sasha1224

Ours is 15% for nights 7p-7a.(we only have12hour shifts). Time and a half for holidays(8 holidays a year). RNsRWe mentioned the difference in pay with night shifters taking PTO. The hospital I am at did pay the shift diff on PTO but changed that policy just this year to only pay the hourly base. It was a "budget thing".

1. how much extra do charge nurses make at your facility? permanent charges make more but not sure how much, a fill-in charge is 1.00/hr 1. if they also have an assignment. generally not on either shift, but if short will have 1-3. if hospital is tight for beds, then the charge will go into ratio and take admissions. 2. what type of floor it is. telemetry 3. number of beds in the department/floor. total 70, with one floor at 34 and one at 36.(these are two seperate floors, covered by one charge) 4. your geographical location southwest

Is it a compact state? Maybe they are licensed in a different compact state?

I worked for one and while it wasn't the worst place I worked it wasn't the best either. As for a Long Term Acute Care Hospital, it was far better than the other one I worked for. As for patients, it was almost all bedridden, total care type patients with complex wounds, g tubes, trachs and vents. The one I was at had an ICU where we did drips and the occasional ETT/vent. As for ratios, the ICU was 1:3-4 and our floor areas were 1:5-6, with techs. We also has a mix of LPNs and RNs, unlike the regular hospitals. One positive I had was the medical insurance was the best I'd had since being in the medical field.

Had a situation like this one placed I worked. A husband and wife were both supervisors, then the husband started and affair with a floor nurse. Word got around quickly. He moved in with the nurse. Thing was this situation went on for a long time before management did anything about it. Ended up he was forced out and the nurse quit. Later, the wife was fired. It was an awkward and tense situation for the staff.

One place I worked RNs wore royal blue, could coordinate a print top to the royal blue pants. One was all RNs wore navy blue and the next maroon. Currently, I work at a place that doesn't have a policy on color, so we get quite some variations. Personally, I wear a neutral pant(black, brown, grey) with a solid color top. Frankly, I was so sick of royal, maroon and navy that it was welcome to wear something different. But I do agree that uniform colors for different levels of staff members looks more professional and more identifiable(as long as a guide to the colors for different is posted like the first place I mentioned, they did this) otherwise it doesn't really help the patient identify nurses from other departments. In the case of no uniform colors(and really elsewise) a caregiver should identify themselves.

You might see if your area has LTACHs, Kindred is a big company that has LTACHs throughout. These are Long Term Acute Care Hospitals and take complex patients. It's not a nursing home. These places do ten to have high turnover but their not really that bad. These places saved me over the last couple years when I couldn't find a hospital job. Good Luck.

To the OP: I have worked some places that do IRs for IV infiltrates but they were for tracking not disciplinary action. The key is to monitor the site and DOCUMENT. This saved a co-worker of mine. She had checked a peripheral site in the hand that had TPN/Lipids running before hand-off. The next nurse found the IV infiltrated 30 minutes later. Unfortunately, the infiltrate developed to the point that the patient needed a skin graft. And they sued. Because she had checked the site and documented about it, nothing came back on her. Chalk it up to a learning experience, monitor and DOCUMENT.

My facility is getting hammered by state. is it totally unjustified. No. For us, if the administration would discipline or fire that ones making that mistakes, we would do ok. But alas, this doesn't happen. Now while many of the marked have been counseled, there has been a lot of favoritism here especially towards the opposite sex(and no not females) One girl got fired for not filling out a certain document while her male counterpart(who had many more infractions on this same form) was promoted. Another example, a female was fired for less infractions than a male counterpart who had made many more of the same infractions. This male was, of course, was the employee of the year. Go figure. And before I get flamed about male vs female, I really don't care as long as it is fair, that the best suited person gets the job, so to speak. In some facilities, the men being promoted were better suited, some (not). I just noticed at this facility it is very obvious.

I maybe could see this if the pill being used is the Extended Release type. Could that be what they meant?

i am applying for admission to the msn program, family nurse practitioner concentration because i desire a career which provides advanced nursing care to individuals and to the community at large. my bachelor of science degree in nursing provided the foundation for which a master degree will build and strengthen on. i am certain that ------------ university will provide me with invaluable resources to achieve this stated goal. these resources include “theoretical, experimental and research knowledge” among others, as was described by the university’s program competencies. being an international student from nigeria, i would also bring a different perspective, experience and diversity to the college, as well as to the university as a whole. healthcare has always been my first choice in careers and going into nursing has been one of the best decisions i have ever made. the opportunity to study in the usa is a once in a life time opportunity that was given to me, and i am extremely appreciative. as a token of my appreciation, i have volunteered in many programs that reach out to the american community. nursing school was challenging as well as exciting. it provided me with an education program responsive to the changing needs of students and the health care environment. in the clinical setting, i was able to use learned knowledge to provide patient care, advocacy, education, teaching and comfort. it was an opportunity for self discovery, learning and growth. the journey from nursing student to health care provider has been very rewarding. i hold my bsn from --------and i presently work at a skilled nursing and rehabilitation center. working in this facility has exposed me to a vast array of residents with different personalities and backgrounds but one thing the residents have in common is that they are all at their most vulnerable states. they have physical and mental disabilities and require patience, understanding, care, and comfort. i have come to realize that the most appealing part of my job is the fact that being a nurse provides me with the unique ability to not only “do a job”, but also the opportunity to be a human being. to have a heart, to be empathetic, to make someone feel better at the end of the day, than they did in the beginning. ]removemy main reason for pursuing a career as a nurse practitioner (capitalize) is because i desire to encounter new and even more challenging experiences that will help me with my continued growth and development. i also desire at some point to move back to my home country nigeria. my home country is in dire need of adequately trained medical professionals. the country is underdeveloped and hospitals are understaffed. health care is not a right but a privilege and we (maybe use home country, "we" might turn some off) lack some basic infrastructures that are pertinent to health care, h (either semi-colon or end sentence and start new one with healthealth insurance is non existent. so many lives can and will be saved if only a few more professionals like myself can be trained in a reputable university such as--------. i believe that i will have so much to give to my(maybe add home here)country when i eventually return after receiving extensive training and experience in the health care field. by earning my graduate education from-----university, i will be able play a critical role in life-saving procedures. i will also have the opportunity to be a teacher and to share my knowledge with people who might not have had the opportunity to study in a reputable institution in a developed country. i hope to be a pioneer, a person who brings about changes(remove s). i have a vision to see health care bloom in an underdeveloped country and i hope that -----university will help bring thismaybe add vision here to reality. after received my advance practice degree from this institution, i will have been provided with resources that will be valuable to me for the rest of my life. maybe add a conclusion such as "thank you for your consideration and i look forward to the opportunities your program provides." the changes i suggested are in red. this is well written, i hope it works out for you! good luck!

Whoa....scary! A couple things come to mind. One is to document skills she claims she doesn't have(as you mentioned bed baths, bedside commodes), and document the errors she has made(changing drip rates, lying about giving meds and who knows what else!). Two, talk with the educator and manager about the issues(hopefully they are supportive). Three, sounds like she needs to "go back to the beginning", meaning follow her every move. And fourth, give her a good "dressing down". This last one comes from my own experience. I was a new nurse in ICU. I was so afraid of being seen as ignorant that I would say I knew about a disease or med when I didn't know enough. My regular preceptor never said anything. But one day, I had an alternate preceptor and she saw through me quick. She pulled me aside privately and laid into me. Not meanly, but bluntly. Told me that if I didn't know, I need to ask questions, ask for help, research, etc. And told me that if I continued the way I was going I would fail. At the time I was mortified and angry, but in hindsight, best thing that ever happened to me. I still remember and utilize this after almost 20 years . As for the first three, I encountered these issues with a nurse I was precepting. Others had given up on this person and this orientee was passed to me because I had the reputation of being patient. And mostly, I like precepting. So I took on the challenge. It was evident right away that this person wasn't getting it. I tried and tried and when this person's orientation period was about to end, I talked to the educator and manager. I relayed my concerns. Somehow(whether they or others told this person) the orientee got wind of my concerns and(rather pissy about it, I did understand, maybe another preceptor could get this person up to speed) changed preceptors and got cleared. Independently, this person made many errors and after just a few months was fired. I thought maybe this orientee could have been a great nurse(had great drive and enthusiasm) just needed more education and mentoring. Sadly, didn't happen. If I had support from the manager and educator, maybe it could have been realized. That is why I questioned if you had support from these departments. Hope it all works out. Looking above, I seem to be long winded!!

I would agree with LunahRN and state to the educator that your had a better connection(rapport) with the alternate preceptor. This may be enough to get to work with the preceptor who you click with better without enraging the first preceptor. If you have to work with this person, you might claim a schedule change was the reason. You don't necessarily have to disclose the reason you asked for a different preceptor. In the end, you have to advocate what will work best for you.

Most of the time Mersa, sometimes MRSA. American. Practiced two regions, Midwest and Southwest. It seems I heard Mersa more in MW and MRSA more SW. May be from higher ratios of foreign nurses. Ireland and Australia have chimed in, was curious about the British?

When I read your post it got me thinking....I currently work in a fairly diverse cultural area(largely hispanic and tribal groups) but I realized that I have not encountered some of the diverse groups that I had in my home state. In my home city, I encountered more often Muslims and Mormons as religious groups, African immigrants, and also homosexual groups. I wonder if partly tolerance is where you grow up/or spent a good deal of your adult life in. Growing up and working with these groups, I hadn't really realized that the area I am in now doesn't have very populous groups of these. I was "used" to them and didn't have a problem. For me, the inexperienced area I am in currently, is the cultures I encounter now, and since I am not familiar with them, I am more aware. Never the less, as health care providers, we should be more tolerant of others' religious and lifestyle choices. And being intolerant is really not acceptable.