salvadordolly

. I am sorry you find yourself in this position. You are a new grad, also, which makes it harder. You need to get a proper orientation to function on your job and it doesn't sound as if you can get it where you are. You state you got clarificatio...

I have heard many FNP's struggle with onine learning and those with limited bedside nursing struggle as FNP's. Med-Surg or clinic work is enormously helpful for being an FNP. Md's complain that FNP's without clinical experience and online training ha...

It sounds like the "X" is on you. The first time I ran into this, I attempted to work it out to no avail. Nursing cultures among hospitals vary widely. I use PIP rather than write ups to offer advice to improve practice, offer practical advice and r...

Yes in most places you would have to be written up. It is against LTC regs to leave medications out. A facility could be fined and cited if this family member reported it to them. It would be cited as an IJ (immediate jeopardy) by state surveyors and...

I worked in Denver in the 1990's. Sounds like little has changed. The Rocky Mountain States have traditionally been the lowest paying in the nation. IN terms of hospital culture, all the places I worked tended to be rigid and micromanaging than other...

I'm a DON at a HHA. I have an LPN who we've caught a few times and has been accused many times of fraudulent visits. She's on probation with the BON for the same thing in the past. Every time I bring it up to my administrator for disciplinary actio...

Thanks to everyone who responded to my post about fraudulent visits. I was feeling out of my league with this one, as writing the nurse up repeatedly had no effect. I started doing visits to the homes after my case managers freaked out on me askin...

Our agency is due to be surveyed this year. Out last was in 2010. They came up with the new survey process in 2011. My administrator is one who just makes everything okay on paper without making sure it's actually implemented correctly in the field...

Anyone have a template for creating policies and procedures?

This is one of those weeks where I wish I was a staff nurse again. I am just sick of discipline. Most of the people in my agency are great, don't get me wrong. I just have one problem child that has to go and it's taking my administrator a long time ...

Had a doc that used to do this all the time. We would call the nursing sup and the medical director. He eventually lost his privledges, then his lisence a few years later.

You did the right thing! Where is this guy/owner coming from?

I don't put any relgious, political bumper stickers or otherwise on my car for the same reason. My favorite by the way is a psychiatrist at our hospital that drives a rusty early model camry with the plates "RUNVS"

I would agree with this. Otherwise, an employee has a right to post whatever they want. I'd be very careful with using social media posts as part of an evaluation. If they posted under an assumed name, they may have "reasonable expectation of privacy...

. Yes these are red flags. It sounds like you have good instincts about what is a reputable agency. This was a good thread on herehttps://allnurses.com/home-health-nursing/do-i-want-826318.html

Staying with your current facility will soften the learning curve a bit because you know the staff, resources and polcies in your hospital.

Most of the clinics in my area are staffed by Ma's and Lpn's. Rn's work in the more specialized clinics like cardiology and oncology. You have to have experience in these areas before you can move into a clinic job. The PHD in our state requires a B...

Good advice. Your time with your kids goes fast - it will amaze you. I could not have done nursing school with babies. I'm going back to school,but when my daughter is in kindergarten.

ditto on the above.

If your goal is to become a CRNA, get a BSN and a few years experience in ICU. The CNL is something you do after you have several years of experience. Get the BSN first.

We wouldn't be competition - we're in MIlwaukee, WI. Wow! NO competition? You gotta get on this!

I takes me about 2 hours to do a SOC. It's reasonable to keep it to 2 SOC/day. We don't ask our nurses to do more than that.

That seems a little harsh. I've worked with plenty of male nurses who are caring. Some of them just show it in a different manner than female nurses. Some are more nurturing than me. I enjoy having males in the nursing profession. My favroite places...

I get very irritated when disrespected. This is good advice and something I try to remember in those situations.

My boss tells me you should have at least $50K for start-up and hire a consultant for your start-up. She owns the HHA and she said she almost went under at first until she hired a consultant. Would you be competing with a public health dept? they pro...