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  1. beekee

    Applying book knowledge to clinical practice

    It takes some time and experience to get the hang of it, but I still don’t always know what to do after 3 years. But that’s ok, I have coworkers, physicians, RT, etc to help if needed. When I find something off, I try to put it together. Take a set of vitals. Do a focus assessment. Think about their history (check blood sugar if diabetic), diagnoses and recently administered medications. Talk to a more experienced coworker to help you work through it. Do you have something specific in mind?
  2. beekee

    Managment is TERRIBLE

    Chances are this new DON won’t last long, but if you don’t want to wait it out, the only option is to move on, unfortunately.
  3. I appreciate that the admission questions about communicable diseases is pretty far down the list. Why would I need to know if you might have TB until several minutes after I’ve been in a room with you without any PPE. Good times.
  4. beekee

    ADN-BSN or CC-Transfer to BSN

    Take a look to see what GPA requirements the schools around you have. You may not get in with a GPA that low. Therefore, I would recommend applying to both BSN and ADN programs and see if you get in anywhere.
  5. beekee

    Will I get in trouble?

    You have a couple problems. 1. If someone calls, I am assuming that you are required to note in the chart what the call was about and what you instructed the caller to do. You didn’t put a note in your friend’s chart, so you either didn’t take a call or you violated policy. 2. There is probably a log of who calls somewhere. There’s no automated system that requires the caller to enter some information before they get to the triage? 3. Your friend can ask for a list of who had access to their chart at any time. You will be listed. If your friend notices, she can complain and even sue your employer and you.
  6. It’s always easier to find a job when you have a job. When you don’t have a job, people think “why doesn’t she have a job?” And the possible answers include got fired, quit without notice, walked off in a huff, has something in their background I don’t know about yet, was asked to leave in lieu of getting fired, etc. Basically, people assume the worst. Have a good reason for not currently working in your cover letter and use your network to help you find your next position. Good luck!
  7. beekee

    Dmu liscence suspended

    I still don’t really understand, but I think the OP is in Pennsylvania. DMU is the Disciplinary Monitoring Unit. VRP is the Voluntary Recovery Unit. So, it appears that OP was placed in the DMU in February 2016 due to drug diversion. In October 2018, OP had a positive urine screen (maybe more). As a result, OP’s license was suspended for three years. Then, OP was fired from her job . OP’s lawyer is saying that OP will get her license reinstated in 2-3 months and that instead of completing the DMU program is October 2019, it will be extended. OP is asking if her lawyer is correct about getting license back in 2-3 months and if anyone knows how long the DMU program will be extended. Also, OP wants to know if she can apply for unemployment compensation as she was fired from her job. How’d I do OP? I don’t have any answers for you, unfortunately, but please let us know if this is what you are asking. Your original post was unclear. Thanks!
  8. beekee

    Anyone else regret becoming a nurse?

    When I started as a nurse, all I could think about was quitting. I hated my job and being a nurse. I was stressed out, unhappy and questioning whether I could do it. I researched what unit I wanted to transfer to. I asked about the patients, coworkers and manager. I set my sights on what I thought would be a good fit for me. I got the transfer, but I hated that unit too, for about a year. Then, it started getting better. Now, I’ve been there a couple years and am pretty happy. My point is, it takes awhile to feel comfortable in a new environment. Try to stay somewhere for at least a year and see if you like it better.
  9. beekee

    Should I intervene ?

    Good Samaritan laws protect bystanders when they act in a reasonable fashion to emergencies. However, some states have enacted a “duty to rescue” laws that require nurses to provide care in an emergency Vermont, Wisconsin, Rhode Island and Minnesota have such a law. Other states may as well. Che k your state’s laws.
  10. beekee

    First Nursing Job Dialysis Am I Stuck Forever

    I work on a med-surg unit. The beauty of med-surg is its diversity of patients and health issues. Every nurse comes with a unique background. They all add an expertise to the unit. For example, Mary worked in psych. She knows what to do when a Geri-psych patient freaks out because she thinks we are trying to steal her purse. John has a background in detox. He can spot a patient who is about to crash from the back of his head. Beth worked in long term care. I’m not sure there’s anything she can’t do! Likewise, med surg is going to have dialysis patients, patients with acute kidney injuries, kidney function impairment...as well as the comorbities that you see in dialysis, such as heart disease, mental health, and diabetes. These are all valuable skills and all transferable. Don’t focus on “I am just a dialysis nurse.” Focus on the totality of the environment, patients and skills you gain in dialysis.
  11. beekee

    Do I have time to take 'fun' classes when in nursing school?

    If you are in a 4 year program, a fun class is possible while you are taking the basic sciences. Once you start with the nursing classes and clinical, it’ll become much more difficult. I would not take anything extra that first “real” semester, as it tends to be quite a culture shock to most. Another thing to keep in mind is that in college, “fun” classes are typically the introductory class to the major. Often, what sounds fun or easy is in reality a horrible weed out class. Be sure to ask around about the course and the instructor before you sign up.
  12. beekee

    Wondering What My Next Step Should Be

    Let’s face it, once you start showing, you might have a more difficult time finding a job. For that reason, and everything going on with this job, means get out now. Do you really want to be wrapped up in an investigation, have your name tarnished by the mere association with this place if something goes public, have all this job stress, have difficulty finding a job, etc, while pregnant? Yes, FMLA when you have the baby would be nice, but the downsides seem to high. Sorry you are going through this!
  13. beekee

    Why do RN injuries keep happening?

    At one job, there were two employees on the floor and two patients that weighed over 300 lbs who were paralyzed on one side as a result of a stroke. Every two hours and with every incident of incontinence, these patients had to be repositioned. We had no fancy equipment. Just two employees that together weighed less than either of these patients. At another job, it was a no lift facility. They put in tracks for overhead lifts in every room. But no one budgeted for the actual lifts. They were never purchased because it was too expensive. Another time, a patient refused to use the lift. We complained to management that it was not safe, but management said make it work. In an "assist of three," an employee sustained a permenent injury. So, we have poor staffing, lack of equipment, and lack of support from management (and usually a combination of those three). Patients are getting bigger. Staffing and budgets are getting cut. Management doesn't always have your back (literally and figuratively). It's a recipe for injuries.
  14. beekee

    Which Certification?

    I don't see why you'd get any of those certifications if you are a social worker. The CNA/PCT route would give you a glimpse of hands on care, if that's what you want to experience. Phlebotomy and pharmacy tech would be a waste of money and time, in my opinion.
  15. beekee

    Extreme nurse burn out need help please

    Sick days, PTO or whatever your employer calls them can be used for mental health too. Take a day or two off and take care of yourself. That's not going to solve everything, but it can be a start.