. We have at least one nurse who makes mistakes on a weekly basis (I'm seriously not exaggerating, one day there were three incident reports against her alone) and somehow she finds someone else to blame. Of course, I don't know what happens when she meets with our manager but she continues to make pretty hefty mistakes and doesn't appear to learn anything. How she is still working here, none of us knows. So go into your meeting fully aware of what happened and what you will do to change things from here on out.
  2. ruralnurse84

    Scanning meds for refusal

    I just click on not given, reason pt refused and don't scan the meds.
  3. ruralnurse84

    Sign off/low census policy???? Is this an issue????????

    Ours is voluntary per our contract. Most of the time for night shift we don't have enough people scheduled to go low census, but we can go on call and we get $4/hr if on call. If we get called in, then that shift we work is time and a half. These are 12 hour shifts. Day shift is a little different because they have more staff so some will request low census and get it vs being on call. PTO can be used if on call or low censused.
  4. ruralnurse84

    What's your patient-nurse ratio at your hospitals?

    We've been at max 1:5 for a while on nights but recently management decided 1:6 or 7 would be perfectly fine on nights, mainly because they don't want to fill the holes with another staff nurse. I would be okay with it if our resource nurse was on our floor for our busy times but she's usually getting pulled to ED or OB at those times. Ah the joys of a small hospital.
  5. ruralnurse84

    IV Medication Administration

    I work in a small hospital in the states and we have to reconstitute most of our drugs ourselves but it's already entered in as an order to what bag size it gets reconstituted with. On the rare occasion that this does not happen I just look it up in the IV drug manual we have on the floor. That will tell you what size bag you need. Zosyn at our facility is commonly mixed in 50 ml bags. In fact I just mixed some up tonight.
  6. ruralnurse84

    Advice for a Washington State wannabe student?

    Op I sent you a pm.
  7. ruralnurse84

    Moving to Montana in the very far future...

    I know this was posted a while ago but I thought I would give you an answer. Why oh why do you want to live in Montana? I only survived one year there and will never return, despite what my husband thinks. In all seriousness though, it is pretty easy. Just apply for licensure, and they have a fairly quick turnaround time. The nice thing is that the licenses are good for two years and expire at the end of the year rather than on your birthday. I got my first license in Montana straight from school in Washington state. The thing that took the longest was them receiving my transcripts. It took a lot longer to get my Washington license from Montana. Good luck!
  8. ruralnurse84

    That was close!

    Worst case actually could be that there's a huge infiltrate in that area. My friend actually had that happen to her in nursing school (meaning done to her, she didn't do it to a patient. She was getting both her flu shot and ppd done on the same day. The nurse who was administering both, gave her the flu shot intraderm and her arm was a huge painful mess for at least a week. So I am really glad that you didn't make the same mistake. From what I can remember the nurse who did this had 20 years of experience and I think ended up getting fired or at least suspended.
  9. ruralnurse84

    Did you contract anything from a patient?

    I had a guy in for gastroenteritis (frankly something that should have stayed home but we admitted him for dehydration, insert eye roll) and wouldn't you know I was puking and had a fever the next day myself. Thankfully it was only a 24 hour bug, but it was miserable and I had to call out for two nights. I can put up with head colds, but stomach bugs are a nightmare and I am very susceptible to those.
  10. ruralnurse84

    Most Cringeworthy Thing You Did in Nursing School

    My first clinical day in the hospital I had a diabetic patient who had an insulin pen. In this particular facility the pharmacy dispenses the pens for each patient and then they're kept in a patient box in the med room. I gave the insulin at breakfast time and then lunch time rolled around and could not find this stupid insulin pen. We searched everywhere. Finally I realized that I had dropped the entire pen, not just the needle, into the sharps container. Omg I felt like an idiot. Fortunately my instructor had a sense of humor about it and we just ordered a new one from the pharmacy. Have been incredibly vigilant about those stupid pens ever since.
  11. ruralnurse84

    Is this reasonable or just over the top?

    We moved to bedside reporting last year, which was actually an improvement because we used to have to listen to report on every single patient, frequently putting us into overtime. Fortunately we are not at a scripted stage yet and can often get away with doing report in the med room, especially if there is a lot of family in the patient's room or if the patient is sleeping. However, our hospital is in the process of becoming a Studer hospital, hopefully this does not make us do a scripted report. That's so completely asinine. People like to be individualized not made to feel like the same old thing over and over again. Also, doing a mini assessment at report is absolutely ridiculous. One of the nurses I frequently give report to likes to do this while I'm talking to her so she misses half the things I tell her and then will say at the next shift change that I didn't tell her so and so, but that's a whole other issue.
  12. ruralnurse84

    2017 Nurse Salary

    Eastern WA experience: 3 years in July, Med surg in a critical access hospital, ADN pay: 31/hr base, 4/hr night shift, 3.50/hr weekends, extra $10/hr for extra shifts, OT after 12 hours/shift or 40 hours a week. If we work holidays we get the holiday pay plus the entire shift is overtime. This year the hospital negotiated our dependents' premiums to be much lower than previous years and any care we get with our hospital's group is free, which is great for me since I'm having a baby next month. COL isn't as horrible in Eastern WA as it is in Western WA, for example our rent on a 1700 sq foot 3bed/2ba 1.25 acre is $1300 and the mortgage would be equally comparable, however my brother lives in Western WA and either pays the same or more for their mortgage on a much smaller 2 bed/1ba in a crappy neighborhood. Since most of the hospitals in the state are with a union, hospital nurses are paid equally across the state on a step scale, so we're doing much better over here in Eastern WA than someone in the Seattle area and there are less people to put up with :)
  13. ruralnurse84

    What Did You Get For Nurses Week?

    Most of what we got was kinda laughable, an adult coloring book, a very strange jump rope that took some figuring out that it was a jump rope (had two handles with buttons on it and a clear tubing) and a first aid kit. The one thing we got that was very nice was a $25 gift certificate to a local winery/restaurant. I will be using that after my baby comes next month.
  14. ruralnurse84

    Got into my program but I'm nervous!

    As someone who graduated two years ago, this is my two cents. Find a few people who you can form a study group with, you know, people who actually want to study and that you have things in common with. I could have never made it through without a gal who I met the first day of class and we pretty much immediately bonded. Now, we both could have studied more, but as nursing was our 2nd degree we probably didn't put as much effort in as we could have but we still both graduated with honors (I can't say the same for my first bachelor's degree). Just depending on your study habits, how you learn information, put a lot of effort into it and remember that nursing is not memorization, you need to understand the whole concept and really be able to think about why that is right, more right, or the most right answer. If your program uses ATI, it will be a huge help in getting you ready for NCLEX. Hopefully your tests will be structured like the NCLEX (which mine were). Don't be afraid to talk to your instructors, go in for office hours if you need help. Be proactive in clinicals, don't be that student that sits on their but waiting to be told what to do, trust me it will go a long way to impress your clinical instructor and the nurses you will be working with. Good luck in school! It will be one of the hardest and best times of your life.
  15. ruralnurse84

    Piggy back off "Irrational Patients"

    We have a patient like that now, has been "firing" all the nurses and even called the FBI on us...nursing supervisor came in and pretty much laid down the law that she couldn't fire anymore nurses and she would have to listen to her nurse. Oddly that calmed her down and being firm with her worked better than being sweet with her. Fortunately I work in a hospital that has good supervisors who tend to believe our word over that of an irrational patient.