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Refusing to float
THIS!!! This was our scenario the entire Winter, which at our hospital, still hasn't ended. We were the ONLY fully staffed unit (telemetry) in the hospital. So we had the mandatory privilege of helping lesser staffed units. We went from our normal night ratios of 1:5 and the Charge having 2 to 1:6 with Charge in the count with 3 patients. Day shift went from 1:4 to 1:5 and an open Charge to a Charge with 2-3 or more patients. This started in November. Now at least once a week we are back up to 1:6 ratios on nights while days is still able to squeak in at their 1:4 ratios. It really sucks seeing day shift complaining about being full with 4 each while we still have to bust our butts at night with 6. This past weekend when filling in as Charge I was told by our staffing/bed board office that we were getting all the admissions because the other tele floor was short staffed for the weekend and they were trying to give them a break. Where was our break while our ratios were pushed up and we worked short since November because we had mandatory floating allowing the other floor to maintain a normal ratio?? Guess what, we are no longer a full staffed unit- we've lost 6 nurses from our night staff that they haven't been able to replace because word has got around how crappy it is.
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CRNA school chances after failing two first semester courses
My concern would be if you still have a place in your schools nursing program. Many schools have a policy that if you fail 2 classes in the same semester you are either removed and have to reapply after a wait period or you are removed and have to find a new school.
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crushing meds, best foods to disguise taste
Yogurt or sugar-free puddings
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No One Talks About… An Easier Way to Catheterize Women (and Prevent Complications)
Nearly all foleys (I know our Bard's do) now have statements printed on them to NOT PRE-INFLATE/test the balloon. it's possible that it can compromise the integrity of the balloon is the reasoning. This changed approximately 5 years ago when I first started nursing school.
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Concerned 13/24 possible fail out rate in 2nd qtr.
My ADN class started with approximately 65 students, 1st year-1st quarter. 2 years later 30+ completed the program, 1 failed during the last week of class before graduation. The rest dropped out or transferred to other areas of study over the course of the 2 years. Most left during the med/surg rotation during the 2nd semester of our 1st year. We had a 100% NCLEX pass rate for the 30+ who did graduate though.
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Incontinent Preschool student
I'm going to play the negative nelly here- I just happened across your thread on the mobile app. I know a lot of abused kiddos have potty accidents after abuse starts. Is there any possibility, since a medical condition has all but been ruled out, that something else is going on, especially since he has become so quiet and withdrawn?
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New license expires a month later
It depends on how the state of CA issues their renewals. In Nebraska all licenses expire on Halloween (they're good for 2 years). LPNs expire on odd years, RNs on even years. So in Nebraska it's possible to pass your Nclex in September and have your brand new license expire a month later. What they do is pro-rate the price of your license if you have less than 6 months until your expiration date and then when you renew you pay full price for your 2-yr license. I would read though CA's renewal policies and I would bet that it is something similar.
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BSN programs that will "give you a leg up" in the nursing field?
Unfortunately in nursing college prestigious-ness doesn't matter much other than in your local community/state. Hospital systems in the local area may have a preference on schools nursing grads come from but if you're in FL wondering if a NYC college will land you a job you are sadly mistaken. Save your money, go local/online because that BSN behind your name is the same 3 letters many other nurses have behind their names as well. My employers never once have asked where I obtained my ADN or where I'm currently getting my BSN.
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College books are the biggest scams ever
Our 2nd year of our ADN program the 4 sections were divided. Groups A and B flipped sections halfway through the fall semester as did groups C & D. Then in the spring groups c and d took the classes a and b took in the fall. We worked it out where us in group A switched our books with group B in the fall and the in the spring we traded with group C or D, whoever had the text we needed. Talk about royally pissing the campus bookstore off! They were out money and none too happy!
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Pyxis question
Most, but not all, hospitals have switched over to billing medications that are scanned on the MAR (rather than when pulled from the med dispenser) because they know that stuff happens- meds are pulled like Tylenol then the patient refuses, is discharged, and the med is just tossed in a pharmacy return bin rather than returned in the pyxis.
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Advice about leaving a great job? :(
FMLA is 12 months, it doesn't cover employees with less employment than that except special considerations for military and I believe pilots as I quickly glanced at the FAQs. FAQs: FMLA - Wage and Hour Division (WHD) - U.S. Department of Labor Talk to your hr and supervisor to see what they recommend. Is it possible to go PRN instead of FT or PT with your condition?
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New Grad, disciplinary woes
My previous job in another field made employees sign "verbal" warnings essentially so they could cover their behinds in case it advanced far enough for them to terminate you. That way if they were giving you a 1st written warning you couldn't come back and say "but I never even received a verbal warning over xyz!" Do I think that this situation from what we are told necessitates a verbal warning? No- if it does any nurse that has ever been "fired" by a patient should be "verbally" warned for bring down their respective facilities satisfaction scores. It sounds like they are looking for a scape goat and you happen to be it
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What time do you clock in?
It will depend on your facility. My previous hospital you could not clock in more than 6 minutes early, my current hospital is 7 minutes so the earliest I can clock in at my current job for my shift that starts at 1800 is 1753. Prior to that it would be considered an unapproved clock in.
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rant.. "4 weeks notice"
Both my current and former hospital systems require a 4 wk notice for licensed personnel. Maintenance, dietary, house keeping were/are required a 2 wk notice. As a nurse, especially new grad, orientations typically last 12 wks so that 4 wk notice hopefully gives them time to post and interview candidates for replacement but we all know that administration moved at a snails pace. I personally would say sorry I'm not able to accommodate the additional 2 wks of employment and start the new full gig with no regrets. It'll suck that you lose out on the PRN assignment but your soon to be former employer dropped that ball long ago.
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Dealing with cpap machines and skin damage
Vaseline is also a petroleum-base which can not be used with any amount of oxygen as it is a fire hazard. With adult patients we used to take a mepilex foam and cut it in a Y-shape and place it on their face in an upside down position to protect the bridge and sides of their nose.