iiwdn

iiwdn

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About iiwdn

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  1. Where does the liability lie? I can appreciate CNA's desirous of more training, possibility of a bridge to RN/LPN and the possibiblity of more money-- and I think the liability is too great. The bottom line must $$ for the state. LTCFs will be able t...
  2. Loss

    I am truly sorry both for you and your staff and the family of the new baby. What a nightmare. Remember to heal yourself along the way!
  3. religion and nursing

    Respecting others is precisely the issue. The way you do this is the utmost of good spirituality. Morals, who's right and who's wrong, don't count as spirituality. Sounds like you are on the higher road-- continue on!!
  4. needing some advice...

    Volunteering is a wonderful and non-threatening way to see and hear alot about nursing. Go for it!!-- in as many areas as you can stand.
  5. Did I miss my calling?

    You've gotten alot of great advice!! It's tough-- but you sound like compassion is still part of your fabric. It just takes getting back in touch every once in a while. Here are 4 of the most simple and most profound reminders. Be impeccable with yo...
  6. I need ideas for a research question

    How about outcome based medical intervention in otherwise natural childbirth. It seems in my experience many, many medical interventions (eg. breaking water,monitors: exterior and interior, vaccuum extractors, tongs, etc. are initiated rather because...
  7. Logically prioritizing Nurs. Dx.

    I was taught to list and not worry about priority. Each entry has a priority in your care tactics. Each entry also has its own time line, care plan, and hopefully-- completion date. On another note, Nursing Diagnoses and care plans are the bane of th...
  8. Need help with charting and time management

    I've been at this game for 15 years as an RN now-- 9 years as a NAC before that. School is a great place to get the theory of it figured out but when I found myself the real world I relied on staff nurses that seemed to have it down (be careful who y...
  9. What is right, what is wrong?

    You could be my nurse anytime. Good job of fighting for the care of your patient and taking on the system to do it!! I think the employer should be responsible for the reporting to the state medical board(granted it will include all your documentati...
  10. Help me!!!

    I think you 've got some good advice. Unless you started out in a trauma center or something many situations aren't that intense. It will grow on you as you get better at focusing on investigating the issues of the wound, acting with intention and h...
  11. This, so far, has already been a long and difficult task. It has now lasted just shy of one and a half years! Every month I hoped to be able to add a happy update, but.... Presently, I have jumped through every hoop the hospital has asked-- the last...
  12. Yes, by all means. There is a facility wide policy for RNs to initiate care based on need. Based on this, an unconscious person in the facility (at my feet), my assessment of symptomatic hypovolemia, my near 15yrs of CCA and ED experience prompted m...
  13. Thanks for your feedback. My thought is still this: I and the facility are more liable for non-involvement of an unconscious visitor than we are for intervening and stabalizing.... even if we are then asked to stop. I have to admit that in my nearly...
  14. pain in the ed

    WOW!! Emote away!! I don't recall anyone saying pain doesn't exist or noones pain but my own is real and needs to be treated...... and at the same time there is a universally recognized phenomena of patients who while having 10/10 pain are making out...
  15. myocitis, help!

    To my knowledge, this is a non-specific "muscle inflammation". Non specific in both its etiology and scope.