needlesmcgeeRN

A few months ago I left a good, laid back Primary Care office job with great co-workers, in order to work closer to home. I am really enjoying my new position and awesome co-workers, but there are changes coming that have me anxious for the future. I hope changes are ultimately good and I can continue liking my new job.

What about your co-workers and their loved ones? Why are you a priority? It's called planning ahead. Period.

I'm sorry, but LTC/SNFs require you to use many of your skills! Your friend is not right.

Recently started 12 h nights and I LOVE it so far. I was worried, because I worked 12 h nights in a SNF, which I DID NOT love. I was muuuuuuch busier in a SNF, but time seemed to drag on and on.

We have MHTs who are CNAs or STNAs (cannot remember which). They are AWESOME and INDISPENSABLE. No college degree required. They do a bulk of the direct care, 15 min checks, VSs, etc.

We have admissions of patients with dementia. I don't think these admissions are appropriate for our unit. Why do SNFs have special units, if not to provide specialized care to seniors with dementia? We currently have a patient with dementia with no underlying psych concern. Makes no sense.

I work on a 12 bed secure senior behavioral health unit at a local hospital. I work nights, and we are staffed with a great group of people. We don't spend a lot of time with the patients like day shift does, unless a patient is up and wandering. It all depends on the current group of patients.

I haaaaaate sliding scale. I worked as a Care Coordinator in a family practice. Often, our patients who went to the hospital ended up on sliding scale. I wish hospital providers would get some updated education on pharmacological management of diabetes.

Pet peeve - it's HIPAA. Health Insurance Portability and Accountability Act. WHY is this so hard for people.

Why do you feel it is your responsibility to bring this up to the owners of the facility? I am sure the medical professionals, i.e. the nurses are aware these residents have c. diff. and what precautions need to be taken. Your responsibility is to take appropriate precautions as you complete your tasks.

With your pt. with the UTI - did you reassess the BP? Did you assess the whole patient or just look at that group of symptoms? Same with the patient for whom you suspected c.diff. Did the patient have abdominal pain, diarrhea, fever? Any of other common symptoms of c.diff? Or were you only going off of the smell of the BM? Why are you asking for advice from others with potentially more experience and then disregarding that advice?

You would be responsible for...maybe 25+ residents - med passes, documentation, treatments, checking physician's orders, calling physician or NP, possibly lab sheets or collecting specimens for labs, restock med cart, assessing residents, etc....and, if you are anything like me, you're getting your own VS, checking your own BGs before SS insulin, because I trust NO ONE. You may have a resident to takes 10 different meds, in pudding, and who takes 10 minutes to swallow each spoonful. And then a resident or three with a g-tube. And that's a night without any complications! I am sure I am forgetting something. Or many things. There is not enough money in this world to entice me into working in a SNF. I would rather work at McDonald's.

Any hiring manager who would pass someone over for a position based upon their absolutely perfectly natural hair being "ethnic" should NOT be a hiring manager.

I do not think non-nursing folks should be allowed on these boards.

You were "overwhelmed" and "stressed"? You need to learn some stress management skills before you even think about nursing school.

What the what...? Jeeze. What an overreaction. I work in family medicine - patients, specialty reps, and drug reps often bring in various "treats" for the providers (though, usually the drug reps bring in something for the entire office), but it's rare for our providers to eat any sweets.

Which state?

There are forums out there dedicated to the "van life", I have family who do this, though not full time. It truly is not as crazy as it sounds.

I am THAT RN. And frankly, I spend FAR too much of my time following up on patients who have gone to the ED for non-emergent medical care, time that I need to use to focus on our more high risk patients and keeping them out of the hospital.

My thoughts, as a nurse working in family medicine and following up on our patient ED and Inpatient discharges: "Customer service", or the lack of getting what they want has not deterred many of our patients that are frequent flyers at the local hospital networks. They are relentless in their pursuit of "treatment", and many have never bothered to seek follow up care for their "conditions" as recommended during their admissions. And, not necessarily related to the issue of customer service in the hospital, but our patients receive surveys following their visits and the "complaints" we receive are...IDK...but for example, a patient complained that their provider was wearing jeans. Our office manager has to actually respond to the patient with the outcome of how their complaint was handled.

Do you not have a local/regional Area Agency on Aging or Council on Aging? This is a great place to start!

I am not a school nurse, so forgive me for overstepping - and also, forgive me for suggesting you take on more work than you already do - but what about a hygiene presentation, so for all of the students or say all of the 5th graders or whatever may be applicable. So, no one student is singled out.

I've been at my current position for a couple of years. In all honesty, it is not a bad job - no nights, holidays or weekends, work with some truly great people. In spite of it all, I am not happy where I am at. I know it could be MUCH worse, so I'm just riding it out, occasionally scoping out other opportunities.

Why are these labs ordered?

As Double-Helix stated, in real life your prioritizing will be different. However, keep in mind, when it comes to the NCLEX - don't read into the question.