Jan 26, '07
Computer charting is the biggest change in nursing. If I had known I would attepted to be more computer knowledgeable in school. Also the amount of paper work is OUTRAGIOUS :roll
Last edit by julia1 on Jan 26, '07
Jan 28, '07
Here's another: Increased ER traffic r/t higher number of uninsured people without primary care providers.
Also, the availability of NPs in most areas of practice, more nurse-owned businesses...
Last edit by BBFRN on Jan 28, '07
Jan 29, '07
1. The rise of evidence based practices has standardized care more or less nationwide. At least, there are nationwide standards of care for many disease processes. Fear of lawsuits will keep the local systems in line.
2. 10 yrs ago, Medicare allowed for 'unbundling' of charges for skilled nursing facilities within hospitals: they all had them. Now that has been repealed, most don't have them anymore.
3. Waitlists for nursing school are more pronounced.
4. Ratio law in California and more attn towards that.
5. Repeal of mandatory overtime in many locales and more attn towards that.
6. Pay has improved.
7. The concept of an entrenched 'shortage' has taken hold.
8. Rapid response teams have been initiated.
9. MRSA has moved from being the 'boogeyman' to being all too commonplace.
10. Rise of magnet hospitals and shared governance.
11. Insulin drips have become more commonplace and not just for diabetics.
12. Move from volume cycled ventilators towards pressure cycled ventilators. More use of non-invasive ventilation: BiPAP.
13. JCAHO introduced 'Sentinel Events'.
14. More paperwork.
15. More focus on eliminating 'toxic' doctor interactions: hospitals are more willing to 'write docs up' for their abuses.
16. Invention of 'continuous cardiac output' monitors in CCU. No more 'shooting' COs.
17. The move towards making all private hospital rooms.
19. Move towards 'open visitation' in CCU and 'family presence' during codes.
20. Concept of NP complete with prescriptive authority has come into its own.
21. More aggressive use of cardiac cath labs for acute MIs.
22. Thrombolytics for non-hemorrhagic CVAs.
23. Introduction of more targeted cardiac makers (Troponin I) and platelet aggregate inhibitors (Plavix, Integrillin, Reopro) for MIs.
24. Much better stents and now, drug eluting stents.
25. Swan catheters now out of favor; Levophed back in good graces.
26. Introduction of human genetic derived insulins.
27. Rise of the internet: now everybody's a lay 'professional'.
28. Creation of accelerated RN programs for prior bach degree holders.
29. JCAHO standards for pain management.
Last edit by ZASHAGALKA on Feb 1, '07