Whew! You touched quite a few topics in your post!
Originally posted by edrn: . . .I continue to read about unsafe conditions and ragged nurses. I do not understand why we don't band together across state lines and just say no. We need standards of safe patient nurse ratios and appropriate equipment. . . ."
WE ARE COMING TOGETHER! Please come to the Million Nurse March discussion & review everyone's contributions! Please, join us in our efforts as we get it organized!
Originally posted by edrn: . . In no other area of hospital nursing is a nurse acting without a dx or MD eval of a pt. We put our licence on the line constantly. . . .
I beg to differ just a bit. Do check out your Labor & Delivery unit. If it is a High Risk unit, with a Triage Unit, the RNs there may very well be in the same "boat" you are! In my unit, RNs follow a basic, loosely writen protocol, but essentially initially diagnose & triage without MDs there to eval a patient. We are constantly asked to "labor the patient and get them delivered" using our nursing experience and judgements. (Thought you'd like to know that the #2-most-sued group of RNs is standing right up there with the #1 group, ED RNs!)
Your DON is probably of the "every nursing area is a specialty" mentality. It took years & a Unit Manage who really went to bat for us to get our "critical care" pay differential. Good luck getting yours...I KNOW you all deserve it!
Originally posted by edrn: [B". . .Imagine in this time of nursing shortage if every ED nurse said I will not work with more than 4 acute patients at one time[/B]
Our Triage beds are run with 3 patients per nurse...but you do have to take into account that each patient is at least 1mom:1fetus pair...& both can give a nurse "grey hair" & ulcers. I have refused to take care of too many patients...& if looks could kill from the Charge RN--my best friend! But, it was either give poor care and possibly end up with a "patient abandonment" situation...& maybe loose my RN liscense..............OR get fired for insubordination...& keep my liscense! (thank goodness, she rearranged assignments and NEITHER happened...whew!)
Enough from me.......Again, join us at the Million Nurse March discussion & website!