Libby1987

Libby1987

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All Content by Libby1987

  1. What to do? Underwhelmed RN, stuck in a rut!

    If you're under 40, I would get my BSN. Having 20+ years ahead of you, I'd want to make sure I had the advantage of more doors open as the job market
  2. I&D...sterile procedure?

    What kind of bacteria do you suppose is introduced into the open abscess with a clean pair of gloves? Do you all not properly store and don your clean
  3. I&D...sterile procedure?

    Comparing imbedded hardware closed with sutures to an I&D of an encapsulated abscess that is left open to drain is apples and
  4. I remember my kids' 1st MD dispensing a vial of epi and syringe when my first was an infant. I don't recall the reason but something about an allergic reaction and living remotely. Just before I left...
  5. Which position for a nurse with a young baby?

    That really made me think. Being on the other side of raising my kids, and their dad getting to spend a lot of time with them after school and on the weekends, I'd go with the job that wouldn't give...
  6. I wonder how exhausted these managers are of being the revolving training ground for would be NNPs who grab their 2 years and run? I'd probably keep my long term nurses in place as long as I could...
  7. I would imagine, with the pressure to reduce re-admissions, that most facilities transferring a patient new to requiring hoyer lift transfers are referred to home health. Certainly all a family needs...
  8. They can't be forced unless they're deemed incompetent and conserved. Most aren't in my experience and you have to fail at home, which often lands them repeatedly in the ED until they're finally...
  9. I&D...sterile procedure?

    Good clean technique would be fine for my kid. Abscesses aren't sterile anymore than any other dirty
  10. An habitual bad check writer isn't the best poster child for inability to pay medical bills. Do you have any law abiding cancer patients thrown in jail for inability to pay their medical
  11. Does 4 kids in the NICU give anyone else
  12. Was this workplace violence? What should I do?

    Social experiments come to mind. I'd need to know if the 80 hrs were optional or mandated. Does he need to be fired or given a sane
  13. Which position for a nurse with a young baby?

    I'm an afternoon/evening person so I'd go for the 3-11. Easy childcare is huge. Sleep will be easier and in line with family's sleep schedule. Mornings/early afternoon are the best hours to do things...
  14. Did I miss mention of his hospital bill? He's writing bad checks despite not paying his medical bills. I would be interested in knowing the nature of those
  15. Orientation for New Grad in Home Health

    I cannot speak for your area but where I am, those quick and easy visits are rare. In fact if it seems easy, you're probably missing something. It used to be common to tell someone "this will be an...
  16. Anxious about job market

    I have friend's daughter who just graduated from a BSN program at 22 that was hired straight into public health in one of the toughest state markets. But it is in a less populated county and she had a...
  17. Orientation question

    Our clinical director has learned not to let them out in the field prior to completing modules, it's painful when you have staffing needs. To catch up, we schedule in their remaining orientation,...
  18. Orientation for New Grad in Home Health

    cough cough. Are you kidding?! That shouldn't be legal. We have strict guidelines in California and have to prove how we will address meeting state regs with our new grad orientation. We provide 2-3...
  19. I couldn't answer why the pay is the same, perhaps people who work in dietary and housekeeping would enlighten us to why the jobs are considered equitable. I was just thinking however, to piggyback...
  20. I have less of an issue with the wages as I would with the patient ratio. If I needed to earn a living (versus working short term for job experience) I would build a clientele and work
  21. Trying to learn from mistakes

    Geeze, I thought you were referring to patient controlled anesthesia and narcotics. And then I was confused by posters calling this common or acceptable practice. I still wouldn't call that outside...
  22. Trying to learn from mistakes

    That's just flat illegal, not a scope of practice issue. Why did you mislabel
  23. Telling Patients/Residents You Love Them?

    My first knee jerk response was no, not therapeutic, but then I don't work with this population. An isolated confused geriatric can never be told they are loved? Put that way, it's heinous to think...
  24. Trying to learn from mistakes

    When a new nurse is hired, the hiring managers are hopeful and the preceptor, whether wanting to precept or not, is motivated to increase staffing. They definitely start out wanting the new nurse....
  25. ER deaths

    I don't work in a hospital but I was a home health nurse in my small community for years. I loved either knowing my patients or being separated by 1-2 degrees. A lot of my kids' friends' grandparents....