TwoLayi ADN, BSN, RN

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 our facility is taking advantage of the situation be...

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 seeking full-time employment. I was was thrilled/excite...

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 has communicated all this to the patient and family....

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 tickets to event that is 6 months away, so I was a littl...

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

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 hospital system, that have positions that are calle...

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 administers it and documents administration in the EMAR...

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 end of their shift. This still doesn't make it righ...

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 or getting a job. I think the real issue is why th...

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, unless the pronouncement is clearly prohibited und...

I believe you are correct.

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 know how much she learned in school and what she feel...

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 particular "tell" that indicated it was occurring...

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 on the regular, but it shows real teamwork. In fa...

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 they did clinical/preceptorship while in nursing scho...

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 and it does not count as acute-care experience, t...

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 experience. These supervisors are in charge of admissions/d...

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 there are more experienced nurses on the floor. I was ...

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 gain good experience, but was miserable due to h...

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 jobs.

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 you ever wanted go back. I would wait it out until s...

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 since I feel like I am running out of options, I migh...

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 anyone else from school. I am still friends with classm...

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 delivered until after midnight, on NOC shift. We have...