fairyluv

I have called in sick and have been asked "well what kind of sx do you have ?" If it was diarrhea the response i got was we got stuff for that. Nausea im sure we can get you some zofran. I called in cause my bp was 210/120. Explained that i have blood pressure prob. Staff dev nurse was very understanding (shes new) went to work my next scheduled shift after 2 1/2 hrs had another nurse check my bp it was 220/140. The nurse told the on call nurse (who was still there) she was taking me to the hosp. I had started my med pass and had to wait til i got relief because on call nurse was busy trying to find me replacement. I finished half my med pass before the other nurse made me put my cart away and tell the other nurse we were leaving before i had a stroke.

I'm looking for LPN-RN thru Excelsior.

We have an APN that works at our facility under the medical director, the APN often takes call and gives orders..ect. The APN was offered another job with another Dr. word has it the medical director is going to be hiring a new nurse and this new nurse he has hired is an LPN and she will be replacing the APN and also taking call for the med director and rumor has it giving orders. Can we take orders from another LPN in the middle of the night when we have to call her cause she is on call for the med director ? The SBON is very vague on this. there website says this about it. I'm not sure how to interpret this. "Although a licensed nurse relating verbal and telephonic orders to a licensed nurse may have become accepted practice, neither the State Nurse Practice Act nor the State Board of Nursing Rules specifically address this issue. Verbal orders transmitted over the phone place the licensed nurse at greater risk." How would you interpret it ??

How do I know if an on-line program is accredited through my state ?

Have you ever had a positive result and what did you have to do about it ??

The company I work for has 2 facilities in the same city. The facility I am at now is nice, it was rough starting out and establishing my place being the new kid and all. I've been at this facility for a little over a year now. When I was hired I was hired for eveings. I asked about dayshift, since that was what I was really wanting. I was told I would have to "prove myself" before i would be considered for a dayshift pos. I have been told by the UM and the DON on numerous times within the last 6 months, that they were working on moving me to days. I have been scheduled a few days on dayshift but that was just to fill in while some people where out on vac. I am not on days and haven't heard any more news about me moving to days in over a month. I have heard through the grapevine that the other facility has some dayshift openings, I have also heard to that the company doesn't do transfers, you would have to apply at the facilty and give a 2 week notice at the current facility and start all over as if you were a completely new employee. but yet there a notices posted about how are sister facility is needing help and would we sign up to work over there to fill in the slots. I don't know whether or not i should apply and start all over, or just wait it out where I am now until a dayshift pos comes available. I would really like days, but i have proved myself at my current job and don't know anyone at the other facility, but dayshift would really work out better for me and my family. I know it would be like starting a whole new job, and i'm afraid I would have to go through the 'We'll make it rough on you so you can prove yourself" mentality. I'm just not sure what to do. trying to weigh my pro's and con's. The only pro's I;m coming up with is that it is dayshift, the con's I get are that i would have to prove myself all over again and fear of being eaten alive for being the newbie.

yes I was kidding. I would never do that. But I did have a nurse suggest that to me. I for one would never do that to a res. nor would I do that to the CNA's no matter how many evil eyes i get. besides it's more work for me to have to give extra meds that are not necessary. No one has said anything to me about not switching. So I guess it's ok. But this particular nurse and her friends have a history of bullying other co-workers. or so i have been told. The cna's once told another nurse she was suppose to get her own vital signs cause the cna's weren't gonna do them. In our facility it is the cna's duty to get vitsl signs. these cna's are often seen sitting behind the nurses station for most of the shift. and if you , the nurse, being their superior, say anything to them. they retaliate against you, accuse you of abuse and the next thing you know you are on suspension. There are several nurses who do not like working with them because they do this. and are afraid to say anything to them about doing there job.

my certificate actually says certificate of training in IV therapy. I guess which basically means, i can start a peripheral IV and start certain meds. But there are still some that the RN has to do that I can't.

In my state, we get IV certified in school. So by the time we grad we are already IV cert.

Every CNA on the hall who has to tell you that so and so has a cough and you need to listen to her. Yes I'm sure I probably do, but I don't need every cna on the hall to tell me that in a matter of 5 min. then run and tell everyone i didn't do anything...ah yes I did, I got x ray order and got exray done. doctors/apns who don't want to talk to families. family member wanted to know who authorized sending pt to hosp. and why. Told family member who made the decision and why. Family member said they would be in to talk to APN/DR. Tell APN?DR and get told that family member has to direct all questions to charge nurse (not unit super). Ah I am the charge nurse and I can't tell family member why doc made that decsion. Mngmnt that wants to admit every tom dick and harry under the bridge and keep them in a bed til they are nearly dead before they let us send them out to hosp. Hosp who send them back while they are still nearly dead. Just for us to send them right back. Starting my shift off by sending someone out to the hosp. because they are nearly dead and previous shift says they weren't like that and hr ago. really ?? they are in ICU now. And the nurses who say i am incompetent because I have poor time management. Really ?? i swear everyday I worked for a solid week I sent someone out to the hosp before I even started my first med pass. Because mangment was hoping they would improve and we wouldn't have to send them out. in other words don't call the doc yet, we have to give him something substantial rather than a change in mental status...IT'S A HUGE CHANGE IN MENTAL STATUS. When you go from being outgoing, alert, oriented to lethrgic, combative and uncooperative. One night I sent out 4 back to back. I was 2 hrs behind on my med pass and no one to help with the discharge orders because they were busy with there med pass. and my UM left after telling me to get the discharge orders started on the 3rd one and call about getting the other one sent out to. Being told by UM you're a great nurse you can do it !! I DON'T FEEL LIKE A GREAT NURSE !! that annoys me.

I got the evil eye from several cna's today. And it had nothing to do with them. Another nurse (who only works prn and maybe once a month at that) was scheduled to work today. I was scheduled to work hall # 3, and she was scheduled to work hall # 2. Apprarently she had been a CNA on hall # 3 for yrs. and only worked on a prn basis while she was in school. So I never worked with her. She was mad that I was on hall # 3 and she was on hall # 2 and told me that she was supppose to be on hall # 3 that day and I was suppose to be on hall # 2. (now mind you the way she approached me was very intimidating and bullying) I told her I was on hall # 3 the previous day before and I really did not want to switch. She would have to call the staff nurse if she wanted to make changes to the schedule. She said she did but the staff nurse never answered. And that she wasn't clocked in yet, so she was leaving and she left. I called the staff nurse and she answered and she said she would be there soon. I went ahead with my count and took the cart and started my med pass. (which i had to start late because of the damn drama). I seen the staff nurse about an hour later, then I seen the other nurse (i guess she came back and worked the other hall). now mind you the other cna's used to work with her and they had all been of the same cliuqe. I got the evil eye from the start, i guess since I didn't back down and give up my hall when they all thought I should. later on that day I was told by a super that I needed to "help her out" because she was behind. (I guess it was my fault that she threw a fit and walked out, because I wouldn't give in to intimidation. ) I still had my med pass, tx's and charting to finish and my shift was almost half over. I never got time to help her. I had to stay over for and hour and half just to get my stuff finished. And I'm suppose to 'support' her after she tried to bully me into giving up my hall. Really really rubbed me the wrong way. Why should I give up my hall to someone who only works once a month ? When the schedule clearly shows me working the hall that I was on. I did not want to move, I did not appreciate her telling me I 'had' to move, nor did I feel it was fair for them to even suggest I move. And not only that, but to leave because you didnt get your way ?? i have never threatened to leave before I clocked in because I didn't like my assignment. I have threatened to not come back. But I have never threatened to not accept my assignment. I have asked to have it changed before. and accepted it if it wasn't and dredged through it. But never said I would leave if it wasn't changed. And so many people will do that, and they will let them and change assisgnments for them so that they won't leave. I think if someone would have been there who has the authority to change the assisngment, i prob would have had to move. really just ticks me off. Now I worry, that I'm gonna get wrote up for not being "supportive". and the evil eyes from the cna's wasn't needed, I could have been a real witch and laxed every incont res I had. but I didn't. Why ?? cause I'm better than that. but next time, i might consider it.

Well she's apparently precepting the other new nurses now. She had an orientee (not a new grad) the other night. and as far as seniority...I have been there a year now, she hasn't been there a month. And the nurses that have had to deal with her said she will pick you apart. Not a good way to try to make a good impression. IMO

I haven't had to deal with her to much. but some of the other nurses have, and these other nurses really go out of there way to make new employees feel comfortable, but when the new employee starts criticizing the preceptor's work and begins to act like the preceptor is the orientee is not a very positive first impression. Do you really want to work with a nurse who picks apart your nursing ability and not in a nice way for others to hear ?? someone who looks to find things that you have done wrong and runs to the Nurse manager to grip about it. She has only been there 2 weeks.

we have recently got a lot of newly hired nurses. A couple of them are new grads, the others are more experinced nurses. One of the experinced nurses has a chip on her shoulder. Now she has been here maybe 2 wks. Just got off orientation. She has the mentality of acting like she has been there for yrs. Has become very teritorial over a certain hall. Which is creating some probs among some of us nurses who have more seniority over her. Not to mention she is rude and obnoxious, and very demeaning to the cna's. the other night she was trying to give report to the oncoming nurse, the halls are split so that you may not be giving report to the same nurse for all res. for exp, dayshift and evening shift you will give report to the same nurse, but on night shift the halls are split between 2 nurses, so you may have to give report on certain res. to both nurses. This new nurse was trying to give report on res. to the nurse that was not assigned those res. that nurse kept trying to tell her she did not have those res. but the new nurse wouldn't listen and kept trying to give her report, so when the nurse who had those residents interupted to tell her that they were her res. the new nurse, told her they weren't her res. and she needed to mind her own business. To which the nurse informed her that she was the Charge nurse on that shift and they were her residents and she wanted report, the new nurse said she thought she was just a CNA. This new nurse has only been oriented to one hall, they will not orient her to the other hall. Which some of us would like to move to that hall since the res. on that hall are less demanding than the res. on the other halls. Apparently that is not gonna happen, for the last 2 wks since this nurse has been hired she has been assigned that hall. she has written up her cna's for simple things. She has belittled other nurses, and acts like she has been at facility for years. We are a bunch of close nit nurses. We all have our moments but we have never treated each other with disrespect that this nurse has done in the 2 wks she has been there. She has this attitude like she has some kind of power. She acts like she has authourity over you as a superior. Which she is not, she's a staff nurse like the rest of us. It makes me mad that this nurse, thinks she can walk in off the street and start calling the shots. And the administration is either blind to it or don't know about her attitude. Or else they are doing her a favor since she seems to be good friends with the staffing coordinator.

I really think it's time for a change for me. I'm just getting really burnt out and I have to drag my self to work everyday. I feel that I'm putting my lic in jeopardy everyday I'm there.