Larry2016

UM - thought it was a federal requirement now to have all electronic charting...?

Work overtime

Sorry for typos i was on my phone replying

By the way i did call off. I hate doing so. Here is another question... How soon do you call off? I found out about my fever at 1 pm yesterday and called off 15 minutes after posting on here. Nainly i do not want to appear unreliable. After taking advil last night it came down but now its back to 100.3. If i call off now for ronight i will feel like an ass if i am better rhis afternoon...but if i wait until the afternion i know they will be scrambling for a replacement. Also i don't want to go to urgent care. Last rime i went there the just told me to take 800 mg of amoxicilin...it did nothing for md so qhen my pcp wS open the next day dx was walking pneumonia. The amox was doing nothing.

That is the odd thing though i got my flu shot i always have since i was 18

I know this topic has been debated before but i have unique ciecumstances. Some people say do not call off sick because it is abused and that it is best ti just show up and be sent home. (Side note, in my mind though that wiuld cause more chaos to scramble around ro find someone). Others say it is ok to call off. Where i work a call off is considered an adverse event and we are allowed up to 6 per calendar year. I called off once in January ...i was so sick i literally could not get out of bed. I commute 1 hour to work and have to be there at 7pm tonight. I did not feel good last night after my shift so i slept. Congeation cough and just didn't feel right. I tried to get some sleep this moening but i couldn't because of the cough and felt dizzy. I went to the storw got some mucinex, advil, and a thermometer. Apparwntly i have a 101 temperature on top of this. I have only been there 6 months and i do not want to give the impression that i am unreliable. I mean right now i juat feel blah and I can do stuff, just feel fatigued if i exeet too much energy. The fever though concerns me about showing up and taking care of patients. Thoughts?

Only do the contract if tou rwally believe you will love OR.

Remind the oncoming RN that this is a 24 hour facility and that it is everyone's responsibility to provide patient care including environmental cleanliness. Here is my question. Why not delegate that responsibility to the aide?

Um....yes? I shower before work in upstairs bathroom, after work in basement shower stall. Can't be too careful.

Not really. Depends on population. Big metropolitan areas, or suburbs that have hospitals that have the funding to handle such cases, are examples. There are so many congenital defects and premature births now that keep NICU busy. Six months ago I was talking to a nurse who had a niece with ToF, something rare and unheard of (it's like less than 2% or something like that) - but if not monitored correctly and treated, it can be very deadly. Now if the population of the area is like 15,000, and the local community hospital has a lot of NICU patients that need transferred - then I would raise eyebrows. When you are talking about a population that is in the millions, though, it's not uncommon to have a very busy NICU.

Now that I think about it, as a kid my parents had a horrible time getting me to sleep at night, and as a teen I would sit up in bed until late at night, and sleep on the bus and in home room during school. First time in college too I made sure all my classes were scheduled no later than 2 pm. Most of your nursing classes you do not have that choice (Foundations I and II at 715 am almost killed me LOL)

OK this is the best part of the post... just teasing, sort of I would be very interested in this topic. I started working night shift as a PCNA until recently promoted to RN after passing boards and start orientation September 13. I will be working nights to start. I had such a great experience working nights during my precepting. I was foolish enough, though, not to take the advice of my unit manager. I said that I just like to do three 12 hours shifts in a row so there's no break in between. I was thinking it's unrealistic to maintain a normal family lifestyle if you work, say, Monday Tuesday and Thursday night shift (probably sleep Wednesday away as well and come home and sleep Thursday day time away too is what I was thinking). At this time, thouhgh, I really don't get fatigued at night (I stay busy), but driving home I find myself having to pull over to 2 rest areas to take a 15-20 minute snooze and have a 50 minute drive home. PS: Not complaining about the drive. I made the choice to take this job and love where I am. Hopefully we are planning to move closer next year.

Here is what I recommend. 1. NCLEX mastery app 2. Kaplan NCLEX review (with live option) 3. NCSBN...and try using the NCLEX decision tree with the NCSBN questions. The NCSBN, IMHO, have the pharm drugs a lot more organized than Kaplan. I just found out I passed this morning.

Update : I PASSED! It's like a huge weight is lifted from my shoulders now. 239 questions but I tried to stay focused even 5hough it started to become mentally exhausting. I paid for the quick results at 10 am. I am so excited!

I will tell you what my live Kaplan instructor told me. Aim for 60-65% for best results on the real NCLEX. ​Use your QBANKS too.