TwoLayi

TwoLayi ADN, BSN, RN

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All Content by TwoLayi

  1. New California Nurse to Patient Ratio

    TwoLayi replied to painmeds's topic in General Nursing

    In the long-term acute care hospital I work at in CA all the nurses have been at 1:6 for tele and 1:7 med/surg every day, every shift for the last two weeks, with CNAs at 1:20. Alot of nurses think...

  2. Narcotic Question

    TwoLayi replied to Purple_Clover's topic in Geriatric, LTC

  3. Have Not Worked Since Graduating Nursing School

    TwoLayi replied to OrchidLoveYIZ312's topic in General Nursing

    If I was the OP, I would give a very vague answer and quickly change the subject. Such as " After nursing school and passing the NCLEX, I took a little time off. Since then I have been actively...

  4. Death and Denial. Need Advice

    TwoLayi posted a topic in General Nursing

    I am looking for advice on how to respond to a patient who is in denial about their terminal illness. Patient is in an acute care setting and prognosis gives the patient about two weeks to live. MD...

  5. Death and Denial. Need Advice

    TwoLayi replied to TwoLayi's topic in General Nursing

    This patient had expressed a fear of dying in the hospital, prior to this prognosis. And at this point, the patient could go home on hospice. Also after the prognosis, the patient bought online...

  6. Cant find work while on probation in Ca

    TwoLayi replied to Jaronson81's topic in Nurses Recovery

    Oh, I didn't realize that, but it makes sense. I have never been on it myself, but have worked with other coworkers who

  7. Cant find work while on probation in Ca

    TwoLayi replied to Jaronson81's topic in Nurses Recovery

    I would look into SNF positions again, specifically MDS positions, which doesn't involve patient care or handling of medications. Also in the bay area, there are home health agencies-not through the...

  8. Nurse vs Respiratory

    TwoLayi replied to TheSixFootThree's topic in General Nursing

    I did not mean legal as in breaking the law. But say a nurse administers medication and fails to document it right before her lunch break. The relief nurse comes, sees a medication is due, so he...

  9. Nurse vs Respiratory

    TwoLayi replied to TheSixFootThree's topic in General Nursing

    I don't believe you did anything wrong, RT should have documented the administration of the neb treatment. I see a lot of responses saying that a lot of RT's don't document on time or wait until the...

  10. Is disclosing a mental health record that awful of a thing to do?

    TwoLayi replied to Lorie Brown RN, MN, JD's topic in Nursing Career

    Nurses can be prescribed controlled medications and a medical review officer does review positive drug tests. Being prescribed a controlled medication does not prevent a person from becoming a nurse...

  11. How long to run a code?

    TwoLayi replied to smary8055's topic in Critical Care

    From Texas BON "Texas Senate Bill 823 (1991) amended Section 671.001 of the Texas Health and Safety Code and gave RNs the legal authority to assess a patient/client and make a determination of death,...

  12. RN/LVN Ratio Acute Care

    TwoLayi replied to frenchxtoast's topic in Patient Safety Issues

    I believe you are

  13. Preceptor is SO BAD!

    TwoLayi replied to Guest606's topic in General Nursing

    Playing the Devil's Advocate... Hi All, ICU nurse here with several years of experience. Recently I have been precepting a new grad to our unit. I let her observe at first because I don't really...

  14. New To This Area of Specialty

    TwoLayi replied to Reiincloud's topic in General Nursing

    I once did in home care for a child who had petit mal seizures. In that case, there wasn't alot I did as a nurse, except record and document the time it started and stopped. With the child, they had a...

  15. DON on cart

    TwoLayi replied to arainh20's topic in LTC: Directors, Assistant

    I realize this is an old topic but I felt I needed to add my two cents I was a RN floor nurse at an SNF and I really admire all the DON's who said they work the cart. I am not saying it should happen...

  16. Relocating to California

    TwoLayi replied to nicnurse82's topic in Job Search, Interview, Resume

    I would say this is not very possible....if you have your heart set on acute care and pediatrics. Nowadays, most new graduates get jobs in hospitals via a new grad program, and it is at hospitals...

  17. Frustrated trying to get a hospital job!

    TwoLayi replied to Bcpenpal's topic in General Nursing

    If it were me, I would jump at the chance for a hospital job. I also live in the Pacific Northwest, but I graduated with my ADN in 2015. I am currently working on my BSN and I currently work in a SNF...

  18. LPN supervising RN?

    TwoLayi posted a topic in General Nursing

    I am a RN and work in a SNF, in my facility we usually have an even mix of LPN/RN staff nurses. We have a DON that is a RN, BUT all of the supervisors/managers are LPNs with many years of...

  19. How to word this on resume

    TwoLayi posted a topic in Nursing Career

    In my current position I am frequently tasked with orienting new nurses on the floor. I have a passion for teaching, so I enjoy it and I know good at it because I am the go to nurse, even though...

  20. What should I do?

    TwoLayi posted a topic in Nursing Career

    I am feeling really stuck and hopeless in my career path. I graduated 3 years ago with my ADN. I got my first job working in LTC, thinking it would be temporary until I gained enough experience. I did...

  21. What should I do?

    TwoLayi replied to TwoLayi's topic in Nursing Career

    I wanted to thank everyone for the words of advice and encouragement. I think ultimately I am going to get my BSN online and in the mean time reach out to my some of my classmates and keep applying to...

  22. So conflicted..hate current job..two new options

    TwoLayi replied to brindlenurse's topic in Nursing Career

    I would go with the OR, except the for the 3 year contact. If you hate the OR you would be stuck there. I wouldn't go with the 2nd one either, it would be hard to transition back to bedside care if...

  23. What should I do?

    TwoLayi replied to TwoLayi's topic in Nursing Career

    I haven't tried directly talking to managers, because I have heard mixed opinions about the practice. Plus that is something totally out of my comfort zone. It would probably be a last resort, but...

  24. What should I do?

    TwoLayi replied to TwoLayi's topic in Nursing Career

    Well I got my one and only interview at a hospital through my really good friend from nursing school. It wasn't on her unit, but she was able to help a bit. I haven't kept in contact with hardly...

  25. Got a new nurse in trouble

    TwoLayi posted a topic in General Nursing

    I work in a SNF with many post acute rehab patients, so we have a lot of new admits, with the majority arriving on PM shift. We do not have a pharmacy or ADU onsite, so meds for new admits are not...