mommyof2grls 2,123 Views
Joined: Oct 24, '03;
Posts: 99 (1% Liked)
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I work under a Rad Tech Manager, No nursing manager to speak of. They are very defensive and say that they have taken the test(10 basic questions), and are ACLS certified, and that the hospital policy supports them giving CS under supervisioin of a Dr. THis is an Interventional area, that runs all its RN's off because they are under the impression that they can do pt assessments themselves.
I feel like I am banging my head against a wall with these people, they keep going back to their "Hospital Policy", I go to my NPA, they have suggested I go higher if I am not happy with this plan of care, but that makes me the bad guy of the Unit. I guess I signed on to be Pt advocate first, so wish me luck and thank you so much for all the great information. The support is greatly appreciated!!!
Wow, thanks for all the informatioin!
I have contacted SBN in Tennessee, where I work. Their response was "qualified persons as stated for each individual hospital policy" JCAHO said the same thing. Both feel that if the hospital wants to say anyone can give CS if they have ACLS, and have taken a 10 question CS test, then that is OK.
I Guess if a physician sees the pt for 20 seconds that counts as well as a thourough nursing assessment, and anyone can give the drugs and monitor.
It is a big territory thing, If I don't do the assressment, I don't push the drugs, If I don't push the drugs I am don't have anything to do with that case. It is not meeting Standards of care issues, but apparentyl they are not worried about giving each patient the same quality of care. :-)
Thank You for the input!!!!
JCAHO says "qualified Persons", state board has no stand on it as long as the RN is working withing her/his scope of practice. Risk management, I have no idea. I think if they had a family member on the talbe they would request an RN. I know I would.
As an RN, I am having a hard time with this. I came from a hospital that was very by the book, no ambiguous policy's etc. Things were very clear. If you were not atleast an RN, and have ACLS, and a CS class you did not push any form of sedation, narcotic, or any other IV drug for that matter. I have techs giving Benadry, fentanyl, versed, and the list goes on. The unit has recently decided they need to be ACLS certified, but I can think of plenty of nurses who may be ACLS but still have no business pushing sedation.
I have contacted the state boards of nursing, and JCAHO. No one is giving me anything but "qualified persons=ACLS and yearly competency", per each hospitals policy.
Can I get some feed back. I work in IR, and they are very anti RN, i get the feeling the techs think they can do my job! I just feel there is more to giving drugs and monitoring the patient. It goes to the whole system and understanding it as a whole.
Any input either way is greatly appreciated.
In our area, I get the inital on the table and time out stuff done. Help with starting IV's if they let me, then as soon as they have the tube placed and the Pt positioned I document this and find other things to do. If we don't have 2 Nurses, I will help with a case in the next room, but try to stay avail if they need any meds or anything from Pharmacy. When it comes time to extubate I make myself avail, and help transport and make sure all of our documentation is complet. I do not duplicagte any vitals etc, but I do document the pt condition on transfer, even if it is a duplication.:-)
Our Hospital Policy says"qualified" personel, therefore Rad Techs are allowed to push all drugs under a phys orders as long as they are "present". We all know how that goes. THey have recently added that you must be ACLS as well. We all take a 10 question moderate sedation test annually.
Hello all, We just moved to Arkansas last August. My Husband is a CRNA, and I am n RN. We are from Kansas, but really like it here so far. I live in Arkansas, but work in Memphis, love the hsopital and unit I work in. I am used to Trauma, and Bruns etc, and am working Out Patient Specials right now, so it is quite a change of pace, but canot beat 8-4:30 shifts!
I live in Marion and drive to Germantown, about 30 miles, take the old bridge takes 30-40 minutes. I have 7 years exp and if I were to work full time with benefits I would only make about 22/hr, and pay 200-400 a month for family Health insurance not counting co pays etc. PRN is 26-28/hr at the big hospitals. The Med said 21/hr FT, even with Level 1/Burn?Trauma experience. Nursing pay is horrible and while I am happier with 23 compared to 12.67 when I graduated in 1997, we still don't make squat!
We can however, move anywhere and get a job, change specialties etc. As well as have an impact on peoples lives, that's why I do this!!!
Moving to Marion Arkansas, going to get a job in Memphis, I am just curious if any of the big hospitals have child care Centers? Can anyone reccomend other child care facilities?
HEY WEST MEMPHIS IS A NICE TOWN, BUT MARION WHICH IS ABOUT 10 MILES FROM WEST MEMPHIS IS EVEN BETTER.. BETTER SCHOOL DISTRICT....I WORK AT THE REGIONAL MEDICAL CENTER, IN MEMPHIS WHICH IS ABOUT 10 MINUTES FROM WEST MEMPHIS AND MARION..
[Thanks! I have worked 4 years Burn Trauma ICU, and am looking to get back into that area. Thanks for the info, My Husband would be working at Crittendon, so we have to be close to there.
Hello all! We are thinking of moving to the West Memphis area, are actually coming down to look at realestate this weekend. I am an RN with 6+ years over all, 4 in TBICU, 1 year as a Trauma Specialist, some PICU, SICU and PACU. I am thinking of taking a Travel position but would like more inside info on the area, the hospitals and the over all do's and don'ts. Any advice, or info is greatly appreciated!!!
I am so glad to hear all your hard work has paid off!!!! Keep us updated on your progress and again.. CONGRATS!!!!!! :hatparty:
I am told that 18-20/hr is the going rate, and that is for experienced. NOt sure what it is for new grads. Much better in the smaller towns.
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