Lemon Bars

Lemon Bars

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All Content by Lemon Bars

  1. Lack of acute care experience

    Hello, mzilos. I had a similar experience with my first hospital nursing job after graduation. I do think that my trainers during my orientation did a poor job and overall their expectations were unreasonable for a new grad. High stress, multi-taskin...
  2. The staff at our clinic is wasting an incredible amount of time rerouting prescriptions from one pharmacy to another because patients suddenly decide they want to pick up their prescriptions from X pharmacy instead of their usual Y pharmacy. Also, ou...
  3. I am a newly graduated and licensed RN/BSN looking for my first nursing job. I'm a bit confused about the differences between various facilities, departments and specialties. For example, I recently learned that there was such a thing as a Long-Term ...
  4. The avalanche of prior authorizations

    I have been working as an RN in a primary care clinic for nine months, and my experience with prior-authorization requirements is similar. This really highlights the problem with our third party payer system. Patients want unlimited access to expensi...
  5. Does anyone know if there are residential education programs, perhaps in the summertime, where an RN can enroll in a program lasting for multiple weeks and get a great many continuing education credits done all at once? There seem to be few local opt...
  6. Rash triage

    At the clinic where I work, we have some seldom used appointment rooms at one end of the building. That is where I take patients like this, and where I do most of my nurse-only visits just to stay out of the way of the MDs, NPs and PAs who are seeing...
  7. I'm a recent BSN graduate and I've been a RN at a primary care clinic for five months. We have a disappearing prescription problem and it seems to be getting worse. Through RN protocols, I am allowed to review charts send electronic prescription refi...
  8. Large numbers of prescriptions are being lost!

    Thanks folks. I am trying to document some of it but I'm so busy at work. I can't get any of the other nurses to track it. We are a small rural clinic and there are only two IT guys. Our office manager is our EHR software expert and she is totally ov...
  9. Rapid response in the clinic

    I asked this same question not long ago. The nurse manager at the clinic explained to me that it was fine for employees to practice good teamwork and to operate informally as a sort of RRT, but that our clinic would not adopt an official RRT policy b...
  10. Urgent and emergent situations in the clinic

    I've worked at a rural family practice clinic for the last five months. For emergencies, we call 911 and get the patient ready for transport by ground or air ambulance. We have epi, nitro, and a few other emergency meds. We put patients on oxygen, do...
  11. Unfortunately you will only use a small fraction of what you learn in each class, both prerequisites and nursing school classes. Your analogy of throwing mud at a wall and hoping that some will stick is accurate. You will not need to know the differe...
  12. 2019 Nurse Corps Loan Repayment Program

    I have not applied before. The HPSA score for my facility is 16. My annual salary will be greater than my debt. Should I apply or would it be a waste of time? Thanks for any advice.
  13. I could use some advice, please. I am a new grad BSN who has had to resign from my first two nursing jobs. I have non-hyperactive Attention Deficit Disorder, so distracting environments and frequent interruptions kill my productivity and my sanity. I...
  14. I'm a new grad RN. Tonight is supposed to be my 7th and final shift of orientation for my night shift job at a SNF/Rehab facility. Last night my trainer, who is an LVN, had me pass the evening medications without her for the first time, to see it I c...
  15. Stop Calling It Burnout

    This video is exactly right. Through unions, laws, or choice of workplace, we need to encourage a more reasonable working environment that features better staffing, resource/break nurses, more aides, etc. Squeezing of the employees seems to be happen...
  16. Distractions & interruptions: ICU vs. other units?

    Thanks everyone. I have a couple of applications in progress for outpatient clinics. I was trying to get the recommended hospital experience before branching out, but I might have to skip the hospital part. I'm already on medication for ADD and I do ...
  17. You might be able to make $16 an hour as a Telemetry Monitor Tech.
  18. I want to be a Writer! Any tips?

    I've done a little research into working as a writer and my understanding is that making money as a writer is tough. You're competing against anyone in the world who can type and I've heard that only the very best and most well known writers actually...
  19. Honesty on resume, now no job.

    I feel your pain from personal experience. I'm over 40 as well. Working in a fast-paced environment that is understaffed is a horrible way to learn a complex new career. I failed at my first two jobs as a new grad RN. One was a SNF and one was in a h...
  20. Distractions & interruptions: ICU vs. other units?

    "Regardless of where you work, time management is one of the most important things to master. I have found (and most experienced nurses will agree) that one of the most helpful tools is a form that you create, of the tasks that you have to do every...
  21. Distractions & interruptions: ICU vs. other units?

    CampyCampRN you are describing experiences similar to mine. I think my brain must work in a similar way to how your brain works. Thank you for your comments.
  22. Trying to find my niche in nursing

    Have you considered working in pre-op or post-op recovery rooms, in a cath lab, or other specialized units? Also, you have more than enough experience to apply for jobs in clinics, outpatient rehab facilities, outpatient surgery centers, home health ...
  23. Fired from 1st nursing job

    I feel your pain. I am also a new grad BSN who was forced to resign from my first nursing job because I was not able to get up to speed quickly enough. Neither the manager nor my fellow nurses cut me much slack for being a new grad. Everybody wants e...
  24. Regret, depression

    I've only worked in a hospital for three months and I'm already searching for a non-hospital job. Workload is much too high for me, especially since we are often short on nurse aides. I wish that I had your two years of experience because I see posti...
  25. My nursing career is off to a rough start. After unsuccessfully applying to a local new grad program, I grabbed a job at a rehab/SNF. This first job promised me extensive training and support, and I accepted it with the understanding that I would be ...