Content That againmlg Likes

Content That againmlg Likes

againmlg 1,821 Views

Joined Aug 24, '08. Posts: 61 (72% Liked) Likes: 193

Sorted By Last Like Given (Max 500)
  • Oct 2 '11

    Quote from MunoRN
    5 mg Ativan IV as a starting dose in a non-vented patient? There's your problem. Proper use of the sat alarm would have helped, but it may just have alerted the Nurse that their patient was beyond saving a little sooner. There are situations where it may not be worthwhile to restrain a patient for the purpose of keeping a sat monitor on, but immediately following a potentially lethal dose of ativan is not one of those times.

    Overmedicating aside, it would be interesting to hear more specifics on what happened. Was the alarm audibly alarming for an hour? That seems hard to believe. Or was it "alarming" but with the audible alarm disabled? In my ICU we're pretty aggressive about making our alarms work for us and doing away with nuisance alarms, although not all units are like that. It drives me nuts when I float to our ED, which doesn't adjust any alarms, ever. There was a thread a while back about this, I was surprised how many ER's can't adjust any alarms. If this ICU is anything like my ED, it's not terribly surprising that alarms didn't help much.
    I'm honestly not trying to throw yet another nurse under the bus... just posting my initial concern.

    My 2 cents - I can't figure out why an experienced ICU RN would give an initial dose of 5 mg IV ativan. The article makes it sound like the problem was partly the resident MD's mistake because he didn't write the order but the ICU RN is supposed to be capable of independent thought. Why didn't the nurse question the 5 mg dose? Most nurses would automatically give a conservative starting dose and check to see what other cumulative sedatives could be in the pts system.

  • Oct 2 '11

    needshaldol, that's what would happen if means testing were applied. I'm with you. Of course, some will call us socialists.

  • Oct 2 '11

    How about looking at the taxable income of seniors and deduct their medical care, prescriptions, housing, food, etc. and come up with a higher fee/mo.? My moms secondary medicare is $100/mo. If she (wish) had for example, $100,000 taxable income she ought to pay more than $100/mo. Just thinking. Everyone here gets medicare and maybe the ones who are very wealthy ought to pay out a bit more. Also, the very wealthy still get their social security which is peanuts to them. How about having a cap on taxable income with no social security payments going out to the very wealthy? Put it in the pot for the ones who are not. Of course they would not like it. My moms social security is like a few dinners out for the wealthy.

  • Oct 2 '11

    Thanks for posting. fyi I had to google to read the article without signing up. Found this direct link -

    http://www.boston.com/news/nation/wa...igibility_age/

  • Oct 2 '11

    Hi AN family,

    This topic has been discussed throughout many threads but I wanted to designate a single thread to this issue. I am a Facebook junkie just like many people from my generation.

    I would never post anything patient related or anything that would breach HIPAA. I posted a very tongue-in-cheek status about the daily struggles of nursing (such as drug seeking patients, non-compliant patients, and the patients with a grand sense of entitlement to name a few).

    It was meant to be sarcastic and humorous. Well, long story short, HR got a hold of it and almost fired me for it. They said it made me look like a cold, callous nurse and that doesn't sit well with their core values as a facility.

    My point of this thread is to be extremely careful about what you post on the internet. My page was as private as it could be but they managed to view it through a "friend's" page.

    Luckily, I was able to keep my job and learned a valuable lesson. Don't post work related ANYTHING on your social networking sites.

  • Oct 2 '11

    I am on a mission to get rid of FB and am extremely anti-FB.
    I closed my FB account 2 days ago. After I opened it a while ago now, I had inadvertently posted my mobile number (b4 the new privacy updates), thinking it wouldn't be shown, or only shown to friends. My ex-boyfriend alerted me by sending me an urgent message, and of course I deleted my number immediately. My mobile only showed for about 1 or 2 days b4 my ex alerted me.
    Now, I have had the weirdest, most disgusting, upsetting, abusive calls & tezts you could imagine. I've also had to alert everyone that I don't answer unknown or blocked numbers anymore - it has been one, big hassle. I have also had my personal savings account hacked - of course I didn't post any a/c details & would never give them to anyone on line or via phone etc - but I wonder if they used my info on FB to hack my a/c somehow. Nothing like this ever happened to me ever b4 I signed up to FB.
    And I think FB is a waste of time. Friends can find you and rellies, but so can other weirdos & paedophiles etc - I've had some really strange invitations and messages posted to me from people I don't know, & who aren't friends of my friends. Also old friends etc who found you, only post once or twice then you never hear from them. And people may catch up once or twice, but in reality, they have their own lives & the newness of FB wears off, then everyone forgets about it, & carries on with their own lives. It's a computer illusion that fools people & kids into thinking they are connected, when in reality, they are only talking to a computer screen. The novelty soon wears off.
    Maybe I just had a bad experience, but I'm glad it's closed & I won't be re-opening it again ever. It actually gave me the creeps after a while, knowing anyone can look me up - no thanks! FB is definitely not safe, & don't let your kids/teenagers convince you it is - close their accounts today. It could be anyone on line contacting them - don't take the chance of exposing yourself or them either.
    It's just not worth it.

  • Aug 30 '11

    Quote from Katie5
    What's the point of this thread, again?
    To understand that you'll need your special glasses that are similar to, but not exactly like the diagram below. This is why the thread is breaking all records for threads of this nature.

  • Aug 30 '11

    Quote from NeedchangeofPace
    Well I am only in nursing school right now,so we can't drink during clinicals or in class, but I can't wait to be able to drink at work as a nurse! and be able to work 9-5 Monday-Friday holidays off cuz I am 'pecial and make $79K per year right off the bat with 7 weeks paid vacation with 120 days personal time! I can't wait! All this as an LPN!
    Hey! Pace!
    You mean that the nursing school is making you come back for another whole week??? I was sure that when they saw how wonderfully good looking you are...and realized how smart you are..and after they found out that you are a member of allnurses.com and are popular poster that they would have realized that there is absolutely NOTHING left that they could teach you and therefore have granted you a nursing license by now!
    Bummer!

  • Aug 30 '11

    Quote from wooh
    Why are you so mean?? I thought nurses were supposed to be CARING!!!
    We were (I think) but now we must've forgotten what it's like to be a new grad!! Besides we didn't have to learn about evidence-based-practice because it hadn't been invented yet and we were just handmaidens to the doctor! We spent our time giving up our chairs to the Almighty Doctors and walking into walls because we couldn't grasp that evidence of a nasty bruise on our forehead always happened after head vs wall!

  • Aug 29 '11

    It's not fair. My instructors are just jealous. They keep telling me that the market is saturated and I'll be lucky if I get a job and make $18-20. I don't believe them. I think that as a new grad nurse (practical but I think and nurse who graduates deserves the title GN as GPN sounds stupid) I am well deserving of a starting salary of $45/hr. Sure my last job was minimum wage but since I"m so good looking I was able to make much more in tips. I just know there's a nursing shortage. It's all over the interwebs, the news, and all the magazines I look at. Plus even the government thinks there is a shortage of good looking nurses that they want to make it even easier to import good looking overseas nurses. So that just PROVES there IS a nursing shortage.

    Since there is such a shortage, I'm such a really good looking new nurse I should definitely be able to make $45/hr to start, day shift 10-4 (I can't do 7AM as I need my beauty sleep, and if I don't leave by 4 I won't be able to get ready in time to party all night.) Surely they is such a shortage I'll have no problems getting my preferred schedule. No weekends or nights, as I do have a social life.

    I should be able to get this job right away, as since I graduated yesterday so I am now a nurse. The NCLEX and license don't make me a nurse, right? That's just some extra paperwork.

    No negative responses. Only encouraging replies permitted, preferably from positive, good looking nurses who also have a social life. Thank you.

  • Aug 29 '11

    Have you considered an online support group for people with your condition/conditions? It would probably be a more appropriate and helpful place to address your many concerns.

  • Aug 24 '11

    I followed the link and contacted my congressmen. I hope everyone else does the same. We all need to stay on top of this!

  • Aug 24 '11

    Quote from mak_asian
    4.the info you have re: the no nursing shortage is what you hear from other few nurses that you know.these senators have figures of the need Nationally to back up their decisions.they have the full picture whilst you may have asked 1 or 2 nurses.do you know the numbers in remote places of texas,florida?these senators are not uneducated for them to decide on matters that could have an impact on US health service..........

    we pay taxes but a lot of foreign workers DONT receive benefits that locals do.we don't complain.we just work.
    Bull Hockey to the always honest, educated Senators comment. The senators are fiercely and lavishly $$$$$ lobbied by experts HIRED by big business such as hospital corporations to promote these bills.

    And bull hockey to your last completely unsubstantiated claim. If you pay taxes you ARE getting benefits

  • Aug 24 '11

    Quote from mak_asian
    . . .5.lastly,you may not be allowed to work in other countries because you've got pass their state board as well which you may find difficult because culture,politics,standard of care,policies very different to the US.foreign nurses who are practicing in US have to undergo all of those and more: education and license check that could take half a year,pass
    Clearly it is not easy to emigrate here but the question you need to ask yourself is - can you accept the fact that our country turned to many worthy,wonderful, professional foreign nurses to fill what was then a pressing need in the States, and that thousands of foreign nurses benefited greatly by what our country had and has to offer you? Do you feel that because of those opportunites of the past we now owe you something?

    There's a little motto from a nursing journal that states "Times change and we must change with them" Times have changed in the United States - for all of us. I really don't like it that people look at my age and automatically weed me out based on that. I've held up pretty well and can still walk a hallway at a good pace. It's just not fair. I don't like it that the hospital I started my career in would not hire me today because I'm an LVN.

    I don't like it that many of the longest working nurses here have been kicked to the curb and denied their benefits. I'm sure they don't like that a whole lot more than I dislike it.

    That is just the way it is -- and railing and shaking my fist at the unfairness of it all won't change a thing. I'm sorry you feel that we shouldn't consider our homegrown citizen RNs as anything different from those educated elsewhere, but the overwhelming weight of opinion is that we should consider them first. I can assure you there will be no problem finding qualified nurses to work in the critical care areas you mentioned without having to hire someone from another country to fill the job. Times have changed things. It always does. There will always be someone who is hurt by it and someone who benefits from it.

    It is not personal. It is not racist. Whether you choose to accept it or not, the ground has shifted. It is not about how hard you work, how little you complain, how many people you support back home, whether you had 5000 tests to take before you take the NCLEX, how hard it is to learn to speak English, etc etc etc and etc. The issue is pretty simple, really.

    Numbers 1, 2, 3, and 4 on your list are not accurate at all. But refuting them one by one would turn this into a tome.

  • Aug 24 '11

    asian mak the information you posted here is 100% wrong! it's so uninformed, propagandized and unintelligable that it's not worth the time to refute! use the search feature of an to learn how wrong you are. but i suspect you very well know you typed complete falsehoods

    the us will never go back to importing masses of nurses so no use 'complaining.' to save time i've put some of your more propagandized falsehoods in bold below:

    Quote from mak_asian
    there are a lot of inaccuracies to this message.i'm an asian and worked in 3 different continents so i have the right information on this matter.

    1.our govt didn't pay for our nursing education.in fact,if you don't have money to send yourself to a refutable school,you might as well forget finishing a degree.our govt don't in any way provide for us,even student loans are unheard of.
    2.nurses who come to the us are experienced ones.generally,nurses should be at least 5 yrs in a specialized area.they are experienced nurses who know and who are experts in their chosen field.us do not recruit newbies.
    3.we are offered competitive salaries equivalent to us educated nurses.the rate you mentioned is equivalent to new grad nurses.ergo,foreign nurses don't pull down local nurses' rate.
    4.the info you have re: the no nursing shortage is what you hear from other few nurses that you know.these senators have figures of the need nationally to back up their decisions.they have the full picture whilst you may have asked 1 or 2 nurses.do you know the numbers in remote places of texas,florida?these senators are not uneducated for them to decide on matters that could have an impact on us health service.
    5.lastly,you may not be allowed to work in other countries because you've got pass their state board as well which you may find difficult because culture,politics,standard of care,policies very different to the us.foreign nurses who are practicing in us have to undergo all of those and more: education and license check that could take half a year,pass the cgfns,nclex,ielts.having to pass all the aforementioned exams,there is no guarantee that they'll be offered the job because the post they are applying for must be advertised for the us nationals to apply first.if they think there is no suitable local rn to fit the job,that's the only time they can recruit for foreigners.so it's not the senators,recruiters or foreigners who get to decide on the matter.a lot of the decision making is on the part of the employer (hospitals) who might prefer experienced nurses over new grads to look after patients in icu,cvu,nicu.i'm telling you,foreign nurses have to prove ourselves twice as much,we must have more credentials,more certificates,more education just to be qualified for the job.also,if foreign nurses decide to send money to their native countries,it's not anyone's business.we don't question if us nurses buy foreign products or go to foreign lands to spend their hard earned dollars to foreign countries.what matters is we pay taxes but a lot of foreign workers dont receive benefits that locals do.we don't complain.we just work.


close
close