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NurseSpeedy ADN, LPN, RN

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NurseSpeedy has 18 years experience as a ADN, LPN, RN.

NurseSpeedy's Latest Activity

  1. NurseSpeedy

    So we have enough nurses nursing supervisor, really?

    The supervisors should work the floor for a week with the staffing they provide their employees-only then will they know why they cannot keep staff and have a high turnover rate. It will also give them the answers for why nurses aren’t getting out on time. Wear the shoes, do the job, and all their questions will be answered-FAST.
  2. NurseSpeedy

    So we have enough nurses nursing supervisor, really?

    I completely forgot about those stupid white boards-the ones completely across the room that the patient can’t even see because their glasses are either at home or haven’t been updated to the correct script in 20 years.
  3. NurseSpeedy

    Haunted Hospital??

    There were specific rooms at an old hospital that I used to work for that the the tele tech stated she would never allow our staff to place her if she were a patient. I asked why, and was told, “because way too many patients have left those rooms in bags”. She would see when they coded on the monitor screens.
  4. NurseSpeedy

    Quit my CNA Job ???!

    I worked in home health care as an LPN private duty while I transitioned to RN. I was placed with a wonderful family and the work was not stressful. I could not imagine going to school FT and working on a busy floor but a lot of people do it. Office work will be easier on your body but don’t be fooled by thinking that it will be boring. Offices can be very busy too, just a different kind of busy. Pay may be less than what your making now, or maybe more-very dependent on who you work for, what they do, and where you are located.
  5. NurseSpeedy

    So we have enough nurses nursing supervisor, really?

    It would be a cold day in hell before I’d work for a company that forces me to sign a contact to work for them. Red flag they are hell to work for.
  6. I cannot be the only person who has no way in hell to find child care for the 12 hour shifts timeframes that run the hospitals in my area. Daycare doesn’t open till 6:30am-closes at 6pm. Not everyone has family/friends that can chip in and a nanny asks for over half what I make an hour for 1 child who is self care and self motivated but too young to be alone....offer more flexible (8-10 hour shifts-find more nurses that can actually physically be there to work). As for 12s, they have their pros and cons but the 12s or nothing approach that I’ve seen leaves the whole forced schedule with a sour taste in my mouth. I did close to 18 years of nursing. I’m not going to drive myself crazy to find child care for a 12 hour shift that is often rarely only 12 hours.
  7. NurseSpeedy

    Weekend Option

    It really depends on the facility that you work for. Some offer benefits to part time (24-32 hours) and some require 36-40. I don’t k is how common the Baylor shift option is anymore but when I was going to school for my LPN 20 years ago it was extremely popular for those going to school full time and kids. They had the week for school/kids, then work two 16s and got paid for 40 on Saturday and Sunday. Another option some did was 12 hrs three days a week (we didn’t have school fridays) and they got FT hours that way. If you are currently employed, I’d check with your employer. Many will work with your school schedule to some extent. Otherwise there’s always applying at different locations after checking to see what their policies are for scheduling. I worked in home health when I went back for my RN. I chose when I could work and many people prefer to have the weekends off so I always had shifts available. Most shift work is 8 hour/12 hour depending on the case. I didn’t have the chance to do visits as most of those were assigned to the RNs at the agencies I worked for.
  8. NurseSpeedy

    Should I disclose my current job to interviewer?

    As others have stated, best to be honest. One thing to be sure though is that you definitely aren’t willing to move closer to your current employer to keep the job you just started. Leaving after such a short period could land you on a do not rehire list for that entire organization if it doesn’t sit well with whom you give your resignation. As well as what was already mentioned by someone else, if your still training, they might just let you go on the spot and not allow you to full fill your two week notice. I cannot see making a 2 hour commute each way everyday. That is a lot of windshield time, gas, car wear and tear, and with the long hours of nursing and shifts back to back is a recipe for disaster. I’m assuming you don’t have 12 hour shifts? Because that’s 16 hours a day! Not to mention many 12 hour shifts can turn into longer at times-I did 1hour each way at one time and made the choice of sleeping over eating dinner since I had to be up again in 7 hours. If you can’t move closer, then I can’t see you staying there long term. It will get tiresome.
  9. NurseSpeedy

    Gave Tylenol to patient with elevated AST and ALT

    The lab results were elevated (not crazy, but elevated). Best to bring to MDs attention and he dc’d the med, probably as a precaution. She’s there to have her baby, not end up with a total GI workup due to one lab test showing some abnormal alterations that may be self resolved in the near future. I’ve had one lab test where my levels were elevated slightly after losing a decent amount of weight quickly, had them rechecked to be safe a few months later and normal. Normal before and normal ever since. It doesn’t hurt to staff away from Tylenol when there are other options to control her pain at this time.
  10. My employer offers it to us for free each year but does not mandate it. I was at my PCPs office two weeks earlier and they had the vaccine available. Got my daughter vaccinated, husband had his through a minute clinic as his employer mandates his because he’s a vendor for hospitals, etc. I declined since my employer was supposed to have ours in a week or two...well darn it anyway because the day we would have the vaccine available I wake up with....the flu....I’m asthmatic....now I have it complicated with bronchitis and earned a home nebulizer, steroids, and an antibiotic because it’s most likely needed at this point with the bronchitis but there’s also this lovely UTI that came along last minute too! (Probably because I wasn’t drinking enough fluids, etc). Yeah, I’ll just take the vaccine as soon as it’s available in the future. This year, I’ll still get it for the other strands it protects against (once I’m cleared of what I’m currently infected with). Now I’m sick as a dog and confined to my home for 7 days. Preconceived thoughts on the vaccine seem to be the number one reason why most healthcare workers who choose to decline do so. Unless the flu vaccine is contraindicated for that individual, such as a prior allergic reaction to the vaccine (rare)-then get the stupid thing because it DOES NOT cause the flu! The most common excuse-“I still got the flu” or “it gave me the flu”(no-it did not). It’s not 100% effective and it takes a little bit of time for the body to develop antibodies so infection shortly after, well, they were going to get sick anyway. I’m the sickest I’ve been in 9 years. Last year it was spreading through my daughters class like wildfire. She was one of the few who did not get it and come to find out (of course this is not confirmed but 3rd graders talk to each other) the ones who did did not get the shot because their parents didn’t believe in vaccines. They also had a varicella outbreak in her class room too, in a public school-but that a topic for another time.
  11. My last facility employer made our badges double sided, so if they flipped, they still showed the duplicate. I just display the license title that I am working as. To include the rest would possibly lead to clarification. I remember my first hospital position while waiting to take my LPN boards. I was not a CNA but I was eligible to hire for the position if I was in my last few months of my program and then would transition into a licensed position upon graduation. I was essentially a nurse tech without a CNA certificate. My badge displayed the job title “Nurse Extern”......This badge wasn’t double sided and I wasn’t one to flip it, but it sure did cause a few extra moments of clarification as to what my role was. After that experience and moving forward over the years I just used whatever license I was working under (after I obtained the first, then second).
  12. NurseSpeedy

    Ethical Dilemma: Is it ever ok to mislead a patient?

    I only wish mine were like that-had orders and POA approval to conceal the meds and after a dose or two I was usually figured out. One spewed them back out and I ended up wearing it for the shift. Another actually tried to punch me when I approached him, luckily I was faster than he was. I’m thinking some of them must of tasted really bad so they remembered it the next time. Prednisone is one I know first hand I would never want crushed. That one is bad enough swallowed whole.
  13. NurseSpeedy

    What is your "thing" and how do you deal with it?

    Nursing gag me thing: flaky feet when changing socks-flying through the air-yuck-is back away as much as possible and hold my breath. Never gagged, just grossed out by flakey foot issues. non nursing gag me every time-cat poop-darnit kitty burry that stuff...makes me wonder how healthy organic grain free cat food really is-smells like he died and practically kills me every time! Human poop doesn’t phase me.
  14. NurseSpeedy

    Ethical Dilemma: Is it ever ok to mislead a patient?

    Anyone who has ever had crushed pills in apple sauce or pudding will KNOW what it is next time. It tastes gross and residents learn to avoid anything resembling purée foods-especially apple sauce and pudding.
  15. NurseSpeedy

    My Apologies

    I agree with this post. Try to get any general Ed classes done before starting a nursing program, this will allow you to focus on your core nursing classes and not have some crazy micro bio project or liberal arts essay to write to get the general Ed requirements done. I got mine all out of the way first, and it made a huge difference I could see from those who still had those to take WITH the nursing courses. Also, there may still be some part time programs out there, just make sure the are an accredited program. This allows for less hours per week of schooling. It will take longer to complete, but can lessen the overall stress that you would have during the program. Best of luck.
  16. NurseSpeedy

    Legal obligation for disaster relief

    The one thing they can get you for is patient abandonment if you leave and no one is there to take report/take over your assignment. I’ve been through several storms. Each one the facilities where I worked offered a sheltered area for staff to sleep, shower (providing there was running water) and shifts were 12-16 hours. I was never mandated to stay as long as my relief showed up at shift change, but you better believe if I left I better make sure my butt was back in that place on time for my next scheduled shift. I was also flex pool so I wasn’t exactly “staff” where the facility chose my hours, but once I committed to my schedule, long before the storm ever formed, I had to be there. If not, I’m sure I would of been canned. We didn’t have team a, team b. We had-if your scheduled to work when it hits that’s your rotation. when Irma hit the facility I worked for two days a month PRN tried to tie me into a 72 hour team. They did this preparation for storms while Irma was approaching, probably because no plan was in place because we never had a bad storm actually expected to hit us until then. I also had another job at the time, hence why I was two days a month PRN. I got to work and was told, “Oh yeah, you weren’t here so I just put you on team B”. My response, “I work two shifts a month PRN. I’ll work longer if I scheduled myself during the storm or whatever, but I’m not working extra after the fact.” I was then told they were going to check with HR to see if I HAD to, bring licensed. I told them to go ahead, and if the storm did hit and destroy my home that my husband would be accepting a job transfer to the northeast. Either I called their bluff or HR told them they couldn’t force me to work after the storm if I wasn’t scheduled because I heard nothing else about it. So, I cannot speak legally, but patient abandonment is the only thing they could use. If you reported off on your patients to your relief (assuming they came in to work)then you didn’t abandon them. The hospital CAN fire you and resisting could place a target on your back to get you canned-so you have to be ready to not have that job anymore if that was the case. I was in a position where I was freaking out, this wasn’t my main source of income, and there was a decent chance I would not have a home after the storm passed if it went the way it was looking. My husband was offered a transfer out of state and was considering it. So, my situation was basically screw this I’m protecting my family. I woke up at 6 am the next morning and it was tracking right for us. Me, my husband, and young daughter ended up in a hurricane shelter overnight. I did not sleep. I was watching over my child in a room full of strangers. Luckily, we only got 100mph winds and my home was intact. I did what I had to do for my family so I totally get why you want to know what your legally obligated to do. Don’t abandon you patients and you should be fine...just make sure you have a plan for if you don’t have a job if you don’t comply with their demands.
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