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OMGVBFLOL posted:im in the first month of a 12-month ABSN program and jesus fuvking hell Hey me too. You trying to work some throughout or nah?
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Jan 17, 2019 06:33
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hobbez posted:Hey me too. You trying to work some throughout or nah? I have an occasional gig doing event EMS but it’s all by signup so I can take it or leave it. I figured I’d take one day a month or so, since there’s no ED clinical in our program. That’s it though, and just to keep that relationship open and on my resume; not for money. I’m on that fafsa and food stamps gravy train baby. makin it rain rice beans and frozen veggies Cactus Ghost fucked around with this message at 08:30 on Jan 17, 2019 |
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Jan 17, 2019 08:28
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https://m.huffpost.com/us/entry/us_...ign=hp_fb_pages One more reason to let your vegetative state loved ones go to heaven.
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Jan 23, 2019 19:36
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Does HIPAA prevent video surveillance of vulnerable adults? If I had a family member unable to care for themselves I’d be wanting it in light of... recent events
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Jan 24, 2019 02:15
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As long as cameras aren’t recording. We had cameras in my first Neuro ICU gig and I miss that. Even had a switch to turn them off so if they were intact or they were getting washed up they could intact their privacy. Prevented so many falls. Also caught so many couples trying to sneak a quickie in.
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Jan 24, 2019 21:13
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hobbez posted:Hey me too. You trying to work some throughout or nah? I'm dropping down to prn in March when I start my BSN program. I need a break any after two years full-time on a heavy floor.
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Jan 25, 2019 12:56
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Just took the NCLEX, cut off after 75. I'm just salty that I've got a Girl Scout thing tonight so I can't go out drinking til that's over
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Jan 25, 2019 18:43
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Marchegiana posted:Just took the NCLEX, cut off after 75. I'm just salty that I've got a Girl Scout thing tonight so I can't go out drinking til that's over I made my best friend book off the day after my nclex in anticipation.
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Jan 25, 2019 19:01
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Risky posted:I'm dropping down to prn in March when I start my BSN program. I need a break any after two years full-time on a heavy floor. Does the place you work at not offer tuition reimbursement? And if you’re doing an online program it really isn’t that intense. I’m still mad at how dumb the RN to BSN curriculum is and how much it costs.
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Jan 25, 2019 21:14
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Etrips posted:Does the place you work at not offer tuition reimbursement? And if you’re doing an online program it really isn’t that intense. I’m still mad at how dumb the RN to BSN curriculum is and how much it costs. I agree with this. When you look at the curriculum between an ADN and BSN it's honestly no where near the 18 months or whatever they state it takes to get a bachelors degree. It doesn't help that Magnet status and the requirement for any sort of upward leadership/management mobility in the ranks of nursing requires a bachelors degree, thus allowing for these online schools to gouge students (again, possibly).
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Jan 26, 2019 07:15
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Etrips posted:Does the place you work at not offer tuition reimbursement? And if you’re doing an online program it really isn’t that intense. I’m still mad at how dumb the RN to BSN curriculum is and how much it costs. The only schools my hospital (HCA) reimburse are the few private overpriced ones that are under their banner. I'm going back to the state college I did my RN transition at for the BSN program which is already cheaper than private school. Besides, I actually need a break (burn out) from my job so this is the perfect excuse.
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Jan 26, 2019 12:04
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Nice and hot piss posted:I agree with this. When you look at the curriculum between an ADN and BSN it's honestly no where near the 18 months or whatever they state it takes to get a bachelors degree. It doesn't help that Magnet status and the requirement for any sort of upward leadership/management mobility in the ranks of nursing requires a bachelors degree, thus allowing for these online schools to gouge students (again, possibly). It’s been ten years since I got my BSN but if I remember correctly the only real difference in the curriculum was a community health and a management course.
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Jan 26, 2019 12:20
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Do ASNs do research classes? I thought that was the big difference?
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Jan 26, 2019 14:52
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ASN learn to focus on meat and potatoes if you will. Also care plans hahahahaha. BSN you get to learn to BS your way writing APA formatted papers and a Capstone Project for wherever you are working.
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Jan 26, 2019 14:55
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Bum the Sad posted:It’s been ten years since I got my BSN but if I remember correctly the only real difference in the curriculum was a community health and a management course. That and a research course or two.
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Jan 26, 2019 15:50
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My teachers were not terrible happy when I wrote one of my first papers on the lack of strong unconfounded evidence to differentiate ADNs from BSNs.
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Feb 11, 2019 03:13
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awkward_turtle posted:My teachers were not terrible happy when I wrote one of my first papers on the lack of strong unconfounded evidence to differentiate ADNs from BSNs. I love it.
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Feb 11, 2019 03:37
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well i did my first pericare and brief change today in clinicals and was unfazed, to my relief. the clear gratitude in the patient’s voice + not having been the least bit grossed out by wiping poop off another dude’s rear end and balls were both pretty great affirmations that I’m on a good path for myself.
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Feb 25, 2019 01:23
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Now just wait until you dig poo poo out of another dude's rear end with your crooked finger, and you will be well on your way to mastery of the profession. It's the only skill you need really in order to be successful.
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Feb 25, 2019 03:21
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Disimpacting is an artform and I'm DaVinci.
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Feb 25, 2019 03:26
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I've gone eight years and manged to pawn off disimpacting every time. Never done it. I trade my buddy who does it for me with my skill of being able to stand canthotomies, eyeball trauma and clipping and cleaning nails.
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Feb 25, 2019 03:30
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Roki B posted:I've gone eight years and manged to pawn off disimpacting every time. Never done it. gently caress eye trauma. The aspect of emergency medicine that makes me "nope gently caress this" every time
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Feb 25, 2019 12:14
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I had a patient recently that was to donate their eyes after passing. I missed the chance to see them harvested. 
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Feb 28, 2019 08:22
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god drat i am getting my rear end whypped but good. if I make it out of this class block alive and still in my cohort i’m going to kiss the loving ground and make some serious changes to my study habits. i’ve been making this a lot harder on myself than it needs to be. getting poo poo done ahead of time and getting up earlier than i need to would make like 50% of my problems evaporate. oof.
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Mar 10, 2019 02:17
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I’ll tell you the same thing I told my classmates that constantly complained about me doing better them in class - listen to the teacher and take written notes, specifically what they are covering during the lecture. Before you go to bed that night, read over your notes. Read them over again before the test. I don’t know what it is about doing that got the info to stick in my head. It really helped me though. Also, stick with your first thought on tests - don’t change your mind! Good luck!
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Mar 10, 2019 02:27
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is there not a single goddamn brick and mortar store in the united states that still sells cheap quartz watches? I lost my scrub watch and i'd like to not wait a week to get one from amazon nor blow $100 because my room's a mess
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Mar 17, 2019 21:07
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Well I’m finally ready to re-apply for nursing school again starting after my upcoming deployment so sometime in 2020 - I’m looking at a few programs- UCONNs ABSN- pros free for veterans cons have to live in CT(but I can commute to NYC and work part time and use the metro north railroad) Thomas Edison ABSN-pros asynchronous class time except for clinical cons have to drive to trenton and/or go part time and use the GI Bill instead of the CT free veterans benefit Bergen CC pros can use Army tuition assistance/ near where I work/live currently Cons I know the dean because I left her old nursing school when it closed and she was a clinical advisor/preceptor of mine so she might not let me in- didn’t get a chance to repeat medsurg 1 because the school closed With a goal timeframe of starting august 2020 I was looking at taking some graduate courses in public health(or intelligence studies) does anyone think that would help? I figured if I had a few graduate courses of public health it could only help me. I can take one or two online while I’m overseas and feel it out. If I can’t be a nurse I want to work as an epidemiologist or clinical research organizer/assistant
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Mar 19, 2019 00:14
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Hi I'm a dumb idiot from Canada. What's the deal with nursing in the USA? My impression is that you guys have RNs with associate degrees (thats two years of college?) and BScN RNs (four years). What's the wage difference? I'm a BScN RN, which is the default RN here (there is also RPNs, which would be your LPN equivalent), I wrote the NCLEX some time ago. It's possible for me to have an American passport in the future, so I was just curious about which states are good for RNs to work in, which states to avoid, etc. I currently work at a big research hospital on the nursing resource team, which means I float around to every unit and have a pretty broad range of skills. computer angel fucked around with this message at 16:03 on Apr 1, 2019 |
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Apr 1, 2019 15:59
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Wage difference varies by hospital/system, but it usually isn't that much.
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Apr 1, 2019 19:21
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Ravenfood posted:..., but it usually isn't that much. the opposite, actually
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Apr 1, 2019 21:13
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Roki B posted:the opposite, actually Huh. Weird, both systems I've been at have given something like 50 cents an hour for variance, and I hadn't heard of too many places offering that much more from travelers. Might just be looking in the wrong places.
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Apr 1, 2019 21:42
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If you're coming from Canada, keep in mind that the majority of hospitals in the US are non-union, and that (often, not always) makes a big difference in a lot of things from patient ratios to wage rates to working conditions. The university hospital I have done most of my clinical in is something like +$4/hour for BSN over ADN (though they barely hire ADNs anymore), and then another +$4/hour for MSN over BSN. It is a union hospital, and the other union hospitals in the city have similar, if slightly smaller differentials. A lot of the non-union hospitals in the city have much smaller or nonexistent differences in wage rates between RN/BSN/MSN, and the hospital back in the sticks where I grew up had like $.50 differentials last I heard before my mother retired as an RT. Essentially, it'll depend, and there's probably more variance in wages in general across the US than there is in Canada given the mechanics of our healthcare system. Just as a example - level 1 (entry) prevailing wage (not differentiating between degree levels for anyone working as a RN) in LA is $31.49 hour or $65,499 year, and in NYC it's $32.72 hour or $68,058 year. As I understand it, both of those cities have relatively strong nursing union presences. In Boise, Idaho, it's $24.97 hour or $51,938 year, and in NW Mississippi, it's $21.76 hour - $45,261 year. Both of those places are more rural and likely do not have strong union presence. Splitting the difference a bit, in Washington DC, it's $28.59 hour or $59,467 year. Speaking in general terms, wages will rise as cost of living rises, but in some rural places here in the states (as in Canada, from what I hear) you can make relative bank as a nurse compared to cost of living.
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Apr 1, 2019 22:25
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California's the only state with mandatory minimum ratios, all the others leave it up to management for some incomprehensible reason.
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Apr 1, 2019 22:45
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I appreciate the answers so far. The starting wage for my union hospital is $33 CDN. I've been on med-surg units with 3-1 on days and 5-1 on nights, up to 5-1 on days and 7-1 on nights. We don't usually have too many PSWs around to help out. I always wondered... Do you guys have to keep track of everything you take out of the supply room?
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Apr 1, 2019 23:07
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computer angel posted:I always wondered... Do you guys have to keep track of everything you take out of the supply room? Nope, the EMR figures it out.
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Apr 1, 2019 23:58
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Depends on where you work. At my old hospital there was a scan wand where you had to charge each individual item to the patient you were taking it for. It was very tedious and often times we would be too busy or need something too urgently to bother standing there wanding every little thing. Every month we’d get a nasty mass email about the tens of thousands of dollars that we were costing our unit by not using the par system. At my new hospital all patients are charged a flat daily room rate which, spread across patients who hardly use any supplies and patients who use a ton, apparently covers the issue of supply cost (and probably brings in a profit). We don’t individually charge for anything that comes stocked in our supply rooms, which is pretty much everything. Just grab what we need and go.
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Apr 2, 2019 02:59
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The only place I've had to do anything remotely like that was when I was in clinical in a literal jail, and then you went to the supply room, where all the supplies you needed were given to you over a counter and logged by a supply clerk of some sort. Every hospital I've clinicaled in has been like Koivunen's latter explanation - just grab what you need. I can't imagine having to scan every little thing you take from supply. All the meds, of course, in all places I've worked, are linked to the pts in the pyxis/omnicell, so they're logged there when you remove them, and then they're rechecked when you scan them before administration (while I'm sure this is a billing thing from the hospital side, I'm fine with it as a pt safety thing). Whether some supplies are linked to certain meds I have no idea, idgaf about billing, I'm not in this to make the hospital money.
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Apr 2, 2019 14:36
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My hospital also uses the par system with the scan wand, but they have things color coded and we're only required to scan things with a certain color tag. So anything involved in a procedure (i.e. billable) like a suture removal kit or catheter we're supposed to use the wand, but basic stuff like IV fluid bags, patient comfort items, and the like they encourage us to scan just for restocking purposes but of course if it's not required no one does it.
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Apr 2, 2019 14:58
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Our par hasn't worked in years
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Apr 2, 2019 15:20
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I found out over the last week that I was supposed to be pulling a sticker off certain things in the supply room so the patient (rather than the unit) would be charged. I feel like I missed so many things in my preceptorship. I didn’t know and I wasn’t shown so I’m learning now. I feel like I have a good unofficial mentor though. There’s a lot I feel like I’ve forgotten since I graduated just because I don’t see things like chest tubes a lot on the Neuro floor. How do you all keep up? Or do you? Re: Feces. I almost had to disimpact a patient but I got around it. I went so many years without giving enemas and suppositories and now I’ve had my fingers in so many butts (and it hasn’t bothered me like I thought. Except the bleeding hemorrhoid lady). So far not my husband’s, but I’m sure I will at some point. Also: I get to be charge nurse next weekend. I’m nervous as gently caress.
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Apr 21, 2019 05:14
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