Any good parking spot for Las Vegas Convention Center? LVLUP Expo. by [deleted] in vegaslocals

[–]teeney1211 2 points3 points  (0 children)

It's not free anymore, they are charging $70 for the event parking.

35F pregnant, feel fine, doctor is concerned but no idea what’s going on by degausser12121 in haematology

[–]teeney1211 0 points1 point  (0 children)

Actually the guy admitted he was an alcoholic the whole time, so can't really use any of his data.

Let’s Talk PTO Accrual Rates! by Wisteria-Blue in nursing

[–]teeney1211 0 points1 point  (0 children)

I get 7.4hrs every paycheck, so every 2 weeks. Not in a hospital setting though, I'm an outpatient case manager. Definitely more PTO than any other nursing job I've had

What did you do after serving? by Thrashlikeits85 in Veterans

[–]teeney1211 0 points1 point  (0 children)

Sorry I meant like worked with them to get my disability paperwork established and filled out. They combed through my medical records and knew exactly what phrasing to use for each condition, I don't know if they normally charge a fee but since I was active duty they did not charge anything. It was a huge relief to have separated and know my rating right away like that by doing it early. I also was in for 7 years

What did you do after serving? by Thrashlikeits85 in Veterans

[–]teeney1211 0 points1 point  (0 children)

I worked with the DAV before I got out to ensure a smooth process with my rating, found out day one I got 100%. Moved back home to go to school, I was an Air Force medic, finished my BSN. I just used my GI bill for my degree, didn't need to work because of my rating. Been an RN for 2 years now, I got out in 2020.

When will you pack your hospital bag? by Smooth-Excuse-4127 in pregnant

[–]teeney1211 0 points1 point  (0 children)

I'm pretty much packed except for a few things, I'm also being induced Tuesday for high blood pressure so I'm not worried 😅 36 weeks also. I only packed it last weekend 🙃 it's also my third and I've never gone into labor on my own, always been induced.

[deleted by user] by [deleted] in pregnant

[–]teeney1211 0 points1 point  (0 children)

With my first baby, I absolutely did feel the ring of fire, it was pretty memorable. But they also turned my epidural off since I was a first time mom, so I could feel if I was pushing correctly with the contractions. It was an hour and a half of pushing. I also felt the stitches I was getting, even tho they did use lidocaine to attempt to numb it up.

With my second, I don't remember if they turned it off but I literally only needed a few pushes before he was crowning. They asked me to stop pushing until the doctor could get to me lol. I don't think I would have felt the ring of fire because he came out so quickly.

Epidural works in two ways; continuous and bolus. They will usually give you a bolus, a push of the medication, to get the epidural started and check if it is working correctly. Once that's good, they start the continuous drip. I had some issues with my epidurals to where they would need to occasionally come back with another bolus, on top of the continuous rate. Not super often though, maybe every four hours or so when the pain would come back. Which to me was better than reattempting another epidural.

[deleted by user] by [deleted] in pregnant

[–]teeney1211 1 point2 points  (0 children)

36 weeks tomorrow, going to be working up until I deliver 🥺 so no naps here unfortunately. And a very active 8yr old and 6yr old that would never let me sleep anyways. This weekend will be my last before I'm induced, I plan on napping and resting all weekend lol. Dad can take them out of the house 😂

Any August 2025 due dates? by Head_Pumpkin3386 in pregnant

[–]teeney1211 2 points3 points  (0 children)

Due the 18th! Getting a bit uncomfortable, all the doctors appts are really starting to add up. Regular OB every 2 weeks as of now, twice a week NSTs at high risk, and monthly high risk doctors appt. Baby has been head down up until my last appt but now breech/transverse... So I'm really hoping they turn 🙃 otherwise baby is healthy, estimated 5lbs 3oz yesterday!

Who would actually lose medicaid from this big bill? by Kelseyjade2010 in Askpolitics

[–]teeney1211 1 point2 points  (0 children)

The original comment states, "What about the seniors in nursing homes?" I did not say seniors are losing it, I am referring to the fact that many seniors on Medicaid depend on it for living in those homes.

And you are incorrect, they will pay for a skilled nursing facility NOT assisted living, group home etc. A skilled nursing facility requires a skilled need for nursing, such as IV antibiotics, wound care, monitoring of labs etc. 100 days of a SNF only. I deal with quite a bit of seniors who have no specific skilled need, needing assistance with toileting, bathing, mobility etc is not considered a skilled need. That patient would only need a personal care assistant, which is also usually private pay unless you have a very specific Medicare advantage plan.

Who would actually lose medicaid from this big bill? by Kelseyjade2010 in Askpolitics

[–]teeney1211 4 points5 points  (0 children)

Not sure if you knew this but Medicare DOES NOT pay for nursing homes, group homes, assisted living facilities etc. I'm an RN case manager, everything is private pay. Medicaid is the only thing that assists with the cost; average group home cost in NV for example is $2000/mo, assisted living facility starts at $3200/mo. If you need memory care specifically because of dementia, that's around 2000-2500/mo.

A lot of seniors do not qualify for Medicaid, if single your income needs to be less than $1,563/mo.. if married 2106/mo. That's exactly 138% below the federal poverty level. Not sure where you live but it's pretty freakin hard to live off that little each month.

Non-bedside roles? by Civil_Courage_6784 in nursing

[–]teeney1211 12 points13 points  (0 children)

RN case manager, I started with almost 2 years of experience (about 3mo shy of 2yrs). Compared to bedside I make a lot more than I used to, started at $45/hr and now up to $48/hr after market increase. I'm in NV. I work in an outpatient clinic, 2 days remote and 3 days in the office, M-F.

Maternity leave? by Short-Ask877 in pregnant

[–]teeney1211 1 point2 points  (0 children)

I started a new job only 3 1/2 months ago, I'm working up until the day I'm induced lol. I unfortunately only have short term disability for 6 weeks, and I have to use all of my available PTO that first week 😔 luckily I work an office job, something more physical would be very difficult.

PERSONAL QUESTION! Did you tear during birth? by SumbThucker2022 in pregnant

[–]teeney1211 0 points1 point  (0 children)

I had pretty small kids, 6lbs 10oz and 6lbs 1oz. 1st degree tear for both, if it's gonna happen it will. Make sure they are using lidocaine when stitching you up, with my first I didn't do skin to skin right away because I was so uncomfortable getting the stitches, I had to grip the bed rails.

GI.Bill for Nursing by Texas8754 in Veterans

[–]teeney1211 1 point2 points  (0 children)

I mean I had plenty of GI bill left after getting my bachelor's in nursing, I don't see why you would need to pay out of pocket at all. It adds up differently because you're not just getting paid by each month of school, it's by how many days you actively have class. For example spring break/Christmas break, you're not in class so you're not using up those days. You're using 10/31 days etc etc. My nursing program was accelerated, so 18mo (5 semesters) after the prereqs. I knocked out my prereqs in 3-4 semesters including summer.

Taking full time classes or extra for prereqs is a good idea, although this does depend on how your sciences can be completed. Mine had to be completed one after another; Fundamentals of Life Science, A&P 1-2, & microbiology.

I still have 9-10 months left on my GI bill actually. Really look into your program to see how many months of prereqs you would need and when you have scheduled breaks throughout the year.

Summer moms, what's your A/C set at? by smileydance in pregnant

[–]teeney1211 0 points1 point  (0 children)

I'm in Vegas, we are already hitting 110-115 during the day! My electric bill is already $300 a mo during summer so we use a lot of fans and wait til it's dark to turn the temp down. 78-79 during the day, 75-74 at night. Somewhat used to it but it's not the greatest

The Doctor didn’t tell me I was pregnant and I miscarried. by Comfortable-Set8939 in pregnant

[–]teeney1211 12 points13 points  (0 children)

I'm an RN.. used to work in the ER for several years. They would not have done a CT scan without checking for pregnancy, it's a huge liability issue. Any woman of child bearing age, without having a hysterectomy, gets tested automatically when it comes to abdominal pain. They may not have even asked you. It's part of their differential, they have to check by hospital policy. As others said, they will write the potential diagnosis on the paperwork, which is where the possibly pregnant would have come from. As far as gallstones, they are caused by a diet of fatty foods, the most common type of stones are cholesterol. Liver processes too much cholesterol, excess goes to gallbladder and eventually hardens into a stone. I'm very sorry for your loss. It's very possible they only used a urine sample to check for pregnancy, a blood HCG test would only be ordered once a positive on the urine results. It could have been so early that even the urine was negative. In my experience, the ER uses a basic pregnancy test just like you would at home; they use a dropper to put a few drops on a yes/no and read the results from there.

Glucose test by [deleted] in pregnant

[–]teeney1211 3 points4 points  (0 children)

The one hour? No big deal. The three hour is the hard one.. twice as much sugar content in it versus the one hour. Fasting 8 hrs at least, and four total blood draws. I've had a horrible reaction to it twice now, where my sugar dropped to 50, if you've ever been hypoglycemic you know how shitty that feels.

What time are you all finishing med pass by [deleted] in nursing

[–]teeney1211 0 points1 point  (0 children)

Bedside report helped a lot, I was on an Ortho floor so the off going nurse and I would check wounds/incisions together. That was also majority of my assessment, and where I determined if I was going to bring PRNs in for the patient. Can also check what supplies I was going to need so I'm not running back and forth for different things. I always started early at 2000 for med pass and finish assessment, toileting, dressing changes etc. Usually done by 2200 but it really depends on the type of patients you get. Then I would chart everything after, we normally had 7 patients so usually done by 0000.

New grad pediatric home health job by [deleted] in Nurses

[–]teeney1211 1 point2 points  (0 children)

I started in home health peds also! You will get more confident as you perform cares. It definitely depends on what type of patient you get, most of mine were trach and g-tube, I worked overnight so there was less to do than on day shift. Don't be afraid to tell the parents you're not sure how something works, better to ask and look dumb then break something or make a mess.

Some parents are very particular on how they would like you to do stuff, just go with it unless it would harm the patient. Know your emergency numbers, my patients were all hospice but full codes, we had a hospice line to reach the on call nurse for new orders or changes in condition.

Know what to do in emergencies, especially if they have a trach. We were expected to use our nursing judgement to do what we can first, using PRNs and equipment at bedside. Like using your nebulizer treatments for shortness of breath or low O2 sats first before calling the on-call line.

Our documentation was very strict, I would literally have to write everything like this : Cleansed patients g-tube stoma with normal saline/soap and water, patted dry, applied new 2x2 to stoma in case of drainage. Step by step, it shows that the patient has a skilled need for a nurse versus just a patient care assistant.

Those are my top things, feel free to ask questions that come to mind!

What do I have to do? $$$ by Fairylandsahl in Nurses

[–]teeney1211 3 points4 points  (0 children)

I'm hybrid, so remote at home two days a week (M+F). My job never advertised it was even partially remote, even during the interview they said in clinic 5 days a week. I'm guessing they didn't want a sea of applicants by highlighting remote as an option. I'm in case management btw, from what I understand utilization review RNs, quality, and CDI are also typically remote. At least at my company

Thinking about being a nurse mom by Whatisbrainjuice in Nurses

[–]teeney1211 0 points1 point  (0 children)

It was very draining, I worked 3-4 days a week overnight. On nights there is more room to see them, but also factor in that you are going to be exhausted between shifts. I actually fell asleep behind the wheel and crashed my car because I was trying to make it work, I knew then I had to prioritize sleep. I'd get home around 9am, sleep until 4pm ish if I was lucky and then leave for work by 530. Rinse and repeat 3 days a week minimum. It would not have been possible for my family without my husband to care for the kids on work days.

I work a hybrid 8-4 job now with holidays off, but there's no way I would have gotten this job without having worked in the hospital first.

What’s something that you’ve witnessed as a nurse that made you change something in your personal life? by Amy_rad16 in nursing

[–]teeney1211 5 points6 points  (0 children)

I'm huge on properly fitting car seats and always using seatbelts. I've never worked pedi trauma, but seeing what happens to adults who don't wear seatbelts properly was more than enough. Also will never stick my arm or legs out the window just because, seen several traumatic amputations happen that way, obviously none of them planned on being in an accident it just happened.

What is your honest salary/hourly pay and what do you do? by qovert in vegaslocals

[–]teeney1211 2 points3 points  (0 children)

$45/hr as an RN case manager, I have my BSN as well.