This could have easily been the theme of my week this week.
1. Yes, slacker coworker, when you sit in our weekly meeting and chart, instead of participating, you look like an idiot. When a patient with a LOS of 25 days and you really know NOTHING about him or her and they are your assigned patient, I only have one question. Why in Hades didn't you read THE CHART?!
I know, rocket science...
2. The boss finally decides that the hallway consults are causing issues with continuity of care. Yes! That only took a year to convince him/her. We shall see what happens...
3. Thank you jo at Head Nurse for the link to this Suzanne Gordon article. Yes, communication is vital, and lack of it is deadly.
So far no Ebola in the Hotel Rehab and our specialty docs like it that way. We will keep praying it gets contained.
It's one souvenir from Dallas I'd prefer not to get on my next connecting flight.
Stay tuned...
Wednesday, October 15, 2014
Monday, October 13, 2014
Happy (Canadian) Thanksgiving!
Since it's Thanksgiving, it's time to give thanks!
First, I want to wish a Happy Thanksgiving to all our readers in Canada, who are enjoying their turkey and pumpkin pie today. I miss you so much Scrappy, Pierre, Monique, and Gord. Ah, another lifetime ago...(I am still going to visit EVERY provincial capital 'cause it's on the bucket list.)
However, since search engines can be flaky, I am happy to say I'm so thankful for the folks out in the audience who help you find your way here.
These are just some of them (and a couple of reviews). I am eternally thankful for you all, especially At Your Cervix (who sends more readers here than any other blog.)
Enjoy your day wherever you are!
http://www.rasmussen.edu/degrees/nursing/blog/nursing-blogs-you-need-to-read/
Rehab RN by RehabNurse
Rehab nurse offers a light-hearted and often comical view into the issues encountered by nurses working in rehabilitation. Chock full of relatable commentary – at times with life lessons outside the scope of nursing – this blog could easily be housed in the “entertainment” section as well.
http://ernursescare.blogspot.com/2013/05/top-30-nursing-blogs-2013-boy-i-am.html
RehabRN features the thoughts and experiences of a rehab nurse. The blog is engaging and shares stories of both success and failure, seeking always to provide the reader with a realistic sense of the job.
Other places to find me:
http://www.northeastcenter.com/links_nursing_blogs.htm
http://www.blognation.com/blog/9498/rehab-rn
http://ajnoffthecharts.com/nursing-blogs/
First, I want to wish a Happy Thanksgiving to all our readers in Canada, who are enjoying their turkey and pumpkin pie today. I miss you so much Scrappy, Pierre, Monique, and Gord. Ah, another lifetime ago...(I am still going to visit EVERY provincial capital 'cause it's on the bucket list.)
However, since search engines can be flaky, I am happy to say I'm so thankful for the folks out in the audience who help you find your way here.
These are just some of them (and a couple of reviews). I am eternally thankful for you all, especially At Your Cervix (who sends more readers here than any other blog.)
Enjoy your day wherever you are!
http://www.rasmussen.edu/degrees/nursing/blog/nursing-blogs-you-need-to-read/
Rehab RN by RehabNurse
Rehab nurse offers a light-hearted and often comical view into the issues encountered by nurses working in rehabilitation. Chock full of relatable commentary – at times with life lessons outside the scope of nursing – this blog could easily be housed in the “entertainment” section as well.
http://ernursescare.blogspot.com/2013/05/top-30-nursing-blogs-2013-boy-i-am.html
RehabRN features the thoughts and experiences of a rehab nurse. The blog is engaging and shares stories of both success and failure, seeking always to provide the reader with a realistic sense of the job.
Other places to find me:
http://www.northeastcenter.com/links_nursing_blogs.htm
http://www.blognation.com/blog/9498/rehab-rn
http://ajnoffthecharts.com/nursing-blogs/
Sunday, October 12, 2014
Something for the science teachers
My high school science teacher was a nun. She had a sibling (also religious) who would work with her on research and mission projects during summer vacation.
Sister L. was kind of out there but wickedly funny. She was also from Fargo. I could see her laughing about this one.
Many science teachers can appreciate the irony of physics.
Stay tuned...Nobel season continues this week.
Sister L. was kind of out there but wickedly funny. She was also from Fargo. I could see her laughing about this one.
Many science teachers can appreciate the irony of physics.
Stay tuned...Nobel season continues this week.
Saturday, October 11, 2014
Fall is here in RehabLand
The leaves have been turning shades of red and gold here in RehabLand. They aren't at their peak, but they are getting close.
Dahey, Bubba and I had a fun time taking a drive to the country to see my cousins who live in a quaint little town that dates back to the early 1800s. It's a blip in the road, but every year this time, the locals have their fall festival and people come from miles around. The cousins throw a party and invite all the relatives to see their place and go to the festival.
Bubba wasn't sure he liked it, because the corn maze was a longer walk than he expected. Some folks just don't get that, yes, there is indeed a big difference between 1/8 of a mile and 8/10s of a mile. He walked most of the way there, then decided to turn around.
We went back to the village green and signed up for the fun Money in the Hay contest. We missed the pumpkin decorating contest. Since he had a commitment at home, we couldn't stay long enough for him to enter the pumpkin pie eating contest. This was, of course, traumatic, for a preteen boy who can eat you out of house and home when you aren't looking.
Thankfully, he liked the soups and chili the cousins had, as well as the entire dining room full of sweets. He didn't make much money in the contest, but he had fun going out there with all the younger kids.
One of my cousins, an ER physician with three kids, showed up with his family. We talked shop among other things, since I rarely see him (he's always working). He's just hoping he never ever sees ebola at work. Since he practices in a much bigger town than PumpkinLand, but smaller than the regional centers, he hopes he's safe.
As we said our goodbyes, Bubba asked if we were coming back next year. I said "What do you think?"
He said, "Oh, yeah! Let's do it."
I'm so glad it turned out as well as it did. Hope you enjoy your weekend wherever you are.
Dahey, Bubba and I had a fun time taking a drive to the country to see my cousins who live in a quaint little town that dates back to the early 1800s. It's a blip in the road, but every year this time, the locals have their fall festival and people come from miles around. The cousins throw a party and invite all the relatives to see their place and go to the festival.
Bubba wasn't sure he liked it, because the corn maze was a longer walk than he expected. Some folks just don't get that, yes, there is indeed a big difference between 1/8 of a mile and 8/10s of a mile. He walked most of the way there, then decided to turn around.
We went back to the village green and signed up for the fun Money in the Hay contest. We missed the pumpkin decorating contest. Since he had a commitment at home, we couldn't stay long enough for him to enter the pumpkin pie eating contest. This was, of course, traumatic, for a preteen boy who can eat you out of house and home when you aren't looking.
Thankfully, he liked the soups and chili the cousins had, as well as the entire dining room full of sweets. He didn't make much money in the contest, but he had fun going out there with all the younger kids.
One of my cousins, an ER physician with three kids, showed up with his family. We talked shop among other things, since I rarely see him (he's always working). He's just hoping he never ever sees ebola at work. Since he practices in a much bigger town than PumpkinLand, but smaller than the regional centers, he hopes he's safe.
As we said our goodbyes, Bubba asked if we were coming back next year. I said "What do you think?"
He said, "Oh, yeah! Let's do it."
I'm so glad it turned out as well as it did. Hope you enjoy your weekend wherever you are.
Friday, October 10, 2014
Resources I wished I had
This article for my patient who was so very unhappy with her ex-husband's last name. If the former Mrs. U. comes in, I'll print it out.
More often than not, I'd like opportunities like this one to volunteer. Some of my coworkers need rejuvenation more than others.
After a wild, blood moon kind of week, I am so happy it's the weekend!
TGIF all wherever you may be!
More often than not, I'd like opportunities like this one to volunteer. Some of my coworkers need rejuvenation more than others.
After a wild, blood moon kind of week, I am so happy it's the weekend!
TGIF all wherever you may be!
Monday, October 6, 2014
I'm waiting for this one to come to RehabLand
My ER nurse colleagues can tell you it's a common way to get out of the ER--go AMA when you don't hear what you want to hear, or when you hear you'll go to jail, or get a bill.
Now, instead of all those things, we have ebola showing up in ERs around the US, thanks to the marvels of modern transportation.
Add them together and all you get is trouble.
That is all...stay tuned.
Now, instead of all those things, we have ebola showing up in ERs around the US, thanks to the marvels of modern transportation.
Add them together and all you get is trouble.
That is all...stay tuned.
Sunday, October 5, 2014
Saturday, October 4, 2014
A reminder
Blessed are they who are persecuted for righteousness' sake: for theirs is the kingdom of heaven. RIP Alan Henning
Friday, October 3, 2014
The bitter and the sweet
So many things fit that description this week. Retirements and births in our little neck of the woods in RehabLand.
And I finally got the promotion I've been working on for the last three years. Sweet! Bitter: the attitude of the woman in HR who was supposed to answer my questions about it. (I wish SHE were on that retirement list...she needs something!) However, I was sweet in thanking her for her diatribe.
It doesn't matter when I get it, I know it's on the way...FINALLY!
And I finally got the promotion I've been working on for the last three years. Sweet! Bitter: the attitude of the woman in HR who was supposed to answer my questions about it. (I wish SHE were on that retirement list...she needs something!) However, I was sweet in thanking her for her diatribe.
It doesn't matter when I get it, I know it's on the way...FINALLY!
Wednesday, October 1, 2014
The joys of parenting
Tonight was our first "free-for-all" parent/teacher conference in the RehabLand school district.
What does this mean? Take all the classroom teachers for a particular grade and stick them in the cafeteria. Leave the tables exactly as they are so no one can tell who is standing in what line. Put all the major subject teachers together, so the traffic jams are even more acute around their area.
Do this for three hours. Thankfully, Bubba took me over early and pointed out all the important teachers to talk to while we were there. And no, they weren't just the ones who gave him A's in their classes (although surprisingly, he loves school this year).
I hated it, but I cannot imagine what the teachers think of this.
Just like running the gauntlet...more to come.
What does this mean? Take all the classroom teachers for a particular grade and stick them in the cafeteria. Leave the tables exactly as they are so no one can tell who is standing in what line. Put all the major subject teachers together, so the traffic jams are even more acute around their area.
Do this for three hours. Thankfully, Bubba took me over early and pointed out all the important teachers to talk to while we were there. And no, they weren't just the ones who gave him A's in their classes (although surprisingly, he loves school this year).
I hated it, but I cannot imagine what the teachers think of this.
Just like running the gauntlet...more to come.
Tuesday, September 30, 2014
It's Tuesday
However, for some folks, it's Friday. Forever. One of our retirees came in for the last time and left today. Sadness.
Tuesday for me means patient appointments (if someone doesn't cancel them at the last minute) and meetings. Fun meetings where people who insist that it start at one time (0800) casually stroll in at 0815 and throw off the folks who have to come in at 0830 from another site for a short report.
Our coordinator called some of them on it. I don't really think it will stick or embarrass anyone enough to show up on time. It's the Hotel way, and they (the Hotel "team") aren't going to change for anyone. Even if it is terribly inconvenient and they are the first people who think the meeting is going too slowly.
I'm all for locking the doors and deducting the time from their pay, but unfortunately, management doesn't feel the same. We should ALL suffer together.
Just another reason why I hate team building exercises. A few divas always screw it up.
Tuesday for me means patient appointments (if someone doesn't cancel them at the last minute) and meetings. Fun meetings where people who insist that it start at one time (0800) casually stroll in at 0815 and throw off the folks who have to come in at 0830 from another site for a short report.
Our coordinator called some of them on it. I don't really think it will stick or embarrass anyone enough to show up on time. It's the Hotel way, and they (the Hotel "team") aren't going to change for anyone. Even if it is terribly inconvenient and they are the first people who think the meeting is going too slowly.
I'm all for locking the doors and deducting the time from their pay, but unfortunately, management doesn't feel the same. We should ALL suffer together.
Just another reason why I hate team building exercises. A few divas always screw it up.
Monday, September 29, 2014
What's NOT right with the world
1. I could not believe this when I read it. Charging a victim of rape for a rape kit? Really? Add insult to injury and a little financial burden, why don't you?
2. Product branding in the age of social media savvy terrorism. No, I don't think I'd change the name of my product.
3. I feel the same way about the weather. When will it really be fall...for two days in November?
That is all. Monday will be over soon enough. Just felt the need to vent....ah!
2. Product branding in the age of social media savvy terrorism. No, I don't think I'd change the name of my product.
3. I feel the same way about the weather. When will it really be fall...for two days in November?
That is all. Monday will be over soon enough. Just felt the need to vent....ah!
Saturday, September 27, 2014
'Tis the season...to retire
Not me (I wish!) but certainly a lot of people around the Hotel are retiring. More than a few messages have appeared in my mailbox for parties for people leaving at the beginning or the end of the month.
It's even happening at the Hotel. A couple of our folks are retiring. They are looking forward to lives where THEY dictate what the schedule looks like. I can't say that I blame them. Others, such as one of our NPs, can't wait to be a grandma (any minute really!). What perfect timing...retire and spend as much time as you want with your grandchild. Another is working on his/her golf game and the travel associated with it.
Our boss really wants to retire, but since we can't find a replacement, he/she will have to set a date and retire and let the Manglement of the Hotel figure it all out. Waiting for years (yes, it's true) is really not fun.
It's too bad the Hotel only does lip service to succession planning. It might make the transition easier.
One of these days, they'll wake up...and someone will figure it out.
But I'm not sure if that will happen before I retire (many years down the road).
More to come...
It's even happening at the Hotel. A couple of our folks are retiring. They are looking forward to lives where THEY dictate what the schedule looks like. I can't say that I blame them. Others, such as one of our NPs, can't wait to be a grandma (any minute really!). What perfect timing...retire and spend as much time as you want with your grandchild. Another is working on his/her golf game and the travel associated with it.
Our boss really wants to retire, but since we can't find a replacement, he/she will have to set a date and retire and let the Manglement of the Hotel figure it all out. Waiting for years (yes, it's true) is really not fun.
It's too bad the Hotel only does lip service to succession planning. It might make the transition easier.
One of these days, they'll wake up...and someone will figure it out.
But I'm not sure if that will happen before I retire (many years down the road).
More to come...
Sunday, September 21, 2014
Yes, it's non-formulary at the Hotel
And no, contrary to popular belief, we don't supply it, either, but this order was entertaining:
I always tell the flower children to go to the state next door (since they wrote this character's script.)
Alas, they continue to patronize our local drug dealers, even if it means we'll kick them out and some of our surgeons will refuse to operate on them if they need it.
Just a thought.
More later...
MARIJUANA (MEDICAL) AS DIRECTED INHALATION AS
NEEDED
I always tell the flower children to go to the state next door (since they wrote this character's script.)
Alas, they continue to patronize our local drug dealers, even if it means we'll kick them out and some of our surgeons will refuse to operate on them if they need it.
Just a thought.
More later...
Saturday, September 20, 2014
Family reunion fun
All of the nurses myself included (a retired CRNA, retired COHN and a peds nurse) talk about disgusting stuff while eating BBQ. Pressure sores somehow seemed to be one of the big topics. Even the peds nurse (newly engaged) had a gross story. Her fiance went to talk to the cousin who was doing the cooking.
Thank goodness our family has a (warped) sense of humor. Everyone has been through some horror (or two) and survived.
Makes things very entertaining along with that snow cone machine my cousin brings every year.
Never a dull moment.
Stay tuned...
Thank goodness our family has a (warped) sense of humor. Everyone has been through some horror (or two) and survived.
Makes things very entertaining along with that snow cone machine my cousin brings every year.
Never a dull moment.
Stay tuned...
Saturday, September 13, 2014
Old school communication
Call me a dinosaur, but I still love my e-mails. Especially stuff from the listservs I'm on.
Rehab nurses who rarely speak out about anything will have long, torrid discussions via listserv about the best way to put on a leg bag and how many times a night to turn patients.
It may be old, but it is still highly entertaining.
Rehab nurses who rarely speak out about anything will have long, torrid discussions via listserv about the best way to put on a leg bag and how many times a night to turn patients.
It may be old, but it is still highly entertaining.
Thursday, September 11, 2014
Sunday, September 7, 2014
Harbinger of things to come?
Sunday started with a migraine, which did not go away. It just subsided here and there until the migraine drugs came out (thankfully, no nausea and vomiting!)
Went over by the Hotel and saw one of my coworkers, F., getting ready for the night shift. Long discussion. Had to cut it short to do what I had to do and get two friends to bring home for Dahey and Bubba.
Those friends: Ben & Jerry. Yes, we ran out of ice cream (found this out yesterday) and you would have thought the world would indeed end.
But alas, as I'm leaving I saw it. The harvest moon.
I hope F. has a really boring night.
That is all. Stay tuned...the night (and the week) is young.
Went over by the Hotel and saw one of my coworkers, F., getting ready for the night shift. Long discussion. Had to cut it short to do what I had to do and get two friends to bring home for Dahey and Bubba.
Those friends: Ben & Jerry. Yes, we ran out of ice cream (found this out yesterday) and you would have thought the world would indeed end.
But alas, as I'm leaving I saw it. The harvest moon.
I hope F. has a really boring night.
That is all. Stay tuned...the night (and the week) is young.
Saturday, September 6, 2014
Only in my dreams
Only in my dreams could we get a Hotel Rehab as "smart" and "accessible" as this new one going up in Nebraska.
I'm kind of worried about those gestures turning on and off appliances, lights, etc.
What do I do with the guy who has spasms whenever we turn him (or whenever he tilts just right in his wheelchair)?
It could get REALLY interesting.
Just sayin'...stay tuned. (I'd love to be there when it opens!)
I'm kind of worried about those gestures turning on and off appliances, lights, etc.
What do I do with the guy who has spasms whenever we turn him (or whenever he tilts just right in his wheelchair)?
It could get REALLY interesting.
Just sayin'...stay tuned. (I'd love to be there when it opens!)
Friday, September 5, 2014
The perils of rehab
While I was at my rehab conference, I talked to lots of folks. One of the biggest issues was reimbursement.
Now I know why there are issues. If companies only hire for a bare minimum set of qualifications for their staff (see below), it's no wonder why all the case managers in the audience said they were coloring their hair due to it turning white prematurely.
Clinical Appeals Reviewer
Job Description:
Primary Responsibilities:
Provide expertise or general support in reviewing, researching, investigating,and resolving all types of appeals.
Communicate issues, implications, and decisions with appropriate parties.
Analyze and identify trends for Appeals.
Job Requirements:
Required Qualifications:
High School Diploma/GED.
1+ year of Telephonic Customer Service experience.
1+ year of Healthcare Insurance experience.
Proficiency with Microsoft Outlook, Word, and Excel, including the ability to create spreadsheets and filter data.
Preferred Qualifications:
Familiarity with Medical Terminology
Funny, but no where did it say this person ought to be a nurse. You get what you pay for...just sayin'
More to come...
Now I know why there are issues. If companies only hire for a bare minimum set of qualifications for their staff (see below), it's no wonder why all the case managers in the audience said they were coloring their hair due to it turning white prematurely.
Clinical Appeals Reviewer
Job Description:
Primary Responsibilities:
Provide expertise or general support in reviewing, researching, investigating,and resolving all types of appeals.
Communicate issues, implications, and decisions with appropriate parties.
Analyze and identify trends for Appeals.
Job Requirements:
Required Qualifications:
High School Diploma/GED.
1+ year of Telephonic Customer Service experience.
1+ year of Healthcare Insurance experience.
Proficiency with Microsoft Outlook, Word, and Excel, including the ability to create spreadsheets and filter data.
Preferred Qualifications:
Familiarity with Medical Terminology
Funny, but no where did it say this person ought to be a nurse. You get what you pay for...just sayin'
More to come...
Thursday, September 4, 2014
Another t-shirt moment
I love conferences, since you get to see people you haven't seen in ages and learn new stuff.
But I really hate it when you are so tired, you want to pass out, because you've been trapped in freezing cold rooms and staying up late.
Thank goodness I convinced the boss I need time to recoup (aka vacation). I might not be going anywhere, but being stationary, is a very good thing.
Stay tuned.
But I really hate it when you are so tired, you want to pass out, because you've been trapped in freezing cold rooms and staying up late.
Thank goodness I convinced the boss I need time to recoup (aka vacation). I might not be going anywhere, but being stationary, is a very good thing.
Stay tuned.
Thursday, August 28, 2014
Junior high excitement
Bubba is learning the ropes and discovering things I never though he would.
Like how to find your lost ID in the computer lab, how to buy pizza every day for lunch (one of the perks of junior high) and how to negotiate the neighborhood on foot.
Since they get extra points for attending the local high school football games (by sitting with the band-music points), he's learning about those, too.
Fun times in the land of the pre-teen....more later.
Like how to find your lost ID in the computer lab, how to buy pizza every day for lunch (one of the perks of junior high) and how to negotiate the neighborhood on foot.
Since they get extra points for attending the local high school football games (by sitting with the band-music points), he's learning about those, too.
Fun times in the land of the pre-teen....more later.
Tuesday, August 26, 2014
Smog + heat =
Misery. Just misery. Red air quality...yuck!
It is making my allergies go crazy. Either that or it is the 50 degrees in my office since some people need it freezing to work. I love getting sick!
At least the Diet Coke will stay cool if someone like Grumpy happens by. (the ice machine is a long walk...)
Stay tuned...
It is making my allergies go crazy. Either that or it is the 50 degrees in my office since some people need it freezing to work. I love getting sick!
At least the Diet Coke will stay cool if someone like Grumpy happens by. (the ice machine is a long walk...)
Stay tuned...
Saturday, August 23, 2014
It's HOT!
Dear Summer:
I know it's not Labor Day yet, and the kids are back in school, but this 100+ degree temperature thing needs to go.
I finally got used to not freezing to death at the Hotel. Now my space is so cold I have to either 1) talk to patients in the hallway, if it's possible or 2) turn the air off and sweat while I talk to patients.
All this stuff about designing rooms for patients is nice, but once in a while, couldn't we get a universal design that works for EVERYONE?
I know I'll be waiting for the remodeling (that may never come) in my end of the Hotel. Here's hoping the HVAC folks can get it right.
Sincerely (only if you fix climate control),
RehabRN
I know it's not Labor Day yet, and the kids are back in school, but this 100+ degree temperature thing needs to go.
I finally got used to not freezing to death at the Hotel. Now my space is so cold I have to either 1) talk to patients in the hallway, if it's possible or 2) turn the air off and sweat while I talk to patients.
All this stuff about designing rooms for patients is nice, but once in a while, couldn't we get a universal design that works for EVERYONE?
I know I'll be waiting for the remodeling (that may never come) in my end of the Hotel. Here's hoping the HVAC folks can get it right.
Sincerely (only if you fix climate control),
RehabRN
Wednesday, August 20, 2014
The joys of junior high
Bubba is liking his morning setup. Get up, get ready, go to school. The only thing he's not really liking is the carrying of the heavy books, along with his trumpet. Today was nice because he got a ride home from me.
And now, since a weather front is coming in, what better time for a migraine.
I know the feeling all too well.
Stay tuned...
And now, since a weather front is coming in, what better time for a migraine.
I know the feeling all too well.
Stay tuned...
Tuesday, August 19, 2014
The story of my life
I shall not change my course because those who assume to be better than I desire it.~ Victoria Woodhull
I really wonder why some people just can't mind their own business.
That is all...more later.
I really wonder why some people just can't mind their own business.
That is all...more later.
Monday, August 18, 2014
They don't have a T-shirt for this
Being a certified nurse can be nice, but documenting all of those continuing education things can be a pain.
Hooray! You're a certified nurse! Fast forward (it really didn't seem that long) and before you know it, it's time to renew that certification.
However, it's not impossible. Here are my tips (from personal experience since I've done this a couple of times this year) on how to get your stuff together and submit without ripping all your hair out.
1. Be organized. Keep good records of what educational seminars, conferences, webinars, etc. you attend. I bought a small scanner for receipts, but I scan every single document I get and put it in a folder on my computer.
You can really collect a lot of stuff over most certification periods (three to five years is standard).
2. If you go the electronic route, always remember to back up your info and put it in a safe place. You don't want all that time and work to go up in smoke. You can backup stuff online or on DVD or in a fireproof file box.
3. Start early. Many organizations charge late fees (and many are not cheap). Some (like one East Coast organization I will not mention) like to audit the folks who file late. For the most part, organizations audit a certain percentage of recertification candidates (this percentage varies).
How do I know? I was one of the lucky folks who got audited when I forgot to mail in my stuff while I was on vacation this spring.
4. Read the instructions carefully and make sure you send in the appropriate amount of contact hours. Some organizations distinguish between online learning, webinars, conference calls, etc.
5. File electronically if your organization allows it. See #3. No late fees if you can send it in online by the due date and most send you a confirmation e-mail once you're done.
6. If you can't file electronically, always, always, always keep a copy of your completed application.
One friend applied for a certification and the certifying body lost his/her application. Thankfully, he/she had a copy and after a couple of phone calls, resent it, and all was good on the road to certification.
Without that copy, it would have been pretty ugly.
Enjoy your recertification adventure!
Hooray! You're a certified nurse! Fast forward (it really didn't seem that long) and before you know it, it's time to renew that certification.
However, it's not impossible. Here are my tips (from personal experience since I've done this a couple of times this year) on how to get your stuff together and submit without ripping all your hair out.
1. Be organized. Keep good records of what educational seminars, conferences, webinars, etc. you attend. I bought a small scanner for receipts, but I scan every single document I get and put it in a folder on my computer.
You can really collect a lot of stuff over most certification periods (three to five years is standard).
2. If you go the electronic route, always remember to back up your info and put it in a safe place. You don't want all that time and work to go up in smoke. You can backup stuff online or on DVD or in a fireproof file box.
3. Start early. Many organizations charge late fees (and many are not cheap). Some (like one East Coast organization I will not mention) like to audit the folks who file late. For the most part, organizations audit a certain percentage of recertification candidates (this percentage varies).
How do I know? I was one of the lucky folks who got audited when I forgot to mail in my stuff while I was on vacation this spring.
4. Read the instructions carefully and make sure you send in the appropriate amount of contact hours. Some organizations distinguish between online learning, webinars, conference calls, etc.
5. File electronically if your organization allows it. See #3. No late fees if you can send it in online by the due date and most send you a confirmation e-mail once you're done.
6. If you can't file electronically, always, always, always keep a copy of your completed application.
One friend applied for a certification and the certifying body lost his/her application. Thankfully, he/she had a copy and after a couple of phone calls, resent it, and all was good on the road to certification.
Without that copy, it would have been pretty ugly.
Enjoy your recertification adventure!
Saturday, August 16, 2014
Will they ever learn?
"May we not succumb to thoughts of violence and revenge today, but rather to thoughts of mercy and compassion. We are to love our enemies that they might be returned to their right minds." ~ Marianne Williamson
May peace return soon to the streets of Ferguson, MO
May peace return soon to the streets of Ferguson, MO
Thursday, August 14, 2014
Maybe this doc was a nurse
I ran into this interesting post at the ever surprising FML. It's not just about bad things happening to other people.
However, dear med student, most of the time the tasks mentioned that you may order actually are done by nurses. I have yet (in my short career) to see any docs insert and seat a catheter or give an enema.
I don't doubt that some of my docs could do it, but I'd suspect they won't be as good as we are (wink).
More later...
However, dear med student, most of the time the tasks mentioned that you may order actually are done by nurses. I have yet (in my short career) to see any docs insert and seat a catheter or give an enema.
I don't doubt that some of my docs could do it, but I'd suspect they won't be as good as we are (wink).
More later...
Wednesday, August 13, 2014
The greatest generation among us
Mr. N. was a character. From the moment the referral nurses talked about him, they weren't really sure if he'd even make it to the Hotel. He was old. He was sick. He was unconscious. He was deaf as a post without his hearing aids. He was as we say, "day to day."
He lived and for a while, Mr. N. inhabited a bright sunny room, where he had a good view of the construction going on nearby. Once he got his hearing aids, he talked. He was very opinionated, having worked for one utility, he had a pretty good idea what was going on outside his window.
In a way, Mr. N. reminded me of my father. He had the same ethnic look and the same blue eyes. He also had a gravelly voice of a man who smoked a few Chesterfields in his day. We talked about a number of things once we connected. I could always ask if it was really true what the guys said about his battle (the "no purple hearts" part).
Mr. N. even introduced me to his children. I got to meet all of them, including the bossy daughter ("she runs everything" he said). They were nice. They were amazed that their dad did as well as he did.
One day, Mr. N. came to see me, looking for change to get a soda. I didn't have any so I checked his chart.I realized he was not diabetic, so I offered him the soda Bubba made me take to work, in case I got snowed in.
His eyes brightened when he saw it. "Ooh!" he said. "The good stuff. Sierra Mist." He thanked me and rolled away down the hall for a cup of ice.
Mr. N. came by to see me when it was time to discharge. He said, "I hope to see you again. Thanks for everything." and winked. He left the next day to go to the nursing home.
We were told the other day that Mr. N's "bossy" daughter called. He had passed away in his sleep that day. His weak heart finally gave out. This week, with more than 500 others each day, he joined history.
And I am thankful I have one more story about World War II to cherish, told by a man who made history in the Battle of the Bulge.
He lived and for a while, Mr. N. inhabited a bright sunny room, where he had a good view of the construction going on nearby. Once he got his hearing aids, he talked. He was very opinionated, having worked for one utility, he had a pretty good idea what was going on outside his window.
In a way, Mr. N. reminded me of my father. He had the same ethnic look and the same blue eyes. He also had a gravelly voice of a man who smoked a few Chesterfields in his day. We talked about a number of things once we connected. I could always ask if it was really true what the guys said about his battle (the "no purple hearts" part).
Mr. N. even introduced me to his children. I got to meet all of them, including the bossy daughter ("she runs everything" he said). They were nice. They were amazed that their dad did as well as he did.
One day, Mr. N. came to see me, looking for change to get a soda. I didn't have any so I checked his chart.I realized he was not diabetic, so I offered him the soda Bubba made me take to work, in case I got snowed in.
His eyes brightened when he saw it. "Ooh!" he said. "The good stuff. Sierra Mist." He thanked me and rolled away down the hall for a cup of ice.
Mr. N. came by to see me when it was time to discharge. He said, "I hope to see you again. Thanks for everything." and winked. He left the next day to go to the nursing home.
We were told the other day that Mr. N's "bossy" daughter called. He had passed away in his sleep that day. His weak heart finally gave out. This week, with more than 500 others each day, he joined history.
And I am thankful I have one more story about World War II to cherish, told by a man who made history in the Battle of the Bulge.
Tuesday, August 12, 2014
The summer's dwindling
Soon, Bubba will go back to school. It will be a new one and a new grade, so it should be interesting.
After a year of trying, I finally figured out how the school information system works.
More to come...
After a year of trying, I finally figured out how the school information system works.
More to come...
The gift horse (aka "I ain't got time...}
Heard at the Hotel (or relayed by stunned observers).
1. When our nurse manager (who now does quality review) asked one nurse about his/her documentation and lack of a shift assessment, the answer was "I don't have time for that".
Really? So what is it we hire an RN for...assessment skills? Maybe you need to take one of our open CNA positions.
2. One nurse got a chance (was selected) by the Hotel to go all-expenses paid to a national conference because he/she has gone for years on his/her own dime. The catch: since we have a new chief nurse at our location, she told him/her that he/she would have to do a presentation to the unit staff when he/she returns.
After lots of paperwork, discussion, permission from umpteen people (because you can't just GO to a conference anymore at the Hotel....) he/she comes to my office and says, "Oh, I'm going to call and let them know that I'm going to go on my own. I don't have time to do a presentation."
3. One (actually several) of our professional staff notes that patients request information, etc., via e-mail or text message. This is even in their notes.
Will he/she/they even contemplate using the Hotel's patient portal, with secure e-mail included (it even writes your notes for you)?
Nope. It requires one training class (about 30 minutes) and you have to teach your patients (most of whom already use the portal) to contact you that way.
I just wonder what everyone is doing with all that extra time...
1. When our nurse manager (who now does quality review) asked one nurse about his/her documentation and lack of a shift assessment, the answer was "I don't have time for that".
Really? So what is it we hire an RN for...assessment skills? Maybe you need to take one of our open CNA positions.
2. One nurse got a chance (was selected) by the Hotel to go all-expenses paid to a national conference because he/she has gone for years on his/her own dime. The catch: since we have a new chief nurse at our location, she told him/her that he/she would have to do a presentation to the unit staff when he/she returns.
After lots of paperwork, discussion, permission from umpteen people (because you can't just GO to a conference anymore at the Hotel....) he/she comes to my office and says, "Oh, I'm going to call and let them know that I'm going to go on my own. I don't have time to do a presentation."
3. One (actually several) of our professional staff notes that patients request information, etc., via e-mail or text message. This is even in their notes.
Will he/she/they even contemplate using the Hotel's patient portal, with secure e-mail included (it even writes your notes for you)?
Nope. It requires one training class (about 30 minutes) and you have to teach your patients (most of whom already use the portal) to contact you that way.
I just wonder what everyone is doing with all that extra time...
Tuesday, August 5, 2014
We have to ask
RehabRN's tips for new rehab nurses: stuff you have to ask.
1. Did you bring your medication list?
We want to know. It's all part of our service, and it keeps you safe. It keeps all those accreditation people happy, too.
2. Do you have any guns, knives or weapons?
We cannot have them on our unit. We can get them taken care of for you, if you don't want to send home your prized Bowie knife (actually found one under a cushion once--in a scabbard) with your mom/wife/sister/random relative or friend.
Those accreditation people like us to do that, too.
3. Do you use marijuana or other drugs not prescribed by your doctor?
Your safety is involved here, too. We are not the police, but they will inform you that your "unofficial meds" (as one patient told me) cannot be kept or be available for "sharing" or sale here in our lovely Hotel.
Unofficial pharmacists are not allowed to practice here, either.
And my personal favorite:
4. Do you have any concerns about your sexual health?
No, at the Hotel, we don't ask directly (our psychologists and MDs generally ask), but I will ask if I get some smart alecky comment about some nurse's butt or how someone is "interested" in x, y, or z (pick your favorite salacious comment).
It is a big deal in rehab. Many folks have been through horrible experiences before they got there. You always know they're starting to feel better when they start getting frisky and/or asking directly (or indirectly).
Just remember, a lot of times, it really is about them, and not you. Be aware and learn how to get other members of your interdisciplinary team involved. If it is about you, bump it up the chain with your nurse manager, and if needed, human resources.
It does takes a village to take good care of rehab patients.
More later...
1. Did you bring your medication list?
We want to know. It's all part of our service, and it keeps you safe. It keeps all those accreditation people happy, too.
2. Do you have any guns, knives or weapons?
We cannot have them on our unit. We can get them taken care of for you, if you don't want to send home your prized Bowie knife (actually found one under a cushion once--in a scabbard) with your mom/wife/sister/random relative or friend.
Those accreditation people like us to do that, too.
3. Do you use marijuana or other drugs not prescribed by your doctor?
Your safety is involved here, too. We are not the police, but they will inform you that your "unofficial meds" (as one patient told me) cannot be kept or be available for "sharing" or sale here in our lovely Hotel.
Unofficial pharmacists are not allowed to practice here, either.
And my personal favorite:
4. Do you have any concerns about your sexual health?
No, at the Hotel, we don't ask directly (our psychologists and MDs generally ask), but I will ask if I get some smart alecky comment about some nurse's butt or how someone is "interested" in x, y, or z (pick your favorite salacious comment).
It is a big deal in rehab. Many folks have been through horrible experiences before they got there. You always know they're starting to feel better when they start getting frisky and/or asking directly (or indirectly).
Just remember, a lot of times, it really is about them, and not you. Be aware and learn how to get other members of your interdisciplinary team involved. If it is about you, bump it up the chain with your nurse manager, and if needed, human resources.
It does takes a village to take good care of rehab patients.
More later...
Monday, August 4, 2014
Gotta love the men
I go to my gynecologist and he's asking what my secret is to losing seven pounds since last year. I tell him I watch carbs and sweets.
He must have missed lunch because we had a lengthy discussion about donuts. (Fortunately, his office is close to a donut shop and within 2 miles of a cable network rated one).
Then I come home and read Dr. Grumpy's post about nurses over at kevinmd.com. Aww! I know who appreciates me, and who doesn't.
Yes, indeed, it was a good day. Gotta love the men!
He must have missed lunch because we had a lengthy discussion about donuts. (Fortunately, his office is close to a donut shop and within 2 miles of a cable network rated one).
Then I come home and read Dr. Grumpy's post about nurses over at kevinmd.com. Aww! I know who appreciates me, and who doesn't.
Yes, indeed, it was a good day. Gotta love the men!
Just a thought
I have a bicycle sitting idle in the garage. Bubba goes to school down the street now, so he can walk home.
I'd like to ride my bike to the Hotel, but I'm getting a little skittish after reading stories like this one. It might help keep my weight in check, too, since I've been indulging in one too many goodies at work.
NOTE: I've already gotten in my own bike vs.car crash in college and I lived (I got a really good look at the driver and totalled my bike). Not sure if I feel like doing that one again.
The joys of modern transit and obesity.
I'd like to ride my bike to the Hotel, but I'm getting a little skittish after reading stories like this one. It might help keep my weight in check, too, since I've been indulging in one too many goodies at work.
NOTE: I've already gotten in my own bike vs.car crash in college and I lived (I got a really good look at the driver and totalled my bike). Not sure if I feel like doing that one again.
The joys of modern transit and obesity.
Sunday, August 3, 2014
I survived!
My stint as an adjunct instructor at MegaCorp College is over. Hooray!
What did I learn?
1. Some people are just not motivated.
2. Some people don't really listen. I only told my students (orally and in writing) that all the written homework was due the day before the final.
I still had one goof say, "What? We can't turn in any homework tonight?"
Yes, Doofus, that's right. Working on your schedule at Taco Bell instead of finishing your uncompleted work was really not a good thing. Miraculously, he passed the course...with a whopping D.
3. Flunking students is not fun, but sometimes you have to do it. I had to flunk the one student in my course who would like to go on to the nursing program.
As Dahey says, if she can't hack it now, maybe she should be doing something else.
What did I learn?
1. Some people are just not motivated.
2. Some people don't really listen. I only told my students (orally and in writing) that all the written homework was due the day before the final.
I still had one goof say, "What? We can't turn in any homework tonight?"
Yes, Doofus, that's right. Working on your schedule at Taco Bell instead of finishing your uncompleted work was really not a good thing. Miraculously, he passed the course...with a whopping D.
3. Flunking students is not fun, but sometimes you have to do it. I had to flunk the one student in my course who would like to go on to the nursing program.
As Dahey says, if she can't hack it now, maybe she should be doing something else.
Wednesday, July 30, 2014
If only I could say this...
I have had many therapeutic conversations with my friend, the Pharmacist out Yonder. We have always had some interesting stories from work.
As usual, she tops me again, even when I told her about her old neighbor's not-really-a-surprise-party-anymore surprise party my traveling partner's been planning. (Drat!)
She had to call a doctor recently to get a prior authorization for a certain antipsychotic med dose. She clarified the prescription, found out it needed the prior authorization, and called the insurance company.
The (not so) nice people at the insurance company gave her some information, but told her the MD had to call them back.
She calls the MD to explain the situation, and he says, "I'm not really in the mood to call the insurance company for that."
Really? I said. How can he NOT be in the mood?
I think I'd promptly be in the mood to find another doctor.
That is all...hope you enjoy your day wherever you are.
As usual, she tops me again, even when I told her about her old neighbor's not-really-a-surprise-party-anymore surprise party my traveling partner's been planning. (Drat!)
She had to call a doctor recently to get a prior authorization for a certain antipsychotic med dose. She clarified the prescription, found out it needed the prior authorization, and called the insurance company.
The (not so) nice people at the insurance company gave her some information, but told her the MD had to call them back.
She calls the MD to explain the situation, and he says, "I'm not really in the mood to call the insurance company for that."
Really? I said. How can he NOT be in the mood?
I think I'd promptly be in the mood to find another doctor.
That is all...hope you enjoy your day wherever you are.
Tuesday, July 29, 2014
Any day now...
Yes, the term (and the summer) will soon be over.
I won't miss the school part. Teaching has been a learning experience for me: lots of work for even less pay. That is all I will say.
Bubba and Dahey had a good time on our road trip, even though Bubba acted as if he had strep throat again (thank goodness he tested negative). I have had enough of communicable diseases, thank you very much!
We had fun traipsing around a historic playground, doing things we never do at home, and vegetating and enjoying nature. It was fun. I wish I would have felt like writing, because it would have been perfect.
One more class. A couple more days. I will perservere...and enjoy.
Stay tuned!
I won't miss the school part. Teaching has been a learning experience for me: lots of work for even less pay. That is all I will say.
Bubba and Dahey had a good time on our road trip, even though Bubba acted as if he had strep throat again (thank goodness he tested negative). I have had enough of communicable diseases, thank you very much!
We had fun traipsing around a historic playground, doing things we never do at home, and vegetating and enjoying nature. It was fun. I wish I would have felt like writing, because it would have been perfect.
One more class. A couple more days. I will perservere...and enjoy.
Stay tuned!
Wednesday, July 23, 2014
Unearthing myself
Yes, I've been buried. Being an instructor at MegaCorp College really is a lot of work (even if it's only one class.)
Besides my seven login accounts, I got surprised with advising duties recently. Yes, I know, most smart schools only allow the crack, full-time professors to advise students, but since MCC is a check the box kind of school, I got tasked with "advising" students.
What, you ask, did I have to do?
1. I decided to read my e-mail before class and I found out I had to complete this task by the end of the week. Since that was the last day of my week, it became a priority.
2. When I discussed it with a student who came early, and showed her the form, she had never seen it.
3. I showed each student their grade to date in the learning management system. The midterm was ugly. Had I not used the analysis to throw out questions, I would have had even more Fs.
4. With the analysis, I just had more work (adding points back). Depending on the student, I had the potential to add back 36 points out of 200.
5. Thankfully, most of the students came back after the midterm. Still have a couple of stragglers. Will see how that goes.
Thanks for listening. I'll be escaping (literally and figuratively) to a remote town known only to famous authors. I'll be hiding out doing nothing, except enjoying some time with Dahey and Bubba. It should be fun.
Until next time...stay tuned for more educational adventures.
Besides my seven login accounts, I got surprised with advising duties recently. Yes, I know, most smart schools only allow the crack, full-time professors to advise students, but since MCC is a check the box kind of school, I got tasked with "advising" students.
What, you ask, did I have to do?
1. I decided to read my e-mail before class and I found out I had to complete this task by the end of the week. Since that was the last day of my week, it became a priority.
2. When I discussed it with a student who came early, and showed her the form, she had never seen it.
3. I showed each student their grade to date in the learning management system. The midterm was ugly. Had I not used the analysis to throw out questions, I would have had even more Fs.
4. With the analysis, I just had more work (adding points back). Depending on the student, I had the potential to add back 36 points out of 200.
5. Thankfully, most of the students came back after the midterm. Still have a couple of stragglers. Will see how that goes.
Thanks for listening. I'll be escaping (literally and figuratively) to a remote town known only to famous authors. I'll be hiding out doing nothing, except enjoying some time with Dahey and Bubba. It should be fun.
Until next time...stay tuned for more educational adventures.
Monday, July 14, 2014
Still alive and kicking
Yes, folks, adjunct teaching is not for sissies (or anyone who values their free time). I feel as if I've been buried beneath a ton of paperwork, which not only includes coursework, but pre and post class work (aka homework) as well as online assignments (since this is what they call a hybrid class).
I have seven log in IDs for various systems I have to interface with, including e-mail, one of three (including paper) attendance systems, two grade books and one learning management system for professors.
I am expected to call each student if they don't show up. If that doesn't work, I have to send follow-up e-mails.
To make my life even more interesting, the course management system administrator merged two sections of the class (mine and the day section) into one class. They've finally separated us, but the students are still confused.
This is a good experience...of what not to do.
Stay tuned!
I have seven log in IDs for various systems I have to interface with, including e-mail, one of three (including paper) attendance systems, two grade books and one learning management system for professors.
I am expected to call each student if they don't show up. If that doesn't work, I have to send follow-up e-mails.
To make my life even more interesting, the course management system administrator merged two sections of the class (mine and the day section) into one class. They've finally separated us, but the students are still confused.
This is a good experience...of what not to do.
Stay tuned!
Monday, July 7, 2014
It is Monday...
Boom, thunder, and now hail.
This day will certainly go out with a bang here in RehabLand, if a bunch of other storms won't get diverted.
We can only hope...
This day will certainly go out with a bang here in RehabLand, if a bunch of other storms won't get diverted.
We can only hope...
Sunday, July 6, 2014
It happens to nurses too
I saw this post on a site I venture to regularly and it just reminded me that restaurant folks aren't the only ones who get caught up in this dilemma.
One ED nurse got fired for an Instagram post.
Word to the wise: be careful out there, folks. Know and understand how to use social media approriately.
One ED nurse got fired for an Instagram post.
Word to the wise: be careful out there, folks. Know and understand how to use social media approriately.
Saturday, July 5, 2014
In the news
Since I'm taking a break, I thought I'd have a look at the latest health news.
Here are a few that caught my eye. Hope you enjoy.
What not to say (from www.cnn.com)
Um, yes, some things really ARE important enough to not be busy for, Mr. Professional Basketball Player. Cancer doesn't give a rat's (fill in your favorite anatomical part) who you are.
A hypoglycemia dilemma (from www.nytimes.com)
This interested me, because I often feel hypoglycemic. Think you can figure out this dilemma? Check it out.
A different type of dilemma if you have back pain (from webmd.com)
Steroid injections may help some folks with back pain...or not. Read more here to learn more about a recent study.
Just another reason (also webmd.com)
Please be careful with supplements! Bee pollen for weight loss could cause other potentially life-threatening conditions, even if it sounds like a good solution for you.
If it sounds too good to be true, it probably is.
Happy weekend all!
Here are a few that caught my eye. Hope you enjoy.
What not to say (from www.cnn.com)
Um, yes, some things really ARE important enough to not be busy for, Mr. Professional Basketball Player. Cancer doesn't give a rat's (fill in your favorite anatomical part) who you are.
A hypoglycemia dilemma (from www.nytimes.com)
This interested me, because I often feel hypoglycemic. Think you can figure out this dilemma? Check it out.
A different type of dilemma if you have back pain (from webmd.com)
Steroid injections may help some folks with back pain...or not. Read more here to learn more about a recent study.
Just another reason (also webmd.com)
Please be careful with supplements! Bee pollen for weight loss could cause other potentially life-threatening conditions, even if it sounds like a good solution for you.
If it sounds too good to be true, it probably is.
Happy weekend all!
Friday, July 4, 2014
Happy Fourth!
“We must be free not because we claim freedom, but because we practice it” — William Faulkner
Hope you enjoy your holiday wherever you are.
Hope you enjoy your holiday wherever you are.
Thursday, July 3, 2014
A day (or two) late
But, at least, not a dollar short (yet!)
Happy belated Canada Day to all my friends over the border. I did find and wish my real-life Canuck friends good wishes on the actual day.
But alas, my brain has been cramming.
Yes, I'm going back to school...as the teacher for a very short class next week.
We shall see how it goes on the other side of the desk. I'm working away on my lesson plan and reading as we speak...
Stay tuned!
Happy belated Canada Day to all my friends over the border. I did find and wish my real-life Canuck friends good wishes on the actual day.
But alas, my brain has been cramming.
Yes, I'm going back to school...as the teacher for a very short class next week.
We shall see how it goes on the other side of the desk. I'm working away on my lesson plan and reading as we speak...
Stay tuned!
Wednesday, July 2, 2014
Learning something new
Well, since our specialist Dr. E-I is on vacation and we won't have his clinic this week at the Hotel, he left me with some work to do writing a grant.
Hopefully, I can convince the All Mighty Money Granting organization to send us some for a new project.
We'll see...
Hopefully, I can convince the All Mighty Money Granting organization to send us some for a new project.
We'll see...
Monday, June 30, 2014
Monday, Monday
Oh, the joys of Monday.
First, Bubba is in such a rush that he forgets to take his medicine. I run back home, get it, administer and go to work.
Next, I go to work and my computer has some weird error message on the screen. I turn it off, then it won't go back on. Finally, after an hour of futzing around, it comes back on (after I unplug and replug every single cord under my desk.)
Maybe it just got too hot in the office over the weekend. (I love all the fancy thermostats in our office, which assume that it can go up to 90 degrees when I go home.
I surprisingly got a lot of work done on my big project, but now I have a new nurse shadow.
So much for finishing that tomorrow! Only time will tell...stay tuned.
First, Bubba is in such a rush that he forgets to take his medicine. I run back home, get it, administer and go to work.
Next, I go to work and my computer has some weird error message on the screen. I turn it off, then it won't go back on. Finally, after an hour of futzing around, it comes back on (after I unplug and replug every single cord under my desk.)
Maybe it just got too hot in the office over the weekend. (I love all the fancy thermostats in our office, which assume that it can go up to 90 degrees when I go home.
I surprisingly got a lot of work done on my big project, but now I have a new nurse shadow.
So much for finishing that tomorrow! Only time will tell...stay tuned.
Sunday, June 29, 2014
Looking for a nursing job?
I've been dragged, er, lucky enough to be asked by my boss to meet some of the interview candidates at the Hotel.
Part of my job is to also ask questions on our standard questionnaire (which is very short).
While I'm not Ask Annie, I am old (or "seasoned" as the PC people say) when it comes to interviews. If you want real specific HR information for yourself, you'll need to get an HR guru in your own state, as laws vary.
So here are my general tips.
RehabRN's top tips for interviewing success
1. Show up on time.
Not too early (we had one candidate show up at the end of night shift) and not late. NOTE: you may need to leave early to make sure you get to us on time, don't get stuck in traffic, find a place to park, and find the room.
2. Dress professionally.
Neat and clean are especially important, whether you are in scrubs or a suit.
3. Know the job description from the posting.
They may not give it to us to give to you (happens a lot). This is a valuable chunk of information that can help you ask questions of the job.
4. Answer the questions we ask you.
In the worst ever interview, one person was so slow in responding we thought he/she was asleep. He/she was the first interview of the day at 0900, so we're not sure if he/she just finished night shift, or was stoned. (it was hard to tell).
You know it's bad when your manager pleads, "Please, you must answer the question." (this actually happened.)
5. Be able to talk about your job and how you do it.
As the old saying goes, "It ain't bragging if it's true." We don't know anything about you if you don't tell us.
We will check to see if a reference backs up your storyline. Make sure you have good ones (and at least one manager).
6. Have questions to ask of us about the job.
We can't tell you everything, but we can give you an idea of what you'll do. Preparation is key.
7. Leave your attitudes at the door.
Especially if it's bad or entitled.
8. Never assume.
Never act like we will just hire you because of your RN license and/or your impressive resume. Just because your spouse works in another department down the hall and a job at the Hotel would allow you to carpool is another thing that is not guaranteed to get you hired.
We may not hire you if you are not a good fit with the rest of the personalities, I mean, team, at the Hotel.
Need more information? Check out these sites:
http://www.hrworld.com/features/interviewing-cheat-sheet-092507/
http://humanresources.about.com/od/interviewing/
http://careerplanning.about.com/od/jobinterviews/
Best of luck in your next interview!
Part of my job is to also ask questions on our standard questionnaire (which is very short).
While I'm not Ask Annie, I am old (or "seasoned" as the PC people say) when it comes to interviews. If you want real specific HR information for yourself, you'll need to get an HR guru in your own state, as laws vary.
So here are my general tips.
RehabRN's top tips for interviewing success
1. Show up on time.
Not too early (we had one candidate show up at the end of night shift) and not late. NOTE: you may need to leave early to make sure you get to us on time, don't get stuck in traffic, find a place to park, and find the room.
2. Dress professionally.
Neat and clean are especially important, whether you are in scrubs or a suit.
3. Know the job description from the posting.
They may not give it to us to give to you (happens a lot). This is a valuable chunk of information that can help you ask questions of the job.
4. Answer the questions we ask you.
In the worst ever interview, one person was so slow in responding we thought he/she was asleep. He/she was the first interview of the day at 0900, so we're not sure if he/she just finished night shift, or was stoned. (it was hard to tell).
You know it's bad when your manager pleads, "Please, you must answer the question." (this actually happened.)
5. Be able to talk about your job and how you do it.
As the old saying goes, "It ain't bragging if it's true." We don't know anything about you if you don't tell us.
We will check to see if a reference backs up your storyline. Make sure you have good ones (and at least one manager).
6. Have questions to ask of us about the job.
We can't tell you everything, but we can give you an idea of what you'll do. Preparation is key.
7. Leave your attitudes at the door.
Especially if it's bad or entitled.
8. Never assume.
Never act like we will just hire you because of your RN license and/or your impressive resume. Just because your spouse works in another department down the hall and a job at the Hotel would allow you to carpool is another thing that is not guaranteed to get you hired.
We may not hire you if you are not a good fit with the rest of the personalities, I mean, team, at the Hotel.
Need more information? Check out these sites:
http://www.hrworld.com/features/interviewing-cheat-sheet-092507/
http://humanresources.about.com/od/interviewing/
http://careerplanning.about.com/od/jobinterviews/
Best of luck in your next interview!
Something to look forward to...
As if random communicable diseases on a seasonal basis was not enough.
Why teenagers act crazy (from www.nytimes.com).
Why teenagers act crazy (from www.nytimes.com).
Saturday, June 28, 2014
The wait is over...
Yes, as this nurse suspected, it was salmonellosis (and confirmed by the lab today).
Now that Dahey has had more symptoms (and he ate at the same place Bubba did), I get to play nurse coordinator and get him some medical advice, too.
Joy!
Hope your weekend is a little less exciting than mine. Stay tuned!
Now that Dahey has had more symptoms (and he ate at the same place Bubba did), I get to play nurse coordinator and get him some medical advice, too.
Joy!
Hope your weekend is a little less exciting than mine. Stay tuned!
Friday, June 27, 2014
The waiting game continues...
Still waiting to see what exactly made Bubba (and Dahey later) sick this week.
Once I know, then Bubba can be ready to play the waiting game for sleepover camp, which is coming soon.
Yes, you got it, I'm stuck waiting, too.
TGIF folks!
Once I know, then Bubba can be ready to play the waiting game for sleepover camp, which is coming soon.
Yes, you got it, I'm stuck waiting, too.
TGIF folks!
Wednesday, June 25, 2014
Oh, the tummy!
Maybe I should have read this article before I took some naproxen before bed last night without eating.
Suffering....
Suffering....
Monday, June 23, 2014
The waiting game
Is Bubba still sick or not? Will I be rudely awakened again tonight by diarrhea and vomiting?
Will I finally get the stool samples I've been waiting for all day?
Should be interesting to see what happens when Dahey does kid watch duty tomorrow. He couldn't even handle me showing him the 10 language instruction sheet ("I just ate dinner" he said indignantly). He'd never make it as a nurse.
Let's have a show of hands who hasn't discussed a stool sample over a meal. (I thought so...)
At least, I got some other doctors' appointments made and files sorted and filed that I needed to do for months.
Crossing fingers and playing the waiting game...the RehabLand camp out will be here before we know it!
Will I finally get the stool samples I've been waiting for all day?
Should be interesting to see what happens when Dahey does kid watch duty tomorrow. He couldn't even handle me showing him the 10 language instruction sheet ("I just ate dinner" he said indignantly). He'd never make it as a nurse.
Let's have a show of hands who hasn't discussed a stool sample over a meal. (I thought so...)
At least, I got some other doctors' appointments made and files sorted and filed that I needed to do for months.
Crossing fingers and playing the waiting game...the RehabLand camp out will be here before we know it!
Sunday, June 22, 2014
Summer things I don't miss
1. The dreaded heat and humidity combo.
2. Burning hot cars.
3. Food poisoning.
Guess which one Bubba decided to get this weekend? Joy. Off we go to the pediatrician tomorrow.
Just another reason not to like Mondays, either.
2. Burning hot cars.
3. Food poisoning.
Guess which one Bubba decided to get this weekend? Joy. Off we go to the pediatrician tomorrow.
Just another reason not to like Mondays, either.
Saturday, June 21, 2014
Go get smashed
Yes, I got to get smashed. What on earth does that mean? Took the girls over to the radiology center and got my yearly test.
Call them whatever you want (girls, tatas, breasts) but THAT test is a mammogram. I don't have to be reminded, really, even though the Saintarama Medical Record nagged me at my last visit to my doctor.
There are plenty of other reasons why I don't forget. I can't forget that my mother-in-law is not here anymore because of breast cancer. Neither is a woman I went to grade school with, who was a labor and delivery nurse who left behind a little girl. My next door neighbor (also a nurse) who threw hilarious parties and sang on key when she wasn't working at Private U's trauma ICU, is also not here anymore because of breast cancer.
Besides all those missing souls, I think about the ladies I've taken care of who have had breast cancer with metastasis. They became rehab patients, because they couldn't walk (or walk right) anymore.
All because of something that, in many cases, can be detected by taking the girls to get smashed.
Please, ladies, go get smashed. I'd prefer to see you visiting rehab as a volunteer or family member, not as a patient for something that just might be found by getting smashed once a year.
Thank you and good night!
Call them whatever you want (girls, tatas, breasts) but THAT test is a mammogram. I don't have to be reminded, really, even though the Saintarama Medical Record nagged me at my last visit to my doctor.
There are plenty of other reasons why I don't forget. I can't forget that my mother-in-law is not here anymore because of breast cancer. Neither is a woman I went to grade school with, who was a labor and delivery nurse who left behind a little girl. My next door neighbor (also a nurse) who threw hilarious parties and sang on key when she wasn't working at Private U's trauma ICU, is also not here anymore because of breast cancer.
Besides all those missing souls, I think about the ladies I've taken care of who have had breast cancer with metastasis. They became rehab patients, because they couldn't walk (or walk right) anymore.
All because of something that, in many cases, can be detected by taking the girls to get smashed.
Please, ladies, go get smashed. I'd prefer to see you visiting rehab as a volunteer or family member, not as a patient for something that just might be found by getting smashed once a year.
Thank you and good night!
Thursday, June 19, 2014
Some things aren't meant to be
This week there's been a lot of talk on the subject. Frankly, I'm glad this week is nearly over.
1. In the news, the Redskins lost their trademark protection.
2. They're redoing the parking lot (again) and we have a ton of traffic now. I can't wait to have some more!
3. My high school friend was at the far end of RehabLand with her daughter for a dance competition. Too bad I didn't have vacation. Said child one a first place in a national competition!
4. My attempts to get another side job foiled again. Better luck next time!
TGIF in advance!
1. In the news, the Redskins lost their trademark protection.
2. They're redoing the parking lot (again) and we have a ton of traffic now. I can't wait to have some more!
3. My high school friend was at the far end of RehabLand with her daughter for a dance competition. Too bad I didn't have vacation. Said child one a first place in a national competition!
4. My attempts to get another side job foiled again. Better luck next time!
TGIF in advance!
Monday, June 16, 2014
Cup crazy
Yes, it's all sports around here all the time at the RehabRN ranch, but the boys (Dahey and Bubba) are really getting into the World Cup of soccer.
You can't really blame them, though. That Ghana vs. USA game started with a bang.
That is all...back to the latest game.
Hope you enjoy your week wherever you are.
You can't really blame them, though. That Ghana vs. USA game started with a bang.
That is all...back to the latest game.
Hope you enjoy your week wherever you are.
Friday, June 13, 2014
Can fat really kill you?
I had a patient ask me that very question in the hallway the other day. Yes, indeed, Mr. XYZ, it can.
You could get any of the following diseases:
1. Fatty liver disease is becoming a growing cause of liver transplants.
2. Yes, cholesterol can get you too.
3. And let's not forget diabetes, either.
Being fat and or predisposed to keeping fat on your body (some of this can be genetic, as noted in the article in #1) is dangerous.
And I made sure I documented my education note as soon as I got back to my desk.
There is never enough nursing education.
TGIF!
You could get any of the following diseases:
1. Fatty liver disease is becoming a growing cause of liver transplants.
2. Yes, cholesterol can get you too.
3. And let's not forget diabetes, either.
Being fat and or predisposed to keeping fat on your body (some of this can be genetic, as noted in the article in #1) is dangerous.
And I made sure I documented my education note as soon as I got back to my desk.
There is never enough nursing education.
TGIF!
Wednesday, June 11, 2014
Sometimes, you really can't
Go home again. You can't go home without it changing you.
In this article in the NY Times, they discuss how many Africans who believe in female genital mutilation are sending their daughters out of the country for the process to occur in their former home countries, such as Somalia or Mali (including a few others).
I learn something new every day...
In this article in the NY Times, they discuss how many Africans who believe in female genital mutilation are sending their daughters out of the country for the process to occur in their former home countries, such as Somalia or Mali (including a few others).
I learn something new every day...
Dear recruiter (redux)
Dear Recruiter:
Yes, I'm sure Phoenix is a nice city and all, but no, I'm really not interested in even one week there in summertime. 100+ averages are not my thing.
Please call me in December when it is snowing here.
Yours sincerely,
RehabRN
Yes, I'm sure Phoenix is a nice city and all, but no, I'm really not interested in even one week there in summertime. 100+ averages are not my thing.
Please call me in December when it is snowing here.
Yours sincerely,
RehabRN
Tuesday, June 10, 2014
How to perturb your coworkers, part 2
1. When I tell you something, don't bother listening the first time I tell you. Wait until I ask you later, then get hysterical as you are leaving a meeting. Looks grand in the hallway!
Twenty points extra if this is your new manager who just got a clue.
2. Roll your eyes in every meeting. One day, I'm going to film our staff meetings to prove it.
3. Be paranoid in video conferences. It just shows that you may need to STAY here, not just work here.
The list grows...stay tuned or comment on some of your favorites!
Twenty points extra if this is your new manager who just got a clue.
2. Roll your eyes in every meeting. One day, I'm going to film our staff meetings to prove it.
3. Be paranoid in video conferences. It just shows that you may need to STAY here, not just work here.
The list grows...stay tuned or comment on some of your favorites!
Monday, June 9, 2014
Wednesday, June 4, 2014
How to perturb your coworkers, inaugural edition
Yes, this list will get long I'm certain, but here are a few things to make people really contemplate revenge.
1. Don't want to come into work? Call in tired. As in, "I'm just too tired to come in."
NOTE: this is not a nurse who worked a double, but acough, cough, provider who can't handle an eight hour work day...or children...or life.
Why no one's called the EAP for said MD is beyond me.
2. Wait for someone to leave, become the charge nurse, then reassign all the patients to the nurse with the least seniority. Can you say a$$H0l3? Why? Because said charge nurse can. (Thank goodness he/she will NEVER be my boss!)
3. Just be a general smarta$$. Don't have time for that!
1. Don't want to come into work? Call in tired. As in, "I'm just too tired to come in."
NOTE: this is not a nurse who worked a double, but a
Why no one's called the EAP for said MD is beyond me.
2. Wait for someone to leave, become the charge nurse, then reassign all the patients to the nurse with the least seniority. Can you say a$$H0l3? Why? Because said charge nurse can. (Thank goodness he/she will NEVER be my boss!)
3. Just be a general smarta$$. Don't have time for that!
Tuesday, June 3, 2014
A dry heat
Dear Recruiter:
Would it be lovely to work the summer in Phoenix? (Yes, a nurse recruiter actually sent me this e-mail today.)
I don't think so. I'll pass. Maybe in January instead when it's icy here.
Sincerely hot (already in RehabLand),
RehabRN
Would it be lovely to work the summer in Phoenix? (Yes, a nurse recruiter actually sent me this e-mail today.)
I don't think so. I'll pass. Maybe in January instead when it's icy here.
Sincerely hot (already in RehabLand),
RehabRN
Monday, June 2, 2014
OAS is not a blast from the past
From your history class, either. OAS happens every day to folks who have allergies, especially to tree and weed pollens.
Think you don't like a certain fruit because of a tingly feeling in your throat? You could have OAS.
Stay tuned...
Think you don't like a certain fruit because of a tingly feeling in your throat? You could have OAS.
Stay tuned...
Saturday, May 31, 2014
Saturday special
Oh, adventures with Bubba are never dull. It's fun for a tween boy if...
1. You can make $40 moving boxes with Dad before 9AM. Dahey and Bubba were helping a friend (along with some big, burly guys Dahey works with) clean out his house and move.
2. You can laugh hysterically at the talking birthday cards in the store.
3. You get to hang out with one of your buddies (and 12 other boys from school) at the local laser tag adventure place, shoot hoops, and generally act silly.
4. You get pizza and you convince your mother to take you to a place that still may have an old fashioned cake donut at 6PM. (and it's not the local donut shop seen on TV either, 'cause they closed at noon).
My weekends are never dull.
1. You can make $40 moving boxes with Dad before 9AM. Dahey and Bubba were helping a friend (along with some big, burly guys Dahey works with) clean out his house and move.
2. You can laugh hysterically at the talking birthday cards in the store.
3. You get to hang out with one of your buddies (and 12 other boys from school) at the local laser tag adventure place, shoot hoops, and generally act silly.
4. You get pizza and you convince your mother to take you to a place that still may have an old fashioned cake donut at 6PM. (and it's not the local donut shop seen on TV either, 'cause they closed at noon).
My weekends are never dull.
Rife with opportunities
A big week in the land of healthcare when this guy fell on his sword. It's only the beginning.
The thing about this whole situation, is that maybe something will finally get done. It's not exclusive to just one business. Unethical behavior happens everywhere.
Or the elephant will still be in the room, and the patients will suffer the consequences.
More to come...
The thing about this whole situation, is that maybe something will finally get done. It's not exclusive to just one business. Unethical behavior happens everywhere.
Or the elephant will still be in the room, and the patients will suffer the consequences.
More to come...
Wednesday, May 28, 2014
Monday, May 26, 2014
This day
"Memorial Day this year is especially important as we are reminded
almost daily of the great sacrifices that the men and women of the armed
services make to defend our way of life." -- Robin Hayes
Thank you for your service, Uncle I., killed in action in France, 1945. We remember.
Thank you for your service, Uncle I., killed in action in France, 1945. We remember.
Saturday, May 24, 2014
Holiday surprises
Some things you'd rather not get for the first long holiday weekend of the summer.
1. A letter from the corporate attorneys due to a pending investigation.
2. Food poisoning.
2. A speeding ticket (not me, but Dahey did).
At least, I have another day to just hide out under the covers.
More later...
1. A letter from the corporate attorneys due to a pending investigation.
2. Food poisoning.
2. A speeding ticket (not me, but Dahey did).
At least, I have another day to just hide out under the covers.
More later...
Thursday, May 22, 2014
The story of my life, part 12
I read this quote recently in an article and it really struck me:
"The good workers get disheartened and demoralized if they see these non-performing workers making as much as them and they're not doing their job."
I have seen this daily since I started at the Hotel. It really does practically take an Act of God to get someone fired, unless of course, the state takes their license.
However, I am stubborn. I stick around and do my job to the best of my ability to spite them all (and trust me, there are enough of them). It's a challenge, but some days ARE really better than others (today was pretty decent).
I will let it all take its course before I decide to do something else, but the clock is ticking. I have never been so glad to be on the downside of my service contract for graduate school!
"The good workers get disheartened and demoralized if they see these non-performing workers making as much as them and they're not doing their job."
I have seen this daily since I started at the Hotel. It really does practically take an Act of God to get someone fired, unless of course, the state takes their license.
However, I am stubborn. I stick around and do my job to the best of my ability to spite them all (and trust me, there are enough of them). It's a challenge, but some days ARE really better than others (today was pretty decent).
I will let it all take its course before I decide to do something else, but the clock is ticking. I have never been so glad to be on the downside of my service contract for graduate school!
Tuesday, May 20, 2014
Do we know...
In honor of psychology week, do you know the difference between a psychologist and a social worker?
How to use a Hoyer lift?
If not, maybe you need to view this one this one, which should be called What really happens in therapy.
Enjoy the adventures!
How to use a Hoyer lift?
If not, maybe you need to view this one this one, which should be called What really happens in therapy.
Enjoy the adventures!
Monday, May 19, 2014
Frittering...
I should be doing something productive, but I'm not. I was busy orienting a new nurse who got to spend the day with me in the SU.
It looks easy, but it's not. At least, she got some experience in what might be useful in my world.
And right on cue, I had a couple of folks I had to do walk-in support for today. I told her it only happens every so often...
I didn't even have to call them. They just found me. It's fun.
That is all. Enjoy your week!
It looks easy, but it's not. At least, she got some experience in what might be useful in my world.
And right on cue, I had a couple of folks I had to do walk-in support for today. I told her it only happens every so often...
I didn't even have to call them. They just found me. It's fun.
That is all. Enjoy your week!
Wednesday, May 14, 2014
What not to do as a nurse, version 100
We have new staff members at the Hotel, so I'll be sure to bring along the latest installment from the RehabLand State Board of Nursing newsletter.
This issue was more sad than silly, unfortunately. When they say you are a "licensed professional nurse" they really are stressing all three of those things. Licensed (you have one) professional (you are one at all times) and nurse (the occupation, not just the job).
Here are the top 10 items: (I wish there weren't this many, but...)
1. Yes, you really can get a ding on your license if you decide to take some controlled substances you got in 2010, and for which you no longer have a prescription.
The little problem happens when your employer makes you pee in a cup.
Can you say "just dispose of this properly and get a script if you need one."? I knew you could.
2. Don't just screw up one thing, screw up many.
A nurse had a really, really bad day and just kind of forgot to follow a bunch of orders on an acutely ill patient (meds, isolation, etc.)
3.Sleep on duty.
Just say no. Sleep on your own time and no one ever reads about it in a newsletter or on the news. End of story.
4. More on not following orders: disobey transfer orders on a patient, then remove a surgically implanted port, then attempt to reinsert it yourself.
O.M.G. After reading this, I would have had a hard time not thoroughly throttling this nurse.
5. Just forget to renew your license for a year.
Whoops! No license, no job. Sorry!
6. You work in an office and you just don't call the patient back when they ask to reschedule. If that's not enough, you just forget other things, too.
My question: How did you pass your boards? Certainly you had to remember SOMETHING?
7. Do drugs (at work, at home, at some place you can't remember).
Yes, all of those came up this issue (cocaine, meth and alcohol). The scariest one: the pregnant nurse doing meth. And yes, the kid tested positive.
Hello, another state agency, Children and Family Services.
8. Fake your license renewal.
Because, really, who wants to pay the State of RehabLand money to work when you can do it for free?
9. Get drunk, go driving, and wave a gun around in the air.
You will win the following: an unlawful use of a firearm, peace disturbance, and driving while intoxicated charges.
10. And finally, the worst one this issue: steal a dead patient's identity to get a cell phone in his/her name.
Despicable... be warned, professionals!
Monday, May 12, 2014
Suspension of reality
It was a regular old Monday. Nothing fancy. Went to work and had a few unforeseen occurrences. No biggie.
Educated patients (my favorite part of being a nurse) and did some other stuff. Went back to my desk, did more stuff, then came home.
Now I feel like doing nothing in particular, but ran into this funny suspension of reality: the dog texts. Made me think of WildDog, who, as a member of one of the smartest dog breeds was a crafty character.
Enjoy!
Educated patients (my favorite part of being a nurse) and did some other stuff. Went back to my desk, did more stuff, then came home.
Now I feel like doing nothing in particular, but ran into this funny suspension of reality: the dog texts. Made me think of WildDog, who, as a member of one of the smartest dog breeds was a crafty character.
Enjoy!
Sunday, May 11, 2014
Happy Mother's Day
Here in the US we are celebrating mothers. Enjoy this stream-of-consciousness song wherever you are!
I raise my glass (of Merlot right now...) to you wherever you are!
Mom, I miss you so much!
I raise my glass (of Merlot right now...) to you wherever you are!
Mom, I miss you so much!
Friday, May 9, 2014
Ah, flashbacks
I remember in a previous life that one of my professors said "Always take a glass of water to meetings in case they start talking about price fixing. Spill it in your lap and politely excuse yourself so you won't be able to vote on anything."
I doubt any water was spilled when "cooking the books" was discussed. Recently, there has been much talk of this phenomenon in health care.
However, I was not particularly disturbed until I read this article. A great way to cap off Nurses' Week...NOT!
Disgusting...
I doubt any water was spilled when "cooking the books" was discussed. Recently, there has been much talk of this phenomenon in health care.
However, I was not particularly disturbed until I read this article. A great way to cap off Nurses' Week...NOT!
Disgusting...
Monday, May 5, 2014
Happy Nurses' Week
You could listen to a hospital system or nursing organization tell you to "Lead the Way" (this year's Nurses' Week theme).
Or..you could just enjoy Marcy Hoo's video here, where she does her rendition of Pharrell William's Happy.
Enjoy and have a great week. You deserve it!
Or..you could just enjoy Marcy Hoo's video here, where she does her rendition of Pharrell William's Happy.
Enjoy and have a great week. You deserve it!
Saturday, May 3, 2014
Surprise, surprise
Yes, according to the CDC, five things cause most of the deaths in the United States.
I found it funny that alcohol is not mentioned in the unintentional injuries section. At least, it's recognized as a cause of 1 in 4 spinal cord injuries.
More later...enjoy your weekend wherever you are. It's gorgeous (except for that pollen) in RehabLand.
I found it funny that alcohol is not mentioned in the unintentional injuries section. At least, it's recognized as a cause of 1 in 4 spinal cord injuries.
More later...enjoy your weekend wherever you are. It's gorgeous (except for that pollen) in RehabLand.
Thursday, May 1, 2014
It just keeps coming...
Maybe it's the superstition of threes, or we're just on a roll at the Hotel.
1. One patient died last week.
2. Another one died today.
3. A recently discharged patient went home and was readmitted to FarOff Memorial Hospital today.
Tomorrow really will be TGIF (because I don't think I could handle another day this week).
1. One patient died last week.
2. Another one died today.
3. A recently discharged patient went home and was readmitted to FarOff Memorial Hospital today.
Tomorrow really will be TGIF (because I don't think I could handle another day this week).
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