Nuieve

I know there's no scientific evidence... which only proves whatever research that was done on it was deeply flawed. My 15 years of experience tell me there's a connection between dementia exacerbations and severity of encephalopathy during full ...

I work in Critical Care, top floor. We have a helicopter pad on top of us. Whenever the helicopter is used, the whole floor gets full of fumes, I guess I'm more sensitive, I'm literally choking the whole time, other employees note the stink but don't...

In the last 4 days I forgot to punch out of lunch 3 times (I only been working there for 2 weeks). I just keep thinking about patients and things I need to do, and I don't spend lunches in the lunch room where the stupid Kronos is, and the lunch room...

I work in a rehab center. We're famous for accepting patients every other single nursing home refused. Mostly drug junkies, alcoholics. I noticed in hospitals they rarely get more than 5-10mg of hydro or oxy. Once they come to a nursing home (or I ...

I have NCLEX test questions that contradict each other. Which is the initial action: 1. Elevate head of bed or 2. Give oxygen. I would assume elevate bed, since physician's order required for oxygen. Also, I'm confused about positioning with embolism...

Saunders book says 35-65mg/dL, CD 15-45, Kaplan 80-110. A bit too much difference for me. [video=youtube_share;prB9cdVOkEs]

I have BIG problems remembering meds and all the info related to them (dosages, adverse effects, iterraction with other meds, activity times etc etc etc). I just got NC Review 3000 - and there hundreds of meds mentioned in hundreds of questions. ...

Ok, a little update. So I did orientation in both nursing home. First one, luxury, very easy. Only 15 pts, most of them take just a few pills. No treatments. But the people their require extra caution as they're rich and my bosses expect you to kiss ...

I work at SNF making $26.25/hr. 12-hour shifts, 3 on 4 off. Flexible schedule (get my vacations when I want them, management very accomodating and I love everyone I work with). But the clientelle is as bad as it gets: homeless, narcs, alcoholics, men...

Oh yes, I will have to! Don't need a 4th job I don't want! My current job is my first one, so I was still inexperienced with interviews, and had that newbie "will not bring up compensation during initial interview" mindset. I guess it didn't work ou...

Thanks everyone for your encouragement. All said true. Also, I think... ok, I got lower rate now, but if I prove myself worthy to them as a potential fulltime employee (which I will work hard to do), I will have another chance at re-negotiating pay l...

I feel guilty for them spending money on me on orientation. And also, I live in a smaller town, we don't have all that many nursing homes, everybody knows everybody, I don't want to get a reputation of someone who gets hired, gets their orientation m...

By some accident, our RCM did the evaluation for pretty much all the stuff 3 days before my one year anniversary. However she told me HR lost? all the evaluations, so she had to redo them for everyone. When asked if this comes with a raise, she repli...

I think the numbers don't mean much without info on patients acuity. I'll take 60 alert and oriented people who only take 1 pill a day, don't have treatments, and are generally stable and independent, than 20 alcoholics, schizophrenics, narcs, psycho...

I'd rather do medpasses than treatments. But then again, I like routine, I find it relaxing.

I was doing Kaplan test and it says it's a non-invasive procedure. I think Kaplan is wrong, isn't it?

I gave up on treatment carts long ago. Completely useless for anything but skin prep. Can never find anything there. Whatever I leave there is gone the next day, and no replacement. Always go straight into the med room, even for something trivial lik...

While for some it's a no-brainer... more money, status etc... but have any ones of you taken an upper level position (manager, resident care supervisor etc...) and regret it later, possibly going back to pushing cart? In our facility this type of job...

Our facility pays $3 more than all the hospitals in our town (starting wage).

But please, be honest. And by first, I mean the very first of your career. Today I had my first one (I've been working for just a month). One of the aides found the pt dead. She was still warm, but she looked completely dead. I rate my response at 3/...

I had my clinicals in a hospital m/s, and in all honesty I didn't like it one bit. Yes it's high-tech and all that, but it's not something I'd like to do for prolonged time. Every day I went there like for a servitude. I'm a laid-back person and it ...

The nurses I work with seem to remember each drug a patient has. They just pull them out of carts, pick the ones pt needs at this time (including vitamins) and then verify/chart them in MAR book. They just know what every patient takes. At this time ...

Is there a guidelines for skin care? Our facility doesn't have the protocols handy (our instructor should have ones, but she got into car accident and we don't have a replacement yet) We have dozens of dressing types and creams. I have no idea what t...

Thank you so very much Chris! I'm a 2 weeks old nurse... new graduate. I kind of expected wound care to be addressed during my orientation, but due to the acuity of pts (or lack of thereof to be precise) we don't have many wounds. Maybe one or two pe...

Ok, I'm new (my 3rd week) in a LTC, so for what it's worth: - missing meds... and especially when the previous nurse(s)s charted med as given... some obscure med that other pts don't have (to borrow) and emergency cart doesn't have either.... and thi...