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perfexion ASN, RN

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  1. perfexion

    one week two RN jobs two states

    It is possible but difficult. I tried to work in Nevada and New York last summer, but coordinating the schedules along with flights became a hassle. I was late a bunch of times, a missed a few flights and had to call in a few times, and also I flew across the country just to be cancelled a few times. It all became too much. I actually ended up losing one of the jobs for excessive call ins. I'll never do that again. Now I work in California and Nevada. It's a 4 hour drive which is still a bit much but it's easier than a flight. The only downfall is that I somehow put myself on to work 15 days in a row between the two jobs. It's only temporary though. But I know nurses who do that full time!
  2. perfexion

    Canceled Contract

    Im going against the grain here. I think it's common sense that orientation didn't count on your Tuesdays off. Ive been to some hospitals that cancel you if you're late to orientation. Like others said, it's usually non-negotiable. It's a JCAHO requirement that we have to sit through some of the crap. If any part of hospital orientation was optional, nobody would show up. I think you should've made some arrangement to miss clinical that one day. There has to be some kind of exception to missing clinical. What if you had jury duty? They wouldn't let you miss Tuesdays. I know that's not what you wanted to hear though.
  3. perfexion

    To stay or go- traveling while pregnant.

    I started traveling right before I found out I was 5 weeks pregnant with my third baby. I did 3 back to back assignments, and then went out on leave at 7 months. I had private short term disability insurance though and my contracts were at crisis rates so i could afford to stay out a while. But I don't know if I would've started traveling if I knew I was already pregnant. But then again I had been putting it off for so long. There's always going to be something stopping you from traveling. The time will never be right. A part of me says just take the plunge. Things have a way of working themselves out. Just make sure you have some money in the bank before your first assignment. I did tons of OT before I quit my staff job. P.S. Talk to the STD company if you have it through your job. Some policies are portable and you can take them with you when you leave. You can pay directly through bank draft.
  4. perfexion

    How to ask questions...

    I think it depends on WHAT you're asking. If you're asking how to set up a rapid transfuser, that's a legitimate question because not every hospital even has that piece of equipment. If you're asking how many respirations is too many or how to take a manual blood pressure or what the side effects to a medication are, then it doesn't matter how you ask, someone is going to think you don't know what you're doing because that's basic nursing stuff. Just remember, some simple things can be googled.
  5. perfexion

    Changing specialties while travel nursing

    The thing about switching specialties is, even if you find one hospital to cross train you, you still need the same 2 years of experience to travel in your new specialty. The next hospital you go to might not be cool with only 13 weeks experience in ICU. Im looking to switch to OR myself. Im L&D. I can't even find a staff hospital to take me in the OR. Everyone wants a year or 2 of experience. I have to take an L&D staff job and wait around for an internal transfer. So switching specialties in general isn't that easy, let alone as a traveler.
  6. perfexion

    Patient-Nurse Culture Matching

    Nobody is blaming the nurse for anything. But I think if there is a cultural explanation for certain behavior, maybe having a nurse of that same culture would help. Think about what you just said: you'd assume the patient was emotionally unbalanced. What if they weren't? What if they were just taught to exaggerate pain response for whatever reason. You are just like the nurses im talking about. You think the patient's cultural nuances makes them crazy. That's exactly the lack of cultural competence that im referring to.
  7. perfexion

    Patient-Nurse Culture Matching

    Staffing isn't to blame for everything. But I agree that it's a compassion problem. Some patients are screaming in pain when you empty their Foley. I don't know the specifics of how pain is regarded in that culture, but I know that for the most part, it seems that a lot of them have low pain thresholds. I can see how that would get old to nurses who constantly work with that population. I don't think fixing staff ratios would solve that. You'd just have more nurses on the floor rolling their eyes behind the patients backs and ignoring their cries for medication.
  8. I'd like feedback from current nurses only, please no students. Do you think that the cultural make up of the nurse population at your hospital should match that of the patients? In other words, if you work with a predominantly Hispanic population, should the majority of the nurses in that hospital be Hispanic? Do you think having the majority of nurses from a different cultural background than the patients poses a problem with cultural competence? Personally I do. I work at a hospital now with a large Bangladeshi population but very few, if any, Bangladeshi nurses. The nurses are very ignorant of that culture, particularly their views on pain, despite numerous annual in-services on cultural competence. There is just no getting through to the nurses. They just think those patients can't handle pain, and they are treated as drug seekers, but it's a cultural thing. Do you think having more Bangladeshi nurses would solve that particular problem?
  9. perfexion

    Researching Hospitals Before Signing Contracts

    I've been traveling for 4 years now and I honestly stopped researching hospitals long time ago. Whatever portrait of the hospital that will be painted through the eyes and experiences of others almost never matches my own experiences. I've loved hospitals with terrible reviews, and I've hated hospitals where some travelers extend for years. Im at a hospital right now where the average traveler extends at least 3 times (though there are travelers that have been here since 2015) and I absolutely hate it here! Im counting down the shifts and I can't wait to high-tail it out of here in a month. Plus im labor and delivery and most of the reviews of my current hospital are ER or med surgery so that tells me absolutely nothing. I've learned to not put too much into reviews and to just walk in blind. If I like the unit, good, that's great! If I don't, whatever, it's only 3 months. I can do anything for 3 months.
  10. perfexion

    I committed the cardinal sin of travel nursing

    They didn't initially tell me why they wanted everything redone, Kooky. They just told me to redo everything and after going back and forth with them for several weeks, they finally told me the reason was that they wanted everything on their letterhead. But why wouldn't I question it? Everything I provided was current. But initially they just told me to get it done and they gave me a deadline.
  11. perfexion

    Too ugly to be a nurse..?!?

    There are thousands of ugly nurses out there. That doesn't stop them from doing what they do.
  12. perfexion

    Cancelling a contract

    Also, if you don't mind me asking, what other bills do you have that you wouldn't be able to pay if you're homeless and carless? Those are usually the biggest bills. Student loans can be deferred if you're experiencing a hardship.
  13. perfexion

    Cancelling a contract

    Also, if you don't mind me asking, what other bills do you have that you wouldn't be able to pay if you're homeless and careless? Those are usually the biggest bills. Student loans can be deferred if you're experiencing a hardship.
  14. perfexion

    Cancelling a contract

    Do you have a Florida license and a job lined up down there? If I were you I'd stay, take company housing and save some money. No point being homeless and unemployed.
  15. perfexion

    Summerlin RN III salary

    I have about 9 years. Also I have a choice of either part time or per diem. Is the part time wage the same as full time?
  16. perfexion

    Summerlin RN III salary

    Does anybody know what RNs make at Valley? I am NOT a new grad! I need to know the salary for RN IIIs.

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