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Chloe'sinNYNow

Chloe'sinNYNow

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  1. Chloe'sinNYNow

    Question for Capital Region RNs

    Of all the hospitals in the capital region, they pay the lowest. New grad pay is barely $20 plus diffs. Or was it $19? It's been a while. But they consider themselves a teaching hospital because they are a Level I research hospital. I think that's crap. Sorry, just my 2 cents.
  2. Chloe'sinNYNow

    Question for Capital Region RNs

    well, the program lasts approx 3 mos but they don't allow you time to actually get your feet wet before "trading" you off to different preceptors as their schedule (not your learning curve) permit. I had 9 preceptors in my first 2 weeks and they were all telling me something different. Didn't sit well w/ my linear OCD brain.
  3. Chloe'sinNYNow

    Question for Capital Region RNs

    Yes, AMC does take on new undergrads. They have a pretty elaborate orientation program and yes they offer 12 hour shifts, but no they are not unionized. I relocated for this place thinking it was my new grad answer and had to leave at the end of orientation due to chest pains.
  4. Chloe'sinNYNow

    I was just laid off

    Awwww Sue, keeping fingers n toes crossed that you will land a better job; hopefully this last interview is what you want and get!! :Hug: Chloe
  5. Chloe'sinNYNow

    Same post, different Specialty

    Hi All, I'm new to this specialty, but also been awhile since I've had time to get back on Allnurses.com. good to see you all again. I write today because I am seeing more and more post angio cath pts on my medsurg/dialysis unit. My question to you all is this: When a pt is brought to my unit for his/her post op 4-6 hr bedrest and assessments how should I be assessing the cath site for hematoma? I have heard everything from keeping the sandbag on and vigorously massaging to prevent blood clots, to gently palpating to assure it's simple ecchymosis and not creating hematomas and/or bleeds to visually assessing to assure the pressure dressing remains C/D/I. Lastly, is this assessment any different from a post angio cath vs a post stent placement? (stupid question?) Sorry for all the mult questions, but my unit can't seem to answer me!! Thanks! Chloe
  6. Chloe'sinNYNow

    Why are ampules stil used?

    Old post and yup, still using the lil sharp shooters. I dred having to pop one every time. And there are some shifts where I have serious pain seekers that are allowed a mg of dilaudid q 1h!!!! Then there's the "cyclical vomiting syndrome" drug seeker who gets his 4 mg q 1-2h!!! ugh. and he's a frequent flyer! Yup, have plenty of those lil shards having me run for the sink and soap w/ each dose. And afraid of getting pulled over driving home late at night if I swerve!
  7. Chloe'sinNYNow

    Am I doing a post angio assessment correctly?

    Hi All, I'm new to this specialty, but also been awhile since I've had time to get back on Allnurses.com. good to see you all again. I write today because I am seeing more and more post angio cath pts on my medsurg/dialysis unit. My question to you all is this: When a pt is brought to my unit for his/her post op 4-6 hr bedrest and assessments how should I be assessing the cath site for hematoma? I have heard everything from keeping the sandbag on and vigorously massaging to prevent blood clots, to gently palpating to assure it's simple ecchymosis and not creating hematomas and/or bleeds to visually assessing to assure the pressure dressing remains C/D/I. Lastly, is this assessment any different from a post angio cath vs a post stent placement? (stupid question?) Sorry for all the mult questions, but my unit can't seem to answer me!! Thanks! Chloe
  8. Chloe'sinNYNow

    Albany, NY

    Hiya SZ, first of all, welcome to upstate!! Gorgeous up here, esp this time of year. I grew up here and after checking out the south and even getting my BSN there, I chose to return here. That should speak volumes! Albany is referred to as "Smallbany". It's tiny and comprised mostly of commuting state workers as it's the capital. The city itself has a quaint skyline and some cultural activities, and the real estate is quite competetive. Upstate NY is one of the few areas in our country surviving the plummeting housing market; it's actually growing here! Jobs in hospitals and nursing homes galore. so you will have your choice of location. IMHO, stay out of the cities and find a place to live in the outlying areas. Urban sprawl has found its way up here in the years I've been gone, and although not still the same territory I remember, it's still a terrific place to be. If you like seasons, outdoor activities, community outreach...etc... Hope this is a start. Good luck and PM me if you want specifics! Chloe RN-BSN, BA
  9. Chloe'sinNYNow

    How's this for an new grad with an agency?

    Hiya G, not sure if you're upstate or in the city area, RN or LPN, but for comparison's sake, I recently quit a direct stint (non-agency) gig as a RN-BSN in a NH where I made all of a whopping $17.86 per hour, and didn't stick it out long enough to get any benes. I was treated like floor gunk by the CNA's and used and abused by the management all for my title and licensure which every day they put in jeopardy. I bailed on that to return to acute care evening shift medsurg and w/ diffs kicked in, I am now making what you're looking at. From what I understand, NH's bring a lot more control to LPN's, but not a safe environment or a welcoming one for a RN. Hope this helps a little? Chloe RN-BSN, BA
  10. Chloe'sinNYNow

    Nurse calls in because of herpes outbreak

    We had a CNA leave early because she began her period on the job and was only wearing a thong. The supervisor knew she wouldn't return once gone, so she gave her the day off. But the residents went without baths that morning. Harumph!!! Chloe
  11. Chloe'sinNYNow

    Who do I turn to?

    Well...I did go to the DON. After I was called on the carpet on my 3rd day by the nurse educator and the ADON!! Such a rap they gave me about how I have to understand where the CNA's come from when I was telling them all this!!! The management look the other way so that they can hold onto their staff since their turnover, as I have recently discovered, is so high! And the only reason they hired me is for my RN! They need someone with my degree to do the paperwork that even their charge and unit manager cannot due to their status as LPN's. Whatever that may be. So far I've noticed it's signing off on assessments and admissions. But the paperwork there is just plain retarded and this place fraudulently documents orders and they have zero check and balance on their meds. It's screaming for the state to come in! After I called the Ombudsman, she asked my permission to talk to the state and I was elated. Turns out this facility has a LOT of goings-on that the state is interested in. Something's about to hit the fan. Just a matter of whether I'll be there to see it. But jeesh! I wrote this when I realized that the chain of command is hardly adhered to by anybody there. They band together like the thieves that they are! Disgusted! Chloe
  12. Chloe'sinNYNow

    Is this reasonable or am I being a newbie?

    :yeahthat: I can attest to that. As well as add that it doesn't even cause the folks at my facility to wrinkle their noses. Cuz they know that they (and I mean the CNA's and the mgt kissing their behinds) have the state snowed and the CNA's run the ship. Where are all those umemployed folks that would love to have their jobs????? Chloe RN-BSN, BA
  13. Chloe'sinNYNow

    Who do I turn to?

    I'm not all too convinced that I won't make it through the exit door before they boot me out. I hope on my exit from this facility, that I can make a difference in the residents' lives and quality of life. The way day to day and night to night care is given at this facility is horrendous, and I feel like I'm their only advocate! I've come to care for them so much!! And so many just don't have family around to be their mouthpiece or be able to speak for themselves. My heart aches for them. Surely there must be somewhere I can be a good nurse and still make the mortgage after I leave this place. All of you that know from my previous threads understand what a difficult time I"m having breaking into this new field as a 2nd degree newbie. Thanks to all of you for your support!! Chloe RN-BSN, BA
  14. Chloe'sinNYNow

    Who do I turn to?

    Well, I just got off a lengthy phone call with my ombudsman. She assured me that I'm doing the right thing as advocate for my residents and she tells me they are already investigating based upon previous complaints, but due to confidentiality, she is not at liberty to tell me more. Then she asked permission to relay what I talked to her about with our state dept of health rep. I gave her a big ole green light and will continue to do my best to document all I see and hear. Thanks gang!! Chloe RN-BSN, BA
  15. Chloe'sinNYNow

    Who do I turn to?

    Sad indeed Jolie. I'm sorry to hear of this. I've seen the Ombudsmen poster. I will be sure to call in to them tomorrow when I report back to work. After I re-read what I wrote, I realize I barely glossed the horrors I've seen. But I would like to know what caregivers in other facilities consider an appropriate wait time for a call light to be answered. I was told last week when a family member was begging for my help, that 20 minutes wait is not unreasonable at all. Hmmm...auntie sitting shaky and overmedicated and in the middle of the night on the toilet with skin issues and risk for falls acceptable for 20 minutes, eh? Just doesn't seem right to me. yet the ADON is a horrible creature that allows this to continue in what she calls "the culture" of the facility. Why the hell was I hired? They obviously don't want an RN or any outsider. Chloe RN-BSN, BA
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