bluesboyj

bluesboyj

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About bluesboyj

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  1. Critical Care Staffing Patterns

    txrn1, it is EXACTLY because of a fear of job loss that nurses float to areas where they don't feel comfortable. Too many judges have ruled that if a nurse refuses to float to an area where they don't feel qualified, they can be fired because nurse-...
  2. EMS and insurance companies

    Yes I have known a couple of nurses who get headaches so debilitating that they suffer vision changes to the point of temporary blindness yet CT scans are denied as not "medically necessary." And suellen e., you just don't get it if you think it's s...
  3. INTRA AROTIC BALLOON PUMP RATIO/RN/PT

    Runner, it must be nice. Where I work we have alot of new nurses who are orienting to IABPs, VADs, CVVH, CABs. I've got 15 yrs critical care experience (10+ w/cab, iabp) who had to pester my manager to orient to CABs (their way of doing things). I...
  4. EMS and insurance companies

    Good news! California law was just enacted to make it possible to sue HMOs for refusing to pay for treatment, etc. Basically, if you feel you received sub-standard care, you can sue. I agree we all know healthcare costs must be contained, but I h...
  5. EMS and insurance companies

    Unfortunately, there are forces at work in Congress that would like laws passed that would prevent HMOs from being sued for malpractice over things like this. I agree that the ED is being used for non-emergent things, but with the cost of insurance ...
  6. EMS and insurance companies

    Does anyone out there besides me feel that insurance companies are getting too deepl involved in healthcare decision making. I'm referring to the recent decision by Kaiser Permanente to have their clients call an 800# if they can't decide if they ne...
  7. Male Nursing

    As a male who has been in nursing for over 16 yrs with almost 15 in critical care I've had positive experiences. The only downside is sometime you get assignments to care or not care for certain based solely on gender which I find disturbing. I hat...
  8. Weekend Staffing

    Also our weekends for nights are Fri and Sat nights. No penalty for calling in sick either.
  9. Weekend Staffing

    We do 12 hour shifts and on nights we have to do 3 weekend nights and 1 Sun night every 4 week schedule including 16 hrs call time in the same 4 week period. We get a 26% weekend diff. No staffing problems except during the summer when our census d...
  10. CRF and Troponin-I

    I believe taht Troponin I is more indicitive of myocardial damage because I've seen it rise when the CK and CK-MB are decreasing post event. ------------------ If Ya' Don't Love The Blues, Ya' Got A Hole In Your Soul
  11. New Grads: What would help you most???

    Kel, I couldn't agree with you more. The hospital I left in CA. had us frequently staffed with at least 5 inexperienced nurses in our ICU and CCU. Some nights we didn't have a clinical supervisior some there were 3 of us designated as relief charge...
  12. personality tests???

    I disagree that personality tests can determine if someone will make a good ICU nurse. Nurses store things that are important from report and assessment not from being able to regurgitate some bit of info from a question on a personality test. Test...
  13. customer service versus patient care

    The hospital where I worked in Ca was at war against the county hospital and spent millions$ to keep the county facility to expand and upgrade their lab and kitchen, which were at risk of losing the licenses because they were so old. When we were to...
  14. Yes, there are so many options

    I would recommend nursing to anyone not interested in the $$ part of it. If they are looking for $$, nurses don't come close to getting paid commesurate with experience. I've been a nurse for 16 yrs with almost 15 in critical and I'm at the top of ...
  15. Need Advice - Losing my job!!

    I urge to think carefully about whatever you decide to do. Courts have ruled in the past that nurses and hospitals have an "at will" relationship which basically means you can quit without a reason and you can be fired for any reason. --------------...