JustAdmitToObs

BON took 3 years to contact me (via email) of an informal hearing date following a self-report submitted by the attorney I hired that whole 3 years ago. The snail-like pace at which they “protect the public” is mind boggling.

May be a dumb question but can't find anything within my organization policies or even google that answers it. The paper form my organization uses to score a CIWA assessment has you total your CIWA score at the bottom and mark the RASS score below it...

I never understood how people could rate something a 10/10 pain until 4 months ago when I gave birth via vacuum to a posterior facing baby with a failed epidural. The handful of kidney stones I've passed were a paper cut in comparison. Had I been on ...

I've been night shift (6-6) for about 2 weeks now. This is my first time ever working late PM hours as I've only ever worked jobs that required very early morning starts. I learnt very quickly that flipping sleep schedules back and forth was not goin...

The newish orientees must know what I mean. You go into a patient room with your preceptor, she overlooks you starting an infusion, you ask how to program that piggyback, and the patient has that look on their face like "OMG..." Then that patient giv...

In my first month of orientation, the biggest challenge I am having is with the tactile skills that nursing school either didn't allow us to do or didn't provide many opportunities to practice. I'm very tentative with IVP's because I'm unclear of how...

Recently started my first nursing job in a LTC (3 shifts off orientation) and while I don't dislike it, I'm weirded out by the total lack of support or supervision for new hires. I had four orientation days in which I was paired with a nurse but the...

Hospital HR departments, to be specific. I'm curious as to how many of you have tried this and whether you were greeted with confused expressions or if you were actually able to talk to someone.

In terms of sink or swim, is it that the new hires quit or are fired?

Instead of being relieved, I'm just confused and concerned. It's such a drastic detour from the risk management efforts that operate within hospitals. But I don't see any reason why LTC would not be just as concerned with liability.

Is this normal? Only way to identify resident is to compare them against a tiny black and white photo on their meds. This will sound bad, but I have serious difficulties in distinguishing one geriatric resident from the rest. My preceptor says to ask...

What about those residents who constantly scream "help me"? Sometime accompanied by more screaming about peeing in pants. How done one deal....

What are your facilities policies and procedure related to alarm management? Do they even exist? Are nurses able to alter the monitor alarm threshold settings provided they used good judgment in doing so?

I wish I could site your comments as references! I found one study that found that even if nurses didn't respond to alarms, hearing them prompted them to mentally "check-in" with the patient and then determine the urgency of the alarm.

Doesn't admin move conversations? I'm not sure how to.

Hmm all of your responses are in line with my research. I'm stumped because I have to do a literature review on the "pros and cons of alarm fatigue." I'm stumped in terms of being able to report any kind of argument in favor of it.

I realize that I'm jumping the gun on whether I will receive an offer from dream job, but I want to be prepared. There is no question that I would not accept an offer from the dream job as I've been trying to get an interview there for more than 6 mo...

Did you tell them in person?

The part that I feel bad about is knowing that if I get the offer it will be just after I finish orientation and they will have had to pay my preceptor and me for no return. I almost want to cut the ties now just to avoid the guilt of being paid for ...

I hope Esme12 will revisit this again, because I need help again! There are more instructions for the assignment now and again, I can't see how to make the topic fit. I have to state my position on the topic in the introduction - as having a "pro or...

I have to write a literature review paper and had to pick from a list of topics to focus on. The assignment is to address the "pros and cons, and the ethical and legal implications" related to the topic. I picked the topic "alarm fatigue." How can t...

I know what everyone will say. I'm a new grad with a couple of job offers...take it! Take them both! But hear me out when I say it's not that simple. I am very fortunate to be in a position where I can financially finish my BSN (Dec 2015) without wo...

Wow! I hadn't thought of that angle. Thank you!

So you had signed all of the paperwork and waiting for the first orientation day? I ask because I'm in a similar situation. The day I signed paperwork for a LTC was the day my app for the dream job at my dream hospital suddenly got some traction. I'm...

Looking to see if anyone else is in a similar situation with their RN-BSN program, and if any advice can be given. I graduated with my ADN in May and started an my online RN-BSN at Purdue in August. I've been on the job hunt since graduation and I'm ...