KellieNurse06

I believe the J tube is for feeding/meds & the Gtube is for draining. It could depend on the patient, a patient I used to care for had both & we used to feed her by J Tube, and hook her G tube into a foley drainage bag overnight, and if it was more than 150cc we would re instill it back into her stomach......

Well, I just got my offer letter from them yesterday and I have to say, I am really dissappointed greatly. I was hired by the vendor that had the contract before mhm took over.....I was hired by the 1st company to work 24 hours at $25.94/hr with full benefits (state benefits) + shift diff, and this new vendor who takes over July 1st and their offer was 24 hours, $26.71/hr + shift diff and no benefits at all, plus get forced to stay mandatory shifts for coverage and probably alot from what I have heard. I was more dissappointed than mad...... I work per diem in home care making $6.00 an hour more with no benefits as well. Alot of people are angry..and I can understand why. I even called the new co, so I'd be a fool to take less pay for the same & they said no one with less than 30 hours gets benefits at all. I applied strictly because of the great benefits..and now this new company does this..... I am trying to transfer to another area that has the old company still but I will only be per diem in that case. I know......if I am doing per diem, then what's the matter.....well that way if a permanent position opens up for 24 hours I will apply for it.......I don't want to do more than 24 hours in one place...I have another job also..I know it's only a 6 hour difference BUT they only do 8 hour shifts..so that's 4 days....they are even giving huge bonuses on top of regular pay to get people to work this weekend.

yes! When I first started school,I had a problem being organized with supplies needed for a specific thing like a dressing change, or bed bath.....it took me a while to get it....... so think what you will need and gather it all up........and for dressing changes...I always now bring 1-2 more than what I would need of each item "just in case"..nothing will make a patient lose faith in you faster than to "appear" like you don't know what the heck you're doing...even if you don't , you can "fake it" so to speak......the old saying "never let them see you sweat"..lol. Also, with patient care....always talk to the patient..even if they are out of it or non verbal, or what have you. I am saying this from what I have observed, and from my own personal experiences..... If you get a patient who is developmentally delayed or who can't communicate...never ever assume they have no idea of what's going on....think about it....if you were sitting or lying there with your eyes covered and something stuffed in your ears....and someone came over without so much as a hello, and just started poking and prodding you.....wouldn't that be upsetting or scary to you? I can't tell you how many times I have seen docs, nurses, xray techs, phlebs do this.......always remember to say whatever you are doing or are going to do..after a while it just becomes so that you do it without even realizing you are doing it......and it helps the patient.......you'll be fine! Good Luck!

7 years for me for a 2 year degree. I took 1-2 classes at a time and just chipped away...... plus with personal responsibilities with my child with medical issues, and working there was no way I could of done full time. I only went full time when I had nursing itself..... I "technically" have enough credits for a BSN, even maybe an MSN...but not enough in one specific area of study to get me one. I am however going for my BSN maybe this Sept or in Jan because I only need 4 extra nursing classes to get my BSN .......hey...it shouldn't matter how long it took , the only thing that matters is that one did it! Look at the 95 yr old who finally got her BSN...and is going for her MSN......good for her!!!!

Yes...believe it or not....(of course a sexual act has to occur)..but because an inmate is a ward of the state they cannot consent to anything even though they are legal age. It's a formality because I would imagine it's happened so many times before. It's along the same idea as statutory rape. I haven't began my job yet, I have to go tomorrow for more orientation but we'll see if it's for me or not......I am back & forth on this....probably the fear of the unexpected......we shall see....

Definetly a HIPPA violation because she got consent after she already opened her trap. What business is it of her's anyway? Obviously the son isn't such good friends because if he was, well wouldn't he already know about the baby's birth?

Wow....it amazes me at some of the things I have read...lol. I am actually just finishing up orientation for my new job at a correctional facility and it is drilled into our skulls to never ever ever cross that line...and even the most innocent comment can be the start of a whole entire fiasco. They said that inmates lose their right to consent & become a ward of the state while in prison, so even if it is a mutually agreed upon thing, with another inmate even......it is rape. And if a professional person gets caught it is rape, and they will be considered a sex offender as well because they will get prosecuted. I have been told so many things about correctional nursing and stories about things that happened unprofessionally that it makes me cringe.........

Hello, I actually just got hired at a local state psychiatric hospital/prison, and the company that hired me is no longer going to be the vendor...and it will be this MHM company as of 7/01. I found their benefits, from what were described...to be not as good as what the original company offered. I'll let you know how this new company is......I am brand new to correctional nursing.

I actually just got hired for correctional nursing.......I am on orientation as we speak for this week & next week. I will let you know what I think after or if I decide it's not for me...........

Where I live you have skilled visits or block time visits.....skilled visits are usually one amount like $30.00 for a new case, or $26.00 for an established case. For block time...it's by the hour and it is usually 4 hours to 16 hours depending on your preference, hours available etc. Also it depends if you work days, evenings, or overnights that determines your hourly rate as well.....

Oh yes......I live near that college.....it is a good school, however.....they get about 300- 600 applicants a year for 60-70 slots......I applied five years in a row & could not get in...I applied to the college I just graduated from & got right in & have since graduated. I say if you can get in BCC, you are lucky.....I'd probably still be trying to get in & still being refused......and you either get in or you don't...there is no waiting list. Have you tried Brockton Hospital School Of Nursing? You can get in there right away, I went there & did a year then went to another school but had to start from scratch....... I went to Community College of RI..(would be equal to BCC or Massasoit) and they have a fantastic nursing program.....I was very impressed! If you want info send me a private message or go on their website...good luck!

Absolutely you can report it......and anonymously. We literally just had an abuse inservice last week at the home care agency I work for. The social worker will come out unannounced, and pay a visit. If the woman says no, and she probably will........they will know if she is just afraid by exactly what you have described her behavior as doing......and the social worker will again make an unannounced visit..just to "see how you're doing" ......they don't just dissappear after the supposed abused person refuses help.........it doesn't go that way. I would definetly report this......maybe she was afraid to say anything with him there....but you can always call her up if you have to for any reason.....say for an upcoming appointment.......and ask so she can just give a yes or no answer..........maybe it will work,maybe not. Once that social worker comes out....that makes the victim feel better & gives them power because "someone knows" something is going on......... we had a 2 hr inservice that was really informative & lots of info......Good Luck

If you can find a seamstress, they can cut out an area & make the panel that has that stretchy material....unless you don't want that type....... how about googling it on the web?????? Good Luck

:imbar :barf01: That is just disgusting! OMG!! I honestly think it just doesn't occur to some people that they do yucky things.....

I would say yes it does because it happened at work.......

Ok everyone..thanks! I am definetly going to tell my cousin to talk to my aunt(her mom) about getting a meeting together with all the people involved in his care. He was moved to rehab from the ICU he was in...and he was there for a long time....I think, like a month or two, no kidding. I am not involved in the decision making because I haven't seen him in very very long time...so I get updates from my cousin by email & phone calls about what's going on.....I also don't feel it's my place to open my mouth about what I think should be done with his care etc, even though I'm his daughter because we haven't really been involved in each others lives.....my aunt & cousin are the ones that have been there...not me....I will let you all know what happens because I even ,mentioned something isn't making sense here, and that was when he wasn't waking up after surgery..........anyway thanks again..will post updates....

I have a question....not looking for medical advice at all.......it's about my dad....I think he had a stroke, but no one knows for sure. He had emergency surgery for his appendix, and didn't wake up from anesthesia for like 2-3 weeks.....I am not kidding. He has had to be trached & vented , and has a feeding tube now as well. He finally woke up but has never been the same. It's really wierd. He will follow you with his eyes, and mouth words (can't talk due to trach) so it's hard to understand him..and I'm sure it's frustrating for him as well. He moves his arms & hands ok, but I tried to get him to write on paper and he says no when I ask him if he can write..It's really bizarre...and his legs..he moves them a little but if you tell him to move them or his hands/arms it's like he doesn't get it & he doesn't do it. I even gave him a card yesterday & he looked at it but it was like he couldn't put it together to actually open the card,..it's really weird....He even patted the bed for me to sit on next to him & he grabbed & held my hand tight..... and he grabbed my coffee and drank it when I was holding it......he is apparently NPO pending a swallow eval...however the stupid place he is at has a sign over his bed that says "encourage sips & small bites of food, hob up 30 degrees, bed low etc etc"......one of the docs or nurses says to me yesterday ....you are aware he is npo, right?...so I said well the sign there says encourage sips, etc and pointed to it......she was like that shouldn't be there blah blah blah....... well I saw the sign & let him have sips....not knowing until after when they came into the room for their daily rounds.......he never choked thank God!! He was coughing and I was a bit nervous but it was because he needed suctioning & I did it and it was clear, his lungs sounded awesome because I listened to be sure...clear as a bell!...thankfully....... I just couldn't believe they have a sign saying encourage sips but say he is npo, I would of asked if there was no sign up or anything saying he could or couldn't.......I just pointed that sign out & left it at that. Now I haven't seen my dad in many years until he got sick this past march,then my cousin called me to tell me because she said it wasn't looking good for him..and he did almost pass away in ICU about 4 times, them recovered. He was septic & the whole 9 yards.......He has lost alot of weight too but I think it's just from all the stuff he has been dealing with being sick...... I say by my gut feeling he had either a stroke or something went wrong with anesthesia....like lack of 02 from tube placement or too much anesthesia.....just my gut feeling...... He did have a clot in his leg that they took care of, and they said they did a ct scan which showed no brain damage but he is just not the same as before .........has anyone ever had an experience or seen something like this before with any patients? I told my aunt & cousin who are his healthcare proxy people that they should ask for an MRI &/or a Neuro consult & eeg or something....... Again I am not looking for any medical advice......just want to know if anyone has had any patients like this & what was found to be a possible cause .............we are just puzzled.....thanx!

I personally know a nurse ( she takes care of my daughter in home care) .....she just finished her Masters in Nursing through University of Phoenix online. She really liked it & never said a bad thing about it, except it was a little more expensive than the average program, that's all. She is moving to Florida in 2 weeks, & I believe she just got hired as a regional director for the home nursing agency she works for here taking care of my daughter as a field nurse. They have companies all over the country...and she had no problem getting an interview. I think those professors telling you to "stasy clear of diploma mills" should know for a fact what schools are diploma mills before making such a remark.......that's all. I thought the same thing until I actually saw what she did for coursework.......it's tons & tons of writing papers & doing research.....she even got invited to join some nursing society...phi cappa something or other.....I probably have the name wrong, but one of those socities anyway...... so UOP can't be a diploma mill ...........good luck on finding a program to further your education......

sounds like a tough situation....I would just try to suck it up and get through/...you don't have a long time left as another poster mentioned. It sounds like your aunt has some control issues from what you mentioned......I would just try to get through the rest of the program and in the end it will be worth it...it will be over before you know it......good luck

OMG..this is way too funny...lol.... I notice lots of stuff too now that I never paid any attention to before.... If someone is coughing without covering their mouth, I kind of casually walk away so I don't get in the area of where they coughed, If someone like a cashier coughs in their hand, then hands me change I get sooooo grossed out that I will not touch anything until I wash my hand. How about a baby in a carriage in the store gnawing on the handle?? ewwww!!! I also (for some odd reason) pay close attention to how people pronounce words when they speak...I think it's my family that got me because after nursing school with all the medical terminology, listening to my aunt talk medical stuff......oh my...... remission is "emission" macular degeneration is "macular generation", digoxin is "dioxin":lol2: . What else.....Oh ya...my bf uses a glass to drink out of, when he is done he will leave it on the counter & keep using it over & over without washing it out >>>>germs, germs, germs.....and also .....one thing that really gets me is in our bathroom our hand towel near the sink....he will wipe his mouth on it after brushing his teeth......and I have told him many times that nobody wants to dry their hands on a towel he wiped his mouth on, and I'm sure he wouldn't want to be wiping his mouth with a towel everyone and their brother has dried their hands on :trout: .......he still doesn't get it.......

How about eye blinks??? How about making eye contact when it's a "yes" answer.....

I was taught a really good way by my Maternity instructor actually.....I had trouble putting it all "together" until she showed me an easy way...and it stuck ever since.....she told us go head to toe........amazing how one basic little comment puts the pieces together....so that's how we would chart with our notes.....I still do it that way to this day..... She said that if you can put together a picture of the patient that you can sort of visualize before even seeing the actual real patient, then that's a good way of charting.........and this instructor actually writes for Saunders NCLEX books.......so I know she knows her stuff really well....

How about home nursing care? I mean block time , not just skilled visits.....If you have health insurance through your husband.....then you wouldn't need to worry about that...then this would be the perfect job...I do home care now..and I am starting as a correctional nurse in a couple of weeks.....so I am doing both part time but will be working full time between the two combined. Home nursing care I do peds & an adult......there is tons of flexibility for those who need it.......maybe check on that? You do all the same stuff as in a hospital just with one patient & you really get to do real nursing care, where as in a hospital you don't have alot of tim e to spend one on one unless you have some down time....even then it's rare. In home care you really get to know your patient......it's a good area......maybe that is good for you? I have nurses in my home as well for my daughter.....one does 9a-5p, another 8a-3p...some do 5p-10p........so it is good for those who need flexibility....good luck!

That's sad....why are the nurses bent out of shape over the morphine???? Because of addiction???? I'd tell them who cares...the person is dying for pete's sake.....what's the big deal??? Are they going to come back after they are gone as a druggie & hunt them down for more medication???? lol! I say let the patient have whatever they want if the doc will allow......I have found from several nurses I know with years & years of experience that once the morphine starts that's usually the end is close be it days, hours etc. I'd remind those nurses that it's not about them or what they think....let the patient have as little pain as possible & enjoy their last days......... jmpo......let us know how things are going....hope your patient can live as close to pain free as possible when they transition....

Hey all....I applied for & got hired for a corrections nurse near where I live.....so I am very excited! I actually applied to it for the benefits, as for the state they are great. I honestly thought they weren't hiring me...so I got ahold of the person who is the employment person & they said they actually just got told to make me an offer for the job......it took about 8 days & I really thought they changed their mind....lo & behold! I am excited & nervous ..but hey if it doesn't pan out I can always start looking around again for something else....... ...I am going to be doing 24 hrs a week on 2nd shift in the state hospital part of the correctional facility.....