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Content by cyc0sys

  1. cyc0sys

    New RN in charge of a 155 bed SNF. What?!?!

    Sounds par for LTC. CA law states 1 RN per 59> Pts as charge nurse. 1 licensed nurse per 8 Pts. I'm not sure of the legalese involved in your situation. But the facility can get a waiver for staffing shortages and still operate w/ in the law. Here in FL it's 1 nurse per 48 Pts. No charge is required but an RN has to be on call, usually the UM or DON.
  2. cyc0sys

    I Make Less Than a Brand New Nurse, Why?

    Let's not forget profitability and economic down turn some companies experience from time to time. Just because a company has a position to fill, doesn't always me the salary will be competitive. It also seems as if she possesses more education than her counterparts. Education doesn't always equal compensation when it exceeds the requirement of the job. When I worked sub-acute rehab. A BSN paid the same as a ADN if you worked the floor. Also, 15 years of experience working a different specialty, such as admin or educator, isn't even close to working direct patient care. Things are constantly changing in medicine. I've worked with seasoned nurses that spent 20 of it in case management. They didn't know how to setup an IV pump, let alone manage 3 drips on 3 pts.
  3. cyc0sys

    My coworkers dont like me because I bragged

    Bring in some snacks and try to apologize or explain yourself to the people who heard you. Humility goes hand in hand with professionalism. No sense in trying to diffuse a bomb after it went off. Try thinking about how what you say might effect others before you speak in the future and you'll probably end up with less enemies and frienemies.
  4. cyc0sys

    Do women find male nurses attractive?

    My take on OP's thought process doesn't involve romanticizing the patient. I think he's painting with a very broad and naive brush. "...the idea of a man taking care of you" questions the masculinity of nurturing, caring and showing compassion. Instead of bravado and stoicism which OP seems to struggle with being a Beta. These types of questions often arise from a cultural disconnect or the absence of a male role model in the parenting process.
  5. I'm currently bridging from LPN to RN. I've been offered a position as Anesthesia Tech PRN position at a local hospital. I was interested primarily as a way to get into the hospital. I realize a tech position has no nursing duties or responsibilities. Maintaining a sterile field, stock supplies, transporting patients and cleaning equipment seems to be the gist. Other than observation and a learning how a surgical floors operates, would this experience be of any use or advantage as nurse from the CRNA standpoint? I would like to work surgery or cath lab down the road. I'd appreciate any insight and feed back that could be provided about the daily interactions between these disciplines.
  6. That coward would've gotten introduced to to a rear naked choke hold and rapid controlled change in plane to the floor. Followed by a session of percussive maintenance to the brain housing group, if that went down on my floor.
  7. cyc0sys

    Advice for changing my major. Leaving nursing?

    I wish all hospitals would embrace that concept. The discharge SW case managers I've dealt in the past were seriously lacking in clinical knowledge, whether it was medications or diagnosis. They'd try to send patients without the appropriate scripts, pasrr screening or otherwise medically inappropriate for the facility. In retrospect, they may have just been playing dumb so they could dump unstable patients on us. I never thought SW was a good fit for hospital case management on the discharge side.
  8. cyc0sys

    Advice for changing my major. Leaving nursing?

    Metropolitan areas of Maryland, Virginia, and Pennsylvania are where my friends are located. All like their jobs and have different reasons for being in the profession. The one in private practice has the most free time and autonomy. The Director has an electronic leash and gets phone calls at all times of the day and night (typically crisis related) which he doesn't mind. The non-MSW still pulls call, overtime, and other trench work but is pretty resistant to change for the good or bad.
  9. cyc0sys

    Just grin and bear it!

    I'd talk to the case manager about respite care . If they can get him into an LTC for 5 days, it may be enough time to separate her and reason with her. Someone should also try to reach out to a spiritual advise or competent family member to help prepare her. Aspiration is a serious risk, so keep him up in high Fowlers especially if she's force feeding him. Consider using a thick liquid in a syringe for meds. Administer into the buccal pocket. Ativan, roxanol, and atropine will help his celestial discharge, once on board. The best and last medical intervention is a dignified and painless death. Sometime that's also the hardest intervention to provide.
  10. cyc0sys

    Advice for changing my major. Leaving nursing?

    Nursing school, much like the profession, isn't for everyone. But it's also like no other profession as far a specialties are concerned. You can move around in nursing if you decide you don't like particular type of nursing. Any type of BS degree other than nursing, such as psycho-social counseling, social/work services,and mental health related professions are mostly low pay and long hours. At entry level, you will be helping medically under served populations such as the elderly, children at risk, substance abusers, pregnant mothers and others in poverty. Some positions often pose a risk to personal safety due to social economical conditions and cultural barriers. However, I'm painting with a very broad brush depending upon where you live and what employers are available. Medical social work in a hospital setting, often pays more initially. 25 years ago, 3 of my friends choose the BSSW. Of the 3, 2 took it to MSW. One's in private practice and makes 150k. The other is a director of managed care contractor through the state. He works with a staff of LCSW serving the developmentally disabled. He makes around 100k. The 3rd one didn't pursue a MSW and works with at risk children for a non-profit hospital. She makes about 45k and sometimes gets beat up by her patients.
  11. Refer them to HR. I often put the number of HR in the previous supervisor block with this intent. I like to get recommendation letters before conducting a job search. Performance review is a good time to hit your supervisor up for these recommendations.
  12. cyc0sys

    Can't get work

    Better yet have someone else call. My military buddies and I used to take turns calling references, HR, previous bosses, etc... You never know what people might say. Get some professional reference letters from coworkers, fellow nurses, former teachers. Have copies on hand at the interview. I put together an "I love me, you will too" portfolio consisting of copies of my resume, answers to typical interview questions, reference letters, awards, certifications, and questions I'd like to ask about the company. I use it as part my interview "sell me" presentation. I also helps me keep focused.
  13. Recently, I had plans to have a BBQ at my house with several of my ex-coworkers. I suggested the idea to my wife before my employment arrangement changed abruptly and she seem copacetic. Later, my ignorance and inability to comprehend doublespeak was revealed. Several days before the BBQ my wife become very anxious and irritated when she found out everyone coming was female. This was purely by happenstance. All spouses or significant others were invited but none could attend due to work responsibilities or plans. Reminding my wife that I'm a middle aged adult male, working in a significantly female dominated world did little to therapeutically defuse the situation. Putting out the fire with gasoline was the effect achieved. She stated, that it's inappropriate and disrespectful to host other females in our home, who I no longer have a working relationship with. I told her it would provide a bit of closure and continuity for everyone. Direct patient care is like navigating a psycho-physio war zone of emotional chasms and insurmountable summits. No one goes it alone. I wanted to do something nice for my fellow coworkers and aides. To show my appreciation and to recognize the help and solid care they provided. She was not appeased and enlisted the support of her in condemning my actions. I respect my wife's feelings, 25 years at this would have ended it long ago if it were otherwise. But I have no intention of catering to illogical fear and irrational gender bias. If the situation was reversed, my mindset would not change. Is this some type of unspoken and overstepped Opposite Sex Coworker Social Boundary infringement I missed?
  14. cyc0sys

    Opposite Sex Coworker Social Boundaries

    My post was in fact dismissive, because it reflected my frustration regarding the situation. We discussed the issue ad nausea as all couples married do. Someone as empathetic and non-judgmental, as yourself, would do better to read between the lines. My intention was to gain a deeper understanding from an external view point. If you're bandwagon deductive reasoning skills are correct, it all seems to boil down to jealous, communication, and trust. I don't buy that. So I'll be paddling my own canoe, pretentiously, into the setting sun of this dying post.
  15. cyc0sys

    Opposite Sex Coworker Social Boundaries

    Naahh, I'm good with sarcasm. So I guess we'll agree to disagree.
  16. cyc0sys

    Opposite Sex Coworker Social Boundaries

    Relieved, in a word.
  17. cyc0sys


    Even as an RN-ADN, OP will still have to do bedside unless she goes into school nurse or health clinic. I've seen insurance companies offer new grad positions for phone triage but outside of experience or a BSN, admin options are limited. RT or Rad Tech programs, where I'm from aren't as heavily wait listed. The requirements for admission, courses, grades, and clinical hours isn't as stringent as nursing. But this obvious varies by area and it doesn't change the fact you're still going to work your butt off. I simply suggested this as a backup or alternative if OP decides bridging isn't for her. While some treatments and diagnostics are done by RT at the bedside, managing vents and neb tx aren't the same a bedside nursing. Rad Tech involves zero bedside. The advancement potential and wide variety of specialties for RN is a huge selling point. But that comes with a great deal more of responsibilities, yet the pay for RT is comparable to RN, ADN with 0 years of experience. If RT doesn't do their job, it still falls on the RN if patient has a negative outcome. The inverse doesn't apply. The other downside is for RT is work location. You may have to move to find work since there isn't a huge turnover like nursing. Rad Tech doesn't possess the huge job possibilities as RN but there is lots of room for career advancement by certification and education. You may have to move to find work since, once again, there isn't a huge turnover like nursing.
  18. cyc0sys


    Healthcare Effectiveness Data and Information Set (HEDIS) is a tool health plans to measure health care performance. Unless someone paid to train you with qualifying experience, it's probably out of reach. Sounds like your basics are knocked out for RN (chemistry, microbio, A&P 1&2, HGD, Foundations, Pharm, etc,,) so it would probably be best to complete your clinical semesters instead of reworking the RT route just yet. 3 years as an LPN in the LTC, Rehab, and Corrections should more than prepare you for clinical. Pt safety, ABCs, ADPIE, Maslow's Hierarchy, and critical medications. I think the MD office will be a welcomed change. Best of luck.
  19. cyc0sys

    Question about applying for hospital job

    Sounds like you really don't have any acute or sub-acute care experience even as an LPN. You're basically starting out as a 'new nurse'. Depending on the area, many hospitals such as HCA offer new RN graduate program training for a 2 year contractual commitment. That might be something to consider. Otherwise, there are plenty of employment opportunities outside the hospital arena for new RN. Corrections, school nurse, and home health would jump right on you for work.
  20. cyc0sys

    CNA: Nursing Home to Home Health...a wise move?

    I really don't consider there to be any pros to working LTC as a CNA if they're constantly under staffed, which most places typically are. Unless the corporation has some serious health care or PTO benefits, I'd ditch them in a minute. Hospitals have CNA or PCT levels 1-3, so there's some upward progression. JCAHO also dictates mandatory staffing at hospitals so you won't have 15 pts. LTCs you can end up with 15-20 and no one cares. I encourage and help my CNAs find home health and private caregiver positions. The future of healthcare is home health.
  21. cyc0sys

    Opposite Sex Coworker Social Boundaries

    I tend to be the social butterfly that rises to the occasion, regardless. That's what social grace dictates. However, I realize from your statement, not everyone is built the same. Maybe my expectations are unreasonable considering the circumstances. Thanks for your input.
  22. cyc0sys

    Opposite Sex Coworker Social Boundaries

    And that's exactly what I ended up doing OldDude. Thanks again for the Sage Advice.
  23. cyc0sys


    I understand where you're coming from because I've been down the same roads. Unfortunately, you really don't have many options to work administratively as an LPN. If you know HEDIS you may be able to do chart review for an agency or work for an MDS coordinator. Some insurances companies hire LPNs to work in call centers that provide basic health advice. You might want to considering going back for Respiratory Therapist or Rad Tech instead of RN. Most bridge programs only offer 3-6 credits for LPN schooling, so it's not like you'd really lose out.
  24. cyc0sys

    Opposite Sex Coworker Social Boundaries

    Negative. I've always been faithful. One woman is more than enough for me. I socialize with her female friends all the time. I do think maybe you're on to something regarding insecurity. I'd never considered that angle. Thanks for the input.