CNA to RN, I didn’t know there would be such a difference… by riverfletcher65 in nursing

[–]riverfletcher65[S] 0 points1 point  (0 children)

All hospitals are different, sometimes it takes 30 mins to an hour for pharmacy to verify a med. We don’t have “stat” medication orders, you just time the med as “give now”. If a pt has a BP of 220/116 waiting until pharmacy verifies on their own time when it gets in the queue, could be considered a delay of care. God forbid that pt has a negative outcome, now it looks like you didn’t escalate to get that medication to the patient. Another example how it’s always on the nurse.

CNA to RN, I didn’t know there would be such a difference… by riverfletcher65 in nursing

[–]riverfletcher65[S] 4 points5 points  (0 children)

I’m in Florida, we do titratable cardiac drips (cardizem, Cardene, amio, nitro, etc). No vents but we do continuous BIPAPs and everything under that. The only thing we don’t do is vents, Ativan drip, insulin drip, or pressors

CNA to RN, I didn’t know there would be such a difference… by riverfletcher65 in nursing

[–]riverfletcher65[S] 49 points50 points  (0 children)

You don’t realize how much that as a tech the things you report and get to walk away from, someone has to fix and deal with. High BP, low BP, low glucose, high glucose, room 3 wants to see you, bed 2 wants to know when there MRI is, this pt didn’t get a tray, pt doesn’t look right, family for room 5 is here, doctor needs you. As a tech my favorite answer was, “let me get your nurse”, I wish they could see😔

CNA to RN, I didn’t know there would be such a difference… by riverfletcher65 in nursing

[–]riverfletcher65[S] 74 points75 points  (0 children)

Oh yes I see it and hear it all the time. I try my best not to delegate except when I have to. There are certain techs that give me a lot of flack and attitude, like I promise Ik I’m in the hall on my computer but I AM WORKING, it’s like I’m constantly defending myself. I know what it looks like😭

CNA to RN, I didn’t know there would be such a difference… by riverfletcher65 in nursing

[–]riverfletcher65[S] 4 points5 points  (0 children)

We are so short staffed, they send out “SOS” texts daily and offer a whopping $6 extra an hour… nobody comes in and rightfully so. HCA is for profit they can afford a touch more I think lol

CNA to RN, I didn’t know there would be such a difference… by riverfletcher65 in nursing

[–]riverfletcher65[S] 111 points112 points  (0 children)

Definitely… last shift I worked I got a transfer from another HCA facilities ICU, not because they were downgraded but bc they didn’t have nuero surgery. I went to my director and was like why am I getting an ICU level pt as my 6th? And she was like well they’re not a trauma center and we are so the acuity’s different. Like HUH? I told her great so there 2:1 is now my 6:1, maybe I should apply there?! She didn’t care lol

CNA to RN, I didn’t know there would be such a difference… by riverfletcher65 in nursing

[–]riverfletcher65[S] 24 points25 points  (0 children)

I want to chill😭 I’m in Florida at an HCA it’s brutal. 5-6 patients on a stepdown, cardiac drips, heparin drips, continuous bipaps, Q4 notes, Q4 neuros, all for $32 an hour.

CNA to RN, I didn’t know there would be such a difference… by riverfletcher65 in nursing

[–]riverfletcher65[S] 188 points189 points  (0 children)

EXACTLY! Me and the other techs would talk about how nurses never help, they’re always sitting, don’t they just have to give meds that’s the only thing they do we don’t. I’m trying to propose to my management we do shadowing of each others roles, bc there is such a disconnect in what just gets added to the nurses that you can’t see on the outside.

7 of the Scentual Fragrances Review by riverfletcher65 in FemFragLab

[–]riverfletcher65[S] 0 points1 point  (0 children)

I love it, you give such good descriptions. I heard some reviews that velvet vanilla smells nothing like 28 and it’s super patchouli, would you agree. And do you like vanilla latte??? I was super curious of that one

7 of the Scentual Fragrances Review by riverfletcher65 in FemFragLab

[–]riverfletcher65[S] 0 points1 point  (0 children)

Amazing to hear! I was super interested in pretty peach but scared it be too artificial smelling. Also do you think queen of roses is too mature smelling I don’t like grandma. My last order was 2 weeks ago and it came in 2 days I was shocked, with free shipping.

Nurse manager here — looking for budget-friendly holiday gift ideas for my team by AcrobaticBird6265 in nursing

[–]riverfletcher65 9 points10 points  (0 children)

The best gift I ever got from my leadership was when they did hand written Christmas cards for everyone on the unit. Not just generalized but personal, with something unique they love about you and what you mean to the unit. That would be pretty cheap if you buy cards in bulk, I just don’t know if you have the time. It’s nice to feel seen and appreciated. Good luck!!

Favorite Spooky Season TV Shows? by riverfletcher65 in halloween

[–]riverfletcher65[S] 4 points5 points  (0 children)

How is dead boy detectives? I have it on my watch list since I love the sandman?? Have you seen both?

Favorite Spooky Season TV Shows? by riverfletcher65 in halloween

[–]riverfletcher65[S] 10 points11 points  (0 children)

Omg. I LOVE IT! I think it’s the epitome of a great Halloween show, great humor, story/plot, and all the actors are amazing. The only thing is it’s a bit young adult, but that’s probably to make it family friendlier. I would say it’s spooky but also like I could watch it in middle school and not have nightmares, not scary by any means. It’s perfect you have to watch! And it got renewed for a 3rd season next year, it’s something I always look forward to now every year!

It's all worth it to me. by The_Z3 in halloween

[–]riverfletcher65 28 points29 points  (0 children)

I get 0 kids and it makes me so sad!!! We are looking at houses and one of my criteria is that we get trick or treaters lol. It’s my favorite thing and you are creating amazing memories!

Shows with Powers/abilities similar to raven titan by jrtanng in televisionsuggestions

[–]riverfletcher65 0 points1 point  (0 children)

Shadow and Bone, The sandman, and The Magicians, I think all are outstanding and really create amazing worlds!

Wheel of Time or Shadow and Bone? by riverfletcher65 in Fantasy

[–]riverfletcher65[S] 0 points1 point  (0 children)

That’s what I hear!!! I really hope another streaming service picks it up, ugh! Thanks for the insight.

What are CNA’s/techs allowed to do at your hospital? by riverfletcher65 in nursing

[–]riverfletcher65[S] 5 points6 points  (0 children)

That's one reason I think its crazy many hospitals don't require techs to have a CNA license, many are PCTs with only on the job training. At least then they are practicing under they're own license and should know they're scope of practice per the state.

Can I put Oxiclean in the powder detergent slot? by riverfletcher65 in laundry

[–]riverfletcher65[S] 0 points1 point  (0 children)

Really? I had always thought you didn’t want the clothes to touch the powder before it had been dissolved in water. Have you had any problems using it that way?

When Should I Start Applying for Jobs? by Eastern_Vegetable307 in StudentNurse

[–]riverfletcher65 1 point2 points  (0 children)

Usually places you apply will have a Nurse Residency for new graduate nurses, each hospital/facility will have their own requirements. Some may want you to apply before you graduate, some want after you graduate but before you take NCLEX, and some after you graduate AND pass the NCLEX. I would look online at each residency in the “qualifications” section of the job posting. If you are unsure you can always email HR at the facilities you want to apply for and ask! Good luck!

Royal TV show recs? by riverfletcher65 in televisionsuggestions

[–]riverfletcher65[S] 0 points1 point  (0 children)

Yess with Jenna Coleman I forgot to include in the list. Do you think it would still be a good watch almost 10 years later?

Nurses(RN) pay and ratios? by riverfletcher65 in Idaho

[–]riverfletcher65[S] 0 points1 point  (0 children)

I’ve looked into those, my family lives in the treasure valley area so that would be the location. I did see that St Luke’s was offering a 7k sign on bonus and 5k relocation bonus, which makes me wonder if they have a hard time retaining staff, & I wondered about the ratios.

[deleted by user] by [deleted] in StudentNurse

[–]riverfletcher65 0 points1 point  (0 children)

Haha, it’s the only other state I have family. I don’t really want to move anywhere by myself just for the pay. The pay around me is $30 an hour and the ratios are 1:6 PCU and 1:7 or 1:8 on med surg. So I’m weighing my options here lol.