kickinbck 529 Views
Joined: Dec 18, '07;
Posts: 5 (20% Liked)
; Likes: 9
I have to disagree, When you are an RN with 6 patients to take care of and you have to have your full assessments on every patient in the computer AND have everyones MORNING medications passed before 11 am and you can't start until 8 am because you've been getting report for an hour on all the pts. You see I have to get my job done before noon because the next time frame of medications will be do again between 12-2pm. When I have to stop performing the dutues of nursing care to place a pt on the bedpan, then my other pt's suffer and have to wait to see their nurse, to get their important antibiotic or heart medication, or insulin that they must have before eating. It kills me because I can do your (CNA) job but you can't do mine. I have no problem putting a pt on a bedpan if i don't have other pts waiting to get their timely medications. Nurses get written up if pt's medications are not passed out on time AND if our assessments are not in the Chart/Electronic record on time. Yes we are very capable of putting a pt on a bedpan i have often done it many many many tiimes becuase i couldn't find the CNA to do it And when i get backed up into a corner who is going to help me out because I can do mine and yours job BUT YOU CAN'T DO MY JOB. And if I do i should be collecting your paycheck as well. You think nurses think we are above doing the "dirty work"? when in fact we almost ALWAYS end up doiing it any way because half the time , the CNA's are either M.I.A , taking their 4th break when we've had none yet, Yeah thats right! we nurses often go without a break or lunch for long hours until the day is almost over if you're lucky, nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnWait Wait till you become a nurse one day and you will understand this rant i'm writing. cuz i'm fed up with people like you thinking we're above things like helping the pt to the bathroom, giving a bath, feeding a pt. The hospital cannot afford to pay an RN's salary for CNA work.
I started my nursing career on a heavy medsurg/stepdown floor in a level 1 trauma center for 3 years and then decided to go to the Perioperative dept. Being in this type of hospital on a medsurg floor you get the heaviest of all medicine pts, the ones that other hospitals cant take care of so believe me you will get plenty of experience workin in a medsurg floor in a level 1 or level2 hospital to prepare you for the OR even though they are completely different. The basics you need to know is good anatomy -number one- then knowing how to accurately assess your patients and know what is going on with them when things go sour. Word of advice, most medsurg floors only require a BLS certification to work, go ahead and get ready to take tha ACLS because that is a requirement in the perioperative dept. I had to have a year of Medsurg before i could even qualify to take the ACLS. Know how to really assess the heart, brain, kidney functions including vascular, gastrointestinal, and neuro. If you really want to go into the OR the BEST place to start is on a surgical floor that specifically gets most if not all of the pts coming out of surgery to be admitted to that unit. Its still considered med/surg you just want to make sure it's a surgical unit, cause some medsurg depts are split up like that, the one i worked on saw mostly your chronic medicine pts, not ones needing surgery. For example, the CHF'ers, ESRD pts, Sickle Cell pts, Alcohol W/D pts, all the nursing home pt's with multiple pressure ulcers.
So my advice is, "yes" a med/surg will prepare you for the OR, but if you really want to get ahead of the game before you go into the OR, work on a "Surgical floor", they are the ones that are recovering these pts from surgery and changing theri dressings and reviewing their discharge instructions with them. Good Luck!
Was it suction from the oral cavity or deep suction? How much blood are we talking about? Is it possible that it was trauma caused by the intubation? Maybe from pulmonary edema possible, not sure, can you provide any more information?
You are absolutely right! It doesnt matter if you are picking up extra time, once you agree to work you are bound by the same attendence policy as if it were your regular scheduled time. I have never heard of any other. In the hospital I work at, if you agree to pick up an extra shift or agree to work for someone and call in sick or show up late, you are penalized for it. Sounds to me like different rules for different people depending on who the offender is right?
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