salvadordolly

salvadordolly

Oncology, Med-Surg

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All Content by salvadordolly

  1. What is the one thing you wish you had known on your first assignment?

    salvadordolly replied to Traveldee's topic in Travel

    Negotiate details of your contract - working hours/shift, OT, time off, orientation are the most important. I didn't negotiate much about my first contract and ended up with only one day off a month!...

  2. Is 8 months too soon to leave a job?

    salvadordolly replied to C-lion's topic in First Year After Licensure

    I'd try for the one year mark. I'm a manager and I hate it when people cut out before a year, but I'm usually supportive because they've gotten something that fits better for them. On the other hand,...

  3. What are HHA, agencies, hospices going to do with ACA?

    salvadordolly replied to SuzieVN's topic in Activism, Healthcare

    I'm part of an HHA with about 150 employees, only 25 are full-time. My administrator tells me she is going to pay the fines and that health insurance is still way out of her range. I'm interested in...

  4. PRN narcotics for patients who cant request it?

    salvadordolly replied to EMYrn2011's topic in Patient Medications

    I worked in a facility that converted to sub-acute and hospice. The LPN's there were very experienced in LTC but not so much post-op and hospice care. They were very uncomfortable giving "heavy...

  5. Which is more stressful: med-surg or SCU?

    salvadordolly replied to Nurse ABC's topic in General Nursing

    I think they are both stressful, just in different ways. I'd prefer the challenge of acuity over the challenge of a bad working/colleage

  6. Nurse with no hospital experience

    salvadordolly replied to dcnursey101's topic in Job Search, Interview, Resume

    When I was a new grad, I went through the same thing. I moved to an area of shortage, so that I could get my hospital experience. I did end up with plenty of it, moved back to my hometown, and never...

  7. Losing respect for nursing students

    salvadordolly replied to kjnsweets's topic in General Nursing

    Most of the students I've worked with have been eager to learn and respectful. But I agree with OP, I'm starting to see more of what she describes. . One of my educator friends says that she fears...

  8. Afraid to quit job after 2.5 weeks

    salvadordolly replied to kjan's topic in General Nursing

    There are a lot of bad home care companies out there. Home Heath is a very difficult place to start as a new grad, especially if you are not getting the orientation you need. I would go directly to...

  9. Tired of disciplining people

    salvadordolly replied to salvadordolly's topic in Nurse Management

    Thank you! I wish I had an HR Dept to help sometimes. And yes, the time-consuming aspect of it gets on my nerves, I don't like having to take work home with me. Good luck on your situation as

  10. Chemo Certification

    salvadordolly replied to hope2-B-RN's topic in Oncology

    Your doctor will be affiliated with a hosptial system that often offers their own. I would ask the oncologist about this first before doing the ONS one. Most of the docs in our area do it this way....

  11. RN total patient care...

    salvadordolly replied to julz68's topic in Patient, Colleague Relations

    It is so not doable! I worked on a busy Onc floor. RN assignment was 5 patients. Went in one day and without any warning, they announced that they did away with the CNA's and we were to do total care....

  12. Mandated cancellations

    salvadordolly replied to kellycinalli's topic in Patient Safety Issues

    This happened occasionally at the hospital unit I worked at. However, in OB, they were getting VTO'd (voluntary time off, LOL) at least twice a week. All of them just found other jobs and the unit had...

  13. Home Health documentation/corrections obligation

    salvadordolly replied to oh2204's topic in Home Health

    Wow! Our agency has never called ex-employees to correct their charting. That is crazy. I seriously doubt they could report you to BON because you have fulfiilled your duty. You have done your...

  14. Neglect? What would you do?

    salvadordolly replied to KATRN78's topic in Private Duty

    My agency had reported these types of cases as well. It's difficult. Why didn't your manager get involved? CPS in my county is great, they really focus on solutions. They will help the family with the...

  15. Moving to Denver in 2014, Needs Help with Hospitals, Pay, Etc

    salvadordolly replied to Snyder524's topic in Colorado Nursing

    Sign- on bonuses are red flags to

  16. Company car, pros and cons?

    salvadordolly replied to St_Claire's topic in Home Health

    Wow, I wish my company would do this. sounds like a good

  17. Is this out of scope of practice?

    salvadordolly replied to Maddyd's topic in General Nursing

    In some states, an RN can start the emergency detention (hold) process. But ultimately to be admitted, a psychiatrist has to agree with your assessment. I've never heard of RN's being able to "direct...

  18. Does nursing change you into an angry person?

    salvadordolly replied to DesireeBeyerGreen's topic in LPN, LVN Corner

    I think nursing as a career has more emotional ups and downs than do some other careers. My brothers are in engineering and computers, they do not seem to have the tumultuous career path that I have....

  19. Had latent TB in my teens, how will this affect me in nursing?

    salvadordolly replied to JasonKa's topic in General Nursing

    i have this too. Your employers will just require a chest x-ray every 1-3

  20. Moving to Denver in 2014, Needs Help with Hospitals, Pay, Etc

    salvadordolly replied to Snyder524's topic in Colorado Nursing

    I moved out of Denver, but when I worked there, I thought the HCA Hospitals (Swedish, Aurora, Presby-St. Luke's) sucked - they are for profit hospitals and have crappy staffing. I loved, loved, loved...

  21. Saying no when work calls

    salvadordolly replied to TerpGal02's topic in General Nursing

    My rule of thumb is to automatically say no the first three times they ask me, otherwise they come to expect it and penalize you later on in some passive-aggresssive way or another. I too, do not...

  22. Please Help with Incident report on myself!

    salvadordolly replied to MelissaC RN's topic in Home Health

    I don't know that you really did anything wrong. The manager probably wanted you to call the office first before sending the client out. If you must write yourself up, stick only to basic facts. Do...

  23. Nursing beyond the bedside-for new grads? Help!

    salvadordolly replied to LillyFish's topic in First Year After Licensure

    Maybe you could get 6 months to a years in and then try home health/hospice. There is a lot of autonomy and flexibility in your schedule. It's not as physically taxing as hospital

  24. Is there really a future for new LPN's??

    salvadordolly replied to Sharls237's topic in LPN, LVN Corner

    I live in MIlwaukee and none of the hospitals here hire LPN's. there is plenty of work for LPN's in LTC, MD offices, home health, corrections, etc. I have seen this cycle over the years. When there is...

  25. First write up as an RN

    salvadordolly replied to Leesha's topic in General Nursing

    When I get complaints about staff, I just listen and tell the patient I'm sorry that they had that experience. Then I let it go. The only exception to this is when I get a ton of complaints about one...