melissa_rn

Just wondering how other clinics handle the situation of destroying pain meds. For example, say a patient was prescribed Percocet, but they had a reaction to it, so the doctor wants them to get rid of the Percocet before giving them a prescription f...

I never worked in a hospital after graduating nursing school. I worked at a residental treatment facility (psych), then a family practice clinic, and now a rheumatology clinic. While I don't plan to work in a hospital any time soon, I do wish I wou...

Just started a new job in a rheumatology office and will be giving an IV Boniva next week. I'm pretty confident in my ability to find a vein....but I'm not sure how the IV Boniva is set up. Will I be able to "pull back" to see if I'm in a vein? Wi...

Don't plan to "wing" it. Plan to get instruction by the doctor (since there hasn't been an RN in the office for a few months) but I wanted to have a bit of a "heads up" from some infusion nurses before going in to it.

I was a clinic RN in Seattle for 5 years. My pay there ranged from starting at $23.50 and ending at $28.24. Then I moved to NH. Pay in NH is much lower than Seattle. I asked for $23 here (since I had 5 yrs experience) and they looked at me like I ...

Looking at a school nurse position for a small-town elementary school (430 students). My previous experience is 1.5 years at a residential treatment facility for mentally ill children and most recently 4.5 years at a family practice/sports medicine ...

I was offered $15/hr. Is that a usual salary for school nurses? I made $15/hr when I was a secretary during nursing school.

I recently had an interview for a part-time family practice clinic RN position. I have 5 years of experience in a busy family practice clinic but we moved to another state. This was my first interview after getting licensed and they had me back to ...

I liked the ease of use but I turned into Cybil on it! My moods were all over the place. happy, then crappy, then near-tears, snapping at patients too! NOT like me. I took it out and moods went back to normal.

I work in a clinic in Seattle that uses MA's who have not been formally trained. Some of them refer to themselves as "Dr. so-and-so's nurse" on the phone with patients, pharmacies, and other facilities. They do everything that the nurses do except ...

I graduated from nursing school in December of 2003 and started my first RN job in Feb of 2004. In December I was made nurse manager and life hasn't been the same. I'm up most nights with a racing mind, worrying about the staff nurses, worrying abo...

About 2 weeks ago I put a fiberglass long-arm cast on a hispanic man who did not speak english, per dr's order. The man had an interpreter with him. The fracture was at the radial head. He worked at a restaurant and slipped/fell in the kitchen. W...

So...I've been working at my new clinic job for almost a month, and I have a few questions... Most of the doctors have Medical Assistants working with them. I am the float nurse, so I will be helping everyone. I do a lot of calling Rx refills to th...

Has anyone ever hit the humerus when giving an IM in the deltoid? If so, what do you do?

Glad to hear I did what everyone else did...pull out a little, aspirate, and give the med. The woman I was injecting was a big lady, too! A fisherman, at that, with big muscles, I NEVER would have thought I would have hit the bone on her with a 1....

Last week I found a new job (therefore I notified my boss, the executive director, that I would be leaving my position as nurse manager). The next day she quit without notice (read: stormed out). We only have 4 full time nurses and are supposed to...

Thank you for the advice, I appreciate the support I receive on this site!

Can LPN's work by themselves? For example, at a residential treatment facility where there is typically only one nurse working at a time, can that nurse be an LPN?

We always have an RN on call, and typically the LPNs are only doing med passes and first aid...

I am a new grad and new nurse manager. We have a nurse working with us who has 18 years experience. He works 2nd shift which starts at 2:30pm. Probably 85% of the time he is late (arrives at 3:00 or later, sometimes up to 2 hours late). In the la...

I finally did it - adios to this nurse. I feel bad, he was a nice guy, but the other nurses have thanked me and I believe I have earned their respect. (A very unpleasant conversation, though!)

What kinds of methods do you use for monitoring compliance in infection control? All of our new employees have initial training/bloodborne pathogen training, but what else? Should I be doing random handwashing audits? I work in behavioral health a...

We do have P&P's regarding this situation - basically 3 strikes and you're out - the problem is that the last "manager" NEVER disciplined him for his tardiness or call-in's with the excuse "I'm late too so I can't say anything to him, it'd be the...

No med/surg necessary! I graduated Dec '03 and went right into residential psych for adolescents. Dec '04 I was made nursing supervisor. Med/surg will never hurt, but it is not necessary. I think that I wouldn't be a nurse right now if I had done...

i work in residential child and adolescent psych. we're a non-profit agency so the frustrations abound with lack of supplies and turnover in staff. the kids live with us for 3 months to 2 years, so the greatest reward is seeing a child get ready fo...