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old&improved

old&improved

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old&improved's Latest Activity

  1. old&improved

    Gave vancomycin wrong

    I agree with myoglobin that this was a systems failure- basically an accident waiting to happen. Given the RNs workloads in hospitals and our frequent rushing around to get our work done in a timely manner it seems unsafe to have a med given 2 different ways on the same patient. I am not familiar with giving vanco IVP followed with hanging a bag. Where I work it is given only by piggyback. I wonder if this is common in many places?
  2. old&improved

    Peer Eval

    Where I work if we don't complete our peer evals we won't get our raise. How's that for incentive? I like the idea of discussing areas for improvement with the person your evaluating.
  3. old&improved

    TB testing 2020, good riddance?

    Just curious- what is your work setting? (Hospital, home health, etc)
  4. old&improved

    TB testing 2020, good riddance?

    I had heard about the CDCs new guidelines and sent it to our infection control dept (although I probably should have sent it to the employee health dept) at our hospital. We still have to do it every year. My husband works as a customer service rep at a DME (so he works in the office all day) and they make them get a tb skin test yearly also. Seems ridiculous to me.
  5. old&improved

    Unruly CNAs, how to get them moving?

    I wish I knew the answer. I have similar problems with a CNA who will graduate nursing school in 1 more semester. She has to be told constantly to do things she should already know (she has been working at the hospital for more than a year). And this girl hopes to work at this hospital as an RN after she graduates! She is the least productive or proactive person I've ever seen. She has been reported to the bosses (by several RNs) and I think she has been spoken to because she improved ever so slightly (she now asks once or twice a shift if there's anything I need for her to do). I can only look forward to her graduation and moving on to another place. I realize I could report her further, but it seems pointless since she will be moving on in about 7 months. If I am asked by the bosses I will tell them what I think, but I don't think her problem is fixable because it's not a lack of knowledge, but laziness and attitude.
  6. old&improved

    Workplace Violence in Healthcare: Nurses, What is Being Done to Protect Us?

    Was this actually workplace violence or a random act of violence in a parking garage? I am not trivializing what happened. I'm just trying to understand the circumstances of the incident. Like was she specifically targeted and known by her attacker through her work or was this an incident of wrong place, wrong time occurrence?
  7. old&improved

    Home Health Nurse pay??

    I haven't done home health in many years, but when I did (per diem) I was paid a set amount for visits and much more for intakes (admissions) because they took a lot more time and I was paid an amount per mile since I had to use my car. If I were you I'd do as I did and start with per diem on days off and see if you like it. One thing full timers complained about was how they could not complete their charting and visits in an 8 hour day. They ended up taking their work home and completing it there, but they weren't paid for it. You're also expected to be on call and how often depends on how well staffed they are. Generally, you make less in home health than working in a hospital.
  8. 11 hours ago by Sour Lemon Sour Lemon has 9 years experience. 1,265 Likes; 2 Followers; 4,163 Posts; 29,809 Profile Views Last time I was on call, it was until 3AM (for a 7PM to 7AM shift). I rarely agree to be on call, so I'm not sure what's normal. I only did it that night because I was working for someone else who was required to do it. I wish I could refuse. At my hospital you don't have a choice. And I've been called as late as 0400.
  9. old&improved

    I'm the bad guy for not working off the clock

    I work in a hospital and according to our director if you're off the clock you cannot access a patient's medical record. It is a HIPPA violation. I don't know if that applies to insurance work as well, but I would think so.
  10. Throughout my 40's up to mid 50's there were a couple of years I didn't get it because I felt I was healthy and had a strong immune system, but now that I'm 62 I make sure to get it. I have seen some very bad cases and some deaths from pneumonia due to the flu and I have never had a bad reaction to the shot (except a little soreness).
  11. old&improved

    What city do you work in and how much do you get paid hourly?

    Does IHS require a BSN? Someone told me they do, but in their ads they don't specify that. Just curious.
  12. old&improved

    Leaving federal job for nursing school

    You make some good points for the OP to consider and although I may sound unhappy in my job I am not. I work at one of the better places. That being said I liked my job more 15 years ago when most of the negatives I mentioned were rare rather than the norm and I have to say I'm happy that retirement is in the not so distant future. Although, then I'll have to worry about being a patient.
  13. old&improved

    Leaving federal job for nursing school

    I wouldn't do it. If you read enough threads in Allnurses you will see how frustrating and difficult this job is. Not necessarily the patient care, but all the bureaucratic BS. Do you have a good work environment that allows you to do your job effectively and feel respected? Do you get a 30 minute lunch break without interruptions? Do you have sufficient time to do everything? Are you made to feel guilty if you won't work extra or call in sick? Do you have tasks added to your workload on a regular basis with expectations of getting it all done by the end of your day? DO you get out on time? Do you face the possibility of violent behavior or being cussed out from "customers" and their families? This is a very small sample of the negative work environment we all face in nursing today-even at the best places. And it's not getting better. Yes, being a nurse can be fulfilling, but it's becoming less so every day. Sure, you can go into non bedside areas (after getting 1-2 years bedside experience), but you will take a pay cut and they have their own set of problems. Also, how long do you expect it to take you to reach an MSN while still working? You will be missing a big part of your children's lives before you achieve that. I'm not trying to bum you out, and some places are better to work at than others, but they're in the minority and at even the best you still deal with the above problems. Most people go into nursing because it pays pretty well, there is demand (although for new RNs getting their first job can be difficult), and they feel they are helping others. But you already get paid pretty well for not having a degree, have weekends and holidays off and you will find that the "helping others" ethic has to be compromised dramatically to fulfill the bureaucratic BS. P.S: I've been a nurse since 1991. Respiratory therapist before that. If I had to do it again I would look into x-ray tech (advancing to CT and MRI credentials) or ECHO, USN tech. Although I'm not sure it's lots better in those fields. Good luck to you and whatever you decide.
  14. old&improved

    Is it like this everywhere now?

    I don't know when the peak was, but I graduated in 1991 and I loved it for 15 years. It started gradually becoming more intolerable where I work after about 2006 or so. I have to say, though, as bad as it is - where I work is far better than a lot of other places like the corporate owned hospitals. (I work at a smallish nonprofit community hospital).
  15. old&improved

    Is it like this everywhere now?

    Wow. It is very disheartening to hear that it's no better for N.P.s
  16. old&improved

    Is it like this everywhere now?

    Regarding adding more tasks to the nurses workload: Where I work they started requiring nursing staff to check all the expiration dates on our supplies and equipment monthly because we had been dinged by the state twice for expired supplies/equipment. I'm talking about supply carts, cabinets and drawers full of dressings, foleys, syringes, gloves, stat locks, catheters, and hundreds of other things. Also, all machines like vital sign machines, IV pumps, SCDs all had to be checked for expiration dates (that biomed is supposed to update). NURSING had to do this. Neither material management (who stocks supplies) nor biomed was expected to do this. Only nursing. Ridiculous.
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