pinkiepieRN

pinkiepieRN

adult psych, LTC/SNF, child psych

Member

All Content by pinkiepieRN

  1. Weather Policy

    This is why I'm so glad I live within walking distance of work. I hate driving, so I've always worked within 15 minutes of my job. Right now, I live 0.3 miles away. My DH walked me to work last...
  2. Weather Policy

    So far I've had 4 nurses, a nurse orientee and 1 GNA call out. The Administrator is here early making calls to try and pick people up. One of my night nurses says there's no way that she's staying,...
  3. Which diagnosis?

    I don't work psych anymore, but I do work in a nursing home and we see our fair share of co-occuring psych disorders. I gotta say that it's the TBIs that cause the most trouble and the end stage...
  4. How can I get a job in LTC/SNF as a new nurse

    At my facility, LPNs and RNs are hired into the same position. It might be worth calling a facility to ask if they'll accept an RN as a floor
  5. not enough CNAs

    I definitely agree with this. I have staff members who work with residents as if they're not people too and I can't wrap my head around how that's okay to them. I've been a psych patient four...
  6. Unhappy RN at LTC Avoid Extra Shifts

    I am SO GLAD my facility does not mandate. As much as it sucks not having staffing, there is nothing more miserable than someone who always ends up getting mandated and being told at the last minute...
  7. I don't work ICU but I can tell you from my knowledge nonetheless, I don't think there is such thing as a "quiet" ICU. Also, I preferred starting off as a new grad RN on nights because it gave me more...
  8. Going into work sick!?

    Where I work (if you're on your 3 month probation), you get a verbal written warning for your first absence. If you've been there for more than 3 months, you can get up to 3 absences before you...
  9. I started off on 1900-0730 as a new grad and hated it, more because of the 12H shifts than anything else. I felt like I could never get in a rhythm because I didn't want to clump my shifts in a row...
  10. Unhappy RN at LTC Avoid Extra Shifts

    They can't make you come in on your days off unless you already signed up for extra shifts and it's their problem, not yours. I'm all for being a "team player", but you need to take care of you too....
  11. not enough CNAs

    YES YES YES - I totally get your problem. We work at least 2-3 GNAs short everyday, due to people on light duty, scheduling conflicts, requests off and call outs. I work as the 11-7 supervisor and...
  12. The state is coming the state is coming

    Try this one for size, Corporate has been visiting our office for the past week. We're expecting the State in March but hopefully with all we're working on now, we'll actually be
  13. Here's a new one: chart assessments before midnight.....

    I agree with some posters in suggesting you "back-date" your charting/assessment. Our facility also allows you to write a note, and then link a follow-up note to the original note. That way, you can...
  14. My husband's mom was talking in the car to his cousin and I, saying how nurses aren't regarded well in Germany because they don't do much other than wipe butts and I had to say to myself, "Somebody's...
  15. The issue at hand is short staffing. I don't know if some of the GNAs changed their schedules or availability around but the staffing coordinator has been leaving the building at 4 or 5 pm with...
  16. GNA staffing, retention and burn-out

    Ugh, according to COMAR (state regulations), With the staffing ratios we have right now, we're actually exceeding the minimums of that regulation. Our usual ratio (with 2 GNAs/floor) is 1:16 or...
  17. GNA staffing, retention and burn-out

    Thanks. No, seriously! I think I've been looking for rationalization for my concern. I think unit managers are working with what they have, because they don't actually hire their own staff (that's...
  18. GNA staffing, retention and burn-out

    Hmm...this is a good question to ask. I feel like we likely do "meet the numbers", but something is wrong with how we schedule people, especially part-timers and extra shifts. There are about as...
  19. My sleeping pattern is messed up...

    What is your school/work schedule like? When do you have to be awake, alert and functional? Three hours of sleep is never enough. It sounds like you're working yourself into the ground and catching...
  20. 11-7 meds

    Scheduled for AM: Synthroid, Prilosec, Protonix Q6H meds given at 6 AM: Baclofen, Morphine, Reglan, Heparin, Hydralazine And of course everything for residents who have dialysis p/u at
  21. The state is coming the state is coming

    OMG our 3-11 supervisor is driving me crazy. She worries more about all the MARs and TARs being signed and dietary passing out the right amounts of liquids to residents than she does about new...
  22. Sleepy Nightshift nurse

    My eye mask is a Godsend! That way, even if I wake up, I can't automatically see the alarm clock to check the
  23. Night shift nurses: tips on sleeping AT NIGHT

    I work 11-7 M-F, so YMMV. On Saturday mornings (after my last shift of the week), I try to go to bed as soon as I get home around 8 am. I'll wake up around 2-5p, stay up until ~12MN, take a...