ruralnurse84

ruralnurse84

LTC, Rural, OB

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All Content by ruralnurse84

  1. CRNAs: We are the Answer

    In my rural hospital, we only have CRNAs. They practice autonomously and are very good at what they do. One of them did my epidural while I was in labor and now that I work L&D, I work with them routinely. I can't remember the last time I came...
  2. 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 ...
  3. Scanning meds for refusal

    I just click on not given, reason pt refused and don't scan the meds.
  4. 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 ...
  5. 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 o...
  6. 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...
  7. Advice for a Washington State wannabe student?

    Op I sent you a pm.
  8. 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 e...
  9. 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 da...
  10. 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, bu...
  11. 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 breakf...
  12. 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 awa...
  13. 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 holida...
  14. 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 ...
  15. 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 g...
  16. 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 tha...
  17. How to help your relationship survive night shift

    Do you work a set schedule or is it more random? If you are off for a stretch try getting back into a daytime routine so on your days off you can do stuff with him when he's home. I've worked night shift since I got out of school almost 2 years ago...
  18. Clinicals?

    You will have no control on what group you are in and if you get to be in a group with your friend and it will more than likely change each semester/quarter. Ours was set up with 7-8 per group each quarter and we changed instructors and who was in o...
  19. Nursing is the Biggest Mistake of My Life

  20. Nursing is the Biggest Mistake of My Life

    It definitely all depends on location and where you're willing to live. I got a job right out of school because my husband had already moved to middle of nowhere Montana and they were hard up for nurses, actually they still are. When I wanted to re...
  21. Whats the Catch: RN to MSN?

    Most, if not all, RN to BSN/MSN programs require you to be working as an RN so I don't think that option would be there for you.
  22. Another reason unions suck!

    I love my union. I far prefer this union facility I'm at now over the nonunion pos place I used to work at. Better pay, better and guaranteed raises, better premium shift pay. No mandatory low census. My old place lowered your hourly wage for eac...
  23. I need to choose a college to complete my RN on line

    WGU is a really good online accredited school where you can do your RN-BSN. They start cohorts every month and the terms are 6 months long so you have some wiggle room in how fast or slow you do your program. The pricing is also very reasonable. I...
  24. When can you start applying?

    Our nursing program encouraged us to start applying for jobs as early as Feb/Mar before our June graduation. Theory being if we did get hired before graduating and passing nclex, our employment was conditional on those two things and in the area I g...
  25. 2016 Salary thread

    1. eastern WA, RN 1.5 years 2. 30 base, 3.50 night diff, another 3.50 weekend diff, once I get my BSN extra 1.00; we also get paid really well when working holidays and if we pick up shifts, we are union 3. Rent for 3 bed/2ba 1300 not including utili...