salvadordolly

salvadordolly

Oncology, Med-Surg

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All Content by salvadordolly

  1. A Shout Out to All The Nurses.....

    Thank you Viva. I have enjoyed your posts and I too share your struggle. I am BP2 and a recovering alcoholic. I have "come out" to very few people in the profession because I've noticed the...
  2. Tired of the Bull

    I agree with above poster, you should wait it out. Don't let this one oaf screw up your career/life plans. He'll hang himself
  3. The Unwritten Laws Nurse Managers Live By

    Yes, there is bad management out there. But I think it has improved over the years. Alot of what is described is "old school". Old school managers often got no training at all and were just given a...
  4. Peer Evaluations- Venting

    Hate them! they always give you reviews for people you have little contact with and could not possibly review fairly! Glad the hospital I worked at finally did away with
  5. i have had a clean stick and a dirty stick. I only reported the dirty stick and got tested etc. I agree with above poster, should've washed and
  6. How and when to talk to CNA's

    I've been in these kind of facilities too. It doesn't sound like your NM cares much about your concerns. If you already had trouble on another unit, I'd just try to find another facility. As blackcat...
  7. PAY rate /FOR HOME HEALTH SERVICES with Hospice Agency

    I'd keep
  8. Medication reconciliation/orders

    we have a doctor that does this all the time. he won't sign off on meds not prescribed by him. he'll write, "can't verify these meds". we have to fax him the original orders from the cardiologist,...
  9. NEW GRAD/ in home health

    I don't think it's an ideal new grad job. It requires a lot of independence. Nursing skills in particular are learned on the job and best learned in a facility. That said, I have hired two new grads...
  10. DON/ADMINISTRATOR for home health

    This one is for credit, but I found it helpful:Home Healthcare Management | Sacred Heart University
  11. Funniest/strangest dementia patient stories

    had an elderly guy come up to me and hand me what must have been the world's record for the largest turd and said "here honey, you must know where this
  12. Oncology Nursing Vent

    Yeah, I used to get the same kind of reaction you describe too. I'd say that I was there to alleviate suffering, not watch it! I'd also remind them that some people were cured or had long remissions....
  13. Can't believe the difficulty hiring CMs

    Where I live, there are a lot of experienced CM's, but they have many years experience and their CCM. A lot of them don't have their BSN though. We had to drop that requirement to get some more...
  14. Can a RN work as a CNA?

    Check the BON to see. I wouldn't do it anyway, because you are still held to the standards of a nurse even if you aren't working as one. Could bring up a lot of
  15. Seasonal Mood Changes?

    I have SAD and use a special light machine during the winter, sometimes I need Ad's. Love spring though, instantly lifts my mood. I love the way you describe it too
  16. Do you LOVE to 'write people up'? Tips and timesavers!

    I had a nurse manager in a hospital setting, complete ***** on wheels. She wrote everyone up and made our lives hell. Finally, after administration got compliaints from doctors about how...
  17. MRSA in home health

    I am a DON at a private HHA. We have a client with ACTIVE MRSA in her foot wound. So far my administrator thinks standard precautions are okay. I drafted a policy and procedure to use contact...
  18. help

    My suggestion for writing her up for all performance issues is "by the book". I'm saying this assuming there is no policy and procedure for handling an employee like this. I've been blown away by how...
  19. MRSA in home health

    I have now gotten the administrator to see the light. We now have VRE, MRSA and c-diff. She is allowing me to follow the proper infection control procedures. I drafted the policy and procedure - no...
  20. Tell the CNA to clock out and go home

    Well as for management bashing, there is a lot of bad management out there, esp in LTC. I have sent my share of CNA's home. It especially galls me when I the "I'm not doing this, I'm not doing that"...
  21. Congratulations! I don't know where you live, but your OP sounded like you were low-balled. Good for you for standing your ground and looking until you got what you wanted. A lot of managment...
  22. Venting and seeking advice

    I don't think you got enough orientation. You should've rode along with more experienced nurses for a time. Maybe try a new job at a company that will put you through an orientation. Home health...
  23. New nurse/night shift/stress?!!

    I worked nocs for years. I loved it though. When I first started, I told someone I felt like a zombie. They gave me some great tips that I used over the years. First, keep the same schedule on your...
  24. Has anyone worked On-Call for Seasons Hospice???

    I am in WI. I know several people who work for Seasons and love it. They don't have a lot of turnover. I know the medical director too and he is good. You will be busy
  25. Military spouse- where to go after graduation

    In my travel days, the Rocky Mountain states and the south always seemed to have a shortage. The working conditions were worse than the coast and the midwest and they paid a lot less than these